Medical.AccountantsMedical.Accountants
ICAEW regulated
ICAEW regulated
ACCA regulated
ACCA regulated
AAT fellow member
AAT fellow member
Certified advisor
Certified advisor
ProAdvisor
ProAdvisor
100+ years' experience
£2m indemnity cover
4.9 · 321 reviews

Dental

Specialist accountants for Best dental accountants UK · Fixed fees · Free first call

Best dental accountants in the UK: how to choose

A good dental accountant understands UDA contracts, associate agreements and the NHS Pension for dentists, and gives you a clear fixed fee. These criteria work for comparing any firm, including us.

Quick answer

Medical.Accountants, the dedicated healthcare team of ACCOTAX London Limited (ICAEW and ACCA regulated chartered accountants) helps dentists across the UK with accounts, tax returns, NHS Pension certificates and UDA contract income. Fees start from £45 + VAT a month, agreed in writing before work starts, and your first general call is free. Detailed technical tax advice is a paid, booked consultation. Book paid tax advice.

What makes an accountant good for dentists?

Knowledge of UDA contract values and year-end reconciliation, associate percentage agreements and lab fees, NHS Pension for dentists and Type 2 certificates, VAT on dental and cosmetic work, and practice purchase or sale structures, backed by a regulated firm and a written fixed fee.

Get a quoteWhatsAppBook a call

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-minute first call
  • 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: 29 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.

Get my fixed-fee quoteSee all dental fees

Key takeaways

  • Ask how they reconcile UDA delivery against the contract and plan for clawback risk.
  • Check they prepare associate pension certificates and understand lab fee deductions.
  • Compare written quotes that list every return and certificate included.

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?

What problems do 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

What does it cost to leave your tax unchecked?

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 does a specialist medical accountant do?

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

Associate dentist accounts

Self Assessment or company accounts with lab fees, indemnity and other allowable expenses claimed.

02

Dental practice accounts

Practice accounts with NHS contract income and private income analysed separately.

03

NHS Pension for dentists

Type 2 certificates and pension annual allowance checks for associates and principals.

04

Buying or selling a practice

Share or asset sale structures, goodwill and tax on sale estimated before you commit.

What to know before you decide

What should a specialist dental accountant know?

How UDA and UOA values are set and reconciled at year end, the risk of clawback when delivery falls short, associate agreements and lab fee splits, NHS Pension contributions for dentists, VAT on cosmetic treatments versus exempt dental care, and practice goodwill on a sale.

How much does a dental accountant cost?

Published online price lists for UK healthcare accountants that we reviewed in October 2026 typically ran from about £50 to £90 a month plus VAT for sole-trader or locum work, and from about £90 to £125 a month plus VAT for a one-director limited company. Practice and partnership accounts were usually quoted individually. Treat these as indicative only: always compare a written quote that lists exactly what is included. Associate dentist fees are usually at the lower end; practice owners pay more for bookkeeping, payroll and partnership work.

What questions should dentists ask?

How many dental clients the firm acts for; who prepares your Type 2 certificate; whether practice valuation support is available; how VAT on cosmetic work is reviewed; and exactly which returns the fee includes.

Where does Medical.Accountants fit?

Medical.Accountants is the dedicated healthcare team of ACCOTAX London Limited, ICAEW and ACCA regulated. Limited company packages start from £45.83 + VAT a month (Essential/Compliance), with Core/Complete at £62.50 and Growth at £75 + VAT a month; dental packages start from £45 + VAT a month. The first general call is free; detailed technical tax advice is a paid, booked consultation.

Your questions answered

How much does a dental accountant cost?

Indicative published prices we reviewed in October 2026 started around £50 to £90 a month plus VAT for associates. Medical.Accountants dental packages start from £45 + VAT a month.

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

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

Medical 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 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

How much does a medical accountant cost?

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

Why choose 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.

What do clients usually ask?

Do associate dentists need a specialist accountant?
It helps, because associate income, lab fees and NHS Pension certificates follow dental-specific rules.
Can you help with buying a dental practice?
Yes, we model share and asset purchase options and the tax on sale; we do not broker practices.
Is the first call free?
Yes, a general first call is free. Detailed technical tax advice is a paid, booked consultation.

How do I speak to a specialist?

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

Book a free 15-minute first call

Related healthcare expertise

Dental accountants: specialist accountants for dentists and practicesDental accountant fees: fixed-price packages for dentistsAccountants for associate dentists: tax, NHS Pension and MTDDental practice accountants for practice owners and groups
Accountants for healthcare professionalsHealthcare tax questions answered

About the author

Waqas Sagar ACA FCCA FMAAT

Founder of ACCOTAX and chartered accountant, with 18+ years' experience advising UK clients, including doctors, dentists and healthcare businesses.

Reviewed by Waqas Sagar ACA FCCA FMAAT on

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: NHS Business Services Authority; GOV.UK; ICAEW directory.

Official guidance

Get my quote

Google reviews

What ACCOTAX clients say

4.9 out of 5 from 321 Google reviews

Read all reviews on Google

Reviews of ACCOTAX, the firm behind Medical.Accountants, shown as published on Google.