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 is rarely a case of repeating the same process for every client. How income arrives, how expenses are incurred and how a practice is structured all influence the way records should be kept and how tax is reported, so the points below are considerations worth reviewing rather than rules that apply to everyone.
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 are an associate dentist treated as self-employed, your fees are generally paid without tax being deducted at source, which usually means you need to report that income through Self Assessment. A principal dentist with practice profits, a dentist with rental or investment income, or someone with untaxed income from more than one source may also need to file. If you are employed and all your tax is handled through PAYE, you may not need a return, but this depends on your full circumstances — including any additional income or higher-rate position — so it is worth checking rather than assuming.
The starting point is keeping the two streams clearly separated in your records. NHS income often arrives through scheduled contract payments with associated deductions and adjustments, while private income comes from patient fees, payment plans or treatment packages, and mixing them together can make it difficult to check that everything has been captured. We can help you set up bookkeeping that records each source clearly, reconcile the payments you receive against the statements and records you hold, and report the total correctly on your tax return or practice accounts.
Commonly claimed items may include indemnity insurance, professional registration fees, professional body subscriptions, continuing professional development and the cost of uniforms or clinical clothing, where the expense relates directly to your work. Larger items such as dental chairs, imaging equipment or surgery refurbishment are usually treated as capital rather than routine expenses, which can affect the timing of any relief. Travel between practices, use of a home office and certain administrative costs may also be relevant. Because the treatment depends on the nature of the cost and your working arrangement, it is worth reviewing your expenses rather than assuming a blanket rule.
There is no single answer that suits every dentist. The right structure depends on your profits, how many people are involved in the practice, your plans for growth or eventual sale, and your wider personal tax position. A limited company can offer different tax and administrative outcomes compared with sole trader or partnership status, but it also brings additional filing, payroll and compliance responsibilities. Many dentists review their structure periodically rather than once, since circumstances change over time. We can talk through the options with you and explain the practical implications of each.
Yes. Practice payroll often covers a mixed team, which may include dental nurses, receptionists, hygienists, therapists and employed associates, as well as the practice principal or directors. We can help you run payroll, calculate PAYE and National Insurance, handle starter and leaver information, and deal with pension duties where they apply to your staff. Keeping payroll records accurate also makes it easier to reconcile staff costs against your practice accounts at the end of the year.
VAT treatment is not the same across every service a practice provides. Dental care supplied by a registered dental professional is often exempt, while other items — such as certain cosmetic treatments, sales of products, or services provided in particular circumstances — may fall outside that exemption and be standard-rated. Whether you need to register and how you account for VAT depends on your turnover from taxable supplies, the mix of services you offer and your practice structure. Because the position can change as a practice grows or diversifies, it is worth reviewing periodically rather than assuming your original treatment still applies.
A workable set of records usually includes day-to-day income and expenditure, bank and card statements, supplier invoices, NHS payment schedules and contract statements, private fee records, associate agreements, payroll information, and documentation for equipment or premises costs. If you are registered for VAT, records need to support the returns you submit. Keeping things up to date through the year, rather than reconstructing everything at the year end, makes the accounts process smoother and gives you a clearer picture of how the practice is performing month to month.
Switching is usually more straightforward than people expect. The normal process involves an initial conversation about your current arrangements, agreeing the scope of work, and then contacting your existing accountant for professional clearance and the handover of relevant records. Timing can matter, so it often makes sense to plan the change around your accounting year end or just after your tax return has been filed. Once the information is in place, we can pick up the bookkeeping, accounts, tax returns or payroll work that applies to you and confirm what is needed from your side.
