Medical.Accountants
Regulated by ICAEW
Regulated by ICAEW
Regulated & AML supervision
Regulated & AML supervision
AAT fellow member
AAT fellow member
Certified advisor
Certified advisor
Certified ProAdvisor
Certified ProAdvisor
100+ yearsCombined team experience
Fully insuredUp to £2m indemnity
4.9 out of 5321 Google reviews

Local pages

Dental Accountants in Milton Keynes

Dental accountants for Milton Keynes and Milton Keynes University Hospital. Fixed-fee specialist accountants, ICAEW-regulated. Free quote.

Do you work with dentists and dental practices in Milton Keynes?

Yes. We work with dentists and dental practices in Milton Keynes as a specialist medical accountancy service, remotely by video, phone and secure online document sharing. That covers NHS and private income, trust bank and agency shifts, IR35, Making Tax Digital and NHS pension checks, on a fixed monthly fee agreed in writing.

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
Get my fixed-fee quoteBook a free 15-min tax review
  • 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.

Key takeaways

  • We act for dentists and dental practices in Milton Keynes working at Milton Keynes University Hospital.
  • Clients often live in Milton Keynes, Newport Pagnell, Olney and travel in for shifts.
  • Practice and business valuations usually rest on adjusted sustainable profit and goodwill.
  • Allowable costs include HMRC-approved professional registrations and subscriptions, indemnity where you pay it, business mileage between workplaces and equipment used for work.

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 workWhat we checkSupport to explore
Employed or umbrella (PAYE)Tax codes, eligible employment expenses and whether a tax return is needed.Healthcare tax refund support
Genuinely self-employedBusiness income and expenses, Self Assessment and MTD eligibility.Healthcare Self Assessment service
Your own limited companyCompany accounts, Corporation Tax, director income and off-payroll status where relevant.Healthcare limited company accounts
PartnershipPractice 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

Accounts and tax returns

Year-end accounts and Self Assessment or company returns for dentists and dental practices in Milton Keynes, filed on time.

02

Fixed-fee advice through the year

Questions answered by your named accountant, without the clock running.

03

Making Tax Digital

Compatible software set up and quarterly updates filed where MTD applies.

04

Planning before deadlines

Payments on account, structure and pension checks reviewed ahead of 31 January.

What to know before you decide

Hospitals: Milton Keynes University Hospital

We act for dentists and dental practices in Milton Keynes working at Milton Keynes University Hospital. Many clinicians work across more than one of these sites or combine NHS posts with private lists, so we reconcile every payslip, bank or agency payment and private invoice into one return. Travel between work sites is usually allowable business mileage; travel from home to a regular workplace is not.

Commuter areas: Milton Keynes, Newport Pagnell, Olney

Clients often live in Milton Keynes, Newport Pagnell, Olney and travel in for shifts. Where you live does not change how you are taxed, but it can affect which journeys are allowable, whether a home office is a genuine workplace, and which local practices and clinics you take sessions at.

Associates and practice owners, NHS contracts and UDAs, practice sales

Practice and business valuations usually rest on adjusted sustainable profit and goodwill. Clean accounts, clear contract income and documented normalisation adjustments support the price. We prepare figures for buyers, sellers and lenders.

Travel/mileage between sites

Allowable costs include HMRC-approved professional registrations and subscriptions, indemnity where you pay it, business mileage between workplaces and equipment used for work. Ordinary commuting and personal costs are not allowable. Employees claim through HMRC; the self-employed deduct costs in their accounts.

Local FAQs

This is one of the questions we work through with dentists and dental practices in Milton Keynes at the start of every engagement. We look at your real income, contracts and records, set out the options in plain English and confirm the work and fee in writing.

Your questions answered

Do you work with dentists at Milton Keynes University Hospital?

Yes. We work with dental accountants · milton keynes as a specialist medical accountancy service, remotely by video, phone and secure online document sharing. That covers NHS and private income, trust bank and agency shifts, IR35, Making Tax Digital and NHS pension checks, on a fixed monthly fee agreed in writing.

Want us to check this for you? Get a free review →

Do I need to meet an accountant in person in Milton Keynes?

Yes. We work with healthcare professionals across the UK by video, phone and secure online document sharing, so location does not limit the service. Medical.Accountants is part of ACCOTAX, a London-based firm; outside London we serve clients remotely rather than from a local office.

Want us to check this for you? Get a free review →

How do Milton Keynes clinicians switch to a specialist medical accountant?

Switching takes minutes on your side. You sign our engagement letter, we contact your previous accountant for professional clearance and records, and we take over HMRC and Companies House authorisations. You can switch mid-year; we pick up from the last filed return.

Want us to check this for you? Get a free review →

Are associate dentists self-employed for tax?

Employment status depends on the real working relationship: who controls the work, whether you can send a substitute, whether you carry financial risk and how integrated you are. A contract label alone does not decide it. HMRC's Check Employment Status for Tax tool and case law set the tests, and getting it wrong can leave the engager owing PAYE.

Want us to check this for you? Get a free review →

How much tax does an associate dentist pay?

Dental accountants · milton keynes pay income tax on taxable profit at 20%, 40% and 45%, plus Class 4 National Insurance on self-employed profit. Payments on account mean your first bill can include half of next year's tax too. Where income also comes from overseas, residence status and split year treatment decide what the UK taxes.

Want us to check this for you? Get a free review →

Can associate dentists set up a limited company?

A limited company can suit dental accountants · milton keynes with substantial private or outside-IR35 income that is not all needed to live on, because profit is taxed at corporation tax rates and can be paid out over time. It brings extra accounts, payroll and filing costs, and NHS employment income cannot move into it. We model sole trader against limited company on your real figures first.

Help with this question: Limited Company Accounts & Corporation Tax for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

What expenses can dentists claim (lab fees, GDC, indemnity, CPD, loupes)?

You can claim tax relief on costs incurred wholly and exclusively for your work: HMRC-approved professional fees such as GMC, NMC, GDC or HCPC registration and approved royal college and union subscriptions, uniform laundering, and business mileage between workplaces. Ordinary commuting and most exam or training costs for new qualifications are not allowable. Employees can claim back up to four tax years.

Check the official guidance · www.gov.ukWant us to check this for you? Get a free review →

What due diligence is needed before buying a dental practice?

Financial due diligence involves reviewing the last three years of accounts and tax returns. You should also verify UDA performance and staff contracts. Legal due diligence covers the property lease and CQC registration status. Medical.Accountants assists buyers by analysing these financial records to ensure transparency during the acquisition process.

Help with this question: Practice Purchase, Sale & Valuation for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

How does the NHS Pension work for associate dentists?

Most NHS doctors and many healthcare staff are members of the NHS Pension Scheme. Contributions are deducted through payroll, and locum or private work can count only through the correct forms. High earners should check the annual allowance each year, as pension growth can trigger a tax charge.

Check the official guidance · www.gov.uk

Help with this question: NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

How can I fund a dental practice purchase?

Funding for a dental practice purchase can be secured through specialist healthcare lenders, often requiring a deposit. Lenders will review the practice's historical accounts and your own professional experience. Medical.Accountants prepares the necessary financial due diligence and business plans to support your application. We help you understand the tax implications of different financing structures.

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 package

Limited company accountants for dentists 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 packages

Personal 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 package

Employment 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

Ask about a tax refund

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 quote

How it works

  1. 01

    Free call

    A 15-minute chat about your income, structure and deadlines.

  2. 02

    Onboarding in 48 hours

    We set up your records, software and HMRC agent access.

  3. 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.

Your questions, answered

Do you work with dentists and dental practices in Milton Keynes?
Yes. We work with dentists and dental practices in Milton Keynes as a specialist medical accountancy service, remotely by video, phone and secure online document sharing. That covers NHS and private income, trust bank and agency shifts, IR35, Making Tax Digital and NHS pension checks, on a fixed monthly fee agreed in writing.
Can I use your service if I work at Milton Keynes University Hospital?
Yes. Our service is delivered remotely by video, phone and secure document upload, so it works wherever your hospital or practice is. We handle the tax points that come with hospital work: trust bank and agency shifts, IR35 determinations, business mileage between sites, and NHS pension records across employers.
How much does an accountant for dentists and dental practices in Milton Keynes cost?
Our packages for dentists and dental practices in Milton Keynes start at £45.83 + VAT a month, with Core at £62.50 and Growth at £75 + VAT. The right package depends on your income sources, whether you trade through a company and any payroll, VAT or pension work. We confirm the exact fee in writing before any work begins, so there are no surprise invoices.
Do dentists and dental practices in Milton Keynes need to comply with Making Tax Digital?
Making Tax Digital for Income Tax applies from 6 April 2026 to sole traders and landlords whose qualifying income (gross self-employment plus property income) is over £50,000, falling to £30,000 from April 2027 and £20,000 from April 2028. PAYE salary does not count. Dentists and dental practices in Milton Keynes trading through a limited company or a partnership are not brought in yet. We set up compatible software and file the quarterly updates for you.
How do I switch to Medical.Accountants?
Switching takes minutes on your side. You sign our engagement letter, we contact your previous accountant for professional clearance and records, and we take over HMRC and Companies House authorisations. You can switch mid-year; we pick up from the last filed return.

Contact us

Medical accountants serving Milton Keynes

We support healthcare professionals in Milton Keynes remotely, by phone, video call and secure online document sharing. Our office is in Morden, London, and visits are by appointment only.

Office (by appointment)12 London Road, Morden, London SM4 5BQ
Phone020 3441 1258
Opening hoursMonday to Friday, 9:00am to 5:30pm

Speak to a specialist today

Leave your details and we'll call you back, or book a free review straight away.

Book a free 15-min tax review

Related healthcare expertise

NHS Pension Tax & Annual Allowance for Doctors & Healthcare ProfessionalsLimited Company Accounts & Corporation Tax for Doctors & Healthcare ProfessionalsPractice Purchase, Sale & Valuation for Doctors & Healthcare ProfessionalsMedical Accountants in Milton KeynesDental accountants for associates and practice ownersLocum Doctor Accountants in Milton Keynes
Accountants for healthcare professionalsHealthcare tax questions answered

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: NHSBSA dental pension guidance; HMRC VAT Notice 701/57; GDC fee relief (HMRC List 3); HMRC Making Tax Digital; HMRC Business Asset Disposal Relief (GOV.UK); HMRC incorporation relief; HMRC VAT partial exemption (Notice 706); NHS dental contract guidance.

Official guidance

Get my quote