Accountants for Dental Groups & DSOs

Why it matters

Why dental group accounting is different from single-practice accounting

Running more than one dental practice creates a different level of financial complexity. Even when every site sits within one company, you need consistent bookkeeping, site-level reporting and a clear view of how each practice is performing against the rest of the group.

As the structure becomes more complex, the accounting does too. Groups operating through multiple companies or a holding company may need inter-company reconciliations, consolidated reporting, group-level tax planning and consistent financial controls across every site.

The challenge is not simply producing accounts for several practices. It is creating financial information that lets owners and finance teams understand performance at both practice level and group level.

Samera has worked with dental businesses since 2002 and we have built and operated our own dental group, so our advice is informed by first-hand experience of managing multiple practices.

We work with:

  • Two-site and growing dental groups
  • Established multi-site dental groups
  • Dental Service Organisations (DSOs)
  • Single-entity groups with multiple practice locations
  • Multi-entity and holding-company groups
  • Mixed NHS and private dental groups
  • Groups acquiring additional practices

Accounts packages for dental groups

One package built for single-entity groups – bespoke pricing for more complex structures

Our Expand package covers the core accounting and reporting needs of dental groups operating within a single legal entity. For groups with multiple entities, holding company structures or more complex requirements, we provide bespoke pricing based on the scope of work.

Dental Groups and DSOs

Dental Group – Expand

From £950/month + VAT

For dental groups operating multiple practices within a single legal entity.

Operational accountancy

  • Monthly bookkeeping
  • Monthly management accounts
  • Monthly balance sheet reconciliations
  • Group-wide management report
  • Bookkeeping software and support
  • Tracking categories
  • Supplier payment runs

Annual compliance

  • Annual financial statement
  • Corporation tax
  • Company secretarial (basic)
  • Personal tax returns (directors)

Client care

  • Dedicated dental group accountant
  • Email and phone support
  • 48-hour response time
  • Support with HMRC correspondence

Setup

  • Sector-specific chart of accounts
  • Initial system health check and data clean-up

Samera Alliance

  • Access to Level 1 – Dental Buying Group

Advanced reporting

  • Budget vs actuals
  • Variance and trend analysis
  • Standard financial ratio analysis
  • Sector-specific KPIs for dental practices

Tax planning

  • Tax estimation and routine planning for groups
  • HMRC investigation cover

Dental Groups and DSOs

Multiple Entities – Enterprise

Bespoke fixed fee

For dental groups operating through multiple legal entities or a holding company structure. The scope and fee depend on the number of entities, the complexity of the structure and the level of reporting and tax support required.

Typical support can include:

  • Consistent reporting across every practice
  • Accounts and Corporation Tax across multiple entities
  • Inter-company accounting and reconciliations
  • Consolidated management reporting where required
  • Group-level tax planning and coordination

Book a free call to discuss

Optional add-ons

Operational add-ons

  • Group payroll
  • Associate pay calculations

Financial and strategic add-ons

  • Monthly cash flow actuals updates
  • Review of funding requirements
  • Advanced Tax Planning
  • Advanced Tax Estimation
  • Virtual Finance Director (FD) services
  • Chair time revenue analysis
  • Treatment mix profitability review
  • Pricing benchmark analysis
  • Practice valuation report
  • Cash flow analysis (actual vs projected + 12-month forecast)
  • NHS UDA analysis and planning
  • Profit per clinician report
  • Exit and succession planning advisory
  • Cost benchmarking and overhead analysis
  • Financial training (workshops or 1:1)

Technology for dental groups

Go beyond your group accounts with Clever Practice

Samera has built Clever Practice to connect the financial and operational side of running a dental business. For groups, that means better visibility across practices and less manual finance admin.

  • Clever Growth: Helps identify missed revenue opportunities, including lapsed patients, outstanding treatment and unused chair capacity.
  • Clever Pay; Automates associate pay calculations and statements by bringing together practice data, accounting data and pay rules.
  • Clever Performance: Combines clinical and financial data to track profitability, EBITDA, clinician performance and chair utilisation across your practices.

Find out more about Clever Practice.

If you own a single practice rather than a group, our accounts for practice owners packages are a better fit for your situation.

Why Samera

Why dental groups choose Samera

We run a multi-site dental group ourselves

Through The Neem Tree Dental Group, we have first-hand experience of growing from one practice to multiple sites. We understand the financial and operational challenges that appear as a group grows because we have dealt with many of them ourselves.

We give you a clear view across every practice

Running several sites makes it harder to see where performance is strong and where problems are developing. We structure reporting so you can compare practices consistently, understand site-level profitability and still see the financial position of the group as a whole.

We build technology for dental groups

We developed Clever Practice, our own AI-powered software around the financial and operational challenges we see in dental groups every day. From automating associate pay to comparing performance across practices, our technology is built around how multi-site dental businesses actually operate – not adapted from generic business software.

We help build the finance function as you grow

The finance requirements of a two-site group are very different from those of a larger DSO. As the business becomes more complex, we can support stronger financial controls, cash flow forecasting, Virtual FD & CFO support and the reporting infrastructure needed to manage growth.

Samera is led by Arun Mehra FCA, is listed in the Institute of Chartered Accountants in England and Wales (ICAEW) directory and is a Xero Partner.

Xero certified advisor
Institute of Chartered Accountants in England and Wales (ICAEW) Member

Who you’ll work with

Meet the team behind your dental group accounts

Book a free consultation with our dental group team. We’ll make sure you speak to the right person for what you need.

Arun

Arun Mehra FCA

Samera CEO & Founder

  • Multi-site growth strategy and acquisitions
  • Virtual FD & CFO services
  • Group structuring and financial infrastructure
  • Exit planning and succession strategy
Natasha

Natasha Gnanapragasam

Director of Operations – Accountancy and Tax

  • Accountancy and tax for dental practices and groups
  • Management accounts and financial reporting
  • Multi-entity accounting
  • Systems, controls and process improvement

Get in touch

Other ways to reach us

Prefer not to book a call? You can also get in touch directly or send a message and we’ll get back to you.

What we handle

Accounting and reporting for dental groups and DSOs

The exact scope depends on how your group is structured. We support groups operating through a single company as well as more complex multi-entity and holding-company structures.

  • Bookkeeping across your practices: Consistent bookkeeping and coding across sites so financial information can be compared properly.
  • Management accounts and group reporting: Practice-level reporting alongside a clear view of performance across the group.
  • Annual accounts and Corporation Tax: Year-end accounts and Corporation Tax compliance for the relevant companies within your group.
  • Multi-entity accounting: Inter-company accounting, reconciliations and consolidated reporting for more complex group structures.
  • Dental-specific financial reporting: Reporting built around the numbers that matter across multiple dental practices, rather than generic small-business accounts.

How it works

How switching your dental group to Samera works

Moving a multi-site or multi-entity dental business to a new accountant requires more planning than a standard handover. We manage the transition carefully so your reporting, bookkeeping and compliance continue without unnecessary disruption.

  • We review your group structure: We map your practices, legal entities, accounting systems, reporting requirements and any services such as payroll, associate pay, VAT or management reporting.
  • We manage the handover: We liaise with your existing accountant and arrange the transfer of accounting records, tax information and supporting data across the group.
  • We standardise the setup: Where needed, we align charts of accounts, tracking categories, reporting structures and accounting processes so financial information is consistent across sites and entities.
  • We take over the ongoing work: Once the transition is complete, your Samera team manages the agreed accounting, tax and reporting requirements, with additional finance-function and strategic support available as the group grows.

Client reviews

What dental clients say about working with Samera

Huge thanks to Natasha, Aditi, Arun, Karyn, and the entire Samera team for their outstanding support and guidance. Their professionalism, responsiveness, and deep expertise is a great support for our business. I truly felt supported every step of the way. Highly recommended!

Rajvansh, Dentist – 5 Stars

Arun Mehra and his friendly team … helped and advised me in all matters of accountancy, raising finance, payroll, furlough support and general business advice. The whole teams collective vast experience and knowledge in all business matters and dentistry is invaluable when you are running any type or size of business. …

Antimos, Dentist – 5 Stars

Arun, Natasha and all the team at Samera have provided outstanding service to me over a number of years – they are experts and are friendly and easy to deal with – would thoroughly recommend.

Peter, Dentist – 5 Stars

Friendly and informative staff, prompt replies and overall very happy with service. Would definitely recommend!

Shreena, Dentist – 5 Stars

More support for your dental group

Accounts, tax and financial growth for groups

Tax Planning for Dental Groups

Proactive tax planning for dental groups, including group structures, Corporation Tax, profit extraction, pensions, acquisitions and future exit planning.

Payroll and Pensions

Payroll, PAYE and workplace pension administration across multiple practices, helping keep staff payments and compliance consistent across the group.

Automated Associate Pay

Automate associate pay across multiple sites, including agreed pay rules, deductions, lab fees, UDA allocations and reconciliation.

Cash Flow Forecasting

Group-level cash flow forecasting and scenario modelling to help plan acquisitions, investment, debt repayments and future funding requirements.

CFO & Growth Advisory

Ongoing CFO and strategic financial support for growing dental groups, covering performance, acquisitions, funding, group structure and long-term planning.

Financial Due Diligence

Dental-specific financial due diligence for groups acquiring additional practices, including income verification, normalised EBITDA, NHS performance and financial risk analysis.

Financial Infrastructure for Dental Groups

Build the reporting, controls and finance function your group needs to scale, including standardised accounting, site-level and consolidated reporting, EBITDA visibility and cash flow forecasting.

Offshoring & GCCs for Groups

Build your own offshore finance and back-office capability in India, with dedicated teams for accounting, payroll, reporting, compliance and wider non-clinical operations.

Looking for an overview of our accountancy support across every stage of dentistry? Explore our Dental Accountants service for associates, practice owners and dental groups.

Further reading

Guides for dental group owners

Taxes for Dental Groups

How group relief, VAT, inter-company transactions and different legal structures can affect the tax position of a dental group.

How to Build a Dental Group

A practical guide to the financial, operational and structural decisions involved in growing from one practice to multiple sites.

Tax Implications of Buying and Selling a Dental Practice

The key tax considerations when acquiring or selling practices, including deal structure, goodwill and reliefs.

DSO Playbook: Exit 2030

How to build a stronger, more valuable dental group and prepare the business for a future exit.

Frequently asked questions

Dental group accounts FAQs

How much does accounting cost for a dental group?

Our Expand package starts at £950 per month plus VAT for dental groups operating through a single legal entity. Payroll, associate pay and other additional services are priced separately where required. Multi-entity and holding-company groups are quoted individually based on their structure and requirements.

What is the difference between dental group accounting and single-practice accounting?

Dental group accounting needs consistent bookkeeping and reporting across multiple practices, with visibility of both individual site performance and the group overall. Where a group operates through multiple legal entities, it can also involve inter-company accounting, consolidated reporting and more complex tax coordination.

I already have an accountant for my group – is it worth switching?

It may be if your accounts are arriving too late, reporting is inconsistent between practices or you no longer have the financial information needed to manage the group effectively. We can review your current setup and identify where the accounting, reporting or finance processes could be improved.

Can Samera help with acquiring a new practice for the group?

Yes. Samera can support dental group acquisitions through financial due diligence, acquisition finance and advice on how the new practice fits into your existing structure. We can also help integrate the accounting and reporting once the acquisition completes.

Can Samera help us prepare the group for sale?

Yes. We can help strengthen your accounts and financial reporting, present EBITDA clearly and identify accounting or structural issues that could affect a future transaction. Wider exit planning and sale support are also available through Samera.

How long does it take to transition a group to Samera?

The timing depends on the size and complexity of your group, its legal structure and the condition of the existing records. We manage the handover with your previous accountant and agree the transition process with you before taking over.

Do you work with both single-entity and multi-entity dental groups?

Yes. We support groups where several practices operate within one company, as well as more complex structures involving multiple companies or a holding company.

For multi-entity groups, this can include inter-company accounting and reconciliations, accounts and Corporation Tax across several entities, consolidated reporting where required and group-level tax planning.

Looking for accountants who understand dental groups?

Book a free consultation to discuss your group, current accounting setup and what you need as the business grows. We’ll explain the right level of support and give you clear pricing based on your structure.