What to know before you decide
Dental
Specialist accountants for UDA Rates Explained · Fixed fees · Free first call
UDA rates explained: value, delivery and clawback
Units of Dental Activity (UDAs) measure NHS dental work in England. Your contract sets how many UDAs you must deliver each year and the value paid for each one.
What is a UDA value?
A UDA value is the contract value divided by the number of Units of Dental Activity (UDAs) the practice must deliver. Each course of NHS treatment earns a set number of UDAs by band. Under-delivery can lead to money being recovered, known as clawback, so it must be reflected in the accounts.
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.
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 self-employed healthcare professionals
- "My tax return is late and I'm worried about HMRC penalties."
- "I got a tax bill I didn't expect and don't know why."
- "HMRC has opened an enquiry and I don't know what to send."
- "My mortgage lender wants SA302s and tax year overviews."
- "My current accountant doesn't understand the NHS."
- "I have a buy-to-let alongside my clinical income."
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
Urgent catch-up
We bring overdue returns up to date and talk to HMRC on your behalf.
Tax reserve plan
We tell you what to set aside each month so January holds no surprises.
Enquiry support
We handle HMRC correspondence and prepare the records they ask for.
Simple switching
We contact your old accountant and move your records for you.
How we help
01
Fixed-fee accounts and tax returns
Accounts, Self Assessment or company returns prepared and filed on time, with a clear tax bill in advance.
02
NHS Pension paperwork
Your pension certificate figures checked against your accounts so pensionable profits are reported correctly.
03
Tax planning
A yearly review of expenses, pension contributions and structure, so you only pay the tax you owe.
Your questions answered
How does UDA clawback affect my accounts?
If the practice delivers fewer UDAs than contracted, NHS England may recover part of the contract payment. We estimate likely clawback at the year end so profit and tax are not overstated.
Want us to check this for you? Get a free review →How do associates get paid for UDAs?
Associates are usually paid an agreed rate per UDA under their associate agreement, often with a share of lab fees deducted. We reconcile your practice statements to your accounts.
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 healthcare professionals
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 healthcare professionals 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 healthcare professionals: 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 healthcare professionals
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 healthcare professionals
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 deadline calendar free
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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: NHS England: Dentistry.