Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Chessington: Specialist Tax and Accounting Support
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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.
Accounting and Tax Services Built Around Dental Work
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 and Tax Considerations for Dentists and Dental Practices
Dental finances often involve more moving parts than a straightforward salaried role, and the correct treatment depends on how you are engaged, what you earn and how your business is structured. The points below highlight areas that commonly warrant attention.
- Multiple income streams: NHS contract payments, private treatment fees and associate sessions may need to be recorded and reported separately, which can make bookkeeping and tax reporting more involved.
- Professional costs: indemnity cover, GDC registration, professional body subscriptions and clinical training can be allowable business expenses in the right circumstances, although the treatment depends on whether you are employed or self-employed.
- Equipment and capital expenditure: surgery equipment, clinical software and practice fit-outs may qualify for capital allowances rather than being deducted as an ordinary running cost, so classification and timing can matter.
- Payroll and employment costs: practice owners often run payroll for nurses, receptionists, hygienists and associates, bringing PAYE, pension and wider employment cost considerations into play.
- VAT: many dental services may be exempt, but mixed income, cosmetic treatments and associated product sales can raise VAT questions worth reviewing before they become an issue.
- Structure and profit extraction: partnerships and limited companies carry different reporting obligations and tax treatments, and how profits are drawn can affect both the practice and the individuals involved.
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.
A Simple Three-Step Process to Get Started
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 With a Practical, Personal 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
Not everyone does, but many associate dentists find it helpful. As a self-employed associate you are responsible for reporting your income and allowable expenses through Self Assessment, and if you work across several practices your record-keeping can become more complex. An accountant can help you keep track of income from each practice, identify costs that may be deductible, and prepare and file your tax return so the figures presented to HMRC are consistent and supported.
The treatment depends on your role and structure. A practice owner receiving NHS contract payments is generally accounting for business income, while an associate may receive a share of contract value through a self-employed arrangement, and a salaried dentist may be taxed through PAYE instead. Because contract income, private fees and any additional streams can be taxed differently, it is worth reviewing how your income is documented and reported rather than assuming a single approach applies.
These costs can often be claimed, but the position varies depending on whether you are self-employed, in a partnership, running a limited company or employed. Self-employed dentists may be able to deduct professional costs as allowable business expenses, while employed dentists who have paid such costs personally may be able to claim relief in certain situations. We can review your specific circumstances and confirm how each cost should be treated.
A partnership generally files a partnership tax return, with each partner reporting their share of profits through their own Self Assessment. A limited company is a separate legal entity, so it prepares annual accounts and pays Corporation Tax, while the directors and shareholders deal with their own tax position on salary and dividends. Profit extraction, National Insurance, pension contributions and administrative obligations can all differ between the two, which is why the structure you choose is worth reviewing carefully.
That depends on your turnover and the mix of services you provide. Many core dental services may be exempt, but income from cosmetic treatments, product sales or other non-exempt activities can affect your position, and voluntary registration is sometimes worth considering even where it is not compulsory. VAT on dental income can be a nuanced area, so it is worth taking advice before registering, deregistering or changing how you invoice.
Good records generally include invoices and receipts for treatment income, NHS payment schedules or contract statements, bank and card statements, purchase invoices for equipment and materials, payroll information for staff, and documentation relating to indemnity, registration and training costs. Keeping these organised throughout the year makes annual accounts and tax returns far easier to prepare, and it also gives you a clearer picture of how the practice is performing.
Yes. Buying or selling a practice usually involves several financial and tax considerations, including how the deal is structured, the treatment of equipment and goodwill, and the implications for the seller and buyer. We can help you review the figures involved, understand the likely reporting consequences and plan the transition so that your records and filings reflect the change properly.
Switching is usually more straightforward than people expect. We would review your existing records and filings, confirm what information is needed, and liaise with your previous accountant to obtain the relevant history and professional clearance. From there, we agree the ongoing work, whether that covers Self Assessment for an associate, full practice accounts and payroll, or a combination of services suited to your circumstances.