Specialist Accountants for Dentists & Dental Practices

Accountants for Dentists in Church Stretton

Dentistry rarely produces a simple set of accounts. Income may arrive from NHS contracts, private fee schedules, plan memberships, or a combination of all three, while costs range from indemnity cover and professional subscriptions to equipment, materials, practice premises and staff wages. Our accountants for dentists in Church Stretton work with self-employed associates, principal dentists, partners, limited company directors and practice owners who want their bookkeeping, Self Assessment, annual accounts and tax affairs handled by someone who understands the shape of a dental working life. That might mean correctly separating NHS and private income sources, tracking allowable professional expenses, reporting drawings or dividends accurately, or preparing payroll for a practice team. Because no two dental arrangements are identical, the support is tailored to your own structure and circumstances rather than applied as a fixed template. This page sets out the accounting and tax considerations that commonly affect dentists and dental practices, the services that may be relevant to you, and how the process of working together tends to run from first contact onwards.

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⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

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Victor Adade - GeoNet Telecom
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Good work!
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MAHSA T
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I’m very happy with the support I’ve received from Umer & Raza. RAZA always replies to my emails promptly and is very helpful. I’ve also had a few meetings with UMER, who patiently explained everything and gave me helpful advice. I’m very pleased with the team and grateful for their support.
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Michaela Jesson
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Excellent service from start to finish. Professional, knowledgeable, and always helpful. They made the whole process straightforward and stress-free, and I really appreciate their support. Highly recommended!
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Ayotunde Rufai
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Best accountants we've ever had. Umer is ace, and makes everything easy and transparent.
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Sofia
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I had a really positive experience with Muhammad. He was incredibly quick to action everything and made the whole process straightforward and stress-free. He took care of everything promptly and kept me informed throughout, which was greatly appreciated. Muhammad was professional, responsive and genuinely helpful from start to finish. It was clear that he cared about providing a great service and making sure everything was handled properly. I would definitely recommend him to anyone looking for someone reliable, efficient and professional.
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Zest For Life
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I worked with Accotx on a HMRC reclaim and overall, they did ultimately deliver on their promise, which I appreciate. The process did take longer than any of us expected, partly due to external delays with the tax authorities, and partly because there were some hiccups in communication and follow-up. However, despite those challenges, they stayed professional and stuck to the original agreed terms. If you’re considering using them, be prepared to stay in regular contact to keep things moving along. They are absolutely capable, have the expertise and willing to work with you, and overall improving their services over time. I would certainly return for any future needs.
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Pete Wrist
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Sterling work. Many thanks to Muhammad and the team for all their help and expertise
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Hansen Personal Training
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We have been a client for years - very quick responsive and personalised service
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Jamie Fletcher
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It was a pleasure working with Anum on our accounts. The whole process was swift and effortless, and it was one less thing to worry about. I'd highly recommend them.
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Mansur Liman
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Accotax have been our accountants for many years now. We maintained them, because of their professionalism. In the last coiple of years, i have working with Imran, who has been very professional and helpful in guiding us through the whole process explaining and clarifying every aspect of it. Very prompt in responding to questions and patient with us even when we seem to be slow. I really enjoy working with him. Thank you
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Supporting Dentists and Dental Practices

The dentists we work with are not a single group: a self-employed associate submitting a Self Assessment return each year has very different reporting needs from a practice owner running a limited company with a payroll, a premises lease and a VAT registration. Principal dentists, private-only practitioners, mixed NHS and private dentists, partners in a dental partnership and associates working across several practices all sit somewhere on that spectrum. Their accounts and tax position depend on employment status, how many income streams feed into the practice or personal income, and the business structure they have chosen, all of which can change over a career.

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

Support can range from straightforward annual accounts and a Self Assessment tax return for an associate dentist, through to full practice accounting that brings together bookkeeping, payroll, VAT returns and Corporation Tax for a limited company. Tax planning, allowable professional expenses, capital allowances on equipment, and reporting for partnerships are also areas that often need attention. Not every dentist requires every service, so the scope is agreed around what your working arrangement and income sources actually call for at the time.

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.

accounting services for dentals in London

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 Dentists and Dental Practices

Dental accounting often involves more moving parts than the headline income figure suggests, and the right treatment depends on how you work, what you earn from, and the structure you operate through. The considerations below come up regularly, though not every dentist or practice will face all of them.

  • Blending NHS contract income with private fees, plan payments and laboratory or referral work, and keeping each stream clearly recorded for accounts and tax purposes.
  • Associate dentist arrangements, including UDA-based pay, self-employed status, and the responsibilities that follow from being paid as a self-employed contractor rather than an employee.
  • Professional expenses such as indemnity insurance, GDC registration, professional body subscriptions, continuing professional development and clinical clothing.
  • Equipment, fit-out and capital expenditure, where the timing and treatment of a purchase can affect the profit figure shown in a given year.
  • Staff payroll for practice teams, covering tax, National Insurance, pension duties and real-time reporting obligations, where a practice employs others.
  • Bookkeeping and record keeping that keeps daily takings, supplier invoices and bank transactions organised well before the year end.
  • VAT considerations for practices that are registered, including what is standard-rated, what may be exempt, and how mixed income is treated.
  • Practice finances and cash flow, from associate cost percentages and material supplier terms to the timing of tax payments and drawings.
  • Choosing between a partnership and a limited company structure, or reviewing whether an existing structure still suits the way the practice now operates.
  • Self Assessment and, where relevant, Corporation Tax administration, including deadlines, payments on account and any multiple income sources to report.
  • Practice purchase, sale or restructuring, where valuations, goodwill and the tax consequences of the transaction need careful handling.
  • Pension contributions and longer-term planning, where personal and practice-level arrangements can be structured in different ways depending on circumstances.
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Why Dentists Choose CruseBurke

Dentists tend to want an accountant who recognises the difference between a UDA payment, a private fee and a dividend, and who can ask sensible questions without needing the basics explained. CruseBurke provides practical accounting support with clear communication, so you know what is due, when it is due and what information is needed from you. We work with a range of dental arrangements, from sole traders and associates through to practices operating as limited companies, and adjust the approach to suit your circumstances rather than forcing your affairs into a standard mould.

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

The starting point is a conversation about how you work, where your income comes from and what structure you operate through, so the accounting scope reflects reality rather than assumption. From there, we organise the required work, whether that is bookkeeping, accounts preparation, a Self Assessment return, payroll or a VAT return, and keep you informed about what is outstanding. Once things are running, ongoing support can be provided as your practice grows, your income mix changes or your structure needs reviewing.

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.

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Professional Support Built Around Dental Accounting

Good accounting support rests on professional standards, accuracy and clear explanations in plain language. That means accounts prepared properly, deadlines managed with sufficient notice, and advice that tells you what the position is rather than what you might hope to hear. Because dental working arrangements vary so widely, the value comes from applying that professional discipline to the specific way each dentist earns and operates.

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

The work depends on your circumstances, but typically it covers preparing annual accounts and tax returns, maintaining or reviewing bookkeeping records, calculating tax liabilities, advising on allowable expenses, and handling payroll or VAT where those apply. For a self-employed associate, that might be largely a Self Assessment exercise covering multiple practice income sources and professional costs. For a practice owner operating through a limited company, it may extend to Corporation Tax, director reporting, staff payroll, VAT returns and reviewing how profits are extracted. The aim is to keep your records accurate, your filings on time and your tax position understood rather than left to guesswork.

It is not compulsory, but associate dentists often have complications that a generalist may not immediately recognise. You may receive payments from more than one practice, some relating to NHS UDAs and some to private work, and you may carry costs such as indemnity insurance, GDC registration and professional subscriptions that need to be classified correctly. Getting the treatment of those items and the reporting of multiple income sources right from the outset tends to reduce queries later. An accountant familiar with associate arrangements can also help you understand payments on account and how your tax position changes when your working pattern shifts.

NHS contract income and private fee income are usually recorded separately so that each can be traced through your accounts and reported correctly. For associates, that often means reconciling statements from each practice or provider against bank receipts. For practice owners, it can involve tracking contract values alongside private treatment, plan income and laboratory work. How VAT applies to different elements of that mix can vary depending on the services involved and the practice's registration status, so the treatment is considered case by case rather than assumed.

Yes. Many dentists have several income sources at once, such as associate work at two practices, a share of practice profits, rental income from a property used by the practice, or dividend income from a company they own. All of these may need to be reflected on a single Self Assessment return, along with the related expenses and any tax already deducted. Gathering the information in an organised way early in the year makes the process smoother, and it helps to keep records of professional costs as they arise rather than reconstructing them months later.

Payroll support is available for practices that employ receptionists, dental nurses, hygienists, therapists, associates or managers, covering tax, National Insurance, pension duties and the reporting that goes with them. Bookkeeping can be handled on an ongoing basis, or reviewed and tidied at the year end if you prefer to keep day-to-day records in-house. Some practices use software and simply need oversight and correct classification of transactions, while others prefer the whole function managed for them. The arrangement is agreed according to how much involvement you want and what your practice genuinely requires.

There is no single answer, because the right structure depends on profit levels, how many principals are involved, how profits are intended to be distributed and your personal circumstances. A limited company can suit some practices, particularly where profits are retained or where the principals want flexibility over how they take money out, while a partnership or sole trader structure may be simpler to administer where the practice is smaller. The tax consequences of each route differ and change over time, so it is worth reviewing periodically rather than treating the original decision as permanent.

For most dentists, that means income records such as practice statements, NHS payment schedules or self-billing statements, plus details of private receipts. Alongside those, it helps to have bank statements for the relevant business and personal accounts, records of professional expenses including indemnity cover and registration fees, any equipment purchases or finance agreements, and details of pension contributions. Practice owners will also need payroll records, supplier invoices, VAT information where registered, and copies of any existing accounts or tax returns. If records are incomplete, that is not a barrier to starting, and part of the initial work often involves pulling the paperwork into shape.

Switching usually begins with a conversation about your current arrangements and what you would like to change. Once you decide to proceed, we can contact your existing accountant to request the handover of records and any outstanding information, subject to your authorisation. You may also need to update your agent details with HMRC so that returns and correspondence can be filed on your behalf. Timing matters if a filing deadline is approaching, so it is helpful to raise the move before a return or accounts deadline falls due rather than after. The aim is to make the transition straightforward and keep your compliance position uninterrupted.

Professional costs such as indemnity insurance, GDC registration, professional body subscriptions and CPD are commonly incurred by dentists, and whether they can be claimed depends on your employment status, your business structure and the purpose of the expense. Equipment purchases are treated differently again, as capital expenditure may attract relief over time rather than being deducted in full in the year of purchase, and the position can differ where items are financed or used partly for personal purposes. Because the treatment varies, these items are reviewed against your specific circumstances rather than applied in a blanket way.

Speak to an Expert

Tired of Chasing Paperwork and Unsure What Your Dental Income Really Owes? CruseBurke Makes Dental Accounting Clearer From the Start

Juggling NHS schedules, private fee statements, indemnity costs and a Self Assessment deadline can leave even the most organised dentist working from a shoebox of receipts. CruseBurke can bring your bookkeeping, tax return and practice accounting into order, so your income streams are recorded properly and your tax position is based on accurate figures. Whether you are an associate dentist keeping things simple or a practice owner managing payroll, VAT and company accounts, the support is shaped around how you actually work. Get in touch to talk through your circumstances and take the first step towards clearer financial records.