Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Cowbridge: Specialist Accounting and Tax Support for Dental Professionals
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Accounting Support for Dentists, Associates and Dental Practice Owners
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 Dental Professionals
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 That Dental Practices Commonly Face
Dental accounting can involve more moving parts than many other professions, largely because income, expenses and business structures vary so widely between practices and practitioners. The considerations below are ones that may apply to you, depending on how you work and how your practice is set up.
- Managing NHS and private dental income, including how different income streams are recorded, reported and reconciled across a tax year
- Associate dentist arrangements, where self-employed status, fee splits, lab costs and materials can all affect what is taxable and what is claimable
- Professional expenses and indemnity costs, such as indemnity insurance, professional body subscriptions and continuing professional development, where the rules on allowable deductions depend on the circumstances
- Dental equipment and capital expenditure, including how chairs, imaging equipment and practice fit-outs may be treated for tax purposes and over what period
- Staff payroll and employment costs for receptionists, nurses, hygienists and associates, including real-time reporting and pension duties where they apply
- Bookkeeping, VAT and practice finances, covering how records are maintained, whether registration is required, and how cash flow is monitored through quieter and busier periods
- Partnership and limited company structures, where profit allocation, directors' remuneration, dividends and profit extraction planning can have different tax consequences
- Tax administration and Self Assessment, including payments on account, filing obligations and keeping multiple income sources aligned under one set of records
Why Dentists and Practice Owners 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 Dental Businesses
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
NHS contract payments and private treatment fees are usually recorded separately so that each stream can be reconciled and reported correctly. How they are treated for tax purposes depends on whether you are a sole trader, a partner, a company director or an associate, and on whether the income belongs to you personally or to a practice entity. In practice, we look at the full picture, including how contract payments are scheduled and how private fees are collected, then set up records that keep the two clearly distinguishable. That makes your annual accounts, Self Assessment or Corporation Tax position easier to prepare and easier to explain.
In most cases, associate dentists are engaged on a self-employed basis, which means you are responsible for reporting your income and paying tax and National Insurance through Self Assessment. However, this depends on the terms of your engagement, and some arrangements can be structured differently. Where you have multiple associate positions, additional income from teaching or locum work, or income from a practice you part-own, all of it generally needs to be brought together in one return. We can confirm how the rules apply to your particular arrangement and prepare the return on that basis.
Common claims include indemnity insurance, professional body and registration subscriptions, continuing professional development, specialist equipment and uniform costs, and a proportion of home or travel expenses where the rules allow. Whether an expense is allowable depends on the individual circumstances, including whether it was incurred wholly and exclusively for the purposes of your profession and whether you are trading personally or through a company. Some items, particularly equipment and larger purchases, may need to be treated as capital rather than revenue expenditure. We review what you spend and identify what may realistically be claimed.
Yes, payroll support can cover receptionists, dental nurses, hygienists and practice managers, along with the directors or partners who draw a salary. Associate dentists are usually not paid through the practice payroll because they are typically self-employed, so their payments are generally handled differently for accounting purposes. We can help you work out who should be on payroll and who should not, run the necessary reporting, and handle pension duties where they apply to your practice staff.
VAT registration depends on your taxable turnover and the types of services your practice provides. Some dental treatment is exempt from VAT, while certain cosmetic or elective procedures and the sale of goods may be treated differently, so the position is not always straightforward. Where registration is required, VAT returns need to be prepared and submitted on the correct basis. We can review your income streams and advise whether registration applies to your practice and, if so, which of your services fall inside or outside the scope of VAT.
There is no single answer, because the right structure depends on how much you earn, how many people are involved and what you intend to do with the profits. A sole trader arrangement is often straightforward for a single associate dentist, while a partnership may suit two or more dentists sharing a practice, and a limited company can offer different profit extraction and planning options for practice owners. Each structure affects how tax is calculated, what accounts must be filed and how much information becomes publicly available. We can talk through the implications of each option based on your circumstances.
A practice purchase or sale involves more than the headline price. The financial records, equipment values, NHS contract terms, staff obligations and the structure of the transaction can all affect the tax position for both parties. Getting the accounting side reviewed early can help you understand what you are taking on or giving up, and can reduce the risk of unexpected liabilities afterwards. We can support the accounting and tax aspects of the transaction and help you plan for the financial consequences.
It helps to have details of how you are engaged, your income sources and your business structure, along with any existing accounts, tax returns, VAT records or payroll information. If you use accounting software, sharing access to that makes the process smoother, but records can also be provided in other formats. If you are moving from another accountant, we can usually deal with the handover directly so you are not left chasing paperwork. Once we understand your position, we can confirm what is needed and how your accounting will be handled going forward.