Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Colwyn Bay: Specialist Tax and Accounting Support
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Accounting Support Built Around How You Actually Practise
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 and Dental Practices
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.
Where Dental Accounting Tends to Get Complicated
Dental work sits at an unusual intersection of clinical practice, NHS contracting and private business. The figures a dentist deals with, and the way they are taxed, can vary considerably depending on whether you are an employee, a self-employed associate, a partner or a limited company director. The following are areas where specialist accounting input tends to be most useful.
- Managing a mix of NHS contract income and private treatment fees, with clear records for each stream
- Associate dentist arrangements covering fee splits, expense arrangements and confirmation of self-employed status
- Professional costs such as indemnity cover, GDC registration and professional body subscriptions
- Dental equipment, surgery refurbishment and other capital spending, and the reliefs that may be available
- Practice payroll for nurses, hygienists, receptionists and payments made to associates
- Bookkeeping and VAT treatment where a practice provides a combination of NHS and private services
Why Dentists and Dental Practices 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.
How We Work With Dentists: 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 That Understands Dental Practice
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
Many associate dentists find professional support worthwhile even where the tax affairs look straightforward at first. Your income may come from more than one practice, you may pay your own indemnity insurance and professional fees, and you may have costs relating to travel between surgeries or to administration carried out at home. A Self Assessment tax return still has to be filed, and the figures have to stand up if HMRC asks questions about them. An accountant can help keep those records organised, make sure relevant expenses are treated correctly, and deal with the return and any payments on account on your behalf.
Both are income of the practice or the individual, but they arise in different ways and can be recorded differently. NHS contract income is generally received under an agreed contract and measured against activity targets, while private income comes from patient fees or treatment plans. Keeping the two streams separately recorded can make it easier to monitor contract performance, understand profitability and produce accurate figures at the year end. VAT treatment can also differ between services, so where a practice provides a mixture of NHS and private treatment it is worth reviewing the position carefully.
Yes. A practice payroll may include salaried dentists, dental nurses, hygienists, therapists, receptionists and administrative staff, and in some cases payments made to associates. Payroll support typically covers calculating pay, dealing with tax and National Insurance deductions, reporting to HMRC through the real time information system, and handling pension auto-enrolment duties where they apply. If you also pay yourself a salary as a company director, that can be incorporated into the same routine.
Claimable expenses depend on your circumstances and on the rules that apply to your business structure, but costs commonly considered include indemnity insurance, GDC registration, professional body subscriptions, continuing professional development, clinical consumables and equipment. Where you are self-employed, you may also be able to claim a proportion of costs relating to business use of your home or travel between practices. The key test is usually that the expense was incurred wholly and exclusively for the purposes of the business, so anything unusual is worth checking before it is included.
It depends on your turnover and on the mix of services you provide. Some dental care delivered by registered professionals can be exempt from VAT, while treatments that are not regarded as necessary dental care, such as certain cosmetic procedures, may be standard-rated. Once turnover passes the relevant threshold, registration is generally required, but the way VAT applies to dental income can be more involved than in many other businesses. Reviewing your position before you reach the threshold can help you avoid an unwelcome surprise.
There is no single answer that suits every dentist. Sole trader and partnership structures are common, with tax paid through Self Assessment on the profits, while a limited company can offer different tax and profit extraction options and may suit practice owners with larger profits or plans to reinvest. A limited company also brings additional filing and compliance obligations. The right choice usually depends on your income level, how you take money out of the business, your plans for the practice and how much administration you are comfortable with.
In most cases you will need details of your income sources, including NHS contract statements, private fee records or associate payment summaries, along with records of expenses, bank statements and any existing accounts or tax returns. If you employ staff, payroll information will also be needed. If your records are incomplete or you are behind on filing, that is not an obstacle in itself, as sorting it out simply becomes part of the work.
Yes, and it is often worth involving an accountant before anything is agreed. Whether you are buying, selling, taking on a partner or changing how the practice is owned, there can be tax consequences depending on how the transaction is structured and what is being transferred. Early advice on structure, figures and timing can help you understand the position before you commit to anything.