Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Coleby – 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.
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 Dental Practices
Dental accounting often involves more moving parts than people expect, because income, expenses and business structures vary so much between one dentist and the next. Depending on your role and how your practice is set up, some of the following considerations may be relevant to you.
- Separating and reporting NHS contract income alongside private treatment fees, and keeping clear records of each income stream
- Associate dentist arrangements, including fee splits, laboratory charges, materials deductions and how self-employment is reported
- Professional expenses such as indemnity cover, professional body subscriptions and registration costs, which may be allowable depending on the circumstances
- Dental equipment, surgery refurbishment and other capital expenditure, and how these are treated for tax purposes
- Practice payroll, including nurses, receptionists and hygienists, plus the associated employment costs and reporting obligations
- Bookkeeping and financial record keeping across multiple income sources, with VAT considerations where turnover or the type of treatment makes registration relevant
- Practice finances and cash flow, particularly where NHS payments, private fees and supplier invoices fall at different times
- Whether a partnership or limited company structure suits your situation, and the tax administration that follows from that choice
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.
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 Support Built Around the Way Dentists Work
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
Associate dentists are usually treated as self-employed for tax purposes, which means you are responsible for reporting your income through Self Assessment and paying the tax and National Insurance that follows. Many associates find that professional support is useful because income often arrives from more than one practice, each with its own fee split and deductions for laboratory work or materials. An accountant can help you work out your true taxable profit, keep the supporting records in order and make sure your return reflects your actual arrangements.
Both NHS contract income and private treatment fees are generally taxable, but they can arrive in quite different ways — regular monthly payments in one case, variable patient fees in the other. Keeping the two streams clearly separated in your records makes it easier to reconcile income, track outstanding amounts and prepare accurate accounts or a tax return. Where a practice receives both, we can help set up a bookkeeping approach that keeps the reporting clear without duplicating work.
Yes. Where a practice trades through a limited company, the reporting obligations typically include annual accounts, a Corporation Tax return and company payroll for any staff, alongside your own personal tax position if you are a director or shareholder. We can manage the company side of things and consider how salary, dividends and pension contributions interact with your personal tax. Whether incorporation is the right structure depends on your circumstances, so it is worth reviewing before making changes.
There is no single list, because what is allowable depends on your employment status, your role and whether costs are incurred wholly and exclusively for your work. Costs that dentists commonly ask about include indemnity cover, professional body subscriptions, registration fees, continuing professional development, protective clothing, laboratory charges and equipment. Some are straightforward, others need closer consideration, particularly where an item is used for both professional and personal purposes, so it is worth checking rather than assuming.
Yes, payroll is a common part of dental practice accounting, covering nurses, receptionists, hygienists, therapists and practice managers. It involves calculating pay, deductions and employer contributions, and reporting to HM Revenue & Customs under Real Time Information, along with issues such as holiday pay, statutory payments and pension auto-enrolment duties. We can handle this on a regular basis so it is prepared accurately and on time, or review your existing arrangements if you already have a system in place.
VAT in dentistry is not a simple yes-or-no question. Many dental treatments are exempt, but others — often those that are purely cosmetic rather than necessary for oral health — can fall outside that exemption. Whether you need to register also depends on your turnover and the nature of your supplies, and different income streams may be treated differently. Because the rules are detailed and can change, we would review your specific services and income before advising on registration or how it should be accounted for.
Yes, and it is usually less disruptive than people expect. We handle the handover with your existing accountant, including obtaining the information we need to take over the records and filings. It helps to have your latest accounts, tax return, bookkeeping records and details of any outstanding HMRC matters to hand, but we can guide you through what is needed if something is missing. Switching is often a good moment to review your structure and make sure nothing has been overlooked.
For most dentists, the starting point is a clear picture of how you work: your contracts or agreements, whether you are self-employed or employed, how your practice is structured, and where your income comes from. From there we would typically look at recent accounts, tax returns, bookkeeping records, payroll details, VAT records where relevant and any correspondence with HMRC. If you are not sure what you have, that is fine — part of the initial conversation is working out what exists and what needs to be put in place.