Medical.Accountants
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Practice Purchase, Sale & Valuation for Dental Practices

Practice Purchase, Sale & Valuation for dental practices. Overpaying for a practice? We fix it: fixed fees, ICAEW-regulated specialists. Free quote.

What does practice purchase, sale & valuation for dental practices involve?

Our practice purchase, sale & valuation service for dental practices covers valuation, due diligence, funding cash flows. It solves the problems we see most often — dental practices: Overpaying for a practice, poor due diligence, tax on exit — on a fixed monthly fee agreed in writing before any work starts.

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.

Key takeaways

  • Problems solved: Dental practices: Overpaying for a practice, poor due diligence, tax on exit.
  • Included: Valuation.
  • Included: due diligence.
  • Included: funding cash flows.

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

Valuation

Part of our practice purchase, sale & valuation service for dental practices, delivered on a fixed fee.

02

due diligence

Part of our practice purchase, sale & valuation service for dental practices, delivered on a fixed fee.

03

funding cash flows

Part of our practice purchase, sale & valuation service for dental practices, delivered on a fixed fee.

04

deal structure

Part of our practice purchase, sale & valuation service for dental practices, delivered on a fixed fee.

What to know before you decide

Your questions answered

How is a practice valued?

Healthcare businesses such as pharmacies, dental practices and care homes are usually valued on a multiple of sustainable profit (EBITDA), adjusted for property, contracts, regulatory rating and goodwill. Clean, consistent accounts support a stronger price. We prepare normalised figures for sales or acquisitions.

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What due diligence is needed?

Due diligence involves a thorough investigation of the financial health and liabilities of a medical practice before joining. This includes reviewing historical accounts, tax compliance, and NHS pension obligations. You should verify the accuracy of profit shares and any outstanding legal commitments. Medical.Accountants supports prospective partners by analysing these financial records.

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How can a purchase be funded?

Practice purchases are typically funded through a combination of personal capital and commercial lending. Many healthcare professionals utilise specialist medical loans or asset finance for equipment. Lenders often review historical financial performance and professional qualifications. Our firm assists in preparing the necessary documentation for these applications.

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Should I buy shares or assets?

The choice between buying shares or assets depends on your specific commercial objectives and risk appetite. Share purchases involve acquiring the entire legal entity, including all liabilities. Asset purchases allow you to select specific items like patient lists or equipment. Each method carries distinct tax implications for the buyer.

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What tax is due on a sale?

Capital Gains Tax is generally the primary liability when selling a healthcare practice. The specific rate depends on your total taxable income and eligibility for statutory reliefs. Corporation Tax may apply if a limited company sells its assets directly. Specialist advice ensures all reporting requirements are met accurately.

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Does Business Asset Disposal Relief apply?

Business Asset Disposal Relief may apply if you meet specific criteria regarding ownership and trading status. This relief can significantly reduce the Capital Gains Tax rate on qualifying disposals. Eligibility depends on the nature of the assets and your role in the business. We review your circumstances to confirm eligibility.

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How long does a practice sale take?

The duration of a practice sale varies significantly based on the complexity of the due diligence process. Legal requirements and financing approvals often dictate the overall timeline. Efficient record-keeping generally helps facilitate a smoother transition. Medical.Accountants supports healthcare clients throughout this administrative process to ensure compliance.

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What happens to staff and contracts on a sale?

NHS contract income, including PCN, ARRS and UDA or orthodontic contract payments, must be accounted for in the period it is earned, with clawbacks provided for. Partners' profit shares and drawings are kept separate. Accurate accounts also drive the pension certificates each partner submits.

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How are dental practices valued?

Healthcare businesses such as pharmacies, dental practices and care homes are usually valued on a multiple of sustainable profit (EBITDA), adjusted for property, contracts, regulatory rating and goodwill. Clean, consistent accounts support a stronger price. We prepare normalised figures for sales or acquisitions.

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

Should I incorporate my dental practice?

A limited company can suit dental practices 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.

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How is goodwill taxed when buying or selling a practice?

Dental practices 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.

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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.

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What tax is due when selling a care business?

Selling a care business typically triggers Capital Gains Tax on the increase in value of the assets. If the business is incorporated, Corporation Tax may apply to the company's gains before dividends are paid. You may be eligible for specific reliefs that reduce the effective rate of tax. Timely professional advice is recommended before completion.

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Does Business Asset Disposal Relief apply when I sell my practice?

Business Asset Disposal Relief may apply to the sale of a qualifying dental practice, potentially reducing the capital gains tax rate. Specific eligibility criteria must be met regarding ownership duration and business structure. We evaluate your situation as part of our fixed-fee compliance service. Proper documentation is essential for any claim.

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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 dental practices need practice purchase, sale & valuation?
It depends on your circumstances. Our team reviews your income, structure and records and confirms the right approach for dental practices in writing as part of your fixed-fee service.
What does practice purchase, sale & valuation for dental practices include?
It depends on your circumstances. Our team reviews your income, structure and records and confirms the right approach for dental practices in writing as part of your fixed-fee service.
How much does it cost for dental practices?
Our packages for dental practices 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.
What are the deadlines for dental practices?
Many dental practices must file a Self Assessment return: you need one if you have untaxed income such as private, locum or self-employed work. A high PAYE salary alone does not require Self Assessment for 2026/27; check HMRC's current criteria and any notice to file. The online filing and payment deadline is 31 January after the tax year ends. Under the non-MTD rules, late filing normally triggers an initial £100 penalty, with further penalties for longer delays. A different regime applies from the tax year you join MTD for Income Tax.
Can I switch to you mid-year?
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.

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

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: HMRC Business Asset Disposal Relief (GOV.UK); HMRC incorporation relief; HMRC VAT partial exemption (Notice 706); NHS dental contract guidance.

Official guidance

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