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Specialist dental accountancy

Accountants who actually understand dental practices

We work only with UK dentists. Principals, partners, associates, locums and corporate dental groups. From NHS contract reporting through profit extraction to practice purchase and sale.

Three service tiers

Start with compliance essentials, add monthly management accounts as you grow, move to specialist advisory as you scale or plan an exit. You can move tier at any month-end.

Essentials

Single-handed practices & associates

  • Annual accounts + corporation tax
  • Personal self assessment
  • Quarterly review call
  • Unlimited email support

Growth

Multi-associate practices (most popular)

  • Everything in Essentials
  • Monthly management accounts
  • Salary, dividend + NHS Pension modelling
  • Capital allowances claim
  • Practice valuation refresh annually

Specialist

Multi-site groups + exit-focused principals

  • Everything in Growth
  • Cash flow forecasting
  • Pre-sale BADR + Section 162 planning
  • Holding company and group structure
  • Priority same-day response

What we actually do for dentists

These are the six areas of work that come up across our book of dental clients. Click any heading to read the deep-dive page for that service.

Compliance

Dental practice accounting

Monthly management accounts that separate NHS UDA value, private fee income and capitation plan income, so you see where the profit really comes from. Year-end statutory accounts and corporation tax filed on time, every time.

  • Monthly P&L split NHS / private / plan
  • Associate cost and lab fee analysis
  • Cash flow forecast and seasonal modelling
  • Year-end accounts + corporation tax return

Tax

Tax planning for dentists

Proactive planning across the tax year, not just at year end. We model salary and dividend extraction, NHS Pension interaction, employer pension contributions, and timing decisions for principals, partners and associates working through limited companies.

  • Salary and dividend optimisation 2025/26 rates
  • Employer pension contributions for principals
  • Capital allowances on dental equipment
  • Year-end profit extraction modelling

Structure

Incorporation and partnership structure

Sole trader, expense-share partnership, full LLP, limited company, holding-company structure. Each shape has different NHS Pension consequences, different goodwill treatment and different exit economics. We model the trade-offs in your specific numbers.

  • Sole trader vs partnership vs Ltd modelling
  • Section 162 incorporation relief analysis
  • NHS Pension impact assessment
  • Holding company and group structures

Specialist

Associate and locum dentist tax

Self-employment status review against the post-IR35 tests (control, substitution, mutuality of obligation, financial risk, integration). Allowable expenses checklist for associates. Umbrella vs limited company vs self-employed analysis for locums working across NHS practices.

  • BDA model agreement status check
  • Allowable expenses claim review
  • IR35 status for locums in NHS engagements
  • Indemnity, CPD and mileage treatment

Lifecycle

Practice purchase and sale support

Financial due diligence on the seller's accounts. EBITDA normalisation. Goodwill valuation against current UK dental market multiples. SDLT and CGT planning. Section 162 relief modelling if you're incorporating before sale. BADR eligibility check.

  • Buy-side financial due diligence
  • Sell-side practice valuation
  • Goodwill methodology and asset split
  • BADR + Section 162 pre-sale planning

Operations

Payroll, pension and CIS

Practice payroll for nurses, hygienists, therapists, treatment co-ordinators and trainees. Auto-enrolment workplace pension administration. CIS if you're engaging subcontracted lab technicians or refurb contractors. P11D returns and benefit-in-kind handling.

  • Monthly PAYE and RTI submissions
  • Workplace pension auto-enrolment
  • P11D and benefit-in-kind compliance
  • CIS returns for subcontractor work

What is included with every engagement

The things that should be baseline at any specialist firm. Plenty are not.

Dental-only specialists

Every client we work with is a dentist, a dental partnership, a corporate group or a locum. We do not split focus across other sectors. That depth shows in the questions we ask and the decisions we model.

Response within 24 hours

Email or call us with a question. We respond inside 24 hours, usually the same working day. You should not be waiting a week for an answer when a deadline is moving towards you.

Fixed fees, no surprises

You know exactly what you are paying before you sign. No hourly billing, no scope creep. If your practice grows and the work grows, we tell you before any additional fee applies.

Proactive, not just compliance

We do not wait to be asked. If your salary and dividend split is leaking tax, if your goodwill amortisation election was missed, if your NHS Pension annual allowance is heading toward a charge, we flag it before you ask.

NHS Pension scheme awareness

Decisions that look obvious in isolation, incorporating, drawing dividends, employing a spouse, can quietly reduce NHS Pension benefits or trigger annual allowance charges. We factor pension consequences into every structural decision.

Frequently asked

What does a specialist dental accountant do that a generalist accountant doesn't?
A specialist understands the NHS contract economics (UDA value variance by contract and region), the NHS Pension scheme structure (1995, 2008 and 2015 sections), goodwill amortisation rules for dental goodwill acquired after 1 April 2019, and the IR35 implications of NHS engagement status for locums. A generalist applies UK SME rules without that sector context, which is where most preventable tax leakage happens.
How are your fees structured?
We work on fixed monthly fees. You agree the scope and price before you sign. If your circumstances change, for example you incorporate, buy a second practice, or take on more associates, we agree any fee change in writing before any extra charge applies. There is no hourly billing and no scope-creep.
Do you work with associates as well as practice owners?
Yes. Self-employed associates, salaried associates, locums working through limited companies, foundation dentists in their first year, and dental nurses or hygienists running their own businesses. We also work with multi-partner LLPs and corporate dental groups.
Can I switch from my current accountant mid-year?
Yes. We handle professional clearance with your existing accountant, pull across your records, and pick up from where they finished. The handover typically takes two weeks. We do this regularly and it is no disruption to your filing position.
Do you advise on NHS Pension scheme issues?
We model the financial impact of pension decisions: annual allowance charges, the tapered allowance interaction with high earnings, McCloud remedy choices for members with 1995 or 2008 section legacy benefits, the dental retainer vs full membership question. For specific pension advice on accessing benefits or making transfer decisions we work alongside an FCA-authorised IFA.

Free scoping call

30 minutes, free, no obligation

We will review your practice structure, NHS contract position and current accountant set-up, then give you clear recommendations. If we are not the right fit, we will tell you and suggest who is.

  • Reviewed by a dentist-only specialist, not a generalist
  • Written summary of recommendations after the call
  • Response within 24 hours of your enquiry

Book your free call

We will be in touch within 24 hours.

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