Specialist Dental Accountants for UK Dentists

Yes – and the difference matters financially. Dentists have income structures that most general accountants rarely encounter: associate self-employment, NHS contract income, UDA calculations, private fee income, and often a mix of all of these simultaneously. A general accountant unfamiliar with dental practice can miss significant allowable deductions, mishandle NHS pension reporting, or give incorporation advice that isn’t optimised for how dental practices actually operate. A specialist dental accountant like Samera handles these structures every day, which means fewer errors, better tax planning, and advice that reflects the real financial dynamics of running a dental practice.

Yes. Although we work primarily with private and mixed practices, we support purely NHS, purely private, and mixed income dentists. The accounting treatment differs between the two – NHS income is calculated on UDA performance and contract value, while private income is based on fee collection – and getting the split right matters for both tax accuracy and any lender assessments if you are buying a practice. We separate and track both income streams correctly to ensure your accounts and tax position accurately reflect how your practice actually operates.

Yes. We provide financial forecasting, business structure planning, due diligence support, and lender pack preparation for dentists buying or starting a practice. Our in-house finance brokers can also help source the acquisition finance you need. If you are buying a practice, it is worth speaking to both our accountancy and finance teams early in the process – ideally before you have agreed heads of terms – so that the structure of the purchase is tax-efficient from the start and your lender application is as strong as possible.

Yes. There is a transition fee equal to one month’s fee when you join. For complex cases, such as practices with historical bookkeeping that needs cleaning up or associates switching mid-year with incomplete records, additional setup support may be required and we will discuss any costs with you in advance. There are no other hidden fees – everything you pay for is set out in your engagement letter before we start.

Not automatically. If your business grows or your situation becomes more complex during the year – for example, if you acquire a second practice or add a director – we will rebase your fee for the remainder of your plan. We apply the same annual discount to any increase, so you still benefit from having prepaid. We will always discuss any fee changes with you before they take effect.

All clients commit to an initial 12-month period. After that, three months’ notice is required if you decide to leave. We ask for this notice period because unwinding an accounting relationship properly – completing outstanding returns, handing over records to a new accountant, and ensuring nothing falls through the gap – takes time and we want to do it properly for you even when you are leaving.

It depends on your situation. Associates who are straightforwardly self-employed with no limited company usually start on our Associate Basic package. If you are already earning well and want proactive tax planning, the Comprehensive package is worth the additional cost. Associates with a limited company should look at our Ltd packages – Standard suits most, Comprehensive suits those with complex affairs or who want regular meetings. Practice owners should consider the Grow package as a starting point unless you are newly established, in which case Kick-Start is designed for you. If you are a group or DSO, Expand is built for your level of complexity. If you are unsure, book a call and we will tell you honestly which package fits your situation – we do not upsell people onto packages they do not need.

Our fees start from £650 per year for associate dentists on a basic self-assessment package, rising to £1,800 per year for associates with a limited company on our comprehensive service. For dental practice owners, our monthly packages start from £500 per month for a newly established practice and go up to £950 per month for groups and DSOs. All fees are shown clearly on this page. There are no hidden charges – the only additional cost is a one-off transition fee equal to one month’s fee when you join.

Making Tax Digital for Income Tax (MTD for ITSA) requires self-employed individuals and landlords earning above £50,000 to keep digital records and submit quarterly updates to HMRC from April 2026, with those earning above £30,000 following from April 2027, and £20,000 from April 2028. Most associate dentists who are self-employed will be affected. Rather than filing one annual tax return, you will need to submit four quarterly updates plus a final end-of-year declaration. We are already preparing our clients for this transition, and our packages include MTD-compatible software and support. If you are not yet set up for MTD, speak to our team now.

You can find out more about Making Tax Digital for dentists here.

Yes – you can switch at any time and it is usually straightforward. We handle the transition process including contacting your previous accountant for the handover of records, reviewing your existing accounts for anything that needs correcting, and getting your Xero setup in place. The only cost is our transition fee, which is equal to one month’s fee. Most clients who switch to us mid-year find the process takes two to three weeks and causes minimal disruption. If you have been unhappy with your current accountant, waiting until your year-end is rarely necessary.