Dental practice accounts
A specialist dental accountant separates NHS and private revenue correctly (the VAT treatment differs), applies the right revenue recognition for UDA work, and produces management accounts that compare your performance against BDA peer benchmarks. Practice accounts done by a generalist who treats a dental practice like a corner shop leave money on the table and occasionally invite an enquiry.
What a specialist actually does.
- 01Annual statutory accounts preparation and filing
- 02Monthly or quarterly management accounts with dental-specific KPIs
- 03NHS/private revenue splits with correct VAT treatment
- 04UDA recovery and contract-year reconciliation
- 05Xero or QuickBooks setup and bookkeeping, integrated with practice software
- 06Year-end tax planning and dividend timing for incorporated practices
Who this is for.
- Dental practice owners (limited companies, sole traders, or partnerships)
- Practices mixing NHS and private income
- Multi-site or expanding practices needing consolidated reporting
- Practices changing software (Dentally, SOE Exact, R4) who need bookkeeping re-aligned
- Owners who want genuine management information, not just compliance
How pricing works.
Typically a fixed monthly or annual fee, scoped to the practice — number of sites, NHS/private mix, whether bookkeeping is included, management account frequency. A specialist will quote once they understand the practice. Cheaper than most owners expect, because specialisation makes the work faster.
We don't publish fake "£X/month" tables. The accountant you're matched with quotes directly, and you see the fee before any work starts.
About practice accounts.
Our current accountant is fine — why switch?+
If your accountant is a genuine dental specialist, don't. If they treat your practice as a general small business — no NHS/private split analysis, no BDA benchmarking, no understanding of UDA timing — you are probably paying more tax than necessary and getting less useful reporting. Have a conversation with a specialist and compare.
Can you just do year-end accounts, or do I need monthly bookkeeping too?+
Either works. Many practices engage a specialist for year-end and tax planning while keeping their in-house bookkeeping. Others prefer the accountant to run bookkeeping integrated with their practice software, so management accounts are live. The specialist will discuss both models with you.
How does NHS VAT treatment actually work?+
NHS dental services are generally exempt from VAT, private dental treatment is also exempt in most cases, and practices mainly deal with VAT on expenses rather than sales. The nuance is around cosmetic work, teeth whitening, and non-medical services, which can be standard-rated. A specialist reviews your service mix and ensures you are neither over-claiming nor under-claiming.
What management information should I actually see every month?+
At minimum: gross production by dentist, UDA performance against contract, NHS vs private revenue split, lab fees as a percentage of production, associate pay-outs, staff-cost ratio, overheads, EBITDA. A specialist dental accountant produces this in a one-page dashboard. If you've never seen this for your own practice, that is the first thing to fix.
Practice accounts across UK cities.
Dedicated city pages with local context for the 0 UK cities we cover. Service is delivered nationally — these pages exist for the markets where practice accounts demand is concentrated.
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