Accounting Built for UK Dental Practices

Multiple income streams, one set of books

NHS contract payments, private fee income, and dental plan subscriptions each arrive differently, are earned differently, and need different accounting treatment. A generalist accountant applying standard commercial frameworks to dental income produces records that reconcile on paper but mislead in practice. We account for each stream correctly from day one.

Associate pay and self-employed status

Associates working in your practice are typically self-employed, not employees — but HMRC scrutinises this distinction closely. Getting the employment status wrong creates significant PAYE and NI exposure. We structure associate arrangements correctly and handle all related payroll and payment administration.

VAT exemptions specific to dentistry

Most dental services are VAT exempt under HMRC's healthcare exemption rules. However, some services — cosmetic treatments, for example — are standard rated. Misclassifying your income creates both overpayment and underpayment risk. We apply the correct VAT treatment to every income line in your practice.

We know dental practice income

NHS contract payments, UDA targets, private fee structures, capitation plans — we understand how dental income works and account for it correctly. You will not be explaining your business model to your accountant every month.

Fixed fees, no year-end surprises

Dental practices have enough financial unpredictability from NHS contract negotiations and private patient fluctuations. Your accounting fee is not one of them. One fixed monthly fee covers everything — no add-ons, no quarterly invoices for extras.

MTD ready for dental practices now

Making Tax Digital for Income Tax applies to practices and principal dentists with income above £50,000 from April 2026. We already operate on fully MTD-compliant software and will have your practice set up well ahead of the deadline.

Fixed-Fee Dental Practice Accounting

Dental practice accounting starts from £175 per month for a single-surgery practice. Pricing scales with turnover, number of associates, and the services required. Use our calculator for an instant estimate.