Commission VS Hourly Wage

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Dr. Truth in Atlanta, Georgia

23 months ago

still retired in Texas said: If the risk is soo high to employee a hygienist it shouldnt happen in the first place or just hire PRN.(That is hard for me to say)Splitting money is a hard sell People overall want job security ...This field isnt a cheap field to get into and to keep up with aswell:::thats what I think. :/

No i an referring to the business risks; the hiring/firing the investment cost... you are not opening your mind to the possibilities that exist... as a hygienist you have to realize that you are not working alone... those patients are there because of the teamwork of the entire staff. Not talking about the jack-in-the-box offices but dentist owned practices. Read what i saying: commission has reflect the teamwork. To pay a hygienist based on what he/she "produced/collected" is the wrong way to use commission as a compensation

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Dr. Truth in Decatur, Georgia

23 months ago

Dr. Truth in Atlanta, Georgia said: No i an referring to the business risks; the hiring/firing the investment cost... you are not opening your mind to the possibilities that exist... as a hygienist you have to realize that you are not working alone... those patients are there because of the teamwork of the entire staff. Not talking about the jack-in-the-box offices but dentist owned practices. Read what i saying: commission has reflect the teamwork. To pay a hygienist based on what he/she "produced/collected" is the wrong way to!use commission as a compensation

Wouldn't a commission on $80.000.00 to $100,000.00 a month sound better than commission on $20,000.00. You have to come to grips with the possibility that we have ruined our healthcare system with our self centered greed. We are in charge of healthcare and we have to be more responsible to the communities we serve and that means not thinking of our incomes over making our services accessible....it will take lot of soul searching to realize how shortsighted we have become. Our greed is digging our professional graves along side the people we have killed or we have allowed to die

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still retired in Texas

23 months ago

Dr. Truth in Atlanta, Georgia said: No i an referring to the business risks; the hiring/firing the investment cost... you are not opening your mind to the possibilities that exist... as a hygienist you have to realize that you are not working alone... those patients are there because of the teamwork of the entire staff. Not talking about the jack-in-the-box offices but dentist owned practices. Read what i saying: commission has reflect the teamwork. To pay a hygienist based on what he/she "produced/collected" is the wrong way to use commission as a compensation

Ive been in this sector for a long time (clinically working) and for you to tell me Im not open to the possibilites that exist and non-acknowledgement for other staff is a brave thing to say. It goes both ways Dr. Truth we all work together and its always been that way.(commission or not) Im the worker who is the first at the office and the last to shut off the pumps, put out trash, turn off lights and lock up. As far as spreading the wealth thats simply not up to me and many. Socalism isnt here in Texas yet and buisnesses arent cookie cutter either. To be honest I dont agree with commission bcause theres too many variables on that subject alone. Mypatients are my primary concern and my schedule is oneto contend with start to finish..My dentist is awesome..cleans a operatory more than once a day. Im guessing you do this too since your are a team member. When you talk about hiring and firing thats the responisbility you take as a buisness owner. I nor anyone can make that fair. I definately deserve my pay without any reservation..and most hygienist do too and staff understand that. For you to afford to continue your education is great.remember that team members payed for that if you are commission based at your office...dont forget the little people.

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defendrdh in Philadelphia, Pennsylvania

20 months ago

Dr. Truth in Atlanta, Georgia said: It is not about education it's about the cost of in investment & the risk difference between
a doctor the hygienist . I am saying you cant compare hygienist to dentist especially
owner dentist. I see the problem is that both people fail to appreciate! the interconnection of the entire staff in the production of revenue. What i suggested is that the hygienist and the entire staff have their incomes partly based on the office entire monthly revenue. That would be more fair to me. I think it would promote more appreciation of teamwork mentalities instead of fhe me mentality :::: What do you think ?

The reason this country is on the downfall is because there is no middle class...and if one makes a lower middle class income, it's resented. Salaries are not meeting up with the cost of living. Low wages like Walmart employees cannot even afford to rent a room. So if one makes enugh to keep a lower middle class (considering lower middle class is 45,000 to 65,000 with over that mid to upper 65,000 up to 250,000/year. So I know for a fact that the state of PA 35,000 and under is considered poverty. So I guess my income as a hygienist working 32 hours per week with no benefits, no paid vacation,no pension would be in the lower middle class income. With that I can afford a middle class apartment or a very small town home, plus keep a car (not have to take a bus), have healthy insurance. (most of the the other employees I work with (assistants and front desk) do not have health insurance and sadly some drive 20 year old cars.) Some have to use food stamps to feed their kids. These are very talented and skilled assistants too.

This is the way of the USA today. Heaven forbid...unless you have a PHD, are a celebrity, or a doctor, you will not be able to afford anything like is Russia...

After 30 years I have no pension and little savings. Gee what a career!

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seth08 in Sharpsburg, Georgia

20 months ago

Agreed! (On the last comment)

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defendrdh in Philadelphia, Pennsylvania

20 months ago

When I first started in this profession the dentist took care of his staff the old fashioned way, with heal ins, paid vacation, holidays and small pension. They also lived in nice homes but no where near what dentists are living in today...mega-mansions. The dentists were happy to live better than the average Joe, however they took care of their staff and didn't leave you without pay when they went on a 2 week vacation. They didn't need 2 or 3 homes, a boat (Yacht), or his an hers Mercedes. So who is it that's being greedy? The rich are getting richer and the poor are getting poorer and the middle class (there's hardly any of us now)are hanging on my a rope.

Specialists walk into a room of a patient in a hospital and bill the insurance for $500.00 for about 10 minutes of their time? Who is ruining healthcare here?

Why is it that someone who lays tile for a living makes as much as a hygienist or close to it?

Oh I forget...we are women mostly (some males) but mostly women.

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defendrdh in Philadelphia, Pennsylvania

20 months ago

I am just tired of struggling to keep a roof over my heard and so is everyone else in this country except the rich. And if you can keep a roof over your head you are resented, abused, and discriminated against.

I wish I worked for the electric company (no college) and they make 6 figures. Oh I forgot again, they are men.

And in response to commission based discussion...NO you should not have to do what you are not paid for. Lincoln put a stop to that...it was called slavery. A salaried hygienist SHOULD help others even if it is not their job...file, help assistants, etc if they are paid hourly. If commission, NO ONE would do someone else's job who is getting paid and not get paid themselves. This is common sense. I have yet to see an associate dentist (not owner) working on commission clean a room or go file. They sit and relax. The only thing a commission hygienist should have to do on downtime is instruments, recalls,and hygiene related duties. Not administration. The administrative staff will not bother to keep hygiene schedules full since they know there is no pressure from the dentist since the hygienist is not getting paid anyway. They will leave their duties like filing etc for the hygienist to do if there's an opening. And we all know that will happen.

From experience, you can stand on your head for them, file, help front desk, do assistants job, and they still don't appreciate you.

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defendrdh in Philadelphia, Pennsylvania

20 months ago

Please excuse my poor typing and grammatical errors, I just worked 4 hours and treated 6 new patients...I'm blinded, exhausted, plus my hands are raw from washing and back is killing me. Now I have to write out my health insurance check which is 1/2 my weeks pay and my rent/electric which takes 2 weeks pay. Hygienists make too much money? Why do I feel so poor? I am almost 50 and 30 years in this profession...I can say what everyone else is afraid to say :)

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carla2 in santa fe, Texas

20 months ago

I know what you mean. They pay us just enough o keep coming to work and make them more money. I have had one raise in ten years and I have no health insurance but the dentist and his three grow kids have top of the line coverage as well as new cars and none of the kids work

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carla2 in santa fe, Texas

20 months ago

defendrdh in Philadelphia, Pennsylvania said: When I first started in this profession the dentist took care of his staff the old fashioned way, with heal ins, paid vacation, holidays and small pension. They also lived in nice homes but no where near what dentists are living in today...mega-mansions. The dentists were happy to live better than the average Joe, however they took care of their staff and didn't leave you without pay when they went on a 2 week vacation. They didn't need 2 or 3 homes, a boat (Yacht), or his an hers Mercedes. So who is it that's being greedy? The rich are getting richer and the poor are getting poorer and the middle class (there's hardly any of us now)are hanging on my a rope.

Specialists walk into a room of a patient in a hospital and bill the insurance for $500.00 for about 10 minutes of their time? Who is ruining healthcare here?

Why is it that someone who lays tile for a living makes as much as a hygienist or close to it?

Oh I forget...we are women mostly (some males) but mostly women.

I saw a job in the paper for a horse carrage driver for 25 bucks an hour. I went to school 6 years and don't make much more

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defendrdh in Philadelphia, Pennsylvania

20 months ago

carla2 in santa fe, Texas said: I saw a job in the paper for a horse carrage driver for 25 bucks an hour. I went to school 6 years and don't make much more

Or make $25.00/hr cleaning houses and just waste the degree. People who spray perfume at the mall get $20/hr.

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defendrdh in Philadelphia, Pennsylvania

20 months ago

carla2 in santa fe, Texas said: I know what you mean. They pay us just enough o keep coming to work and make them more money. I have had one raise in ten years and I have no health insurance but the dentist and his three grow kids have top of the line coverage as well as new cars and none of the kids work

I have a hygienist friend who had to raise 2 kids on her own. She cannot afford health insurance. It's either that or her mortgage. I've never know any hygienist to live luxuriously.

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defendrdh in Philadelphia, Pennsylvania

20 months ago

Sorry, but my typing is bad today.

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carla2 in santa fe, Texas

20 months ago

And I bet their necks, backs and hands feel alot better than ours. I don't know how much longer I can do this. When I don't work for a few days I'm fine but after four days of work everything hurts but the chiropractor cost too much to go very often. They should at least cover that every once in awhile. It might cut into his daughters weekly trips out of town or her spa membership

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Dr. Truth in Snellville, Georgia

20 months ago

Yes luxuriously....it appears that you have a warped sense of luxury.we lives a life of luxury here that most of the people on this planet don't even knows exist....you foolish people haves been fooled at last my brothers and sisters what have we become....greedy complaining about the greed of others...you don't even know what is happening to you...i pray for you...Father forgive them for they know not what they do...

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Dr. Truth in Snellville, Georgia

20 months ago

There is an answer...but you have to look deeper inside yourself and look for what role you play on your condition....this is a very complicated problem that we all must search for the solution but not for ourselves but for our children and our childrens children what legacy are e'er leaving them..we have been had...we have been bamboozled

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defendrdh in Philadelphia, Pennsylvania

20 months ago

Dr. Truth in Snellville, Georgia said: Yes luxuriously....it appears that you have a warped sense of luxury.we lives a life of luxury here that most of the people on this planet don't even knows exist....you foolish people haves been fooled at last my brothers and sisters what have we become....greedy complaining about the greed of others...you don't even know what is happening to you...i pray for you...Father forgive them for they know not what they do...

With all due respect, I understand what you mean. There are people starving in this world and it's very wrong. I agree that those who are wealthy and do not share the wealth will pay the pay the price in the after life for living too luxuriously. "A rich man cannot get into heaven" as per my pastor. We must admire what the police officer did by buying a homeless man a pair of boots. It's viral on the internet and youtube.

However as a single woman trying to make ends meet, I don't feel that when we live in the USA, pay $1000.00/mo in taxes, educate ourselves, that we should have to resort to food stamps and shelters. Keeping a roof over your head and food,plus health insurance is a must and that's all a hygiene salary can pay for. I know since I've lived it.

Add it up:

13,500/yr for rent and elecrtic
$5000/yr health insurance with a high co-pay/deductable
$3000/yr disability insurance/car insurance
$700-800/yr cell phone
$2400/yr Cable/internet/phone/tv
Let face it, in todays society everything is email me, fax it, what's your cell? You have to have these anymore to function.
$2400/yr gasoline
$4800 and up for food and household items
$500-$1500/year prescriptions,/copays/eyeglasses/other health
Add a few thousand for car repairs,having pets, vet bills, clothing, uniforms, emergencies, lost pay on snow days, doctors vacations, sick days, personal vacation, Holidays Gifts, B-DaysSo if you can squeeze a few hundred to put into you 401K you are lucky.

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defendrdh in Philadelphia, Pennsylvania

20 months ago

defendrdh in Philadelphia, Pennsylvania said: With all due respect, I understand what you mean. There are people starving in this world and it's very wrong. I agree that those who are wealthy and do not share the wealth will pay the pay the price in the after life for living too luxuriously. "A rich man cannot get into heaven" as per my pastor. We must admire what the police officer did by buying a homeless man a pair of boots. It's viral on the internet and youtube.

However as a single woman trying to make ends meet, I don't feel that when we live in the USA, pay $1000.00/mo in taxes, educate ourselves, that we should have to resort to food stamps and shelters. Keeping a roof over your head and food,plus health insurance is a must and that's all a hygiene salary can pay for. I know since I've lived it.

Add it up:

13,500/yr for rent and elecrtic
$5000/yr health insurance with a high co-pay/deductable
$3000/yr disability insurance/car insurance
$700-800/yr cell phone
$2400/yr Cable/internet/phone/tv
Let face it, in todays society everything is email me, fax it, what's your cell? You have to have these anymore to function.
$2400/yr gasoline
$4800 and up for food and household items
$500-$1500/year prescriptions,/copays/eyeglasses/other health
Add a few thousand for car repairs,having pets, vet bills, clothing, uniforms, emergencies, lost pay on snow days, doctors vacations, sick days, personal vacation, Holidays Gifts, B-DaysSo if you can squeeze a few hundred to put into you 401K you are lucky.

Plus continuing education, Car payment...forgot that one!

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defendrdh in Philadelphia, Pennsylvania

20 months ago

And who runs these operations, manufacturers, cable companies, utilities, insurance companies, etc that dictate these prices? The millionaires...... not the hygienists.

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defendrdh in Philadelphia, Pennsylvania

20 months ago

Dr. Truth in Snellville, Georgia said: There is an answer...but you have to look deeper inside yourself and look for what role you play on your condition....this is a very complicated problem that we all must search for the solution but not for ourselves but for our children and our childrens children what legacy are e'er leaving them..we have been had...we have been bamboozled

You are right, we have been bamboozled by technology and the wealthy. When I graduated the first time from college I could afford an apartment with a roommate on a receptionist salary of $10/hour. That was almost 30 years ago. Now young grads are coming out with masters degrees and living at home til they marry. They can't afford the rents. This isn't New York, it's Philly.

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defendrdh in Philadelphia, Pennsylvania

20 months ago

defendrdh in Philadelphia, Pennsylvania said: You are right, we have been bamboozled by technology and the wealthy. When I graduated the first time from college I could afford an apartment with a roommate on a receptionist salary of $10/hour. That was almost 30 years ago. Now young grads are coming out with masters degrees and living at home til they marry. They can't afford the rents. This isn't New York, it's Philly.

And why are workers still making $10/hour when I made that 30 years ago? I think the receptionists in my office are getting like $12/hr...in 2012 it's an outrage.

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carla2 in santa fe, Texas

20 months ago

Dentist use to live a moderate lifestyle and hygienist made the same in 1985 as they do now. Now dentist want to live the lifestyle of the rich and will do what ever they have to do to make that happen.

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defendrdh in Philadelphia, Pennsylvania

20 months ago

carla2 in santa fe, Texas said: Dentist use to live a moderate lifestyle and hygienist made the same in 1985 as they do now. Now dentist want to live the lifestyle of the rich and will do what ever they have to do to make that happen.

I totally agree...my Father was a dentist who passed away in 1989 and we in no way lived as high as the dentists do today. Neither did the medical doctor next door nor the orthodontist, etc

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carla2 in santa fe, Texas

20 months ago

Yeah my best friend's Dad was a dentist and he made a nice living but his kids got one car and the next one they had to buy. I'm glad saving tooth structure is still a main priority in dentistry. Or is it?

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carla2 in santa fe, Texas

20 months ago

defendrdh in Philadelphia, Pennsylvania said: Plus continuing education, Car payment...forgot that one!

Car payment? Who can afford a car payment?

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defendrdh in Philadelphia, Pennsylvania

20 months ago

We had one "kid's" car which 3 divers had to share and it was the hand-me-down old car. We only had it too so my mom wouldn't have to keep driving teenagers to activities. Also one "kid" phone which you coulnd't stay on longer than 1/2 hour at a time. You also had to work for allowance to go out with friends. Like do laundry, clean rooms etc. When I wanted Calvin Klein Jeans, my parents just said NO... I'd have to save the allowance money and buy them myself....then my dad would send me over to his office to clean it.

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defendrdh in Philadelphia, Pennsylvania

20 months ago

It's inevitable anymore. It took me 6 years to pay off my car and it's 7.5 years old now and I plan to keep it for another 4-5yrs. But then you know it will be another car payment even if it's used.

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defendrdh in Philadelphia, Pennsylvania

20 months ago

I am actually thinking of just dying in my car....Who the heck can afford the payments?

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defendrdh in Philadelphia, Pennsylvania

20 months ago

Also when you turn 50 health insurance doubles so what's 5000/yr now will be 10,000/yr unless I can get on the Obama plan at least to have something...But I bet they'll say I make too much money so I'll have to pay the 10,000/yr. My sister and her husband pay close to 20,000/yr for premiums over 50 with NO health problems.

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still retired in Texas

20 months ago

Dr. Truth in Snellville, Georgia said: Yes luxuriously....it appears that you have a warped sense of luxury.we lives a life of luxury here that most of the people on this planet don't even knows exist....you foolish people haves been fooled at last my brothers and sisters what have we become....greedy complaining about the greed of others...you don't even know what is happening to you...i pray for you...Father forgive them for they know not what they do...

You make me laugh till my stomach hurts!!! Are you at your personal compound passing out that special KOOLAID?! LOL

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carla2 in santa fe, Texas

20 months ago

There's not a chance of my having health ins so i guess i will pay the fine. Suze Orman said if you work at starbucks 20 hrs a week you can get full coverage for you and your family for a couple of hundred bucks.

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carla2 in santa fe, Texas

20 months ago

That is what my friend had to do. She didn't get new clothes often and they had to all go clean the officeon weekends. At my office now his kids have never worked a day and the assistant cleans the office. He had a 21 year old son laying around and was paying a lawn guy and a pool company and a maid service while the son cruised around in a new truck.

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carla2 in santa fe, Texas

20 months ago

defendrdh in Philadelphia, Pennsylvania said: I am actually thinking of just dying in my car....Who the heck can afford the payments?

Don't try to die in your car. You will probably live and have no car and no insurance

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Dr. Truth in Snellville, Georgia

20 months ago

Your list is impressive however you haven't yet figured out why this stuff cost so much..you you have cost hidden in those cost that are redundant...while the he'd of some dentist is present is it the reason you and i are having such problems making ends meet....the answer is no...the main culprit in these costs is healthcare....ah ha...we maybe the direct source of our
misery... We need to figure out why we think insurance and Medicare and Medicaid doesn't impact more than your pay check...it impacts the price of everything you buy yet only a small portion of the population benefit from these insane concepts ... I have studied health care management i have run a dental office for over twenty years...i have been a dental assistant...i have managed a truck company...i my father was a city councilman...i have researched this issue for the past eight years ...perhaps it took me a very long time with many arguments with myself that i an having with you...i may have a deeper understanding of the problem and may have possible solutions that appear to be crazy...but if you slow down a think about what i saying to you...you may understand the real issue and then become apart of the solution instead of being apart of the problem...simply blaming the dentist and their stupidity is not helping....of you want to just vent then continue doing what you are doing...but if you wasn't to find solutions then we can talk...if you want the truth then we can converse otherwise you are wasting your time and mine...so what do you think is driving dentist to these insane destructive behaviors i have i suggestion but i wasn't to hear what you it might be

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Dr. Truth in Snellville, Georgia

20 months ago

I apologize for grammatical errors...i am typing on my phone and i would like to correct an error you made; it is not the team that finances my education or any other cost of our office it is the patients ie customers....that is what i mean by thinking a little deeper

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still retired in Texas

20 months ago

Dr. Truth in Snellville, Georgia said: I apologize for grammatical errors...i am typing on my phone and i would like to correct an error you made; it is not the team that finances my education or any other cost of our office it is the patients ie customers....that is what i mean by thinking a little deeper

Sure its the team that finaces your education!(unless you won the lotto) YOur "team" helps the wheels turn so yu can have a patient load and production in the office that equals your income. All those personalities that run your buisness are valuable. To dismiss this says alot about YOU. That "team" or your income doesnt come out of THIN AIR?! lol You should know this that since you have "had" years and years of managment skills and the legacy of your father musta taught you something. P.S. things have changed over 20 years time(we all know this) Your credentials cant save you in a discussion. You shouldnt think we are ignorant on how things are and that we dont see things exactly as you say we should...WE have a deeper understandng of things as well...we are far ahead of the game and not one sided at that.
P.S. its a luxury to have a cell phone dont you think?!

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still retired in Texas

20 months ago

Dr. Truth in Snellville, Georgia said: I apologize for grammatical errors...i am typing on my phone and i would like to correct an error you made; it is not the team that finances my education or any other cost of our office it is the patients ie customers....that is what i mean by thinking a little deeper

your not even a dr.!

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defendrdh in Philadelphia, Pennsylvania

20 months ago

Dr. Truth in Snellville, Georgia said: Your list is impressive however you haven't yet figured out why this stuff cost so much..you you have cost hidden in those cost that are redundant...while the he'd of some dentist is present is it the reason you and i are having such problems making ends meet....the answer is no...the main culprit in these costs is healthcare ....ah ha...we maybe the direct source of our
misery... We need to figure out why we think insurance and Medicare and Medicaid doesn't impact more than your pay check...it impacts the price of everything you buy yet only a small portion of the population benefit from these insane concepts ... I have studied health care management i have run a dental office for over twenty years...i have been a dental assistant ...i have managed a truck company...i my father was a city councilman...i have researched this issue for the past eight years ...perhaps it took me a very long time with many arguments with myself that i an having with you...i may have a deeper understanding of the problem and may have possible solutions that appear to be crazy...but if you slow down a think about what i saying to you...you may understand the real issue and then become apart of the solution instead of being apart of the problem...simply blaming the dentist and their stupidity is not helping....

I am not blaming dentists as they are victims too of high costs...etc dental materials, office supplies,rents etc. I don't believe it's all about health costs and insurance, rather it's the millionaires and CEOs pulling from the everyday people.

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defendrdh in Philadelphia, Pennsylvania

20 months ago

Dr. Truth in Snellville, Georgia said: Your list is impressive however you haven't yet figured out why this stuff cost so much..you you have cost hidden in those cost that are redundant...while the he'd of some dentist is present is it the reason you and i are having such problems making ends meet....the answer is no...the main culprit in these costs is healthcare ....ah ha...we maybe the direct source of our
misery... We need to figure out why we think insurance and Medicare and Medicaid doesn't impact more than your pay check...it impacts the price of everything you buy yet only a small portion of the population benefit from these insane concepts ... I have studied health care management i have run a dental office for over twenty years...i have been a dental assistant ...i have managed a truck company...i my father was a city councilman...i have researched this issue for the past eight years ...perhaps it took me a very long time with many arguments with myself that i an having with you...i may have a deeper understanding of the problem and may have possible solutions that appear to be crazy...but if you slow down a think about what i saying to you...you may understand the real issue and then become apart of the solution instead of being apart of the problem...simply blaming the dentist and their stupidity is not helping....of you want to just vent then continue doing what you are doing...but if you wasn't to find solutions then we can talk...

There is no answer Dr Truth, it has to come from the rich who are controlling the country. No president is going to change American Greed. Why are Walmart owners making billions, but their employees cannot even afford to rent a room?Our costs of living are dictated by the rich.

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Burned out in Acworth, Georgia

16 months ago

Dr. Truth in Atlanta, Georgia said: No i an referring to the business risks; the hiring /firing the investment cost... you are not opening your mind to the possibilities that exist... as a hygienist you have to realize that you are not working alone... those patients are there because of the teamwork of the entire staff. Not talking about the jack-in-the-box offices but dentist owned practices. Read what i saying: commission has reflect the teamwork. To pay a hygienist based on what he/she "produced/collected" is the wrong way to use commission as a compensation

I am confused Dr Truth. What are you trying to say? I believe if I am here 8 hrs, instead of somewhere else, I am giving you my time and should be compensated for that. If you want me to work for commission so that you won't have to pay me for possible unproductive hours, than my wages should be based on the work I have performed. Anything outside of that is out of my control and I should not be penalized for that. I have watched staff members write off procedures because a patient will agree in the back, understand the fees, etc. and play the game when they get to the front office and receive services for free. I have seen this ALOT. That is unfair to the actual provider who went above and beyond the call of duty to not only thoroughly inform the patient but carryout the procedure. The person writing the procedures off could care less, their being compensated hourly, regardless. I agree that it takes the whole team to do the job, thus the whole team is not bearing the brunt of the risk. I guarantee that if it directly affected THEIR paycheck, they would have not been so quick to write it off. Maybe I am missing your point Dr Truth , but I feel like the focus is always put on HOW MUCH a hygienist makes. We have jumped through the hoop to secure a degree in a field that pays well. No one questions the fee a dentist makes.

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still retired in Texas

16 months ago

We have a plan in place at our office that patients understand to pay for that procedure prior to receiving and have not seen the authority of clinical staff members "write it off."(unless it was said by the Dentist and followed out by financial management only) Commission is a hard sell where im from and jobs are scarce....when did hygiene turn into PRN during the day?

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Pam in New Port Richey, Florida

15 months ago

Dental Hygiene in Spring Green, Wisconsin said: I have been practicing dental hygiene for just about 1 year now. I am currently making an hourly wage however I just got word that the dentist I work for is changing his way of compensation to commission. I am a little concerned about this new way of pay and am looking for information from people who are currently paid in this way or have been in the past?!? What are the pros/cons of this way of compesation?!? What would you say your average rate of pay is and what is your percentage of commission? Also do you earn a base pay? Thanks for anyone that can help out!

Never work on commission without a base. I make 35% commission but have a base of $36 per hour. Commission is determined at month end. If I produced more than I was paid, I get the difference. I ave about $48 per hour after commission is paid. I love the system.

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Pam in New Port Richey, Florida

15 months ago

Ashleigh in Vancouver, Canada said: Hello Ladies,
I need some feedback. My employer just offered me "self employment status, which will allow me to receive 35% of all my collections ," as my hours are being cut back as there aren't enough patients to fill the days at my office. I'm full time (or was for the past 4 yrs) and was working between 32-40 hours/week but now it's closer to 20 hours/week. What is the difference between "production and collections" and what is it based on....does it include x-rays, dentist exam, scale/rtpl, polish, fl, OHI, or just a few of them?

Please help me out, my employer wants an answer by Friday! Thanks in advance!

PS. I'm currently on an hourly wage and my employer doesn't pay for ANY meetings EVER, thus we never have any staff meetings. I've been there for 4 yrs and only had one meeting. Needless to say our office doesn't run very well at all!


Do yourself a favor and ASK to see his proposal in writing. Be specific. What procedures fall under your production? Do Dr. exams in your chair fall under your production? Products your sell? Fl? Xrays? Makes sure it is all spelled out. Can you track your production daily? Do you get credit for irrigation and arestin? This is important to know. Do you present fees for services and make sure money is collected for procedures that may not be paid by insurance. If you are on top of your game, this can be a lucrative way to be paid.. but you will need a contract from the Dr. and control of your schedule, and collections. We have access to all numbers in my office. Hope that helps.

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defendrdh in Philadelphia, Pennsylvania

15 months ago

Pam in New Port Richey, Florida said: Never work on commission without a base. I make 35% commission but have a base of $36 per hour. Commission is determined at month end. If I produced more than I was paid, I get the difference. I ave about $48 per hour after commission is paid. I love the system.

I agree. Do not ever work on commission only. You will spend a lot of time working for nothing. If patients do not show you won't get paid and they may still expect you to do other work around the office. If your morning bombs out, you are there for free. At least get a good base salary.

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defendrdh in Philadelphia, Pennsylvania

15 months ago

Pam in New Port Richey, Florida said: Do yourself a favor and ASK to see his proposal in writing. Be specific. What procedures fall under your production? Do Dr. exams in your chair fall under your production? Products your sell? Fl? Xrays? Makes sure it is all spelled out. Can you track your production daily? Do you get credit for irrigation and arestin? This is important to know. Do you present fees for services and make sure money is collected for procedures that may not be paid by insurance. If you are on top of your game, this can be a lucrative way to be paid.. but you will need a contract from the Dr. and control of your schedule, and collections. We have access to all numbers in my office. Hope that helps.

And generally exams are not included in your commission.

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still retired in Texas

15 months ago

Pam in New Port Richey, Florida said: Never work on commission without a base. I make 35% commission but have a base of $36 per hour. Commission is determined at month end. If I produced more than I was paid, I get the difference. I ave about $48 per hour after commission is paid. I love the system.

So agree with you Pam. BASE PAY, BASE PAY, BASE PAY! Back in the day I did this at one office. Once u have established this with a employer it could be well worth it! Where I live now no chance they have reduced pay by 10$ :/....im going to move in the next couple of years. I have hope for better outlook for my profession.

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Dr. Truth in Lilburn, Georgia

15 months ago

Ok people, let's take a deep breath and really look at what I am proposing. This commission concept seems to strike a nerve in you guys. So let's change the terminology to a different more appealing word. PROFIT SHARING!! Now maybe that is a word you can get your head around in a positive way. What I am proposing is that the D.H. and the entire staff get paid based on the ENTIRE OFFICE REVENUE. That means you get a cut of every procedure not only your procedure revenue but also the revenue of the doctor, i.e. crowns, bridges, implants, restorations, orthodontics, oral surgery etc. What that means is that you get paid even when you are not even there. This bonds the office into a team with one focus...KEEPING THE PATIENTS HAPPY!! Trust me when you operate from that perspective prices automatically drop to affordable. The "me" mentality disappears or becomes such a pariah that the "team" will jettison it immediately. It takes a little thinking through. But try this for size. Which do you want, a percentage of a small pie, a percentage of a larger pie, or no pies at all. Because like it or not we have just about destroyed our professions because we have failed as business people. We can no longer look at our profession as a cash cow. There is a limit to what we can morally charge for our services. While in a pure business sense we have no limits on our fees, but on a moral and medical and ethical basis we have to look at what harm we are causing our communities at large with this "Me" mentality. The answer starts in the mirror. Where did we go wrong? Our profession has lost is sense of dedication to the public and we now think that the community owes us, when the opposite is true. We are the line of defense between the people and greed. We need to try to harness this beast before all is lost. We have found the enemy and it is us.

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Dr. Truth in Lilburn, Georgia

15 months ago

Pam in New Port Richey, Florida said: Do yourself a favor and ASK to see his proposal in writing. Be specific. What procedures fall under your production? Do Dr. exams in your chair fall under your production? Products your sell? Fl? Xrays? Makes sure it is all spelled out. Can you track your production daily? Do you get credit for irrigation and arestin? This is important to know. Do you present fees for services and make sure money is collected for procedures that may not be paid by insurance . If you are on top of your game, this can be a lucrative way to be paid.. but you will need a contract from the Dr. and control of your schedule, and collections. We have access to all numbers in my office. Hope that helps.

Counter offer: Give me a percentage of the entire revenue. My work here provides the doctor more time to do more revenue generating procedures. I want to be more a part of the team. I will take on the responsibility of leading the recall team. I will help the front desk more with scheduling and recruiting patients. This will help us both to recognize our interdependence. Then give him my comments on this blog and have him/her contact me. It will be quite a reveling process.
Good luck!!! It won't be easy and he/she will reject it at first, but as you discuss the positives of your pay goes up and down with the practice, and that you will be watching ALL the numbers instead of just your own, the dentist view you more like a partner than an employee and therefore more like an asset than a liability. Suggest a trial period. An be flexible with the rate. The rate will of course be lower maybe 4 - 10 % (which the doctor will love to hear compared to 30- 35%) but remember you will be working with a much higher monthly revenue number, 50- 100K instead of 15- 30K. Ahhhh.... yes, i think you are beginning to see the light.

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still retired in Texas

15 months ago

Your management on "recruiting patients" sounds like a cult. Very socialist. Hygienist can only do so much in a day and we do ALOT as a team. You sound like a person who works in a high yield dental office(dental k-mart, large or private) I have a feeling that your more management than clinical..just my take on your lingo...BIngo? Your very sure of yourself on this subject. It doesnt work everywhere. Goodluck.

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still retired in Texas

15 months ago

BASE PAY DR TRUTH!!!!BASEPAY

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