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 a different mix of income, expenses and reporting requirements compared with many other professions. The exact considerations depend on whether you are an associate, principal, practice owner or limited company director, as well as how your NHS and private income is arranged.
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.
You should look for an accountant who understands how dental income, expenses and working arrangements can affect your tax position. That can include experience with Self Assessment for associate dentists, annual accounts for practice owners, payroll for dental teams, VAT where applicable, and the different ways NHS and private income may be recorded. Clear communication and a willingness to explain the treatment of professional expenses, equipment and practice costs are also important, because the right approach depends on your individual circumstances.
Not every self-employed dentist or associate dentist needs an accountant, but professional support can be helpful where you have multiple income sources, complex expenses, changing working arrangements or uncertainty about Self Assessment. An accountant can help you organise income records, understand which costs may be allowable and prepare your tax return accurately. If your affairs are straightforward, you may still benefit from a review to confirm that you are meeting your obligations and claiming what you are entitled to claim.
The tax treatment of NHS and private dental income can vary depending on whether you are employed, self-employed, a partner or a limited company director, and on how the income is received. In many cases, income from self-employed dental work is reported through Self Assessment, while a limited company may account for income through its annual accounts and Corporation Tax return. NHS and private payment streams may need to be recorded separately, so good bookkeeping is important. Because the rules and your circumstances matter, it is best to confirm the correct treatment with an accountant.
Yes, depending on what your practice needs, support can cover payroll for dentists and staff, day-to-day bookkeeping, bank reconciliations, VAT records and returns where VAT registration applies. For practice owners, this can help keep employee costs, associate payments, supplier invoices and practice income more organised. The level of support can be tailored to your practice rather than requiring every service if only some areas need attention.
There is no single structure that suits every dental practice. A sole trader or partnership may be appropriate for some dentists, while a limited company can be suitable for others depending on profitability, number of owners, risk, pension planning and how income is withdrawn. Each structure has different accounting, tax and administrative responsibilities, so the decision should be based on your circumstances and long-term plans. An accountant can help you compare the main considerations, but the right answer depends on your individual position.
Dentists may be able to claim expenses that are incurred wholly and exclusively for their dental work, where the rules allow. Common examples can include professional subscriptions, indemnity insurance, continuing professional development, specialist equipment, certain practice costs and travel between work locations in some situations. Some costs, such as mixed personal and business expenses, may need to be apportioned or may not be allowable. It is important to keep receipts and records, and to confirm the treatment of specific costs with an accountant.
When switching accountants, you may need to provide details of your dental income, business structure, previous tax returns, accounts, bookkeeping records, payroll information and any HMRC correspondence. If you operate through a limited company or partnership, additional records such as statutory accounts, VAT returns and confirmation statements may be relevant. A well-organised handover helps the new accountant understand your position and identify what work is required. CruseBurke can explain what information is needed based on your circumstances.
CruseBurke supports dental practice owners by helping to prepare and review annual accounts, manage bookkeeping records, calculate taxable profits, handle payroll and VAT matters where applicable, and consider tax planning points throughout the year. For limited company practice owners, this may include Corporation Tax, director remuneration, dividends and company administration. For partnerships and sole traders, the focus may be on profit reporting, Self Assessment and capital allowances. The support is tailored to the structure and needs of the practice.
