Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Burntwood
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Accounting Support Built Around Dentists and Dental Practices
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 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 often involves more moving parts than a straightforward salary or single trade. The way income arrives, the costs you incur to practise and the structure you trade through all affect what needs to be recorded, reported and planned for, and these can change as your career or practice develops.
- Managing a mix of NHS and private dental income, including how each stream is recorded and reported
- Associate dentist arrangements, including UDA or percentage-based earnings and expenses met personally
- Professional expenses such as indemnity cover, professional subscriptions and continuing professional development
- Dental equipment, materials and capital expenditure, including how purchases may be treated for tax purposes
- Staff payroll and employment costs where a practice employs nurses, receptionists, hygienists or associates
- Bookkeeping and financial records, including keeping income and expenses organised through the year
- VAT considerations where registration applies, including what is and is not standard-rated
- Practice finances and cash flow, particularly where income and costs fluctuate
- Partnership or limited company structures and how profits are shared and extracted
- Tax administration and Self Assessment, including payments on account and deadlines
Why Dentists Choose 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 Support With a Practical, Dental-Focused 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
Self-employed dentists, including most associate dentists and locums, generally need to report their income and expenses through Self Assessment, even where tax has already been deducted at source on part of their earnings. The return usually needs to account for all income sources, allowable expenses and any tax already paid, and it may also trigger payments on account towards the following year. The exact position depends on whether you are treated as self-employed or employed for a particular role, so it is worth confirming how each contract is structured.
Both streams form part of your taxable income, but they often arrive differently and may be recorded differently in your books. NHS income may be received through a contract or from a practice, while private income can be collected directly from patients or through a practice arrangement. Keeping these streams clearly separated helps with accurate reporting, helps you understand where profit is actually being generated, and can make VAT and practice accounting easier to manage where relevant.
Common examples include professional indemnity cover, GDC and professional body subscriptions, continuing professional development, specialist equipment and materials, clinical clothing, and a proportion of costs relating to a home office or practice premises where applicable. Whether an expense is allowable, and how much of it can be claimed, depends on the nature of the cost and how it relates to your work. Records should be kept for anything you intend to claim.
Yes. Where a practice employs nurses, receptionists, hygienists, practice managers or associates, payroll support can cover payslips, PAYE and National Insurance calculations, and reporting obligations to HMRC. Payroll for dental practices can include a mix of salaried staff, hourly workers and associate arrangements, so it helps to have these set up correctly from the start and reviewed when staffing changes.
There is no single answer that suits every dentist. Sole trader status is common for associates, partnerships are often used where two or more dentists run a practice together, and a limited company may suit some practice owners depending on how profits are extracted and reinvested. Each structure carries different administrative, tax and reporting consequences, and the right choice can change as your income, practice or plans develop. It is worth reviewing periodically rather than assuming the original decision still fits.
VAT treatment in dentistry is not always straightforward, because some services are exempt while others may be standard-rated, and the position can vary between NHS and private work. Registration also depends on turnover and the nature of the services provided. Where VAT applies, accurate record keeping and correct treatment on invoices are important, and the position should be reviewed if your mix of work changes.
It helps to have details of how you work, including your contracts or associate agreements, income statements, bank and card receipts, expense records and any previous tax returns or accounts. If you run a practice, information on staff, premises costs and equipment purchases is also useful. If you are switching accountants, we can usually work from what your previous adviser has prepared, and the initial conversation is mainly about understanding your circumstances.
Fees depend on the scope of work involved, which can range from a straightforward Self Assessment return for an associate dentist to fuller support covering bookkeeping, payroll, VAT and annual accounts for a practice. Rather than quoting a figure that may not reflect your situation, we would normally discuss your circumstances first and then set out what the work involves and how it is priced. That way the fee reflects the support you actually need.