Specialist Accountants for Dentists & Dental Practices
Specialist Accountants for Dentists in Chipping Campden
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Accounting Support Built Around 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.
Financial and Accounting Considerations for Dental Professionals
Dental accounting tends to involve more moving parts than many other professions, and the right approach depends on whether you work as an associate, a principal, a practice owner or a combination of these. Some of the areas worth thinking about include:
- Keeping NHS and private income clearly separated, particularly where a practice receives both and reporting needs to be accurate and consistent
- Associate dentist arrangements, including self-employed status, the split of fees and how expenses are recorded correctly
- Professional costs such as indemnity cover, registration and professional body subscriptions, and whether these can be claimed depending on your position
- Dental equipment, fit-out and other capital expenditure, and how the timing and treatment of purchases can affect your tax position
- Practice payroll for nurses, receptionists, hygienists and associates, including PAYE and pension obligations where they apply
- Bookkeeping across multiple income sources, VAT registration and returns where relevant, and cash flow planning around practice overheads
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 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 With a Clear, Practical 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
A general accountant can complete a tax return, but dental income often needs more careful handling. NHS and private income may be reported in different ways, associate arrangements have specific implications for self-employment, and practice owners face payroll, equipment and premises costs that require considered treatment. Accountants for Dentists in Chipping Campden who work with dental clients regularly are more likely to recognise these issues quickly, ask the right questions and structure the work around how dentists actually earn their money.
Associates are usually treated as self-employed, which means registering with HMRC, completing a Self Assessment tax return each year and keeping records of income and allowable expenses. Where you work across multiple practices, that can mean several income sources to reconcile, plus expenses such as indemnity cover, professional subscriptions, travel between sites and a proportion of home costs where relevant. Bookkeeping support can help keep this organised through the year, while tax planning may be useful where your income fluctuates or you have other earnings alongside dentistry.
The right structure depends on your circumstances rather than a single rule. Many associates operate as self-employed sole traders, while practice owners often trade through a limited company or a partnership. A limited company brings Corporation Tax, statutory accounts, payroll obligations for directors and additional filing requirements, but it can also open up different options for how profits are taken. A partnership has its own rules around profit allocation and partner tax returns. It is worth reviewing the structure as your practice grows or your working arrangements change.
Yes. Where a practice receives a mix of NHS contract income and private fee income, accurate records matter because the two streams are reported and analysed differently. We can help you keep these separated within your bookkeeping, reconcile them against practice bank accounts and reflect them properly in your annual accounts and tax returns. Where VAT applies to any element of your income, the treatment can vary, so that is always reviewed on the facts of your practice rather than assumed.
Practice payroll typically covers employed team members such as nurses, receptionists, hygienists and practice managers, including PAYE, pension duties and payslips where applicable. Associate dentists are usually self-employed rather than employees, so they are generally not included in payroll in the standard way, although there can be exceptions depending on the working arrangement. We can look at your specific setup and advise on how each person should be treated.
Commonly claimed items include professional registration and body subscriptions, indemnity insurance, specialist equipment and its maintenance, dental materials, clinical clothing, and a proportion of home office or administrative costs where there is genuine business use. Whether a particular cost is allowable depends on your employment status, your business structure and the nature of the expense, and capital items are usually treated differently from day-to-day costs. Records matter, so keeping receipts and a clear note of the business purpose makes the process far smoother.
For a self-employed dentist, that usually means details of all income sources, records of expenses, bank statements, any previous tax returns and your HMRC correspondence. For a practice, we would also look at accounting records, payroll information, VAT returns where registered, loan or finance agreements and details of equipment purchases. If you are switching accountants, we can help arrange the handover of information and liaise with your previous adviser, so you are not left chasing paperwork yourself.
Fees are based on the work your circumstances actually require, so a straightforward associate tax return is priced differently from a full practice accounting package with payroll and VAT. Before anything is agreed, we discuss your situation, set out the scope of work and explain how the fee is calculated, so there are no surprises. If your needs change during the year, for example if your practice grows or you take on staff, we will discuss any adjustment in advance.