{1 - 24} GreyGrey
{25 - 49} GreenGreen
{50 - 499} BlueBlue
{500 - 4999} OrangeOrange
{5000 - 24999} RedRed
{25000+} BlackBlack

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production vs hourly

Hi. I currently work hourly aND my doctor mentioned commission and wanted my thoughts on it. I do get done earlier with my patients here and there. I get 1hr for all prophylaxis and new patients, I see a good amount of srp and period maint. Patients. He told me that I produce 3x my salary and above that and showed me numbers that showed my salary to date and if I would have been on commission I would have made 3000more in the 5 months he ran my numbers for. He mentioned I would also have a hygiene assistant. My question is, what is best? I want more money as everyone does, but does being on commission just help the doctor?



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3 Answers

I am hourly and get a bonus when production is higher than the previous month and year. I also get to claim all exams with everything else that comes from my room. I have friends that love working on commission. Its not clear if you made $3000 over the past 5 months or if it would be $3000 extra every month for past 5 months. I like how I am paid because at another office I was salary and worked over all the time and never got a bonus because it was bogus. I also did not get any benefits. Now I am paid for every minutes I work and get a bonus plus 100% dental, 100% medical, 8 sick days and 8 vacation days yearly, paid Holiday’s and I am appreciated and told so every single day.
One friend that was on commission said she made $80,000 a year without benefits, four day work week and I made $6000 less and had all the benefits which my health insurance premium alone is over $500 a month and I do not pay one dime of it. Hope you can look at all the financial reports for your production and look back several years and add it all up for yourself. That will help make your decision. I have hygiene assistants and 1 hour for adult/child prophies, 2 hours new patients, and if I need more time for any pt….I decide how long. I also do full mouth S/RP’s in 2 hours unless I need more. Some perio maintenance take 1.5 hours….I am also cross trained and go over tx plans, financial arragements, schedule appts etc…You will need to cut your time down so you can see more pt to make a good commission.

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I agree with Hygenius, definitely look over your past production numbers. At least one year to see the differences in the months, they can vary wildly. The last time I was paid on production I made 30 percent of my production for the month. Sometimes I made a lot, some months not as much. If you work in an office where the schedulers are good about keeping your day full, including filling cancelations, that really helps.
I think one of the down falls of working on production is the itch to add to your production by doing treatment that may not be the best for the patient. Many offices do more perio treatments than necessary and push bleaching for that reason, the money is not worth compromising your ethics.
If you were to go to production, you might ask your boss to give it a trial run or do it like Hygenius suggested where you get an hourly rate plus bonuses…this way you always know you will not be falling below a certain point with your paycheck at any time.

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Thx ladies. Sorry, it was 30,000 and if I would’ve have been commission it would have been 33,000.. I appreciate your comments and sticking with hourly and just bonusing sounds like a great way to approach things. Appreciate the feedback

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