Private and NHS practices see profit rebound

Dental practice profits rose across all sectors in 2025, according to the latest NASDAL benchmarking report compiled from data on 650 principals and limited companies and 600 associates. Private practice saw the sharpest recovery, with average net profit per principal reaching £198,291 in 2025, up from £161,910 in 2024. Mixed practice profits also climbed to £193,532 per principal in 2025, compared with £183,511 in 2023. NHS practices recorded average net profit per principal of £196,559, up from £165,871 in 2024, suggesting stabilisation after a period of contraction.

Rising costs and future pressures

Employment costs drove changes across all practice types. Wages and direct costs increased to 47% of fee income in 2025, up from 45.8% in 2024, a rise of 2.6 percentage points. Mixed practices recorded slightly lower profits than NHS and private counterparts, attributed to a more associate-led model with higher wage and direct cost percentages. UDA rate increases since 2022 have been passed on to associates, with their income and profit holding steady after years of growth.

The report data predates the rise in employers' national insurance contributions introduced in April 2025, which may impact future figures. On the NHS side, the UDA rate uplift was delivered through reduced UDA targets rather than a direct rate increase, improving remuneration for NHS dentists but reducing overall NHS availability. A notable fall in laboratory and materials costs, particularly in NHS practices, contributed to improved profitability.