Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Co.down: Specialist Tax and Accounting Support for Dental Professionals
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Who We Support: Dentists and Dental Practices in Co.down
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.
Accounting Considerations That Dentists and Dental Practices Often Face
Dental accounting is not simply general accounting with a different job title attached. The way you are engaged, the number of income streams you have and the structure you work through can all change what needs to be recorded, reported and claimed — so the considerations below may apply to some dentists and not others.
- Keeping NHS dental income and private fees recorded separately and consistently, so each income stream is clear in the records and at year end
- Understanding how associate dentist arrangements affect tax returns, expense claims and the way payments are scheduled
- Tracking professional costs such as indemnity cover, professional registration and professional body subscriptions, and knowing which of these may be allowable
- Accounting for dental equipment, surgery fit-outs and other capital expenditure, where relief may be available over time rather than all at once
- Running payroll for practice staff and team members, including employer costs, pension duties and the paperwork that comes with employing people
- Deciding between sole trader, partnership and limited company structures — and understanding how that choice can affect tax, drawings and administration
Why Dentists Choose CruseBurke for 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.
A Simple Three-Step Process, From First Conversation to Ongoing Support
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 Standards, Practical Support and a Dental-Focused 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
If you are self-employed or working as an associate dentist, the main focus is usually Self Assessment — pulling together income from one or more practices, offsetting allowable professional expenses, and making sure the right figures are reported on time. Where you have several income sources, or a mix of NHS and private work across different practices, the record keeping needs to be clear enough to support the return. We can handle the bookkeeping, prepare the return and explain the tax position so there are no surprises when a payment becomes due.
NHS and private dental income can be taxed in broadly similar ways for a self-employed dentist, but they behave differently in practice — payment schedules, contractual deductions and the timing of receipts often vary. Keeping the two clearly separated in your records makes it easier to reconcile what you have actually received, spot anything missing and produce accurate accounts and tax returns. The appropriate treatment can depend on your contract and working arrangements, so it is worth having that reviewed rather than assumed.
Practice-level accounting generally covers bookkeeping for patient income and practice costs, payroll for employed staff, VAT where the practice is registered, annual accounts and the associated tax filings. If the practice trades through a limited company, Corporation Tax and director responsibilities come into play; if it operates as a partnership, profit-sharing and partnership returns are relevant instead. Principal dentists and practice owners often want help with cash flow visibility and planning as well as compliance, particularly around equipment purchases and staffing costs.
There is no single answer that suits every dentist. Sole trader status tends to be simpler to administer, a partnership can work well where dentists share premises and costs, and a limited company may suit certain practice owners depending on profits, drawings and long-term plans. The right structure depends on your income levels, how the practice is set up, your plans for expansion or sale, and your personal circumstances. It is worth reviewing periodically, because what fitted you as an associate may not fit you as a practice owner.
Yes. Where a practice employs receptionists, nurses, hygienists or other team members, payroll involves calculating pay, handling deductions, reporting to HMRC and dealing with pension duties, alongside the employment costs that sit on top of gross wages. VAT can apply to some dental services and not others, so practices sometimes end up partly taxable and partly exempt, which makes accurate record keeping important. We can support with payroll, VAT registration and returns where those apply to your practice.
Typical claims include professional registration fees, professional body subscriptions, indemnity cover, continuing professional development and the costs of running a surgery, though whether a specific cost is allowable depends on what it was for and how it relates to your work. Items such as equipment and surgery improvements are usually treated differently from day-to-day running costs, and may attract relief over a number of years rather than immediately. Keeping receipts and a clear record of what each payment was for makes this far easier to handle at year end.
It helps to have your most recent tax return or accounts, details of your income sources and how you are paid, your business structure, and access to your bookkeeping or bank records where available. If you are switching accountants, we can typically take things on from your previous adviser with your authorisation. If your records are behind or incomplete, that is not a barrier — it simply shapes the first stage of the work.
Switching is usually more straightforward than dentists expect. Once you confirm you would like to move, we ask for your authorisation to contact your existing accountant and request the relevant records and filings, then we review the position and confirm what needs doing next. Timing matters if a return or filing deadline is approaching, so it is worth starting the conversation early rather than leaving it until the last minute.