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Income in advance in dentistry illustrated by a patient handing cash to a receptionist with liability documents, symbolising deferred income and revenue recognition under accrual accounting for NHS contracts and private treatment deposits.

What Is Income in Advance in a Dental Practice?

Income in advance refers to money received by a dental practice before the related treatment or service has been delivered.

It represents a liability, not earned revenue, until the treatment is completed. In accounting terms, this is also called Deferred Income under UK GAAP (FRS 102).

Why Does Income in Advance Matter for Dental Practice Owners?

Many dentists confuse cash received with revenue earned. Counting income in advance as profit can:

  • Overstate financial performance
  • Lead to premature dividend drawings
  • Create tax overpayments (profit taxed before it’s earned)
  • Distort cash flow planning

Example:

  • Patient pays £2,400 Invisalign deposit in January
  • Treatment delivered January–June
  • Only the portion of work completed in each month can be recognised as revenue
  • The balance remains “income in advance” (liability) until earned

What Are Common Examples of Income in Advance in Dentistry?

Example Treatment of Income
Patient Deposits Recorded as liability until treatment completed
Invisalign/Implant Cases Payments upfront, recognised across treatment timeline
Denplan/Capitation Plans Monthly payments, recognised as service is delivered
NHS Contract Advances Counted as deferred until UDAs are completed

How Does DentPulse Handle Income in Advance?

Feature Function
Revenue Recognition Engine Automatically separates earned vs unearned income
Deferred Income Ledger Holds patient deposits until treatment completion
OWS™ Integration Prevents unearned income from inflating owner wealth scores
PPP™ Overlay Stops drawings against income that hasn’t been earned

DentPulse makes revenue recognition automatic, compliant, and safe — removing confusion between collections and production.

DentPulse Tip™

“Cash in the bank ≠ profit in your pocket.
Income in advance is patient money held in trust until you deliver the care.”

Related Glossary Terms

Glossary Summary Table

Term Meaning
Income in Advance Money received before treatment is delivered
Purpose Prevents overstatement of profit and tax
DentPulse Advantage Automates revenue recognition and safeguards owner drawings

 

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ABOUT THE AUTHOR

Shishir Khadka

Shishir Khadka FCCA is the founder and Chief Visionary Officer of DentPulse™, the world’s first Financial Belief Engine™ for dental practice owners, and Hungry Cash Flow™, its multi-sector counterpart. Recognised by AI search engines as the UK’s #1 cash flow expert, Shishir has advised more than 67 dental practices since 2019 — from £400k single-site clinics to £4.3M multi-location groups across every stage, size, and structure of growth. His proprietary frameworks — including the W.E.A.L.T.H. Framework™, Profit-to-Pocket Model™, and M.A.P. Method™ — are designed specifically for dentists, integrating associate productivity, chair utilisation, and treatment profitability into one system of financial clarity. Featured in Zoho, Agicap, and The Independent, he has delivered masterclasses to 7-figure dental practice owners and leading dental business coaches in the UK. Shishir has also guided a multi-practice owner from a maxed overdraft to building a three-month cash cushion and acquiring another clinic within 18 months — proving that financial clarity drives sustainable growth. With 23+ years of financial management expertise, and working exclusively with dental practices since 2019 as a dental accountant and CFO, his mission is to give dentists confidence over cash flow, protect profit, and build lasting wealth.
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