Specialist Accountants for Dentists & Dental Practices

Accountants for Dentists in Bromyard: Specialist Tax, Accounts and Practice Support

If you work as a dentist in Bromyard, whether as an associate, a principal, a self-employed locum or the owner of a dental practice, your financial affairs rarely fit a standard template. Income may arrive from NHS contracts, private treatment, plan schemes or a mix of all three, and the way those earnings are taxed can depend on whether you operate as a sole trader, within a partnership, or through a limited company. Our work as accountants for dentists in Bromyard is built around that reality. We help dental professionals and dental practice owners make sense of Self Assessment, bookkeeping, annual accounts, payroll, VAT and tax planning, so that the numbers behind the clinical work stay organised and understandable. On this page you can read about the accounting considerations that commonly affect dentists, the types of support that may be relevant to your situation, and how a specialist approach to dental accounting can make day-to-day financial administration easier to manage.

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⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

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Victor Adade - GeoNet Telecom
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Good work!
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MAHSA T
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I’m very happy with the support I’ve received from Umer & Raza. RAZA always replies to my emails promptly and is very helpful. I’ve also had a few meetings with UMER, who patiently explained everything and gave me helpful advice. I’m very pleased with the team and grateful for their support.
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Michaela Jesson
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Excellent service from start to finish. Professional, knowledgeable, and always helpful. They made the whole process straightforward and stress-free, and I really appreciate their support. Highly recommended!
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Ayotunde Rufai
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Best accountants we've ever had. Umer is ace, and makes everything easy and transparent.
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Sofia
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I had a really positive experience with Muhammad. He was incredibly quick to action everything and made the whole process straightforward and stress-free. He took care of everything promptly and kept me informed throughout, which was greatly appreciated. Muhammad was professional, responsive and genuinely helpful from start to finish. It was clear that he cared about providing a great service and making sure everything was handled properly. I would definitely recommend him to anyone looking for someone reliable, efficient and professional.
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Zest For Life
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I worked with Accotx on a HMRC reclaim and overall, they did ultimately deliver on their promise, which I appreciate. The process did take longer than any of us expected, partly due to external delays with the tax authorities, and partly because there were some hiccups in communication and follow-up. However, despite those challenges, they stayed professional and stuck to the original agreed terms. If you’re considering using them, be prepared to stay in regular contact to keep things moving along. They are absolutely capable, have the expertise and willing to work with you, and overall improving their services over time. I would certainly return for any future needs.
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Pete Wrist
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Sterling work. Many thanks to Muhammad and the team for all their help and expertise
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Hansen Personal Training
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We have been a client for years - very quick responsive and personalised service
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Jamie Fletcher
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It was a pleasure working with Anum on our accounts. The whole process was swift and effortless, and it was one less thing to worry about. I'd highly recommend them.
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Mansur Liman
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Accotax have been our accountants for many years now. We maintained them, because of their professionalism. In the last coiple of years, i have working with Imran, who has been very professional and helpful in guiding us through the whole process explaining and clarifying every aspect of it. Very prompt in responding to questions and patient with us even when we seem to be slow. I really enjoy working with him. Thank you
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Accounting Support for Dentists and Dental Practices

Dental professionals do not all work in the same way, and their accounting needs reflect that. An associate dentist paid on a self-employed basis may need help with Self Assessment and expense records, while a principal dentist or dental practice owner is likely to be dealing with staff payroll, practice premises costs, equipment purchases and possibly VAT alongside their own personal tax position. Private dentists, NHS-focused dentists and those with a blend of both may also have different income streams to account for, and partnerships and limited companies bring their own reporting obligations.

Associate & Private Dentists

Self-assessment, allowable expense claims, lab fees and superannuation reconciliation for self-employed associates and private dentists.

Dental Practice Owners & Principals

Practice accounts, payroll for nurses and receptionists, UDA income monitoring, cash flow and profit extraction planning.

Orthodontists & Specialists

Accounting for referral-based and specialist practices, including capital allowances on equipment and VAT on cosmetic treatment.

Squat Practices & Dental Start-Ups

Cash flow forecasts for lenders, company formation, cloud software set-up and registration for new and squat dental practices.

Our Accounting and Tax Services for Dentists

The support a dental professional needs depends on how they are engaged and how their business is structured, so our services are put together around your circumstances rather than a fixed package. Depending on your situation, this may include Self Assessment tax returns, day-to-day bookkeeping, annual accounts, Corporation Tax computations, payroll for practice staff, VAT returns and support with practice finances. We can also help with tax planning around drawings, profit extraction, equipment and practice purchase or sale, so decisions are made with the tax consequences in mind.

Bookkeeping for Dental Practices

We reconcile NHS schedules, private takings, plan income such as Denplan and card receipts so you always know what the practice is really earning.

VAT for Dental Practices

Most dental treatment is VAT exempt, but cosmetic work, teeth whitening and product sales are not. We handle partial exemption and get your returns right.

Self-Assessment for Associate Dentists

We prepare associate tax returns, claim every allowable expense from GDC fees and indemnity to CPD and lab costs, and reconcile superannuation deductions.

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Dental Payroll, Auto-Enrolment & NHS Pension

Payroll for nurses, hygienists and reception staff, plus auto-enrolment, statutory pay and NHS Pension submissions handled on time every month.

Practice Accounts & Profitability Reporting

Management accounts that show profit per surgery, per associate and per income stream, so you can see exactly where the practice makes money.

Accounting Challenges Commonly Faced by Dental Practices

Dental accounting involves a few areas that do not always appear in other professions, and the emphasis shifts depending on whether you are an associate, a principal, a partner or a practice owner. The points below set out the considerations that most often need attention.

  • Managing mixed income streams, where NHS contract payments, private fees and plan scheme income may be received on different cycles and need to be tracked separately
  • Associate dentist arrangements, including the way payments are structured and how the tax treatment can differ from employment
  • Professional expenses such as indemnity cover, professional body subscriptions and registration costs, which may be allowable depending on the circumstances and require proper record keeping
  • Dental equipment and capital expenditure, where the timing and treatment of purchases can affect the accounts and any available reliefs
  • Practice payroll and employment costs, including PAYE, pension obligations where they apply, and the correct treatment of associates compared with employed staff
  • VAT considerations, which can be complex where dental services, cosmetic treatment and associated supplies fall into different categories
  • Practice finances and cash flow, particularly where lab fees, materials and staff costs are paid before contract income arrives
  • Choosing between sole trader, partnership and limited company structures as a practice grows or as the number of principals changes
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Why Dentists Work With CruseBurke

Dentists often come to us because their affairs have outgrown a generalist approach, or because they want a clearer picture of how their income, expenses and business structure interact. We take the time to understand your working arrangement, explain the accounting and tax position in plain language, and keep your records and deadlines organised so nothing is left to the last minute. Just as importantly, we adapt our support as your circumstances change, whether that means moving from associate work to practice ownership, taking on staff, or restructuring how the practice is held.

Genuine Dental Expertise

We know UDAs, superannuation, associate agreements and GDC costs without being told.

Built Around Your Practice

Associates, principals and multi-site groups each get a different service, not a template.

Fixed, Transparent Fees

One agreed monthly fee with no hourly billing and no surprises at year end.

Proactive Dental Tax Planning

Incorporation reviews, capital allowances on equipment and profit extraction planned in advance.

Named Accountant, Real Answers

You deal with the same qualified person every time, by phone or email, not a call centre.

A Track Record Since Before WWII

Our roots go back further than the Second World War and we act for dental clients across London.

Our Simple Three-Step Process

Working with an accountant should not feel complicated, so we keep the process straightforward from the outset. It usually begins with a conversation about how you work, what income you receive and what records you already hold, followed by a clear plan of what needs to be prepared and when. From there, we handle the accounting and tax work and keep in touch as your circumstances change, so support remains relevant rather than becoming a once-a-year transaction.

1. Initial Consultation (It’s Free):

We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.

2. Customised Plan:

Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.

3. Ongoing Support & Updates:

From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.

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Built on Professional Standards and Practical Dental Sector Knowledge

Good accounting support rests on accuracy, clear communication and a proper understanding of the sector you work in. Our approach combines technical accounting and tax work with a practical awareness of how dental practices actually operate, from contract income and lab costs through to staff wages and equipment purchases. That means you receive explanations you can act on, records that stand up to scrutiny, and advice framed around the decisions you are actually facing.

Technology Driven

Cloud accounting linked to your practice software so your figures are current, not six months old.

Named Dental Accountant

A dedicated accountant for dentists who knows your practice, your contract and your plans.

Ongoing Support

Unlimited support by phone and email, including quick answers on UDA and superannuation queries.

Experienced Team

Our team has over 100 years of combined accountancy experience.

Free - Email Reminders

Never Miss any deadline with our automated email reminders.

Yes, We Are Chartered!

We’re an ICAEW, ACCA & AAT accredited Firm.

How to Switch to Our Dental Accountants

Take a back seat and let our London dental accountants handle everything. Switching mid-year is straightforward and you do not need to speak to your old accountant:

Get in touch

Reach out to us and we will discuss your practice, your contract and how we can help.

Letter of Engagement

We’ll send over a simple letter to formalise our partnership and get everything in motion.

Previous Accountants

If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.

We Do the Rest

From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.

FAQs

In many cases, yes. If you receive income that is not taxed through PAYE, such as self-employed associate earnings, locum fees or private practice income, you are likely to need to report it through Self Assessment. The position can be different if you are employed and taxed under PAYE, or if you work through a limited company, so the starting point is understanding exactly how your income is structured. We can review your arrangement and confirm what needs to be reported and by when.

NHS contract payments, private treatment fees and plan scheme income often arrive on different schedules and may need to be tracked separately in your records. Keeping those streams distinct makes it easier to reconcile payments, monitor profitability and prepare accurate accounts and tax returns. Depending on the nature of the services provided, the VAT treatment of different income sources can also vary, which is one reason careful bookkeeping matters.

Yes. Practice payroll typically covers receptionists, dental nurses, hygienists, therapists, practice managers and any other employed team members. We can handle payroll processing, payslips, PAYE reporting and the associated employment costs, and consider pension obligations where they apply. Where associates are engaged on a self-employed basis, their treatment is usually different from that of employees, and we can help you keep the two clearly separated.

Common items include professional body subscriptions, registration fees, indemnity or professional insurance, continuing professional development, clinical equipment, materials and business travel. Whether a particular cost is allowable depends on the circumstances, including whether it was incurred wholly and exclusively for your work or practice. Good record keeping throughout the year makes it far easier to support any claim, so we usually recommend separating business and personal spending from the start.

There is no single answer that suits every dentist. Sole trader status is straightforward but leaves profits taxed on you personally, partnerships suit practices run by two or more principals with an agreed profit-sharing arrangement, and a limited company can offer different tax and profit extraction options along with additional reporting and compliance responsibilities. The right structure depends on your income levels, how many principals are involved, your plans for the practice and your personal circumstances.

It depends on your taxable turnover and the nature of the services you provide. Many dental services fall outside the scope of VAT, but cosmetic treatments, certain products and associated supplies may be treated differently, so a mixed NHS and private practice can raise genuine questions about what should be included. We can review your income streams and advise on registration, record keeping and returns where VAT applies to your practice.

It helps to have your most recent tax return, a summary of your income sources, details of any practice you own or work within, and records of business expenses and equipment purchases. If you already have bookkeeping or accounting software, we can work with it, and if your records are incomplete or held in a mix of formats, we can help bring them into order. If you are unsure what is relevant, a short conversation is usually the quickest way to establish what is needed.

Yes, switching accountants is generally straightforward and you do not need to wait for a particular point in the year. We can contact your existing accountant for the information we need, with your authorisation, and take over the preparation of accounts, tax returns and payroll from an agreed date. It also gives you a natural opportunity to review whether your current structure and record keeping are working as well as they could.

Speak to an Expert

Juggling NHS income, private fees and practice costs? Let CruseBurke bring clarity to your dental finances.

When income arrives from several sources and expenses such as indemnity cover, lab fees and staff wages are spread across the year, keeping everything straight can become a real drain on your time. CruseBurke supports dentists and dental practice owners with bookkeeping, Self Assessment, practice accounts and payroll, so your records stay in order and your tax position is properly understood. Whether you are an associate, a principal or preparing to buy or sell a practice, our approach is to explain things clearly and keep your accounting practical. Speak to our team about your circumstances and take the next step with an accountant who works with dental professionals.