Dentists
Accounting for dentistry — associates, principals and practices — built around how dental income actually works: UDA contracts, associate agreements, plan income, lab bills and the practice sale that ends the story.
Dentistry's finances follow a career arc with tax decisions at every stage: associates self-employed under agreements HMRC periodically eyes, incorporation questions arriving with rising profits, principals running practices that mix NHS contract values with private and plan income, and eventually a sale in a market where goodwill values reward years of clean numbers. Each stage has dental-specific rules a generalist meets rarely.
Acumon acts across the arc: associate tax done properly from the first self-employed year, practice accounts that show which chairs and income streams actually earn, incorporation modelled honestly, and exit planning started early enough for Business Asset Disposal Relief and the buyer's due diligence both to land well.
Associates: Self-Employment Done Right
Associate dentists are self-employed under long-standing convention — but the convention rests on working practices matching the agreement, worth attention now that HMRC has withdrawn its old blanket guidance. We prepare associate accounts and returns with the sector's specifics claimed correctly: licence fees to the practice, lab bills netted properly, indemnity, GDC registration, courses within the rules — and superannuation on NHS earnings reconciled, because associates' pension records go wrong quietly and often.
Incorporation for Dentists
The company question arrives for most associates and principals eventually, and dentistry adds its own variables: NHS contract and performer-number arrangements constraining structure for principals, pension interactions on NHS earnings, and spouse involvement done legitimately. We model your actual numbers — profits, retention capacity, pension position — rather than selling the seminar answer, and where incorporation wins, we execute it cleanly: formation, contracts, registrations and the transition year's tax.
Practice Accounts That Explain Themselves
A dental practice's profit hides in its mix: UDA delivery against contract, private and plan income per surgery, associate percentages and lab-bill splits, staff costs against chair utilisation. Our practice accounts and management reporting show the mix — which streams and surgeries earn, where lab and material costs drift, what associate arrangements actually cost — so decisions about chairs, associates and plan pricing run on numbers. Payroll, pensions and CQC-era compliance sit alongside from the same firm.
Buying and Selling Practices
Practice deals reward preparation on both sides: buyers need due diligence on UDA delivery, associate agreements and staff liabilities before goodwill is priced; sellers need two to three years of clean, well-presented numbers, structure optimised for Business Asset Disposal Relief, and the NHS contract transfer handled without value leaking. We run both sides — valuations, due diligence, sale structuring — with the tax planned before heads of terms, when it can still change the outcome.
What You Get With Acumon
- Associate accounts and returns with dental-specific expenses claimed fully
- NHS superannuation reconciled — pension records kept right through career moves
- Incorporation modelled on your numbers, not the seminar template
- Practice accounts showing profit by surgery and income stream
- Associate agreement economics analysed before signature
- Payroll and workplace pensions for practice teams
- Practice purchase due diligence and sale preparation
- Exit structured for Business Asset Disposal Relief, planned years out
Why Acumon for Dentists?
- Healthcare audit and advisory experience across the wider firm
- Many of the firm's qualified tax advisors previously worked for HMRC
- CIPP-qualified payroll team for practice staff and auto-enrolment
- Valuations and due diligence specialists in-house for practice deals
Get a Fixed-Fee Quote
Tell us what you need and we'll come back within one business day with a clear scope and a fixed price — no hourly-rate surprises. Call 020 8567 3451 or use the form and we'll be in touch.
Frequently Asked Questions
As an associate, am I definitely self-employed?
When should a dentist incorporate?
What multiple will my practice sell for?
Can you handle payroll and pensions for our practice staff?
Ready to Sort Your Dentists?
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