Specialist Accountants for Dentists & Dental Practices
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Self-assessment, allowable expense claims, lab fees and superannuation reconciliation for self-employed associates and private dentists.
Practice accounts, payroll for nurses and receptionists, UDA income monitoring, cash flow and profit extraction planning.
Accounting for referral-based and specialist practices, including capital allowances on equipment and VAT on cosmetic treatment.
Cash flow forecasts for lenders, company formation, cloud software set-up and registration for new and squat 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.
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.
We prepare associate tax returns, claim every allowable expense from GDC fees and indemnity to CPD and lab costs, and reconcile superannuation deductions.
Payroll for nurses, hygienists and reception staff, plus auto-enrolment, statutory pay and NHS Pension submissions handled on time every month.
Management accounts that show profit per surgery, per associate and per income stream, so you can see exactly where the practice makes money.
Dental accounting often involves more moving parts than other professional service businesses. Income may arrive through an NHS contract, private fee schedules, payment plans or associate percentage splits, while costs range from clinical supplies and laboratory work to indemnity insurance and staff wages. The considerations below are common across the profession, although which ones apply to you will depend on your working arrangement, income sources and business structure.
We know UDAs, superannuation, associate agreements and GDC costs without being told.
Associates, principals and multi-site groups each get a different service, not a template.
One agreed monthly fee with no hourly billing and no surprises at year end.
Incorporation reviews, capital allowances on equipment and profit extraction planned in advance.
You deal with the same qualified person every time, by phone or email, not a call centre.
Our roots go back further than the Second World War and we act for dental clients across London.
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.
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.
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.
Cloud accounting linked to your practice software so your figures are current, not six months old.
A dedicated accountant for dentists who knows your practice, your contract and your plans.
Unlimited support by phone and email, including quick answers on UDA and superannuation queries.
Our team has over 100 years of combined accountancy experience.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
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:
Reach out to us and we will discuss your practice, your contract and how we can help.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
In many cases, yes. If you receive dental income that has not been taxed at source — for example, self-employed associate work, private fees or other payments made without PAYE — that income normally needs to be reported through Self Assessment. The position can be different where all of your income is taxed through PAYE and falls below the level that triggers a filing requirement, so it is worth confirming rather than assuming. An accountant can establish whether a return is required, register you if necessary, and make sure the figures reported reflect your actual income and allowable expenses.
Associate dentists are often paid a percentage of the fees they generate, with the practice retaining a share towards premises, staff and materials. For accounting purposes that usually means recording your gross fee income, tracking the deduction made by the practice, and keeping evidence of both figures. Whether you are treated as self-employed for tax purposes depends on the terms of your contract and how the arrangement operates in practice, so it is worth reviewing your agreement rather than relying on the label used. Getting this right affects what you report and what you may be able to claim.
Keeping NHS contract income, private fees and any plan scheme income clearly separated in your records is generally helpful. Different income streams can involve different reporting and reconciliation requirements, and separating them also makes it easier to see where your profit is actually coming from. Practices holding both an NHS contract and a private list will often need more detailed bookkeeping than those working on a single basis, so the way records are set up matters from the outset.
Broadly, costs that are incurred wholly and exclusively for the purposes of your dental work may be allowable. For dentists these can include indemnity cover, GDC registration, professional body subscriptions, CPD, clinical clothing, laboratory fees and a proportion of certain running costs. Capital items such as equipment and practice fixtures are treated differently and may attract capital allowances instead of a straight deduction. What is allowable depends on your circumstances, so keeping receipts and discussing anything unusual with your accountant is sensible.
There is no single structure that suits every dentist. A sole practitioner with modest profits may find a straightforward arrangement works well, while a practice with several principals, employed staff and reinvested profits may see advantages in operating through a limited company or a formal partnership. Tax treatment, National Insurance, profit extraction, administrative obligations and the practicalities of buying into or leaving a practice all feed into the decision. It is worth reviewing your structure periodically, because what fitted your circumstances at the start may not fit them now.
Yes. Where a practice employs hygienists, therapists, nurses, receptionists or administrative staff, payroll support can cover payslips, PAYE, pension duties and end-of-year reporting. On the VAT side, whether a dental practice needs to register depends on its turnover and the mix of services it provides, as certain treatments can be treated differently from others. Where VAT applies, help is available with registration, returns and record keeping; where it does not, the position can still be monitored as the practice grows.
It helps to have a clear picture of your income and outgoings, your associate or practice agreements, details of any NHS contract or private fee arrangements, payroll information if you employ staff, and access to your existing bookkeeping records or accounting software. If you are switching accountants, we will also need to understand your current position and whether any filings are outstanding. If some of that information is missing or incomplete, we can work through it with you — the starting point is simply a conversation about how you work.
The most useful starting point is an accountant who understands dental income rather than treating you as a generic sole trader or company. That means familiarity with associate percentage arrangements, NHS and private income, practice payroll and the expenses that commonly arise in dentistry, together with clear communication about deadlines and what is required from you. It also helps to work with someone who will review your structure and planning position as your career or practice develops, rather than simply processing figures once a year.
