What to know before you decide
Dental
Specialist accountants for Dental Accountant Fees · Fixed fees · Free first call
Dental accountant fees: fixed-price packages for dentists
Dental accountant fees at Medical.Accountants start from £45 a month + VAT. Your fixed fee depends on the services you choose, your income sources and how your records are provided. We agree it in writing before we start, so you know the cost for the year.
How much does a dental accountant cost?
Dental accountant fees at Medical.Accountants start from £45 a month + VAT. Associates with simple records sit near the starting fee. Practice owners, limited companies, payroll and bookkeeping add work, so the fee rises with what you need. Every fee is fixed and agreed upfront, then paid monthly by Direct Debit.
Fixed fees, specialist healthcare accountants, and every HMRC and NHS Pensions deadline handled.
- Fixed monthly fee, no surprises
- Specialist in NHS pension and healthcare tax
- Onboarding within 48 hours
- ICAEW & ACCA regulated
- 5,000+ clients served by ACCOTAX
- Specialist healthcare accountants
Reviewed by Waqas Sagar ACA FCCA FMAAT, Founder of ACCOTAX, 18+ years' experience · Last reviewed: 8 October 2026 · Updated for the 2026/27 tax year
Medical.Accountants by ACCOTAX, ICAEW/ACCA-regulated chartered accountants, London, serving clients across the UK. Over 5,000 clients served.
Fixed fee
Associate Essentials: from £45 + VAT a month
- Accounts and Self Assessment
- NHS Pension certificate figures
- Expenses review
- Payments on account planning
Final fee depends on your services and how records are provided, agreed in writing before work starts.
Key takeaways
- Dental packages start from £45 a month + VAT. The fixed fee depends on the services you need and how your records reach us, and is agreed in writing before work starts.
- Fixed fee agreed upfront. No hourly billing, no surprise invoices.
- Pay monthly by Direct Debit and speak to the same dental team all year.
| Package | Who it's for | What's included | Fee |
|---|---|---|---|
| Associate Essentials | Self-employed associate dentists | Accounts, Self Assessment, NHS Pension Type 2 certificate figures, expenses review, payments on account planning, reminders | From £45 / month |
| Associate MTD | Associates over the Making Tax Digital threshold | Everything in Essentials plus MTD software set-up, quarterly updates and final declaration | Quoted on your records |
| Associate Limited Company | Associates working through a company | Company accounts, CT600, Companies House filings, director payroll, dividend paperwork, personal return | Quoted on your records |
| Hygienist & Therapist | Self-employed hygienists and therapists | Self Assessment, expenses review, MTD-ready records | From £45 / month |
| Practice Owner | Sole-trader or partnership practices | Year-end accounts, partner returns, NHS contract review, end-of-year pension certificate, annual tax plan | Quoted on your practice |
| Practice Limited Company | Incorporated practices | Statutory accounts, CT600, director tax, profit extraction plan | Quoted on your practice |
| Multi-site / Group | Two or more practices | Group and management accounts, figures per site | Quote |
Which accountancy support fits your income?
Start with how you are paid. Different income sources can need different accounts, returns and expense checks.
| How you work | What we check | Support to explore |
|---|---|---|
| Employed or umbrella (PAYE) | Tax codes, eligible employment expenses and whether a tax return is needed. | Healthcare tax refund support |
| Genuinely self-employed | Business income and expenses, Self Assessment and MTD eligibility. | Healthcare Self Assessment service |
| Your own limited company | Company accounts, Corporation Tax, director income and off-payroll status where relevant. | Healthcare limited company accounts |
| Partnership | Practice accounts, allocated profit and each partner’s personal tax position. | Healthcare partnership accounts |
Sound familiar?
Problems we fix for dentists
- "Payments on account as a self-employed associate catch me out."
- "I don't understand my NHS Pension superannuation."
- "We've had a UDA clawback."
- "Lab bills make my profit hard to track."
- "I'm not sure whether my cosmetic dentistry needs VAT."
- "I want to buy, incorporate or sell a practice."
What it's costing you
Leaving it unfixed is rarely free
- Overpaid tax
- Unclaimed expenses and wrong tax codes mean paying more than you owe, year after year.
- HMRC penalties and interest
- Late returns attract automatic penalties, plus interest on tax paid late.
- Lost evenings
- Hours spent on forms, invoices and spreadsheets after a long shift.
General examples, your position depends on your own figures.
How we solve it
What we actually do for you
Associate package
Self Assessment, superannuation and a tax reserve plan.
Practice accounts
Accounts that show UDA income, lab costs and true margins.
Incorporation review
Whether a limited company actually helps, with the figures.
Acquisition and exit planning
Goodwill, finance and tax planned before you sign.
How we help
01
Add-ons, priced before work starts
Monthly bookkeeping in Xero or QuickBooks, payroll per employee, VAT returns, practice valuation support, buyer due diligence, incorporation, NHS Pension annual allowance calculations, mortgage references, R&D claim review and catch-up of late returns.
02
Why fixed fees
You know the cost for the year. No hourly billing and no surprise invoices for a quick question.
03
Quote in 24 hours
Tell us your role and what you need. We reply with a written fixed-fee quote within one working day.
Your questions answered
How much does an associate dentist pay for an accountant?
A self-employed associate with tidy records can start from £45 a month + VAT for accounts, Self Assessment and NHS Pension certificate figures. Extra income sources, MTD quarterly updates or catch-up work increase the fee, and we tell you before anything changes.
Want us to check this for you? Get a free review →What's included in a dental accounting package?
Every package includes the core filings for your structure, deadline reminders and tax advice by email. Associates get accounts and Self Assessment; companies get statutory accounts, CT600 and Companies House filings; practices get partner returns and an annual tax plan.
Want us to check this for you? Get a free review →What affects the price of dental accountancy?
Turnover, the number of associates and staff, the mix of NHS and private work, how your bookkeeping is kept and the number of sites. Records sent in good software cost less to process than a box of receipts.
Want us to check this for you? Get a free review →Are accountancy fees tax deductible for dentists?
Fees for preparing your business accounts are generally an allowable business expense. Fees for personal tax advice unrelated to the business are not. We show the split on your invoice.
Want us to check this for you? Get a free review →Is a specialist dental accountant worth the cost?
It is worth it when your affairs involve NHS pension certificates, UDA contract income, associate agreements or practice finance. A specialist knows where these figures come from and which deadlines matter, which saves you time and avoids costly corrections.
Want us to check this for you? Get a free review →Can I pay monthly?
Yes. Fees are paid monthly by Direct Debit, so the cost is spread across the year.
Want us to check this for you? Get a free review →What does it cost to switch accountants?
There is no charge to switch. We contact your previous accountant for the handover information. Catch-up work for missing years is quoted separately before we start.
Want us to check this for you? Get a free review →Quick quote
See what you could save, get a fixed fee in one working day
Three fields. No obligation. A specialist replies, not a sales team.
Packages for your working life
Accountancy packages for dentists
Self-employed income, a limited company, PAYE or a mixture: start with the support that matches how you actually work. We check your status and agree the scope and fee before starting.
Self-employed accountants for dentists packages
For genuine sole-trader income. We prepare your business accounts and Self Assessment, review allowable expenses and explain payments on account.
- Sole-trader accounts and personal tax return
- Allowable business expenses reviewed
- Tax reserve and payment deadline guidance
- MTD support scoped separately where required
Fixed fee quoted after a review
Discuss this packageMedical accountants for dentists: limited company packages
For clinicians working through their own company. Choose Essential/Compliance, Core/Complete or Growth according to your accounts, bookkeeping and payroll needs.
- Statutory accounts and Corporation Tax return
- One director return for salary and dividends from the same company
- Confirmation statement support; filing fee extra
- Bookkeeping, VAT and payroll according to your chosen plan
Company packages from £45.83 + VAT / month
Compare company packagesPersonal tax return packages for dentists
For employed clinicians, partners and people with mixed income who need a return. We check whether Self Assessment is required and reconcile the relevant income, expenses and pension tax information.
- Self Assessment requirement checked
- PAYE and other income reconciled
- Eligible employment expenses reviewed
- Pension tax work agreed separately where needed
Fixed fee quoted after a review
Discuss this packageEmployment status is determined by the facts, not the package you choose. PAYE, umbrella and partnership arrangements may also apply. A limited company does not override IR35 or off-payroll rules, and not every employed clinician needs a tax return.
Overpaid tax?
Tax refund support for dentists
We review tax codes, eligible professional expenses and overpaid tax, then prepare a claim where you qualify. A refund is not guaranteed; HMRC decides the claim.
£249 + VAT
For refunds up to £5,000, our fee is £249 plus VAT. For refunds above £5,000, add 5% of only the amount above £5,000 to the £249 fee. VAT applies to the total professional fee.
Example: a £6,000 refund means £249 + £50 = £299 plus VAT.
Professional fee, excluding VAT
£249
This illustrates the fee only, not whether you qualify or how much HMRC will refund. We agree the claim scope and payment terms before work starts.
What's included
Limited company packages, compare what's included
Essential/Compliance
For locums, salaried GPs and dentists with a limited company
from £45.83 + VAT /month
- FRS 105 or FRS 102 1A statutory accounts
- Corporation tax return (CT600) and tax computation
- Confirmation statement preparation and filing support
- One director Self Assessment return
- Deadline reminders ahead of every filing date
Core/Complete
For private practice, consultants and associate dentists
from £62.50 + VAT /month
- Everything in Essential/Compliance
- Monthly bookkeeping and bank reconciliation
- Quarterly Making Tax Digital VAT returns
- Director payroll with RTI filing and pension submissions
- Quarterly review call on numbers and tax position
Growth
For clinics, dental practices and growing medical teams
from £75.00 + VAT /month
- Everything in Core/Complete
- Payroll for up to five employees
Prices exclude VAT. Making Tax Digital quarterly updates available as an add-on. Compare fees
Why clinicians trust us
Chartered accountants who know the NHS
- ACCOTAX has served over 5,000 clients.
- Regulated chartered accountants (ICAEW and ACCA).
- Founded by Waqas Sagar ACA FCCA FMAAT, with 18+ years' experience.
Reviewed by Waqas Sagar ACA FCCA FMAAT
Chartered accountant and founder of ACCOTAX. Last reviewed October 2026.
Get my fixed-fee quoteHow it works
- 01
Free call
A 15-minute chat about your income, structure and deadlines.
- 02
Onboarding in 48 hours
We set up your records, software and HMRC agent access.
- 03
We handle the rest
HMRC, NHS Pensions and every deadline, with reminders before each one.
Free resource
Get the dental expenses checklist free
Tell us where to send it and we'll email it to you.
Speak to a specialist today
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Book a free 15-min tax reviewRelated healthcare expertise
General information for the 2026/27 tax year, prepared from the official guidance linked below. It is not personalised tax or regulated financial advice. Rules and circumstances can change; confirm your position before acting.
Official sources referred to on this page: GOV.UK: Self Assessment deadlines; GOV.UK: Making Tax Digital for Income Tax.