Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Carlisle
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Accounting Support for 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 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.
Accounting Considerations for Dental Practices
Dental accounting can involve a wider set of considerations than many other professions, largely because income often arrives from more than one direction and the cost base includes items that need careful treatment. Depending on how you work and how your practice is structured, the following areas are worth thinking about.
- NHS and private income — NHS contract payments, private treatment fees and associate splits may need to be recorded and reported differently, and reconciling them accurately matters at year end.
- Associate dentist arrangements — the terms of an associateship, including how fees are shared and what expenses the dentist meets personally, can affect both bookkeeping and Self Assessment.
- Professional expenses and indemnity costs — indemnity insurance, professional subscriptions and registration costs are common outgoings, but their treatment depends on your employment status and business structure.
- Equipment and capital expenditure — dental chairs, imaging equipment, sterilisation units and practice fit-outs may qualify for particular tax treatment, so purchases are worth reviewing rather than simply expensed.
- Payroll and employment costs — practices with receptionists, nurses, hygienists or associates on payroll need accurate payslips, RTI reporting and an understanding of employer obligations.
- Bookkeeping, VAT and cash flow — keeping records current throughout the year gives a clearer picture of practice finances, and helps identify whether VAT registration may become relevant.
Why Dentists 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.
A Straightforward 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 Built Around 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
In most cases, a dentist who earns self-employed income as a sole trader or as an associate will need to report that income through Self Assessment, though the exact position depends on how you are engaged and whether tax is already deducted at source. If you also have income from employment, dividends, rental property or other sources, these may need to be included on the same return. Rather than assuming, it is worth reviewing your contracts and income streams so the return correctly reflects your circumstances.
NHS contract income and private treatment fees are generally both taxable, but they can arrive in different ways and be recorded differently in your books. NHS payments may follow a contract schedule while private fees are received per patient or per treatment, which can complicate reconciliation at year end. Keeping clear records of each stream helps ensure your accounts and tax return are accurate, and the treatment can vary depending on whether you are a contract holder, an associate or a practice owner.
Yes. Many dentists ask us to handle practice bookkeeping alongside their personal Self Assessment, which can keep both sides of the picture consistent. That might involve recording practice income and expenditure, reconciling bank accounts, managing supplier payments and preparing figures for the year-end accounts. Keeping the practice records tidy throughout the year also tends to make the personal tax position easier to confirm when the return is due.
Common claims for self-employed dentists can include professional registration and subscription costs, indemnity insurance, specialist equipment, continuing professional development and a proportion of costs where something is used for both business and personal purposes. Whether an expense is allowable depends on the nature of the cost, your business structure and the rules in force at the time, so it is worth reviewing potential claims rather than assuming they qualify. We can look at your outgoings and advise on what may be appropriate.
There is no single answer, because the right structure depends on your income level, how many dentists are involved, your plans for the practice and how you want to take money out of the business. A limited company can suit some practice owners and partnerships can suit others, while many associate dentists simply operate as sole traders. The tax and administrative consequences differ between structures, so it is worth reviewing your position before making a change.
VAT registration depends on your taxable turnover and the nature of the services you provide, and some healthcare-related services may be exempt while others are not. A mixed private and NHS practice can therefore have a more complex VAT position than it first appears. Where registration applies, we can help with record keeping and returns; where it may become relevant in future, we can flag it so you are not caught unprepared.
Yes. Practices that employ receptionists, dental nurses, hygienists, therapists or other staff need accurate payroll, including payslips, deductions and reporting to HMRC in real time. We can handle payroll on an ongoing basis and help you understand employer obligations such as pension duties where they apply. If your practice uses associates rather than employees, we can also help clarify how those payments should be treated.
Switching usually starts with letting your current accountant know, then providing us with your recent accounts, tax returns, bookkeeping records and any correspondence from HMRC where relevant. We can write to your existing accountant to request the necessary information and take over the filings that are due. Once we understand your circumstances, we will confirm what ongoing records we need from you and when.