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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convention — but the convention rests on working practices matching the agreement, worth attention now that HMRC has withdrawn its old blanket guidance.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.

Common Questions

Frequently Asked Questions

As an associate, am I definitely self-employed?
Almost certainly by convention — but the convention now rests on your facts, since HMRC withdrew its specific occupational guidance and status follows the general tests: your associate agreement's terms and, more importantly, whether working practices match them (locum cover arrangements, financial risk on lab bills and bad debt, control over sessions). Well-drafted agreements operated as written keep associates comfortably self-employed. We review both document and reality — the pairing that actually decides it — and flag drift before HMRC could.
When should a dentist incorporate?
When retention arithmetic says so, and not before: companies win where you can leave meaningful profit inside at lower rates — building a deposit for a practice purchase is the classic case — and win less, or lose, where you extract everything to live on. NHS pension effects, spouse shareholdings and the eventual practice-purchase structure all move the answer. It is a personal calculation we run properly, including the costs the incorporation seminars omit: extra compliance forever, and dividend tax on the way out.
What multiple will my practice sell for?
Goodwill values move with NHS contract security, private and plan mix, location and associate reliance — but whatever the market multiple, it applies to your evidenced, adjusted profits, which is where preparation pays: clean accounts for two to three years, principal remuneration normalised, private income fully recorded, associate agreements documented. Sellers who prepare recover it in price several times over; sellers who don't fund the buyer's caution through retentions and clawbacks. Start the conversation two years out — the reliefs have qualifying periods too.
Can you handle payroll and pensions for our practice staff?
Yes — the practice team's payroll runs through our CIPP-qualified payroll service: nurses, hygienists, receptionists across their varied hours and rates, auto-enrolment with the assessment and declarations done properly, and the NHS pension layer for eligible staff handled alongside. Principals get one monthly cycle covering payroll, pensions and CIS-free simplicity, with the practice accounts fed automatically — one firm, one reconciliation.
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