Specialist Accountants for Dentists & Dental Practices

Accountants for Dentists in Rainham: Specialist Tax and Accounting Support for Dental Professionals

Dental work brings a distinctive mix of financial circumstances, and the right accounting support should reflect that. As accountants for dentists in Rainham, we work with associate dentists, principal dentists, private practitioners and dental practice owners whose income, expenses and business structures rarely follow a single pattern. Some dentists are employed, some are self-employed, and many earn from a combination of NHS contract work, private treatment, locum sessions and additional sources, each of which can affect how tax and reporting are handled. Depending on your circumstances, this may mean preparing a Self Assessment tax return, keeping accurate bookkeeping records, producing annual accounts, managing payroll for practice staff, dealing with VAT where it applies, or planning tax around a practice purchase or change in structure. Our role is to take the administrative weight off your shoulders, keep your financial information organised and explain the options available to you in language that makes sense. This page outlines who we help, the services that may be relevant to your situation and the considerations that dentists and dental practice owners commonly face.

4.9/5.0

Google Reviews

⭐ 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 profile picture
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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Dentists and Dental Practices We Support

Self-employed dentists, associate dentists, principal dentists, private practitioners and dental practice owners all tend to need different things from an accountant, and their requirements can shift as their career or practice evolves. A dentist working as an associate under someone else’s practice will usually have a different tax position from a principal who owns the premises, employs a team and holds an NHS contract. Because accounting treatment can depend on your working arrangement, your income sources, your business structure and whether you operate alone or in a partnership or limited company, we take the time to understand your position before recommending how to proceed.

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

Our support for dentists and dental practices covers the core areas that tend to matter most, including Self Assessment and tax return preparation, day-to-day bookkeeping, annual accounts, Corporation Tax where a limited company is used, payroll for practice staff, and VAT assistance where registration applies. We also help with practice accounting, business accounting for mixed NHS and private income, and tax planning around significant decisions such as changing structure, taking on a partner or buying into a practice. Not every dentist needs every service, so we focus on what is genuinely relevant to your circumstances rather than applying a standard package.

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 Considerations for Dentists and Dental Practices

Dental accounting often involves moving parts that a generalist accountant may not encounter regularly. Because requirements differ depending on how you work, what you earn and how your business is set up, it helps to understand the areas where extra care is usually needed.

  • Managing income from NHS contracts, private treatment and other sources, which may need to be tracked separately for reporting purposes
  • Associate dentist arrangements, including self-employed status, fee splits and how payments are recorded
  • Professional expenses such as indemnity insurance, GDC and professional body subscriptions, and continuing professional development
  • Dental equipment, instruments and practice premises costs, and how capital expenditure may be treated
  • Staff payroll for receptionists, nurses, hygienists and associates, including PAYE and pension obligations where applicable
  • Bookkeeping, VAT considerations and cash flow management across a practice with multiple income streams
  • Choosing between sole trader, partnership and limited company structures, and understanding the tax implications of each
  • Practice purchase or sale, goodwill, and the tax administration that follows a significant structural change

Why Dentists Work With CruseBurke

Dentists and dental practice owners tend to value an accountant who understands the difference between associate income, NHS contract payments and private fees, and who can keep those strands organised without constant chasing. We aim to make the numbers clearer, explain what is required and when, and adapt our support to how you actually work rather than fitting you into a template. Whether you are newly self-employed or running an established practice, the focus stays on practical help and straightforward communication.

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

Getting started is deliberately straightforward. We begin with a conversation about your working arrangements, income sources and current business structure, then agree what needs to be done and organise the accounting and tax work around that. From there, we provide ongoing support where it is useful, keeping you informed as your circumstances change.

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 Standards and a Specialist Approach

Working with an accountant should feel supportive rather than transactional, particularly when your income comes from several places and your tax position needs careful handling. We combine professional standards with clear, jargon-free communication, and we take the time to understand how dental practices and individual dentists actually operate. The aim is to give you dependable support, well-organised records and answers you can act on.

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

Many do, because self-employed dentists and associates are usually responsible for their own tax reporting, including Self Assessment. Even where the figures appear straightforward, there are details worth getting right, such as how associate fee splits are recorded, which professional costs are allowable, and how payments on account are calculated. An accountant can prepare the return, review the figures and help you keep records that stand up to scrutiny, which is often easier than trying to manage it alongside a full clinical diary.

Both NHS contract income and private treatment fees are generally taxable, but how they are reported can depend on whether you are employed, self-employed, or operating through a partnership or limited company. Where a practice earns from several streams, keeping those records separated makes reporting clearer and reduces the risk of errors. The treatment can also be affected by how the contract is held, so it is worth reviewing your position rather than assuming the same approach applies to everyone.

Commonly claimed costs may include indemnity insurance, GDC and professional body subscriptions, continuing professional development, specialist equipment and instruments, and a proportion of costs relating to practice premises or a home office where relevant. Whether an expense can be claimed in full, in part, or at all depends on the circumstances and on whether it was incurred wholly and exclusively for business purposes. We review expenditure as part of the accounts and tax return process and flag anything that needs clarification.

Not always. VAT registration depends on taxable turnover and on the nature of the services provided, and certain healthcare services may be exempt. Because dental practices often mix NHS work, private treatment and items such as cosmetic or laboratory services, the position can be more nuanced than a simple threshold test. We can review your turnover and service mix and advise on whether registration is required or whether voluntary registration may be worth considering.

There is no single answer that suits every dentist. Sole trader status tends to be simpler administratively, while a limited company can offer different tax and profit-extraction options, and partnerships are common where two or more dentists share a practice. The right structure depends on your income level, how many principals or partners are involved, your plans for the practice and your personal circumstances. We can talk through the advantages and drawbacks of each before you make a decision.

Yes. Practice payroll can cover receptionists, dental nurses, hygienists, therapists, associates and practice managers, each of whom may be paid differently. We can handle payslips, PAYE calculations and reporting obligations, along with pension duties where they apply, so that staff are paid accurately and on time. Where associates are engaged on a self-employed basis, we can also help you keep that distinction clear.

Switching is usually more straightforward than people expect. We ask for details of your current accountant and any authorisations in place, then liaise with them to obtain the records and information needed to take over. If you have bookkeeping records, accounting software or outstanding filings, we work through those as part of the handover. The aim is to make the transition smooth and keep your reporting on track.

It helps to have your most recent tax return or accounts, details of your income sources, records of business expenses, and information about any practice structure, contracts or payroll arrangements. If you use accounting software, we can usually access the records directly. Where information is missing or incomplete, we can talk you through what is needed and help you pull it together.

Speak to an Expert

Are your dental finances as organised as they should be? CruseBurke can bring clarity to the numbers.

If you are juggling NHS contract payments, private fees, associate income and practice costs, keeping everything straight can quickly become a distraction from clinical work. CruseBurke supports dentists with bookkeeping, Self Assessment and practice accounting, helping you keep records in order and understand what is required throughout the year. Whether you are newly self-employed or running an established practice in Rainham, straightforward specialist support can make your tax and reporting position far easier to manage.