Base pay plus commission seems to be the best and most popular system. This protects the hygienist if the front desk drops the ball on the schedule, but also gives the hygienist a reason to go the extra mile.
Always use adjusted production or actual collections when calculating a hygienist’s bonus because this is the amount that can actually be collected.
The general rule of thumb is that any commission kicks in when production (or collection) exceeds three times the hygienist’s base pay. Also, if the day does fall apart or there's an open hour, the hygienist on base pay can take a longer lunch, go home early or have a no nonsense hygiene downtime checklist for your hygienists.
Kevin Tighe, Cambridge Dental Consultants, Senior Consultant, got bitten hard by the business and marketing bug during long summer days working at his dad's Madison Avenue ad agency. After joining Cambridge as a speaker in the mid-1990s, Kevin went on to become Cambridge’s senior consultant and eventually CEO. Cambridge Dental Consultants is a full-service dental practice management company offering customized dental office manuals. Frustrated? High overhead? Schedule a chat with Kevin at