Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Calne: Specialist Tax and Accounting Support
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Accounting for Every Kind of Dental Working Arrangement
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.
Specialist Accounting and Tax Services for Dentists
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 Dentists
Dental accounting often involves more moving parts than a straightforward trading business. Income may arrive from more than one source, costs can be a mix of clinical, professional and practice-related items, and both the reporting and the tax treatment can vary depending on your employment status, income mix and business structure.
- NHS and private income — keeping contract payments, private fees and any other streams properly separated so your records and tax returns reflect the full picture.
- Associate dentist arrangements — understanding how fee splits, self-employed status and travel between practices may affect what you report and what you can claim.
- Professional expenses and indemnity cover — distinguishing genuinely allowable costs such as professional subscriptions and indemnity insurance from items that are not deductible.
- Equipment and capital expenditure — considering how significant purchases such as surgery chairs, imaging equipment or practice fit-outs are treated and whether capital allowances may be available.
- Payroll and employment costs — managing PAYE for nurses, hygienists, reception and admin teams, along with the associated employment costs and reporting duties.
- Bookkeeping, VAT and cash flow — maintaining records that stand up to scrutiny and, where VAT applies, handling registration, returns and the timing of income and costs.
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, Practical Accountancy Support for Dental Clients
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
Not every dentist will need specialist help, but dental income and costs do raise questions that a generalist may not encounter often. NHS contract payments, associate fee splits, indemnity cover, professional subscriptions and practice equipment each have their own treatment, and whether a cost is allowable can depend on your employment status and business structure. An accountant who regularly works with dentists is simply more likely to spot those distinctions and ask the right questions before a return is filed.
Associate dentists are usually treated as self-employed for tax purposes, which generally means reporting income and expenses through Self Assessment rather than PAYE, and considering VAT registration if turnover passes the relevant threshold. In practice that involves keeping records of fee income from each practice, tracking allowable costs such as indemnity insurance, professional body subscriptions, clinical equipment and travel between sites, and making sure payments on account are handled properly. If you also hold an employed position, both sets of income need to be reported correctly.
For most dentists, both NHS and private income are taxable, but they behave differently in the records and can be affected by whether you are a practice owner, a principal or an associate. NHS contract income may arrive on a schedule that does not match your private fee receipts, which can create timing questions and influence how profits fall into a particular tax year. Getting the treatment right depends on your contract and structure, so it is worth reviewing rather than assuming.
Yes — these are common parts of the support we provide. Practice payroll often covers a mix of clinical and administrative staff on different hours and pay arrangements, while bookkeeping needs to cope with multiple income streams, supplier invoices, laboratory fees and equipment purchases. Where a practice is VAT registered, returns and the timing of income and costs need care, since some dental services may be exempt while others are not.
Commonly claimed costs include professional body subscriptions, indemnity insurance, continuing professional development, clinical clothing and certain equipment, although the position varies depending on whether you are employed, self-employed or running a limited company. Costs that are not wholly and exclusively for the business cannot be claimed, and mixed personal and professional spending usually needs apportioning. We look at what you actually spend rather than applying a blanket list.
There is no single answer. A sole trader or partnership structure is straightforward and suits many single-handed or smaller practices, while a limited company can bring different tax and liability considerations and is often worth reviewing as profits grow or as more dentists join. The right choice depends on income levels, how many principals are involved, plans for expansion or eventual sale, and your appetite for administrative obligations — so it is sensible to revisit periodically as circumstances change.
Switching is usually more straightforward than people expect. You would typically let your current accountant know you are moving, and we handle the professional clearance and handover of information so the transition does not disrupt your filing obligations. Existing records, prior returns and any outstanding HMRC correspondence are transferred across, and we then review your position so nothing important is overlooked. If your records are incomplete, we can work with what is available and help put a sensible system in place.