Specialist Accountants for Dentists & Dental Practices

Accountants for Dentists in Bushey: Specialist Tax and Accounting Support

Running a dental career or a dental practice involves a mix of income streams, regulatory costs and business structures that do not always fit neatly into a standard accounting template. Whether you work as an associate dentist with several pay arrangements, a principal dentist running your own practice, or a partner in a dental partnership, the way your income is recorded, taxed and reported can vary considerably. Our Accountants for Dentists in Bushey service is built around those realities, offering support with Self Assessment, bookkeeping, annual accounts, Corporation Tax, payroll, VAT where applicable, and practical tax planning. We help self-employed dentists, private dentists and dental practice owners keep accurate records, understand their reporting obligations and make informed decisions about their practice finances. For many dentists, the value lies in having tidy records, clear explanations and an accountant who recognises the difference between NHS and private dental income, associate arrangements and practice-level costs such as indemnity cover, equipment and staff wages. The sections below explain the types of accounting support available and the considerations that may affect your tax position, depending on your circumstances.

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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 work in a wide range of arrangements, from self-employed associate dentists and locums to principal dentists, private dentists and practice owners operating through partnerships or limited companies. Income sources can be mixed, combining NHS contract payments, private treatment fees, plan schemes and practice profits, each of which may be treated differently for tax and accounting purposes. Because requirements vary so much between individuals and businesses, the right accounting approach depends on your working arrangement, your income streams and the structure you trade through.

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

We provide accounting and tax support tailored to dentists, covering Self Assessment and tax returns for self-employed and associate dentists, bookkeeping and financial record keeping, annual accounts and Corporation Tax for limited company practices, and VAT support where registration applies. For practice owners, this can extend to practice accounting, staff payroll, partnership accounts and tax planning around profits, drawings and equipment purchases. Not every dentist needs every service, so we focus on what is genuinely relevant to your structure and circumstances.

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.

accounting services for dentals in London

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.

Common Accounting Considerations for Dentists and Dental Practices

Dental accounting often involves more moving parts than a straightforward salary-and-savings tax return. The issues below are common considerations for dentists, though whether they apply to you depends on your working arrangement, income sources and business structure.

  • Combining NHS contract income with private treatment fees and plan scheme payments in a way that keeps records clear and reporting accurate.
  • Associate dentist arrangements, where percentages, laboratory fees, materials and self-employed status all affect how income and expenses are recorded.
  • Professional expenses such as indemnity cover, GDC and professional body subscriptions, continuing professional development and specialist equipment.
  • Capital expenditure on dental equipment, surgery fit-outs and technology, and how the timing and treatment of those purchases may affect your tax position.
  • Staff costs and payroll for practice teams, including receptionists, dental nurses, hygienists and associates paid through the practice.
  • VAT considerations, which can be complex where a mix of exempt and standard-rated supplies is involved, alongside bookkeeping, cash flow and Self Assessment administration.
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Why Dentists Work With CruseBurke

Dentists often come to us because their circumstances do not fit a standard template, whether that means multiple income sources, an associate contract alongside practice profits, or a change in business structure. We aim to make the accounting side straightforward: clear explanations, well-organised records and advice that reflects how dental work actually pays. Our approach is tailored, so the support you receive is shaped by your role, your income and your plans rather than a fixed package.

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.

A Simple Three-Step Process to Get Started

We begin by understanding your circumstances, including how you are engaged, where your income comes from and how your practice or self-employment is structured. From there we organise the accounting and tax work that applies to you, such as bookkeeping, accounts preparation or tax returns. Once everything is in order, we can provide ongoing support and stay involved as your circumstances change.

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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Professional Support Built Around Dental Accounting

Our focus is on professional standards, plain-English communication and practical help with the accounting tasks that take up time away from clinical work. We take the time to understand how your income is earned, whether that is NHS contract work, private fees or a mix of both, and to explain the tax and reporting implications in terms you can act on. Where circumstances are more complex, we work through them methodically rather than applying a one-size-fits-all 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 are a self-employed associate dentist, a locum or otherwise working on a self-employed basis, you will usually need to report your income and allowable expenses through Self Assessment. The exact position depends on your engagement terms and whether you also receive income taxed through PAYE, so it is worth reviewing your contracts and pay arrangements before completing a return.

Both NHS and private dental income are generally taxable, but the way they arrive and are recorded can differ, which affects bookkeeping and how figures are reported. Practice owners may also need to account for contract payments at practice level rather than personal level. Because the treatment depends on your structure and the nature of the income, it is best considered alongside your overall circumstances.

Yes. Practice accounting and personal tax matters often overlap, particularly for principal dentists and practice owners. We can look at both together, covering annual accounts, Corporation Tax or partnership accounts as relevant, alongside your personal Self Assessment position, so that decisions such as drawings, profit extraction and equipment purchases are considered as a whole.

Costs that are incurred wholly and exclusively for the purposes of your dental work may be allowable, which can include indemnity cover, professional subscriptions, certain training and specialist equipment. Whether a specific cost qualifies can depend on the nature of the expense and your employment or self-employment status. We can review your outgoings and explain which items are likely to be claimable.

Yes, payroll support may be relevant if you employ dental nurses, receptionists, hygienists or other team members, and it can also apply where associates are paid through the practice. This typically involves calculating pay, handling deductions and reporting requirements, and keeping employment records in order. The level of support needed depends on how your practice is structured and how staff are engaged.

There is no single answer that suits every practice. Limited companies, partnerships and sole trader structures each carry different reporting requirements and tax implications, and the most suitable option can depend on profits, the number of principals involved, plans for expansion and how you wish to take income. It is a decision worth reviewing as your practice evolves rather than setting once and leaving unchanged.

Switching usually involves giving your current accountant notice, then providing us with details of your business structure, income sources and recent records so we can pick up the work. We can help coordinate the handover of information and identify anything outstanding, such as incomplete bookkeeping or an approaching filing date. The process tends to be smoother when your records are reasonably well organised.

It helps to have details of how you are engaged, whether that is self-employment, a partnership or a limited company, along with recent accounts, tax returns, bank statements and records of income and expenses. Practice owners may also need to provide payroll information and details of equipment or premises costs. If some records are incomplete, we can discuss what needs to be brought together first.

Speak to an Expert

Juggling NHS income, private fees and practice costs? Let specialist dental accounting take the weight off.

Keeping on top of Self Assessment, associate income, indemnity costs and practice records can easily slip down the list when your diary is full. CruseBurke provides accounting and tax support shaped around dental work, from bookkeeping and annual accounts to payroll and tax planning, so your figures stay accurate and your reporting stays on track. Getting your financial affairs properly organised now can make future decisions far easier.