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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.

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Free dental calculators
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Specialist topic guides
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Specialist service pages
96%
UDA delivery clawback line

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

Associates, locums and single-handed practices that need the compliance basics sorted and a specialist eye on their numbers.

  • โœ“Annual accounts and corporation tax return
  • โœ“Personal self assessment
  • โœ“Allowable expenses review for associates
  • โœ“IR35 status check for NHS engagements
  • โœ“Quarterly review call
  • โœ“Unlimited email support
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Most popular
Growth

Multi-associate practices and principals who want monthly management accounts plus proactive tax planning across the year.

  • โœ“Everything in Essentials
  • โœ“Monthly P&L split NHS / private / plan income
  • โœ“Salary, dividend and NHS Pension modelling
  • โœ“Capital allowances on dental equipment
  • โœ“Cash flow forecast and seasonal modelling
  • โœ“Practice valuation refresh annually
Book a free scoping call
Specialist

Multi-site groups, partnership restructures, and principals planning a sale who need advisory depth alongside full compliance.

  • โœ“Everything in Growth
  • โœ“Pre-sale BADR and Section 162 planning
  • โœ“Holding company and group structure modelling
  • โœ“Buy-side financial due diligence
  • โœ“Goodwill methodology and asset split
  • โœ“Direct line to the adviser handling the sale
Book a free scoping call

What the work covers for dentists

Six areas of work that come up again and again in UK dental practice. Each card says where its link goes, and the full set of specialist service pages is listed below.

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.

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

Tax

Tax planning for dentists

Proactive planning across the tax year, not just at year end. A specialist from our partner network models salary and dividend extraction, NHS Pension interaction, employer pension contributions, and timing decisions for principals, partners and associates working through limited companies.

  • โœ“Salary and dividend optimisation 2025/26 rates
  • โœ“Employer pension contributions for principals
  • โœ“Capital allowances on dental equipment
  • โœ“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. A specialist from our partner network models the trade-offs in your specific numbers.

  • โœ“Sole trader vs partnership vs Ltd modelling
  • โœ“Section 162 incorporation relief analysis
  • โœ“NHS Pension impact assessment
  • โœ“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.

  • โœ“BDA model agreement status check
  • โœ“Allowable expenses claim review
  • โœ“IR35 status for locums in NHS engagements
  • โœ“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.

  • โœ“Buy-side financial due diligence
  • โœ“Sell-side practice valuation
  • โœ“Goodwill methodology and asset split
  • โœ“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.

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

What is included with every engagement

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

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Dental-only specialists

Dentistry is the whole remit here: NHS contracts and UDA reconciliation, associate agreements, practice sales, the NHS Pension. Nothing on this page is a generalist service with a dental label attached to it.

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Your enquiry reaches specialists

Tell us what you are dealing with and we pass the detail to dental accountancy firms that handle that specific problem, so the first conversation starts from your NHS contract and your returns rather than from a standard intake script.

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Know what to ask before you commit

Ask any firm for the scope in writing: which returns and accounts are covered, who does the NHS Pension certificate, what triggers extra work, and how a mid-year change such as incorporation is handled. A firm that will not put that in writing is telling you something.

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Proactive, not just compliance

A specialist firm does 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, they flag it before you ask.

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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. Pension consequences get factored 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 is dental accountancy usually charged?
It varies by firm, so ask rather than assume. The things that move the number are the same everywhere: whether you are an associate or a practice owner, whether there is a limited company and payroll, whether the practice is VAT-registered and partially exempt, how many NHS contracts and performers sit on the reconciliation, and who prepares the annual NHS Pension certificate. Ask for the scope in writing, ask what sits outside it, and ask what happens to the quote if you incorporate or buy a second site mid-year.
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. Professional clearance with your outgoing accountant, the transfer of your records and the handover of any work in progress are all part of a mid-year move, and none of it changes your filing deadlines. How long it takes depends on how quickly the outgoing firm releases the records, so ask any firm you speak to what they need from you and what they will chase.
Do you advise on NHS Pension scheme issues?
A specialist from our partner network models 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 they work alongside an FCA-authorised IFA.

Free scoping call

30 minutes, free, no obligation

A specialist from our partner network will review your practice structure, NHS contract position and current accountant set-up, then give you clear recommendations. If they are not the right fit, they will tell you and suggest who is.

  • โœ“Reviewed by a dentist-only specialist, not a generalist
  • โœ“Written summary of recommendations after the call
  • โœ“Your enquiry passed to dental specialists, not a general pool

Book your free call

Tell us the situation and a specialist dental accountant will make contact.

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