Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Combs: Specialist Tax and Accounting Support for Dental Professionals
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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 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 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.
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 3-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 Dental Practice Needs
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.