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 often involves more moving parts than a single salary, which is why generic support can leave gaps. The points below are common considerations rather than universal rules, since much depends on whether you are employed, self-employed, a practice owner or a mixture of these.
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.
The main difference tends to be familiarity with dental income patterns and structures. A dental-focused accountant will typically be comfortable with mixed NHS and private income, associate contracts, practice payroll, equipment and premises costs, and the way these interact with Self Assessment, partnership returns or limited company accounts. That means fewer gaps in the information gathered at the start and fewer awkward questions later about why a particular expense, payment or income stream was recorded the way it was.
As a self-employed associate, you are generally responsible for registering with HMRC, keeping records of your income and expenses, and filing a Self Assessment tax return. Support usually covers bookkeeping, calculating taxable profit after allowable expenses such as indemnity insurance, GDC fees and professional subscriptions, and planning for tax payments on account. If you also have employed income or a share of practice profits, the return becomes more involved, so it helps to have an accountant who can bring all the income sources together.
Yes. Many practices receive NHS payments alongside private fees, and the two streams are often recorded and reconciled differently. Accounts and records need to reflect both clearly, and where relevant, VAT treatment may differ depending on the services provided and who they are supplied to. The key is maintaining a bookkeeping system that separates income streams properly so reporting and tax calculations are accurate.
Where a practice employs hygienists, therapists, nurses, receptionists or administrative staff, payroll obligations will normally apply, including PAYE, National Insurance and pension duties where relevant. The position for associates can differ, since many work under self-employed contracts rather than as employees, and the correct treatment depends on the actual working arrangements. Getting that distinction right matters, as does keeping payroll records consistent with the practice accounts.
There is no single answer, because the most suitable structure depends on your income level, how many dentists are involved, your plans for the practice and your personal circumstances. Sole trader and partnership arrangements are common among associates and smaller practices, while limited company structures may suit practice owners with higher profits or specific tax planning objectives. Each has different compliance, reporting and tax implications, so it is worth reviewing the options against your own position rather than following a general rule.
VAT in dentistry is not always straightforward. Some treatments may be exempt depending on their nature and the practitioner providing them, while certain supplies, such as cosmetic treatments or retail items like oral care products, may be treated differently. Registration thresholds and treatment also depend on your circumstances, so the position is best reviewed specifically rather than assumed. Where VAT applies, return preparation and record keeping need to reflect it accurately.
Yes. Practice purchases and sales typically involve valuation of goodwill, equipment and other assets, along with consideration of the tax consequences for both parties. Accounts and records need to be in good order beforehand, and there may be structure decisions to make about how the transaction is completed. Accounting input at an early stage can help you understand the financial picture and plan for the tax implications.
A useful starting point is your current business structure, your HMRC registrations, details of your income sources, and any existing records such as bank statements, invoices, expense receipts or previous tax returns. If you run a practice, information about payroll, equipment, premises costs and any VAT position is also helpful. From there, your accountant can identify what is missing and set up a bookkeeping and reporting routine that fits how you work.
