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 can involve more moving parts than many other professional practices, because income, expenses and structures vary so much between individuals. Several of the following areas, depending on your circumstances, may need careful handling to keep your records and tax position in order.
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.
If you are a self-employed dentist — for example an associate dentist or a locum who is not taxed through PAYE on dental income — you would generally need to register with HMRC and file a Self Assessment tax return each year. The return reports your dental income, allowable business expenses and any other income, and it is used to calculate your Income Tax and Class 2 and Class 4 National Insurance position, where applicable. If you also have employed income, savings, dividends or rental income, those are reported on the same return. Because the treatment depends on your specific arrangements, it is worth confirming your position rather than assuming.
NHS dental income and private dental income may arrive in different ways and be recorded differently depending on whether you are paid under a contract, receive patient fees directly, or work through a practice that collects the money on your behalf. For accountants preparing your accounts or tax return, the key point is usually accurate recording of gross income, any deductions or practice fees retained, and the timing of receipts. VAT treatment can also depend on the mix and nature of the services supplied. In most cases the income is all reportable, but how it is presented to HMRC can vary.
An associate dentist is often treated as self-employed, meaning they pay their own Income Tax and National Insurance through Self Assessment, and claim allowable expenses such as indemnity cover and professional subscriptions. A principal dentist who owns or runs a practice is more likely to be a business owner, and their accounts will typically cover practice income and expenditure, staff costs, premises costs and equipment, whether they trade as a sole trader, in a partnership or through a limited company. A dentist can change category over a career, so the accounting approach should follow your actual working arrangement.
Yes. Payroll for a dental practice often covers receptionists, dental nurses, hygienists, therapists, practice managers and associate dentists who are engaged on an employment basis. Running payroll properly means operating PAYE correctly, handling starters and leavers, processing statutory payments where they apply, and meeting pension auto-enrolment duties if the practice has eligible workers. If associates are genuinely self-employed, their income is usually handled outside payroll, so it is important to be clear about each individual's status.
VAT registration depends on your taxable turnover and the nature of your supplies, so it is not something that applies automatically to every dental practice. Some dental services may be exempt, while other supplies, such as certain cosmetic or private treatments and retail items, may be standard-rated. Where a practice has a mix of NHS and private income, the VAT position can be genuinely complex. If you are approaching the registration threshold or you are unsure how your supplies are classified, professional advice can help you establish the correct treatment.
Most accountants will ask for records covering your income and expenses for the period — for example, NHS payment schedules, private fee summaries or practice statements, bank and card statements, invoices, receipts, mileage and travel records, and details of any equipment purchased. If you employ staff, payroll records are also needed. For a limited company, you would normally add details of dividends, director's loans and company assets. The more complete and organised your records are, the smoother the process tends to be, and bookkeeping support can be put in place if that is an area you would rather hand over.
In most cases, yes. Dentists and dental practices commonly change accountants outside the pressure of a filing deadline, although it is not usually a barrier at other times either. The process generally involves a professional clearance request to your existing accountant and the handover of your records and prior year filings. If you are partway through a tax year, we will agree a sensible split of responsibility so nothing is missed, such as outstanding Self Assessment returns, payroll periods or VAT quarters.
Fees are usually based on the scope of work involved rather than a flat charge applied to everyone. A self-employed associate dentist needing a tax return and simple bookkeeping will typically have a different scope of work to a practice owner with employees, VAT, company accounts and equipment finance. Factors that often influence the cost include the number and type of entities, transaction volumes, whether payroll and VAT are included, how organised your records are, and whether advisory work is required. It is reasonable to ask for a clear scope and fee basis before work begins.
