Specialist dentistry has specialist economics — long treatment plans, NHS specialist contracts, referral relationships and high-value private cases. Your accounts should reflect that.
Orthodontic and specialist practices don't behave like general practices. Income arrives across long treatment plans rather than per visit; NHS specialist contracts have their own delivery dynamics; referral flows are the marketing engine; and case values make pricing decisions high-stakes. A general accountant sees none of this. We work with specialists as part of an exclusively dental client base, so the benchmarks and the advice fit the work you actually do.
The tax rules are the same; the economics aren't. Long treatment plans, specialist NHS contracts and referral-driven income need an accountant who's seen them before — otherwise the accounts describe cash movements rather than how the practice is actually performing.
In a way that matches income to the work as it's delivered across the plan, not just when instalments happen to land. Done properly it changes your view of profitability and makes the practice more credible to lenders and future buyers.
Alongside the usual ratios: referral sources and conversion, case values by treatment type, work-in-progress across open plans, and capacity utilisation. Those four tell you more about next year than any P&L line.
One free conversation about your tax, your structure and your plans — with an accountant who already understands the dental world you work in.
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