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Tax Planning for Dentists

TL;DR

  • Tax planning for dentists works on three things a practice owner controls: how equipment is written off, how the practice is taxed, and how much income gets sheltered in retirement plans.
  • Equipment bought and placed in service after January 19, 2025 can be deducted in full the first year, so a new chair, scanner, or cone-beam unit can offset a large share of practice income.
  • The biggest recurring overpayment comes from structure: an owner taxed the wrong way overpays year after year, and the fix has to be set before the year starts.

A dental practice is taxed on three things at once: chair-side production, the equipment behind it, and the entity that holds it. A preparer who treats it like a personal return manages only the production and leaves the equipment and entity untouched.

Depreciation on the chairs and scanner, the salary an S-corp allows, and the retirement plan a practice can run each reduce the tax you owe, but only if someone sets them up before year-end.

Equipment gives the fastest deduction. A chair, scanner, or cone-beam unit placed in service this year can be written off in full instead of spread across seven.

What dentist tax planning covers

Dentist tax planning covers the four parts of a practice that affect the tax you owe:

Equipment and buildout depreciation

timed and expensed for the year they help most.

Entity structure

sole proprietorship, S-corp, or PLLC taxed as an S-corp, and the salary it requires.

Retirement plans

solo 401(k), profit sharing, and cash balance plans that move large sums out of taxable income.

Owner pay and distributions

set so the reasonable-compensation rule holds.

How tax planning for dentists works

1

Read the practice

We look at the P&L, your equipment, your entity, and your retirement setup, and find where you are overpaying.

2

Build the plan

We model the entity, the depreciation timing, and the retirement contributions together, since one changes the others.

3

Run it through the year

We set the salary, estimates, and contributions, then adjust as profit comes in.

Why a general preparer misses this

A preparer who files in April sees the year after it happened. By then the equipment timing is fixed, the election deadline has passed, and the retirement plan can no longer be set up for that year. We hold your practice books and your personal return together, so the plan covers both at once.

What practice owners get from planning ahead

Dentists who plan ahead know their tax bill before filing season.

For business owners, make sure that you’re maxing out any type of retirement plan. There’s ones now that will allow you to deduct from your taxes over $70,000. And there’s others that can even be in the hundreds of thousands of dollars. And many people don’t even take a look at that.
George Dimov, CPA
Excellent tax preparation and financial planning.
Emi, Google review

What dentist tax planning costs

We price by the work involved. A single-location practice cleaning up its entity and depreciation for one year costs less than a multi-site group that wants the salary, estimates, and retirement plan run and adjusted every quarter. We size the job after reading the books and the current return, then quote a number before any work starts.

Signs your practice is overpaying

  • You are a sole proprietor or single-member LLC and the practice nets into six figures. The S-corp election that fixes this is due within two months and 15 days of the start of the tax year.
  • You bought equipment and it was spread over years instead of expensed.
  • You fund an IRA but have no practice plan. The 2026 defined contribution ceiling is $72,000, and most owners never get near it.
  • Your estimates are last year's number, so you overpay all year or owe a penalty.
  • No one has reviewed your structure since you bought in or opened.

Each of these has a deadline. Once the year closes, most can no longer be fixed.

Tax Planning for Dentists

You don't have to decide anything before the first call. Send last year's return and a rough P&L, and the review shows what you can still change this tax year, with a number on each. If the math doesn't justify the work, we'll tell you.

Send the practice's rough numbers and entity type, and the reply lists which deductions and elections are still available before year-end. Confidential, reviewed by a professional.