Just curious, do they have a treatment planning dentist and then a separate group of "worker-bee" dentists producing? I've heard this to be true. I've heard a lot of denti-cal patients...5 fillings for 40 bucks kinda thing going on. This is concerning and I have no idea how people produce such high numbers when the patient population is medi-cal and the company accepts some of the lowest bottom of the barrel insurance plans. How does the dentist make money at one of these joints?
1) Kind of a hard question to answer, but here's an example. When I first started for this company two years ago, I was fresh out of school and felt kind of uneasy with pushing some of the treatment options such as diagnosing bone graft (which isn't a covered benefit) after a surgical extraction. Because back in school, I never had to place any bone grafts in any patients. I felt kind of guilty at first, but weighing down the pros and cons, would it be more beneficial having it or does it really make a difference? I mean not placing it would fine in itself but it wouldn't be "ideal" . It's just a really matter of rationalizing treatment options.Do you feel working for a corporation, they have treatment expectations? Do they make you increase your production at the expense of the patient?
Correct. Sorry I didn't clarify that. Most of the times those who do recieve commission are those who work at clinics with consistent new patient flow monthly as well as good case treatment acceptance. And it's based on an entire month not just a pay period. So commission is given on the second pay period of each monthTo clarify, you don't get paid your percentage of production unless you beat your 2 week base pay salary. So good days (above base pay) don't translate into higher pay unless they're either consistent or its an exceptionally high producing day.
There is a conversion factor used to offset insurance plans with low reimbursement rates that some how equalizes the ADP. Doing multiple fillings can be tidious and time consuming on one patient and when there's so many other patients waiting for treatment, doing one or two fillings per patient doesn't really amount to very much. It comes with the environment I guessbecause of the "medi-cal" days, your production dips. So you don't get paid for production on those days and basically your paycheck is straight base pay. Is this how it works there at Western?.
Looks like we're in the same area. I work at Sacramento but live in Roseville. It really depends; usually those who's been with the company for about 6-10 months start having commission since they aren't send around to different sites as much. I didn't really start having commission until almost a year in since this region was going through a major restructioning phase. Anywho, some who do get a raise have been with the company for a long time. So their base salary some where around 700 a day but making commission for them is totally different. You really don't want to stay in corporate dentistry for to long even if the pay is good.Informative thread you guys, thank you.
What percentage of associates would you say produce enough to earn commission? Were you able to a couple years ago, when you were fresh out of school? Does your base pay increase with time, for example a raise after the first year? Or do you increase your own pay with increased production? Or both?
Where is CA are you? I'm a CA native (Sacramento), current D1 at PITT.
When I'd graduated I was already in my thirties so I just wanted get to work to make up for lost time. If you decide to do GPR find one that lets you place tons of implants, everything else can become second nature through being proficient at work. Personally, 7-14k investment on implant courses should be enough to make a GP capable on doing some implant cases in my opinion. I have colleagues that did two years of GPR and refuse to do RCTs even on single canals. That's basically one of the bread and butter in Dentistry. So essentially I guess it all comes down how aggressive and proficient you are regardless of doing GPR or a few years with corporate dentistry.That's cool, hopefully the growth will continue for a few more years! After reading your post and a few others, I'm thinking of working for a corporation for a few years before going off on my own. Did you do a GPR or AEGD?
What advice would you give someone in my shoes? D1 and hoping to return to CA as a general dentist.