Specialist Accountants for Dentists & Dental Practices
Specialist Accountants for Dentists in Chesham
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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.
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 is not simply a case of recording fees received and costs paid. The way income arrives, the structure you trade through and the expenses you incur can all affect how figures are recorded, reported and taxed, and the right approach depends on your individual circumstances.
- NHS and private income streams, which may be recorded and reported differently and can include contract payments, private fees, laboratory charges and patient charges collected on behalf of others.
- Associate dentist arrangements, where self-employed status, expense claims and the split between practice and personal costs can raise questions at Self Assessment time.
- Professional expenses such as GDC retention fees, professional body subscriptions, indemnity cover and continuing professional development, which need to be tracked and treated correctly depending on your circumstances.
- Equipment and practice premises, including dental chairs, imaging equipment, sterilisation units, fit-outs and refurbishment work, all of which may raise capital allowances or treatment questions.
- Staff payroll and employment costs for dental nurses, hygienists, receptionists, practice managers and any associates paid through payroll, which require accurate and timely processing.
- VAT and cash flow, where the mix of exempt and standard-rated supplies, the timing of contract income and the level of practice outgoings can affect both registration decisions and day-to-day cash flow.
Working with an Accountant Who Understands Dentistry
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 Built Around Dental Accounting Needs
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 work as a self-employed associate, your income from the practice is generally treated as self-employment income and needs to be reported through Self Assessment, with tax and National Insurance calculated on your profits. The precise position depends on your contract and working arrangements, so it is worth checking how your income is characterised before assuming either way.
Both types of income are generally taxable, but they can behave differently in the records. NHS contract income often arrives in scheduled payments, while private fees may come in per patient or per treatment and can include laboratory charges or third-party payments that are not your income at all. Getting the analysis right matters because it affects your reported turnover, your VAT position where applicable, and how your profits are calculated.
Many dentists can claim expenses that are incurred wholly and exclusively for the purposes of their work. This commonly includes GDC retention fees, professional body subscriptions, indemnity cover and relevant training, although what is allowable depends on your employment status and individual circumstances. Keeping receipts and records organised throughout the year makes the claim far easier to support at tax return time.
There is no single answer that suits every practice. Sole trader and partnership structures are simpler to administer, while a limited company can offer different tax and profit extraction options and may suit practices with multiple principals or associates. The right choice depends on profit levels, how many owners are involved, plans for expansion and your personal financial position, so it is worth reviewing the options against your own circumstances.
VAT treatment in dentistry is not uniform. Some services may be exempt, while others — including certain cosmetic treatments and the sale of goods — can be standard-rated, and registration depends on your taxable turnover and the mix of what you supply. Because the rules interact, it is sensible to review your position as the practice grows or as your service mix changes rather than waiting until an issue arises.
For most practices it means recording fee income from NHS and private sources, tracking supplier and laboratory costs, logging staff wages and associated costs, and reconciling the bank. Reliable bookkeeping gives you an accurate picture of practice profitability, supports your VAT returns where relevant, and means your year-end accounts and tax returns are prepared from clean data rather than hurried reconstruction.
It helps to have details of your working arrangements, your income sources, any practice structure such as a partnership or limited company, and access to the records you already keep. Existing tax returns, accounts, VAT returns if applicable, payroll information and a list of significant expenses are usually enough for an initial review. If your records are incomplete, that is not a barrier — part of the process is often helping to get them into shape.
Switching is generally more straightforward than people expect. We ask for your authority to contact your current accountant, request the handover of your records and outstanding filing history, and take over the compliance work from an agreed point. We will confirm what is outstanding and what needs to be done next, so there is no gap in your filings or uncertainty about where responsibility sits.