Accountants for Dental Groups

Why it matters

Why dental group accounting is different from single-practice accounting

A dental group is not just a bigger version of a single practice. The moment you operate across more than one practice, you have inter-company transactions to manage, group relief to plan for, consolidated management accounts to produce, VAT grouping decisions to make and an ownership structure that works properly across the whole group.

Group accounting is the most complex tier of our dental accountancy service – built for multi-site owners and DSOs managing multiple practices.

Most practice owners who come to us after running a group with a general accountant have the same problems. The accounting is done in silos – each practice treated separately with no consolidated view. Tax planning has not kept pace with the group structure. And the management information they receive tells them what happened, not what it means or what to do about it.

We own and operate The Neem Tree Dental Group. That is not a marketing line – it means the advice we give on group structure, inter-company charges, profit extraction and financial reporting comes from direct experience of making those decisions ourselves.

What we handle

Everything a dental group needs in one place

  • Consolidated management accounts – a single view of your group’s financial performance across all entities, with practice-level detail where you need it.
  • Group tax strategy – group relief, inter-company charges, holding company structures and corporation tax planning across the whole group rather than entity by entity. For a full breakdown of the tax planning strategies available to dental groups, see our tax planning for dentists page.
  • Annual accounts and corporation tax – statutory accounts and CT600 filings for every entity in the group, coordinated and filed on time.
  • Associate pay calculation – monthly associate pay across all sites, calculated correctly and consistently regardless of how many associates you work with.
  • Payroll across all entities – payroll, PAYE and pensions managed centrally across every practice in the group.
  • VAT – VAT grouping decisions, correct treatment of exempt healthcare services and any taxable supplies, and VAT management across entities handled correctly.
  • Dental-specific KPI reporting – revenue per UDA, profit per clinician, chair utilisation and treatment mix across sites so you can see which practices are performing and why.
  • Acquisition support – financial due diligence and accounting support when you add a new practice, including bringing the new entity into your group reporting and accounting structure.
  • Exit and succession support – keeping your group accounts, structure and financial reporting in good order as you prepare for a future sale or succession.
  • Dedicated dental accountant – a named senior contact who knows your group structure and the history of every entity in it.

Why Samera

We do not just advise dental groups. We run one.

We own The Neem Tree Dental Group

We built, own and operate our own dental group, so our advice on group structure, multi-site reporting, inter-company accounting and tax is grounded in first-hand experience.

Fellow of the ICAEW

Arun Mehra FCA is a Fellow of the Institute of Chartered Accountants in England and Wales, with extensive experience advising dental practices and groups.

Built for group complexity

We have built reporting frameworks specifically for dental groups, including consolidated accounts, site-level KPIs and inter-company reconciliations, giving you a clear view of performance across the group and at each individual practice.

One view across the whole group

We coordinate accounts, tax and reporting across every entity, while still giving you the site-level detail you need to see how each practice is performing.

Packages

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

Best suited for dental groups and DSOs seeking strategic financial insights and comprehensive accounting support.

Operational accountancy

  • Monthly bookkeeping
  • Monthly management accounts
  • Monthly balance sheet reconciliations
  • Consolidated management report
  • Bookkeeping software and support
  • Tracking categories
  • Supplier payment runs
  • Associate pay calculation

Annual compliance

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

Client care

  • Dedicated dental 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

Strategic services

  • 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)

Dental Groups and DSOs

Multiple Entities – Enterprise

POA

If your group operates across more than one legal entity, has a holding company structure or requires consolidated reporting across four or more sites, the scope of work goes beyond a standard monthly fee. We will give you a clear fixed quote based on your specific structure.

Book a free call to discuss

AI for group accounts

Clever Practice AI add-ons

We are building AI-powered tools specifically for dental groups – real-time EBITDA tracking across sites, automated associate pay reconciliation, profit per clinician dashboards and cash flow forecasting. Add-on packages are available through 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.

How it works

We start with a full review of your current group structure

  • Book a free call – A 30-minute conversation with Arun or the accounts team. We will ask about your group structure, how many entities you operate, what your current accounting looks like and where it is falling short.
  • We review your current setup – For most groups switching to Samera, the first thing we do is a full review of the existing group structure, accounts and reporting. We identify what needs fixing before we start.
  • We handle the handover – We manage the transition from your existing accountant, including requesting records across all entities and getting every Xero environment set up correctly for a dental group.
  • Ongoing group financial management – Consolidated accounts, tax planning and strategic group reporting are handled on a rolling basis, with associate pay and group payroll available as additional services where required.

Who this is for

Accounting for dental groups at every stage of growth

Whether you have just acquired your second practice or run a well-established group and feel your current accountant is not keeping up with the complexity, our team has the experience to manage it.

  • Two-site dental groups
  • Established multi-site groups
  • DSOs
  • Groups with holding company structures
  • Mixed NHS and private groups
  • Groups planning further acquisition
  • Groups preparing for sale
  • PE-backed dental groups

Client reviews

What our 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

Arun is very helpful … accountancy goes the extra mile to solve your problems. Overall Samera is a fantastic team, and always had a good experience every time I reached them

Mourughan, Dentist – 5 Stars

Who you’ll work with

Speak to the dental groups team

Book a free, no-obligation call directly with the team member whose work matches what you need.

Arun

Arun Mehra FCA

CEO

  • Dental Accountancy and Tax for Dental Groups and DSOs
  • DSOs and Large Dental Groups Dedicated Finance and Accounting Functions
  • Samera Global – Outsourcing, Offshoring and GCCs
  • Clever Practice AI – Automation of Financial Systems
Natasha

Natasha Gnanapragasam

Director of Operations – Accountancy and Tax

  • Accountancy and tax for dental practices and groups
  • Management accounts and financial reporting
  • Automation of accounting and financial systems

Get in touch

Or send us a message

If you’d prefer to send us your details rather than book a call, fill in the form below and our team will be in touch as soon as possible.

Related services

Other ways Samera supports dental groups

OVERVIEW – Dental accountants

Our complete dental accountancy service for associates, practice owners and dental groups.

Learn more

Growth Advisory for Dental Practices and Groups

Tier 4 of Samera Growth Advisory, for groups at 15+ sites or PE-backed. Monthly Arun-led board work, investor representation, M&A pipeline.

Learn more

Accountants for practice owners

For dentists who own and operate a single dental practice.

Learn more

Tax planning for dentists

Group tax planning across reliefs, ownership structures, profit extraction and multiple entities.

Learn more

Dental practice finance

Funding for dental group acquisitions, new sites, refinancing and expansion.

Learn more

Making Tax Digital for Dentists

MTD support and Xero setup across multiple dental practices and entities.

Learn more

Automated associate pay

Automated associate pay calculations across multiple practices, integrated with Dentally and Xero.

Learn more

Payroll and pensions

Centralised payroll, PAYE and pension support across your dental group.

Learn more

Dental practice valuations

Independent dental practice valuations for acquisitions, restructuring, succession and future sale.

Learn more

Tax investigation cover

Protection against professional fees if HMRC opens an enquiry into your affairs.

Learn more

Cash flow forecasting

Forward-looking cash flow forecasts for dental groups, expansion plans and acquisitions.

Learn more

Grow a dental practice

Strategic support to improve performance, expand practices and build a dental group.

Learn more

Further reading

Guides for dental group owners

Taxes for Dental Groups

Group relief, VAT grouping, inter-company transactions and the tax considerations specific to multi-entity dental group structures.

How to Build a Dental Group

A practical guide to the structure, finance and operational decisions involved in building a dental group from a single practice.

Tax Implications of Buying and Selling a Dental Practice

The choices made early in a sale or purchase largely determine the tax outcome. This guide covers asset vs share sales, BADR, goodwill, earn-outs and SDLT for UK dental practice transactions.

DSO Playbook: Exit 2030

Turn your dental group into a high-value exit-ready enterprise before 2030.

For institutional-scale groups

When groups need more than accountancy

At 10+ sites, particularly where PE is involved, ongoing accountancy may be only part of what your group needs. These specialist services sit alongside your accounts package as the business becomes more complex.

Financial Infrastructure build

Build the reporting, controls and finance function required by lenders, investors and institutional buyers.

Learn more

AI systems for dental groups (Clever Practice)

AI-powered financial and clinical intelligence across every site, associate and P&L.

Learn more

Hire offshore team members for your DSO

Add trained offshore team members to increase finance and back-office capacity.

Learn more

Global Capability Centres for DSOs

Build a dedicated India-based team and operation under your own brand.

Learn more

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 single-entity groups. Payroll, associate pay and any other additional services are priced separately where required. For groups with multiple legal entities or holding company structures, we provide bespoke fixed pricing based on the scope of work. Book a free call and we will give you a clear quote based on your specific setup.

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

A dental group requires consolidated financial reporting across entities, group tax planning including group relief and inter-company charges, coordinated statutory filings for multiple companies, and management information that gives a group-wide view as well as site-level detail. Group accounting requires systems and expertise that go beyond ordinary single-practice accounting, particularly when multiple legal entities and consolidation are involved.

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

If your current accountant does not specialise in dental groups, the most common issues are: no consolidated reporting across entities, group tax planning that is not keeping pace with your structure, and management accounts that arrive too late to be useful. Book a free review of your current setup and we will give you an honest assessment of where you stand.

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

Yes. Acquisition support is available separately through our dental practice buying services. We can help with financial due diligence, advise on how the new practice fits into your group structure, and support the accounting integration once the acquisition completes.

Can Samera help us prepare the group for sale?

Yes. We can help make sure your group accounts, reporting and structure are in good order ahead of a future sale, including presenting EBITDA clearly and identifying accounting or structural issues that could affect the transaction. For more extensive exit and M&A support, we can also bring in our specialist advisory team.

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

Group transitions take slightly longer than single-practice transitions because of the number of entities involved – typically three to four weeks. We manage the handover from your existing accountant, request records across all entities, and carry out a full review of your group structure before we start.

Speak to an accountant who runs a dental group themselves

Book a free call with Arun or the team. We will look at your current group structure, tell you what we would do differently and give you a clear picture of what working with Samera would cost.