Specialist Accountants for Dentists & Dental Practices

Accountants for Dentists in Combs: Specialist Tax and Accounting Support for Dental Professionals

Working as a dentist brings a set of financial circumstances that general accountants do not always encounter. Accountants for Dentists in Combs support self-employed dentists, associate dentists, principal dentists, practice owners and dental partnerships with the accounting and tax work that sits behind a clinical career. That can include preparing Self Assessment tax returns, maintaining bookkeeping records, producing annual accounts, running practice payroll, and advising on VAT and business structure where it is relevant. Dental income is often anything but simple: many dentists receive a mixture of NHS and private fees, work across more than one practice, or draw a salary and dividends from their own limited company. Each arrangement can carry different reporting requirements and tax considerations, and the right approach depends on your employment status, your income sources and how your practice is structured. This page sets out the areas where specialist accounting support may be useful, the services that are typically involved, and the practical questions dentists tend to ask before appointing an accountant. CruseBurke works with dental professionals to keep financial information clear, well organised and properly reported under UK tax rules.

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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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Accounting Support for Dentists and Dental Practices

Dentistry covers a wide range of working arrangements, and accounting needs can differ significantly from one dentist to the next. A self-employed associate dentist submitting a Self Assessment tax return has very different requirements from a principal dentist running a limited company with employed staff, while private practitioners, NHS performers and partners in a dental practice may each face their own reporting and tax considerations. Our work with dentists starts by understanding your specific arrangement, income sources and business structure rather than assuming a single standard approach.

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 Services for Dentists

The support dentists need tends to depend on how they work, but commonly includes Self Assessment preparation, bookkeeping, annual accounts, tax returns and, where relevant, Corporation Tax, VAT support and practice payroll. Dental practice owners may also need help with management accounts, partnership or limited company administration, and tax planning around drawings, equipment purchases or a future practice sale. Not every dentist requires every service, so the scope is usually shaped around your individual circumstances and the structure you trade through.

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.

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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 Set Dental Work Apart

Dental accounting often involves more moving parts than a single salary or a straightforward trading business. The points below are common considerations rather than issues every dentist faces, since the treatment depends on how you are engaged, where your income comes from and how your practice is set up.

  • Separating NHS and private dental income so that each stream is recorded accurately and reported correctly, particularly where UDA or UOA payments are involved.
  • Understanding the tax position of associate dentist arrangements, including self-employed status, contracted sessions and any payments made under a practice agreement.
  • Tracking professional expenses such as GDC and professional body subscriptions, indemnity insurance, CPD and clinical clothing, where these are allowable for tax purposes.
  • Planning for capital expenditure on equipment, chairs, imaging technology or surgery fit-outs, and understanding how capital allowances may apply to those purchases.
  • Running practice payroll for staff, hygienists, therapists, nurses and reception teams, including the deductions and pension duties that may apply to employers.
  • Keeping bookkeeping records in order across multiple income sources, and reviewing whether VAT registration or a change of business structure could be appropriate.
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Why Dentists Choose CruseBurke

Dentists often come to us because their financial affairs have become more complicated than a standard tax return can comfortably handle, whether that means several income sources, a growing practice or a change in how they work. We take the time to understand the difference between associate, principal, private and NHS arrangements, then organise the accounting and tax work around your situation rather than fitting you into a template. Communication is kept clear and jargon-free, so you know what is being filed, what is outstanding and what your figures actually mean for your practice.

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 3-Step Process

We keep the process straightforward so that becoming a client does not add to your workload. It starts with a conversation about how you work, your income sources and your current records, which helps establish what needs to be done and when. From there, the accounting, bookkeeping, payroll or tax return work is organised and completed, with ongoing support available where you want help keeping on top of things during the year.

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 Practice Needs

Good accounting support is as much about how it is delivered as what is included. We focus on clear explanations, sensible record-keeping structures and answers that make sense to someone whose working week is spent in clinical practice rather than in financial statements. Where a matter depends on your personal circumstances, we will tell you so plainly and explain the options, rather than offering blanket answers that may not apply to your situation.

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 compulsory to use an accountant, but self-employed dentists often find it useful because their tax position can be more involved than a single employment. You may be receiving NHS payments, private fees, income from more than one practice or locum work, and each source needs to be recorded and reported correctly on a Self Assessment tax return. An accountant can help you keep those records organised, claim the expenses and allowances you are entitled to, and make sure the return is submitted on time and reflects your actual circumstances.

An associate dentist is typically self-employed for tax purposes and completes a Self Assessment tax return based on the profits of their self-employment, whereas a practice owner may be running a limited company or a partnership with employees, premises and equipment to account for. That can mean Corporation Tax, statutory accounts, payroll and VAT enter the picture, along with a different approach to how income is drawn from the business. The two situations are not treated the same, which is why it helps to have the structure reviewed rather than assumed.

Yes. Many dentists earn from both NHS and private work, and the accounting challenge is usually keeping the streams distinguishable so that the figures reported are accurate and supported by records. Depending on your arrangement, NHS income may arrive through a contract held by the practice or through associate payments, while private income tends to come directly from patients or treatment plans. We can help set up bookkeeping that separates these sources clearly and accounts for them properly in your annual figures and tax return.

Dentists can often claim for costs that are incurred wholly and exclusively for the purposes of their profession, although the exact position depends on your circumstances and how you are engaged. Commonly considered items include GDC and professional body subscriptions, indemnity insurance, CPD, clinical clothing, laboratory fees and elements of travel between practices or to courses. Capital purchases such as equipment and surgery fixtures are usually treated differently from day-to-day running costs, and capital allowances may be available. We can review your spending and advise on what is likely to be allowable before the return is prepared.

There is no single answer that suits every dentist. Sole trader and partnership structures are relatively simple to administer, while a limited company may offer different tax and planning possibilities, along with additional responsibilities such as statutory accounts, Corporation Tax returns and company payroll obligations. The most suitable route depends on your income levels, whether you share profits with partners, your plans for the practice and your personal financial position. We can talk through the practical and tax implications of each so you can make an informed decision.

Most routine dental treatment is exempt from VAT, but certain cosmetic or elective procedures can be treated differently, and any taxable turnover counts towards the VAT registration threshold. Where a practice provides a mix of exempt and taxable services, VAT recovery on costs may be limited and partial exemption rules can apply. Whether registration is required or sensible therefore depends on the services you provide and the value of your taxable income, and it is worth reviewing if your private work or product sales are growing.

Switching is usually more straightforward than dentists expect. Once you decide to move, we would normally contact your existing accountant to request professional clearance and the handover of your records and filing history. From there, we review your position, confirm what needs to be submitted and when, and set up a bookkeeping routine that works alongside your clinical diary. Any outstanding returns or filings are dealt with as part of getting you up to date.

It helps to have your most recent tax return and accounts, details of your income sources, and any records of expenses, bank statements and payroll information you already hold. If you are a practice owner, we would also look at your accounting software or spreadsheets, staff payroll records and any VAT returns filed. If your records are incomplete, that is not a barrier, as part of the initial work is often simply organising what exists and identifying what is missing.

Speak to an Expert

Juggling NHS Fees, Private Income and Tax Paperwork? Let CruseBurke Bring Order to Your Dental Accounts

Dental income rarely arrives in one neat stream, and it is easy to fall behind when associate payments, private fees, practice payroll and professional expenses all need to be recorded and reported. CruseBurke can take the bookkeeping, Self Assessment preparation and practice accounting work off your hands, keeping your records organised and your figures ready for the year-end. Whether you are newly self-employed, running a growing practice or reviewing how your business is structured, our team is ready to look at your circumstances and explain the options clearly.