2 year out dentist, too much free time, sharing my journey so far. AMA

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LaughingGas

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Hi SDN, I am a long time member that benefited from this site when I was a pre-dental student; now I am a two year out practicing dentist. I am going to share my brief pre-dental journey and what I think now as a young dentist. I made a lot of mistakes, especially financial mistakes, and I want this post to help people like the past me who had no idea about $$. Feel free to ask me anything.



Predental (vaguely remember)

I graduated undergrad back in 2009. I had finished my prereqs with a low 2.4 science GPA and a 2.7 overall GPA. I was young, immature, and didn’t know what I wanted to do for my career or future per se. I just took these prereqs because my friends were taking them. I had one class that I repeated three times, mainly because I never went to class and pretty much went to bomb the exams. So you can imagine how difficult it was to recover from the damage. It practically took me additional four years of science courses to even be considered as an applicant ( 3.2 sgpa, 3.2 ogpa, postbac gpa 3.9?). My DAT was 22aa 23 ts from what I can remember when I took it back in 2012. I practically stopped watching tv shows, didn’t go out on weekends and spent every minute studying and exercising regularly. First time I applied, one interview, rejection. Reason: poorly written personal statement and poorly organized application. Second time I applied to about 20 + schools, got about 9 interviews, and got accepted to one. I realized I didn’t have great interpersonal skills. I did many mock interviews, but now that I am a dentist and interact with patients, I can understand why they had rejected the past me. By my 9th interview, I was prepared and got accepted. I was so focused in just excelling academically that I stopped socializing. I was shy, introverted and had lack of self-esteem. My wife actually had to leave me at parties so I can talk to people lol.



SDN is good resource to look the trends, postbac programs ( I used to collect information in the postbac forum).

- Save money for applications + interviews. It costs a lot of money per site you go, especially if many of the schools you apply is on the other side of the country.

- Jet lag. Specially if you go from west coast to east coast (or vice versa), I highly recommend spending a night before to get a good night rest. Your daily condition will affect your interview skills. Never fly red-eyes... Highly not recommended.



Dental.

- You are in, which is the hardest part. We had class size of roughly 200 students before adding international students. I think we lost total of 5-6 students in the program. Four years flew by. Main advice, please choose the cheapest school. Eventually with good CEs ( if you are GP), good GPR/AEGD will make everyone even out or stand out rather than benefiting from the the name of the school (unless you specialize, different story). I read some schools are great for their clinical experience but I am not sure if it’s worth paying 5-600 k to become a GP. I see my old fillings done on typodont (which I did receive high scores) and I get disappointed how bad it is. I highly doubt two years of “great exposure” will make anyone (except for the superstar people) be proficient and good in all aspects of dentistry.

A lot of people ask about which school is good clinically. I personally feel it really depends on the student. You can go to crappiest school and become a good clinician or go to well known school and become the worst clinician. Dental school will prepare you to know what is right and wrong and literally how not to be a major f*** up of a dentist.

- Lot of politics ( administration, instructors, professors) , fly under the radar, stay out of trouble and graduate.

- If possible, have some money saved. I had to pull the full amount of loans. The loan system is stupid in a way that if your academic calendar for one year is nine months, you are given money only for nine months. So what happens to three months of rent? Well, you have to figure it out. And they lend you money for “school expenses”? I am not sure how they can calculate 1,300 per month the rent, when the housing near school or even 30 min commute is at least 2k per month :). So all that “extra money” is not really extra. Hell, you have to spend money on supplies such as typodont teeth if you want to practice more, etc. So you start sinking more debt already if you have to use your credit cards. Of course some schools will provide full loans or you’ll be able to find affordable housing. In some cities, affordable is not really an option.



Dentist.Please be aware, I myself am still learning about the numbers, but wanted to give a general idea how money as a dentist flows.

- In everyday practice, you realize that you don’t know anything. The physical, mental, and emotional toll is quite large. I love what I do as my career but it is definitely draining and it is very hard on your body. It is definitely not for everyone. I want every single one of you to absolutely make sure this is what you want to do. I shadowed for few months and worked as sterilizing technician/ DA for a year and it is completely different experience/prospective. So being dental assistant might be a plus, but not a necessity.

- This really applies to low/mid class people like I am, who had to take full amount of loans (with interest 500k, I am past the point losing sleep over this amount):

- Debt sucks, either credit card, auto loans, dental school loans.

.Below is just an example:

- State California. Why live in the most tax heavy state in US.

- Base pay is usually 500 but let’s a bit more optimistic and give 600 per day. 5 days a week, 46 weeks total without 2 week paid vacation. That’s annual gross income of 138k with no benefits.

- Single

- Using the calculator in smartasset.com ( please do not fight me on this, I am just giving an example), tax rate for single with that income is roughly 35%, your take home is 65% after taxes, which is roughly 91k. 91k divide by 12 months: $7,583 per month

Starting after tax
7583​
Repaye
1100​
6483​
Housing+ Basic bills
2,000​
4483​
Food
400​
4083​
Car+ Car insurance
350​
3733​
Gas
100​
3633​
Disability
200​
3433​
Health Insurance
300​
3133​
So, you are left with roughly about 3k. Depending your financial situation, this might be a lot of money left, or not. Please don’t give me the “I can eat ramen everyday”. I am simply giving a general example. If you had credit card debts because student loan wasn’t enough, you have less money. If you add CE courses, which can be upwards of 10ks per course. I haven’t added malpractice or dental association fees, licensing fees, or even putting in retirement funds. Also remember, your loans are getting interest at 5-7% if it’s federal. I hear so many horror stories of new grads (even my classmates) getting literally ****ed over by owners, you might not even make that 120k. And now if you live in major cities, your rent is more. I moved to middle of nowhere and I am estimating my gross income to be higher, with rent being cheaper which makes it more sustainable, but that also means more tax. So bottom line, physically, mentally and financially draining, unless you have the school paid off (rich parents or HPSP; highly recommend for HPSP if you want, definitely not for everyone), dentistry is hard. Feel free to ask anything but please make sure this is the career for you.

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Since you moved to the middle of nowhere ..... any timeline on starting a dental practice? Middle of nowhere should mean less competition and fewer DSOs. I've always recommended keeping an associate/Corp job and starting a small, low OH dental practice as soon as you can. Yes ... you may need to work 6 days a week, but it will be worth it in the long run.
 
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Since you moved to the middle of nowhere ..... any timeline on starting a dental practice? Middle of nowhere should mean less competition and fewer DSOs. I've always recommended keeping an associate/Corp job and starting a small, low OH dental practice as soon as you can. Yes ... you may need to work 6 days a week, but it will be worth it in the long run.
2TH, my situation is not ideal to start a dental practice. It is true that there is less competition and less DSOs, but demographically my spouse and I are a minority and we have to yet determine if this is the right place to raise our children if we have any. I did work six days a week before so more working days it’s not the issue, but I still have to explore.
 
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Almost 1 year out and I have to agree with everything that the OP states. It's a grind out there especially in this environment. Some days are super demanding on your body both mentally and physically. Some days not so much.

If you are a pre dental student looking to come into dentistry to make bank, remember that possibilities are endless BUT you must work your tail off especially if you have high student loans. Nothing will be given in a silver platter, but trust me, success hits you differently when you've gone through so many challenges :)
 
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Without the REPAYE program could you even make it? What will be the end bill after the tax bomb, is that 20 or 25 years? Are you planning on sticking with it till the end to eliminate the debt?
 
Without the REPAYE program could you even make it? What will be the end bill after the tax bomb, is that 20 or 25 years? Are you planning on sticking with it till the end to eliminate the debt?
It is possible but it would take longer time to be in full financial control. The estimate tax bomb after 25 years is estimated to be high 200s. For now, I am planning to stick to REPAYE.
 
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In your 1st paragraph you stated you made some financial mistakes, are you just talking about student loans, or were there other things like salary, tax, investment mistakes that cost you money? Thanks
 
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In your 1st paragraph you stated you made some financial mistakes, are you just talking about student loans, or were there other things like salary, tax, investment mistakes that cost you money? Thanks
Most of the above.
 
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is 140k annual gross income normal for a GP? That seems really low.
 
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what else would you have done if not dentistry?

Probably CS or engineering.

is 140k annual gross income normal for a GP? That seems really low.
That's probably better than average only 1-2 out
Talking to my classmates and people around me, some made more, some made less. As I mentioned, if you get really unlucky with your job, you won't even make that 140k. Some get lucky and their starting year can get as much as 200k. One associate that was practicing with me was getting paid about 800 per diem, getting about 180k per year ( 8 year out). The income is highly dependent on location too. If you are in So or NorCal, it's hard to land good paying job compared to other part of State. Also because you go rural doesn't mean you automatically make you earn more.
 
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Thoughts on associate vs corporate upon graduating? From what I've read some owners keep the profitable cases for themselves and give the associates the more annoying cases. Starting out corporate seems beneficial to learn how to work under stress & improve clinical speed
 
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Thoughts on associate vs corporate upon graduating? From what I've read some owners keep the profitable cases for themselves and give the associates the more annoying cases. Starting out corporate seems beneficial to learn how to work under stress & improve clinical speed
It's a complicated topic. Many people have stigma against corporate dentist ( including myself). The situation you are mentioning it can apply for both private and corporate. It depends who the owner / head dentist is and how your pay structure is. If you have per diem, you might not make a lot but you have a guaranteed minimum, doesn't matter if you see 6 hygiene patients or 30 patients a day. If you have an owner/head dentist that doesn't really care about mentoring but $$, you are probably going to lose some of the high income procedures. That is actually one of the reasons why I left my old job.
There can be different type of business model.
A - Solo practitioner without hygienist
B - Solo practitioner with hygienist
C - Specialty day added without hygienist
D - Specialty day added with hygienist
Those are the basic models I can really think of. Corporate usually implements model C or D, which means you could shadow/learn from specialist or you could never see RCT / Surgical extractions because you are so busy yourself. I was in model A and now I am in model B. I personally think it's about luck. Benefits are usually better at corporates.
 
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Any suggestions on how to vet a practice prior to joining them to determine if it's a good environment?
 
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For all you pre-dents. Dentistry will have a depeleted income for the time being. So take that into consideration. I see it as until there is a predictable vaccine, we are not making our usual money. My friend operates a 30% overhead practice in the south. Before this he was making $450k a year. During this time he will make $4k this month take home with a busy emergency schedule. Unfortunately these are the hard truths..... So if for some reason, dentistry stays like this for 10 years... would you still do it? Would you still pay $400k to make $60k in income - he his practice owner. This virus will put a lot of pressure on the profession and I do not see that changing even with a vaccine. I am optimistic because I am not in a lot of debt. I love the craft and the work.

Does it make more sense to go to other schools? In my opinion, financially, yes. So take this into consideration.
 
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Any suggestions on how to vet a practice prior to joining them to determine if it's a good environment?
- Review the contract. I haven't used it but to hire a lawyer to review contract it can be free - $500 from what I hear.
- Check the benefits, obviously more the better.
- Word of the mouth is usually safe way to secure a decent job ( having an upper classman or classmate that had good job and leaving because of personal reasons) .
- Talk to staff ( DA, Hygienist) and see what the turn over was for them. You just ask, how long you've been working here?. If many people say few months or less than a year if the practice wasn't recently open, there is an issue going on.
- Just be clear what your expectation as an associate is and make sure in the contract it is fair for both you and the company/owner.

Overall, are you content with where you are in life now?
- Yes and no. I was content despite the amount of loans I carry because I was projecting to be able to pay it off until COVID-19. Since then it's been hard for me to be overly optimistic looking at dentistry. Some days I wish I had different career because many of us wouldn't be laid off/furlough and be getting paid on unemployment. Some days I am glad I chose dentistry because despite COVID, I will have a job afterwards. So I just go through days having conflicted interests in my mind given this unexpected situation. Having said that, I am estimating it's going to take me additional few years to my projected financial goal because of COVID 19. Grass is always greener on the other side.
 
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For all you pre-dents. Dentistry will have a depeleted income for the time being. So take that into consideration. I see it as until there is a predictable vaccine, we are not making our usual money. My friend operates a 30% overhead practice in the south. Before this he was making $450k a year. During this time he will make $4k this month take home with a busy emergency schedule. Unfortunately these are the hard truths..... So if for some reason, dentistry stays like this for 10 years... would you still do it? Would you still pay $400k to make $60k in income - he his practice owner. This virus will put a lot of pressure on the profession and I do not see that changing even with a vaccine. I am optimistic because I am not in a lot of debt. I love the craft and the work.

Does it make more sense to go to other schools? In my opinion, financially, yes. So take this into consideration.
Exactly. After seeing this first hand, I am very discouraged to own a practice. I can't imagine the stress on practice owners at this time.
 
During this time he will make $4k this month take home with a busy emergency schedule.
Unbelievable. Dentists are risking their health to make the same amount of money as a lot of people who are staying home on unemployment benefits (average $350 + $600/wk). As a current dental student I started to regret my decision of pursuing dentistry, but I am too deep in the hole to back out now.
 
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Unbelievable. Dentists are risking their health to make the same amount of money as a lot of people who are staying home on unemployment benefits (average $350 + $600/wk). As a current dental student I started to regret my decision of pursuing dentistry, but I am too deep in the hole to back out now.
Yeah. It’s a whole different topic but financially speaking as of now, it makes less sense financially pre-covid.
 
Unbelievable. Dentists are risking their health to make the same amount of money as a lot of people who are staying home on unemployment benefits (average $350 + $600/wk). As a current dental student I started to regret my decision of pursuing dentistry, but I am too deep in the hole to back out now.

dido. Yeah my significant other is a dentist and was forloughed. But that is what it’s going to be until vaccines and who knows. Knowing politicians and pandemic scares, it’s likely here to sgay. Just shaking my head at dental students and pre dents thinking that $400k of debt is good.
 
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my friends made $180k first year out. It’s all geographical.

Do you think it's still a reasonable point of view that if a pre-dent chooses to take the least amount of debt possible and has much greater flexibility in where they live and work, it is still possible to pay that debt off in a reasonable amount of time? Would that be the right point of view to take going into dental school at this point in time?
 
Do you think it's still a reasonable point of view that if a pre-dent chooses to take the least amount of debt possible and has much greater flexibility in where they live and work, it is still possible to pay that debt off in a reasonable amount of time? Would that be the right point of view to take going into dental school at this point in time?

It is the right view all of the time. If you can’t get into a state school I wouldn’t go. Who knows. These incomes might remain the same for a while.
 
140k average for a 400k-600k debt is outrageous imo.
 
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Do you think it's still a reasonable point of view that if a pre-dent chooses to take the least amount of debt possible and has much greater flexibility in where they live and work, it is still possible to pay that debt off in a reasonable amount of time? Would that be the right point of view to take going into dental school at this point in time?

You got a 28 AA. You should look into getting into your state school and getting some scholarships. If you can get out with little to no debt, dentistry still seems like a pretty nice career.

I noticed you have Dentgineer under your name. I'm guessing that means you have an engineering degree. If you're looking at 400k+ debt somehow, you're probably better off pursuing engineering. Few of my CS friends (at FAANG companies) will be retired before Dental Class of 2025 even finishes paying off their student loans, if you don't believe me go look at their stock options :eek:
 
140k average for a 400k-600k debt is outrageous imo.

Yeah people are nuts in dentistry and the the older docs killing it. Yet they dont ask them how much debt they were in. Most guys less than $100k and a couple $150k-200k. So I use that for a standard...

This is general though. Specialists are $200-$300k start but require tuition...
 
Yeah people are nuts in dentistry and the the older docs killing it. Yet they dont ask them how much debt they were in. Most guys less than $100k and a couple $150k-200k. So I use that for a standard...

This is general though. Specialists are $200-$300k start but require tuition...
Yeah, I noticed state school of dentistry has 50k tuition annually for in-state and 80k for out-of-state, not including living expenses.
 
In theory you can be in $500k of debt after you graduate and have an associate to owner or partner as a general dentist and be in the $300-$400k ballpark. I know people that have done this.

But you have to really work with minimal risk. My state school is around $130-$150k when it is all said and done. They inflate their cost of attendance so people can maximize their financial aid benefit. Tuition and fees is something they cannot budge. But living expenses is on you. So I look at is as associate general dentists are usually in the $150k range where I am at starting. So if I can have my debt at that or under than it is a great return. If I find a practice to buy or a partnership to go into then it is just a cherry on top.... this is why dentistry has been amazing for people in low debt. See I don't have to rely on corporate dentistry to give me more money because I am not in $400-$500k of debt.
 
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Rural anywhere in US lol multiple states. Plus they are quick and efficient at restorative and extractions. No implants and easy endo. But very quick and good at restorative, removable, and ext.
 
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Interested in which state too. Can you post here or PM me?

I'm really confused at these low salaries. $500/day was the norm when I graduated, but not now. In the Bay Area, finding a "$700/day or 25% production" gig is easy as pie. If you are making less than 200K after 3 years out, you're underpaid.
 
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I'm really confused at these low salaries. $500/day was the norm when I graduated, but not now. In the Bay Area, finding a "$700/day or 25% production" gig is easy as pie. If you are making less than 200K after 3 years out, you're underpaid.
It would almost be a crime if a dentist earns less than 200k in Bay area considering the COL.
 
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I'm really confused at these low salaries. $500/day was the norm when I graduated, but not now. In the Bay Area, finding a "$700/day or 25% production" gig is easy as pie. If you are making less than 200K after 3 years out, you're underpaid.

The gigs are easy as pie because nobody wants it. COL is unsustainable in the Bay Area especially young-uns with sky high loans.

It would almost be a crime if a dentist earns less than 200k in Bay area considering the COL.

$200k for a single person is doable in the CA Bay Area. Your spouse/partner needs to make that much as well to sustain living as a family. If you are living paycheck to paycheck there, get the heck out and find cheaper solutions.
 
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Yea. Sounds about right. It’s harder to find a good practice to associate in than people realize.

Also realize that if you own a practice and just collect $3500/day of your own production and hygiene with 65% OH - 4 days a week 45 weeks a year, your net is around 220k before you service the practice loan. The practice loan will cut your net down to maybe around 160k/year (assuming a purchase price around 2-2.5x the owners net which is within a reasonable range most popular counties in CA.

Then you need to grow the practice which is easier said than done around here.

anyways - just throwing some #s around for people to think about. Good post OP.
 
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I'm really confused at these low salaries. $500/day was the norm when I graduated, but not now. In the Bay Area, finding a "$700/day or 25% production" gig is easy as pie. If you are making less than 200K after 3 years out, you're underpaid.

Most cities and popular suburbs seem to be around 550-650/day as a base. There has been little wage growth for associates in the last 20 years.
 
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Most cities and popular suburbs seem to be around 550-650/day as a base. There has been little wage growth for associates in the last 20 years.
My sample size is obviously very small but when I asked around to get paid around 800 in Los Angeles area, you had to know how to do Molar Endos and surgical extraction comfortably.
But yeah, little wage growth, excessive increase in tuition, poor ROI.
 
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My sample size is obviously very small but when I asked around to get paid around 800 in Los Angeles area, you had to know how to do Molar Endos and surgical extraction comfortably.
But yeah, little wage growth, excessive increase in tuition, poor ROI.

LA is a different beast. Too many HMOs/DMOs so it’s hard to pay a daily base of 800 unless you’re in a really good practice. You may collect enough at earn 800/day but it doesn’t start there.
 
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If associate salaries are so low, then isn't now the best time to be an owner? You can pretty much hire dental labor for cheap, and make a huge profit.
 
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