Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Burnham On Crouch: Tax, Accounts and Practice Support
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Who We Support: Associates, Principals and Dental Practice Owners
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.
Accounting and Tax Services for Dentists and Dental Practices
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.
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.
Financial and Accounting Considerations for Dental Practices
Dental accounting tends to be more layered than in many other small business sectors, because income, expenses and employment arrangements vary considerably from one dentist to the next. The considerations below are common rather than universal — which ones apply to you will depend on your contract type, business structure and how your practice is run.
- Mixed income streams: NHS contract payments, private fees and dental plan income often need to be tracked separately so that reporting stays accurate.
- Associate arrangements: self-employed associates usually need to reconcile payments received from one or more practices against their own fee records.
- Professional costs: indemnity cover, GDC registration, professional body subscriptions and relevant CPD are common expenses that may be allowable where the conditions are met.
- Equipment and premises: dental chairs, imaging equipment and practice refurbishment can involve capital allowances, lease or finance arrangements and VAT questions.
- Staff and payroll: practice managers, nurses, receptionists and associates may all sit within different payroll and employment arrangements.
- Structure and tax administration: partnerships and limited companies involve different filing obligations, profit extraction options and Self Assessment responsibilities.
Why Dentists and Dental Practices Work With CruseBurke
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
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.
Professional Standards and a Tailored Approach
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 most cases, yes. If you work as a self-employed associate, the fees you receive are generally treated as self-employed income, which usually means registering with HMRC and filing a Self Assessment tax return each year. Where you also hold an employed role, receive other income, or your earnings are structured differently, additional reporting may apply. The exact position depends on your contracts and how your work is arranged, so it is worth reviewing well before the filing deadline rather than after it.
Both are usually taxable, but they arrive in different ways and generally need to be recorded separately. NHS contract payments tend to follow a scheduled contract value with adjustments during the year, while private fees, plan subscriptions and laboratory charges come in on their own pattern. From an accounting perspective, the priority is that your records reconcile back to contracts and practice systems, so the profit figure reported is accurate and any VAT position can be considered properly.
Yes. Dental businesses operate through several different structures, and each brings its own filing and tax obligations. A partnership generally requires a partnership return plus individual Self Assessment returns for each partner, while a limited company files annual accounts and a Corporation Tax return and may involve payroll for directors and staff. We can work with whichever structure you already use, or discuss how a change might affect your position.
Typical examples include indemnity or professional insurance, GDC registration and professional body subscriptions, clinical clothing such as tunics and scrubs, continuing professional development relevant to your existing work, and practice running costs such as equipment maintenance, laboratory fees and administrative software. Whether an expense is allowable depends on the rules and on your circumstances — private or personal costs, for instance, are generally not deductible. We review expenses as part of preparing the accounts and returns rather than assuming a standard list applies to everyone.
Whether VAT registration is required depends on your turnover and the nature of your supplies, and the position for dental services is not always straightforward. Some dental treatment may be exempt, while other items such as certain cosmetic procedures or retail sales can be taxable. If you are approaching or have crossed the registration threshold, or you are already registered, we can help with record keeping, returns and making sure different income streams are treated consistently.
Good records make everything else easier. In practice that usually means keeping practice management or software reports, NHS contract statements and payment schedules, private fee summaries, bank and card statements, supplier invoices, payroll records for staff and associates, and details of equipment purchases or finance agreements. If you are a self-employed associate, records of fees received from each practice are essential. Digital records work well provided they are complete, backed up and straightforward to reconcile.
Yes, and changing accountant is usually a smooth process. We can handle the handover with your previous adviser, including requesting the records and information needed to pick up where they left off. It helps if you can provide recent accounts, tax returns, bookkeeping files and details of any ongoing filings. Once everything is in place, we will confirm what needs to be submitted and by when, so nothing is left unclear.
A short conversation about how you work is the best starting point — whether you are an associate, principal, partner or practice owner, and where your income comes from. From there, we will ask for the relevant records, such as previous accounts, tax returns, bookkeeping data, payroll information and details of any VAT registration. What is needed varies depending on your structure and the services you require, so we set out a clear list rather than a generic request.