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 tends to involve more moving parts than many other professions, because income, expenses and structure can all differ from one practitioner to the next. The issues below apply in different combinations depending on how you are engaged, what you earn, and how your practice is set up.
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.
Many associate dentists handle their own tax affairs for a while, but the position can become more complicated once you are receiving fees from more than one practice, claiming expenses across several sites, or dealing with payments on account. An accountant can help make sure the income you report matches what each practice has recorded, that allowable professional costs are claimed consistently, and that your records are strong enough to support the figures in your return. Where your circumstances change — for example, moving between practices or starting to take on private work — having someone review the position before you file can be worthwhile.
An associate dentist is usually treated as self-employed for tax purposes and largely needs support with Self Assessment, fee income records and allowable expenses. A practice owner or principal typically has a wider set of obligations, which can include business accounts, staff payroll, VAT where relevant, equipment and premises costs, and either partnership returns or company accounts and Corporation Tax returns. Some dentists hold both roles at once, for example working as an associate while also running a practice, which can mean two sets of reporting requirements running in parallel.
Both NHS and private dental income are generally taxable, but they arrive in different forms and often need to be tracked separately. NHS income may be paid through contract or unit-based arrangements, while private treatment income typically comes through practice invoicing, card payments or plan schemes. The way each stream is recorded matters, particularly where you work across more than one practice or where the practice retains a share of the fees. The correct treatment can depend on your contract terms and how the practice is structured, so it is worth checking how your specific arrangement should be reflected.
Common costs that dentists look at include medical defence and indemnity subscriptions, GDC registration, professional body fees, continuing professional development, specialist instruments, and a proportion of costs such as travel between practices or home office use where relevant. Equipment and larger purchases may be treated differently from day-to-day running costs, and in some cases the timing of a purchase affects how it is reflected. Whether a particular cost is allowable depends on your circumstances and how it relates to your work, so it is worth reviewing anything unusual rather than assuming it qualifies.
VAT depends on your turnover and, importantly, on the mix of services you provide. Some dental treatment may be exempt, while other items such as certain cosmetic treatments, retail products or laboratory work can fall outside that exemption and be treated differently. Registration can also become relevant where a practice provides additional services beyond core clinical care. Because the position varies between practices, it is worth reviewing your specific service mix rather than relying on a general rule.
There is no single answer, because the right structure depends on the number of principals involved, profit levels, how earnings are drawn, pension arrangements and any plans to expand, bring in new partners or eventually sell the practice. A limited company can suit some practices, while others find a partnership or sole trader structure more straightforward, and the balance can shift as the practice grows. It is also possible to change structure later, although the timing and tax consequences of doing so need planning rather than being left until the end of a tax year.
It helps to have your most recent set of accounts, your last tax return, any correspondence from HMRC, and details of how your income is structured, including the practices you work with and whether you are self-employed, in a partnership or a company director. Where you already keep records, exports from your bookkeeping or practice management system are useful, along with payroll information, VAT returns if you are registered, and details of any equipment or significant purchases. If your records are incomplete, that is not a barrier — identifying the gaps is usually part of the initial work.
Yes, switching is generally a straightforward process. It usually involves giving your new accountant authority to act on your behalf, contacting your previous accountant for professional clearance and a handover of records, and confirming the position with HMRC. The smoothest approach is to plan the change so it does not fall in the middle of preparing accounts or a tax return, although a mid-year switch can still be managed. Providing your existing records and returns early helps the transition go more smoothly.
