Specialist Accountants for Dentists & Dental Practices

Accountants for Dentists in Radlett: Specialist Tax and Accounting Support

Dentistry rarely fits a single accounting template. An associate dentist building a career across several practices may have straightforward Self Assessment needs, while a principal or practice owner might be juggling NHS contract income, private fees, staff payroll, equipment purchases and VAT alongside annual accounts. Accountants for Dentists in Radlett work with this variety every day, helping dental professionals understand how their working arrangement, income sources and business structure affect their tax position and reporting obligations. Whether you are newly self-employed, a partner in a dental practice, a director of a limited company or an established practice owner, the aim is to keep your records organised, your tax filings submitted on time and your financial decisions properly informed. This page explains the accounting and tax considerations that commonly arise for dentists and dental practices, the type of support available, and how CruseBurke approaches the work so that you can spend more of your time on patients and less on paperwork.

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⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

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Jamie Fletcher profile picture
Jamie Fletcher
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It was a pleasure working with Anum on our accounts. The whole process was swift and effortless, and it was one less thing to worry about. I'd highly recommend them.
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Mansur Liman profile picture
Mansur Liman
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Accotax have been our accountants for many years now. We maintained them, because of their professionalism. In the last coiple of years, i have working with Imran, who has been very professional and helpful in guiding us through the whole process explaining and clarifying every aspect of it. Very prompt in responding to questions and patient with us even when we seem to be slow. I really enjoy working with him. Thank you
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Muna Mohamoud profile picture
Muna Mohamoud
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I highly recommend Imran to anyone looking for a reliable and knowledgeable accountant. He helped me sort out a very complicated backlog of accounts and prepared my overdue tax returns with professionalism and attention to detail. Throughout the process, he was incredibly patient, took the time to answer all of my questions, and explained everything clearly. He guided me through each step and helped rectify issues that had built up over time, making what felt like an overwhelming situation much more manageable. I'm very pleased with the service I've received and truly appreciate his support. If you need help with your accounts or taxes, I would highly recommend Imran.
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Sergey M profile picture
Sergey M
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I had a positive experience with Accotax. The work was completed promptly, my tax return was successfully filed, and I received a refund of overpaid tax. I found the cooperation efficient and helpful. Special thanks to Muhammad Saifullah for his assistance.
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Ebba Qureshi profile picture
Ebba Qureshi
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Fabulous team at ACCOTAX - very efficient and good response time . Honest and professional with their work. I would highly recommend them even if you’re a young start up - or a large business they have it covered .
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Mael Leboucher profile picture
Mael Leboucher
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We worked with a few different accountants before finally settling with Accotax, and we’re really glad we did. Their team is great. Abdul is responsive and easy to reach whenever I have a question, which makes a big difference. They take the time to understand how our business works and what our needs are. They are very knowledgeable, and when they don’t have the answer straight away, they take the time to look into it and get back to us quickly. Anum, who looks after our account on a day-to-day basis, including reconciling invoices and preparing the annual accounts, is amazing. She is professional, efficient, and follows the processes we have put in place together. She's also very quickin getting back to us whenever needed. We’re very happy to work with her and hope to continue doing so for as long as possible. Overall, Accotax has made our accounting experience much smoother and easier. We see them as a long-term partner as our business continues to grow. I would 100% recommend them.
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3rd Hub
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Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
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Martin Tyrrell profile picture
Martin Tyrrell
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I have really impressed to date with all dealings with Accotax highly enough. From day one, they've made what can often be a complicated and stressful part of running a business feel straightforward and hassle-free. A special mention has to go to Anum, who has been friendly, incredibly responsive, and genuinely cares about providing the best possible service. No question is ever too much trouble, and she consistently goes above and beyond to make sure everything is dealt with efficiently. I wouldn't hesitate to recommend you to anyone looking for an accountant they can genuinely trust.
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Matthew Lyon profile picture
Matthew Lyon
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Great speedy service and very personable. Anum dealt with my income certificate and did everything quickly and helped me out massively. Very happy with the service provided.
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Accounting Support for Dentists and Dental Practices

The dentists we support come from very different working backgrounds. Some are self-employed associate dentists with income from several practices, some are principal dentists running NHS and private lists side by side, and others are practice owners operating through a partnership or limited company with employees to pay. Because tax and accounting requirements can differ significantly depending on how you work, how many income streams you have and the structure you trade through, the starting point is always understanding your own circumstances rather than applying a standard solution.

Associate & Private Dentists

Self-assessment, allowable expense claims, lab fees and superannuation reconciliation for self-employed associates and private dentists.

Dental Practice Owners & Principals

Practice accounts, payroll for nurses and receptionists, UDA income monitoring, cash flow and profit extraction planning.

Orthodontists & Specialists

Accounting for referral-based and specialist practices, including capital allowances on equipment and VAT on cosmetic treatment.

Squat Practices & Dental Start-Ups

Cash flow forecasts for lenders, company formation, cloud software set-up and registration for new and squat dental practices.

Our Accounting and Tax Services for Dentists

Depending on how you practise, support may include Self Assessment and tax return preparation, bookkeeping, annual accounts, Corporation Tax computations, payroll for practice staff, VAT advice and returns, and dental practice accounting where you own or part-own the business. Where relevant, we also help with tax planning around drawings, profit extraction, equipment purchases and practice restructuring, so that decisions are made with an eye on the tax consequences rather than after the event. Not every dentist needs every service, and the mix is tailored to your working arrangements, income sources and business structure.

Bookkeeping for 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.

VAT for Dental Practices

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.

Self-Assessment for Associate Dentists

We prepare associate tax returns, claim every allowable expense from GDC fees and indemnity to CPD and lab costs, and reconcile superannuation deductions.

Dental Payroll, Auto-Enrolment & NHS Pension

Payroll for nurses, hygienists and reception staff, plus auto-enrolment, statutory pay and NHS Pension submissions handled on time every month.

Practice Accounts & Profitability Reporting

Management accounts that show profit per surgery, per associate and per income stream, so you can see exactly where the practice makes money.

Accounting and Tax Considerations for Dental Practices

Dental income is often less straightforward than it first appears, and the way it is recorded, taxed and reported can vary depending on whether you are self-employed, in partnership, or trading through a limited company. Some of the areas that commonly need attention include the following.

  • Separating and correctly recording NHS contract income and private dental fees so that each stream is reported accurately and any adjustments or reconciliations are handled properly
  • Associate dentist arrangements, including how UDA payments, lab fees, materials and practice deductions affect profit calculations and Self Assessment
  • Professional expenses such as indemnity insurance, GDC and professional body subscriptions, continuing professional development and clinical clothing, where they are allowable
  • Dental equipment, fit-out costs and capital expenditure, including how items are treated for tax and what relief may be available depending on the circumstances
  • Practice payroll and employment costs, covering associates, hygienists, nurses, reception staff and pension contributions, along with the associated reporting obligations
  • Bookkeeping and financial records, VAT considerations and practice cash flow, which can become harder to manage when several income streams and payment cycles are running at once

Why Dentists Choose CruseBurke

Dentists often come to us because their circumstances have outgrown a generalist approach, whether that means multiple income streams, a change in business structure or simply a backlog of unorganised records. We take time to understand how you actually work, explain the tax and accounting implications in plain language, and keep your financial information in a format that is easy to review and act on. The result is support that fits the way you practise today and can adapt as your arrangements change.

Genuine Dental Expertise

We know UDAs, superannuation, associate agreements and GDC costs without being told.

Built Around Your Practice

Associates, principals and multi-site groups each get a different service, not a template.

Fixed, Transparent Fees

One agreed monthly fee with no hourly billing and no surprises at year end.

Proactive Dental Tax Planning

Incorporation reviews, capital allowances on equipment and profit extraction planned in advance.

Named Accountant, Real Answers

You deal with the same qualified person every time, by phone or email, not a call centre.

A Track Record Since Before WWII

Our roots go back further than the Second World War and we act for dental clients across London.

Our Simple Three-Step Process

We start by understanding your circumstances, including how you are engaged, where your income comes from and what structure you operate through, so that nothing is assumed. From there, we organise the accounting and tax work that is relevant to you, whether that is bookkeeping, annual accounts, Self Assessment, payroll or VAT, and agree what is needed and when. Once that is running, we provide ongoing support and stay in touch as your practice or working arrangements evolve, so your accounting position keeps pace with your plans.

1. Initial Consultation (It’s Free):

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.

2. Customised Plan:

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.

3. Ongoing Support & Updates:

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.

Professional Support Built Around Dental Practices

Our approach is built on clear communication, organised record-keeping and practical advice that reflects how dental businesses actually operate, from single-handed associate work through to multi-clinician practices with staff and premises. We set out the treatment of income and expenses transparently, flag deadlines and information requirements in good time, and are available to answer questions as they arise. If something in your circumstances changes, whether that means a new practice, a new contract or a change in structure, your accounting support is reviewed to match.

Technology Driven

Cloud accounting linked to your practice software so your figures are current, not six months old.

Named Dental Accountant

A dedicated accountant for dentists who knows your practice, your contract and your plans.

Ongoing Support

Unlimited support by phone and email, including quick answers on UDA and superannuation queries.

Experienced Team

Our team has over 100 years of combined accountancy experience.

Free - Email Reminders

Never Miss any deadline with our automated email reminders.

Yes, We Are Chartered!

We’re an ICAEW, ACCA & AAT accredited Firm.

How to Switch to Our Dental Accountants

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:

Get in touch

Reach out to us and we will discuss your practice, your contract and how we can help.

Letter of Engagement

We’ll send over a simple letter to formalise our partnership and get everything in motion.

Previous Accountants

If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.

We Do the Rest

From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.

FAQs

If you receive income that is not taxed at source, for example associate dentist earnings treated as self-employment, private fees paid directly to you, or partnership profit share, you will usually need to report that income through Self Assessment. The position can differ if you are employed and taxed under PAYE, or if your income falls below the relevant reporting threshold. We look at how you are engaged and where each payment comes from before confirming what needs to be reported and by when.

Associate dentists are often treated as self-employed, which means calculating profit after allowable expenses rather than simply declaring gross fees received. Deductions for materials, laboratory work, indemnity cover and other agreed practice costs can affect the final figure, and those terms are usually set out in your associate agreement. We review that agreement alongside your payment statements so that income and expenses are recorded consistently and the resulting tax position is accurate.

Yes. Many dentists have income from NHS contract work or UDA payments alongside private treatment fees, and the two do not always reach you in the same way or on the same timescale. We help reconcile those streams against your bank records, keep track of any adjustments, and report the totals correctly depending on whether you receive them as an individual, through a partnership or via a limited company.

Where a practice employs nurses, receptionists, hygienists, associates or other staff, payroll obligations will generally apply, including payslips, PAYE reporting and pension duties where relevant. Bookkeeping also becomes more involved once there are staff costs, supplier invoices, equipment purchases and several income streams to track. We can handle as much or as little of that work as you need, from a full payroll service to periodic bookkeeping and management information.

There is no single answer, because the most suitable structure depends on your profits, how many principals or partners are involved, your plans for the practice and your personal circumstances. A limited company can suit some practice owners, while a partnership or sole trader arrangement may suit others. We compare the options in your specific situation and explain the tax and administrative implications of each before you decide.

Whether VAT registration is required depends on your taxable turnover and the nature of the services you provide, and some healthcare-related services may be exempt or treated differently from cosmetic treatments. Because the rules are nuanced and can depend on individual circumstances, we look at what your practice actually supplies before advising on registration, VAT returns or any partial exemption issues.

It helps to have your most recent tax return or accounts, details of your income sources, bank statements, practice agreements or contracts, and any records of expenses such as indemnity cover, subscriptions and equipment. If your records are incomplete or behind, that is not a barrier, as we can help bring them up to date first. The initial conversation is about understanding your circumstances, so you do not need everything perfectly prepared before getting in touch.

Fees reflect the work your circumstances actually require, so a self-employed associate with straightforward affairs will usually need less support than a practice owner with staff, premises and VAT. We discuss the scope of work, the level of bookkeeping and payroll involvement, and how often you would like to review your position before agreeing anything. That means you know what is included and what it is likely to involve before work begins.

Speak to an Expert

Are Your Dental Practice Finances Taking Up Too Much of Your Time? Let Us Take the Administration Off Your Hands

Keeping on top of associate income, NHS and private fees, indemnity costs and staff payroll can quickly become a second job, and it is easy for records to slip when the diary is full. CruseBurke can take responsibility for the day-to-day accounting, from bookkeeping and Self Assessment through to practice accounts and payroll, so your figures are accurate, organised and ready when you need them. If you would like accounting support that understands how dentists actually work, speaking to our team is a sensible next step.