Specialist Accountants for Dentists & Dental Practices
Specialist Accountants for Dentists in Castle Donington
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Accounting Support for Dentists, Associates 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.
Common Accounting and Tax Considerations for Dental Professionals
Dental accounting carries a few features that do not come up in most other trades. How they affect you depends on whether you are employed, self-employed, a partner or a company director, and on the balance of NHS and private work you carry out. The points below are the areas dentists most often ask us about.
- Separating NHS contract income from private fees, and reconciling contract payments against work actually completed
- Associate dentist arrangements, including how splits, materials and lab fees are recorded and who reports what
- Professional expenses such as indemnity cover, professional body subscriptions, CPD and clinical clothing, where these are allowable
- Dental equipment, instruments, surgery fit-outs and capital expenditure, and how these are treated over time
- Practice payroll for nurses, reception and hygienists, including PAYE, real time information and pension duties
- VAT considerations, which can differ between exempt dental care and cosmetic or non-exempt treatments
- Practice cash flow, drawings, partnership or limited company structures, and keeping bookkeeping accurate throughout the year
Why Dentists Ask CruseBurke to Handle Their Accounting
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 Accounting Support Built Around Dental Professionals
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 associate dentist needs extensive support, but many find it worthwhile. Associates often receive a mix of NHS and private income, sometimes from more than one practice, and the tax treatment can depend on whether each engagement is treated as self-employment or employment. An accountant can help confirm your position, prepare and file your Self Assessment return, keep track of allowable professional costs such as indemnity cover and professional subscriptions, and make sure your records hold up if HMRC asks questions later.
Both NHS and private income are generally taxable, but how they are reported depends on your structure. A self-employed dentist usually reports income and expenses through Self Assessment, while a limited company reports its profit through annual accounts and a Corporation Tax return. NHS contract payments, associate splits and private fees often need to be recorded separately so the figures in your accounts and returns reflect what you actually earned. Good bookkeeping makes that separation far easier at year end.
Yes. For a practice trading through a limited company, the work typically includes annual accounts, a Corporation Tax return, confirmation statement filing, director Self Assessment where required, and payroll for any employees. We can also advise on how profit is taken out of the company, whether through salary, dividends or a combination, and flag the tax consequences of each route based on your circumstances. Company structure suits some practices well and less so for others, so it is worth reviewing rather than assuming.
Claims depend on your employment status, your business structure and how an expense relates to your work. Costs such as indemnity insurance, professional body and registration subscriptions, relevant CPD and clinical clothing are commonly considered, and equipment or practice costs may qualify for relief in certain situations. Because allowable treatment varies, particularly where you are employed rather than self-employed, it is worth having someone check your record keeping rather than relying on assumptions.
It depends on your taxable turnover and the nature of your services. Certain dental care provided by registered professionals may be exempt from VAT, while treatments such as cosmetic work may not be, so a practice can have a mixture of exempt and standard-rated income. Where registration applies, partial exemption rules can affect how much input VAT you can recover. We can review your position and, where relevant, handle registration, returns and record keeping.
Yes. Payroll support can cover practice employees such as nurses, receptionists and hygienists, including pay runs, payslips, PAYE reporting and pension duties. For associates the position is usually different, since many are engaged as self-employed and invoice the practice rather than appearing on payroll, but arrangements do vary and can attract HMRC scrutiny. Getting the treatment right from the outset helps avoid problems later, and we can review how your associates are engaged.
We can support dentists going through a practice purchase or sale by reviewing the financial information involved, considering how the transaction is structured, and explaining the tax implications that may follow. The right approach depends on whether you are buying shares, acquiring assets or bringing in a partner, and on how the practice is currently set up. Planning ahead of completion usually gives more room to consider the options properly.
Usually we would ask for details of your working arrangements, your income sources, and how your business is structured. That might include NHS contract statements, private treatment income summaries, associate payment schedules, bank and card statements, expense records, payroll information if you employ staff, and copies of any previous accounts or tax returns. If you are switching from another accountant, we can generally take over the records and correspondence as part of the transition.