Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Co. Fermanagh: Specialist Tax and Accounting Support
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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.
Accounting and Tax Considerations for Dentists and Dental Practices
Dental accounting is not simply general accountancy with a different job title attached. The combination of clinical, contractual and commercial income means the records, the tax treatment and the advice required can vary considerably between one dentist and the next.
- Separate income streams — NHS contract payments, private fees and associate income may need to be recorded distinctly so the figures underpinning a tax return or set of accounts are clear and supportable.
- Professional and indemnity costs — professional body or registration subscriptions, indemnity cover, CPD and clinical clothing can be legitimate business costs, although the treatment depends on how you are engaged.
- Equipment and capital expenditure — dental chairs, imaging equipment and surgery fit-outs may attract capital allowances rather than a straightforward deduction, so classification and timing can affect the outcome.
- Payroll and employment costs — practice teams often include receptionists, dental nurses, hygienists and associates, each bringing different payroll, pension and status considerations.
- VAT and service mix — some dental treatments may fall outside the scope of VAT while others, including certain cosmetic procedures, may be taxable, so how the service mix is analysed matters.
- Structure, drawings and succession — partnerships and limited companies change how profits, drawings, practice purchases and eventual sales are handled, and the right structure can shift over time.
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.
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 Standards, Clear Communication and Practical Support
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
It is not a legal requirement, and a good general accountant can prepare a tax return or a set of accounts. The practical difference is familiarity with the way dental income works. NHS contract payments, private fee income, associate splits and practice overheads each raise their own questions about recording and tax treatment, and an accountant who regularly deals with these areas is less likely to need those points explained from scratch. That said, the right fit depends on your circumstances, and for a dentist with a single straightforward income source the advantage may be smaller than for a practice owner with staff, equipment and multiple income streams.
An associate dentist is generally treated as self-employed, invoicing the practice for sessions worked and reporting that income through Self Assessment, with business expenses claimed against it. A principal or practice owner is responsible for the business itself, which may mean annual accounts, Corporation Tax if the practice trades through a limited company, payroll for staff, VAT where applicable and management information to track performance. Some dentists hold both roles at once, working as an associate in one practice while owning another, and in those cases the two strands need to be recorded separately and reported correctly.
Both are generally taxable, but they usually behave differently in the records. NHS income tends to follow contract schedules and statements, while private income comes from treatment fees that need reconciling against appointment or practice management records. Keeping these streams distinguishable makes it easier to check that everything has been captured, to spot any under or overpayment on a contract, and to answer questions if HMRC or the practice ever queries the figures. The exact approach can depend on whether you receive NHS income personally or through a practice entity.
Yes, where those services are relevant to how you operate. Practice payroll often covers a mixed team of receptionists, dental nurses, hygienists and associates, each with different pay arrangements and, in some cases, pension obligations, so accurate processing and record-keeping matter. Bookkeeping support is useful where you would rather not maintain the records yourself, and VAT support can help where registration applies and the treatment of different services needs to be considered carefully. Not every dentist needs all of these services, so we would discuss which ones actually apply to you.
There is no single answer that suits every dentist, and the right structure can change as your income, risk exposure and plans develop. Sole trader status is often straightforward and low cost, partnerships suit dentists running a practice together and often require a formal agreement, while a limited company can offer different tax and administrative characteristics that may be worth weighing up. Relevant factors can include profit levels, how profits are extracted, whether you employ staff and any longer-term plans to expand, bring in a partner or sell the practice. A comparison of the options based on your own figures is usually the most useful starting point.
The general principle is that a cost must be incurred wholly and exclusively for the purposes of the business, and whether that test is met depends on the item and on how you are engaged. Costs that dentists frequently consider include professional registration and body subscriptions, indemnity insurance, CPD, clinical clothing, equipment, practice premises costs, staff wages and accountancy fees. Employed dentists generally have a narrower scope for claims than self-employed associates or practice owners, and capital items such as major equipment may be treated through capital allowances rather than as an outright deduction. Keeping receipts and records throughout the year makes the position much easier to review.
For most dentists, a sensible starting point is your income records — NHS statements, private fee summaries or associate invoices — along with bank statements, details of business expenses and any previous accounts or tax returns. If you run a practice, payroll records, staff details, VAT returns and company information may also be needed. If your records are not fully up to date, that is not a barrier; part of the initial work is often putting them in order. Once we understand what you hold, we can set out exactly what is required and in what format.
Yes, switching accountants is a routine process and we can guide you through it. It usually involves confirming your instruction, contacting your existing accountant for professional clearance and requesting the handover of relevant records, such as prior-year accounts, tax returns and any ongoing computations. The timing matters most where a filing deadline is approaching, so it is worth starting the process with enough time for the handover to complete properly. Once the records are in place, we review the position and agree how the ongoing work will run.