In an endodontic practice, the associate earns a percentage of what actually collects, and the case mix prices every week differently. WageTime runs per-case and collections pay inside payroll, and puts a traveling 1099 endodontist on the same run as the W-2 team.
There are about 5,685 practicing endodontists in the US (KFF / ADA), and the office that supports one runs one of the most production-concentrated payrolls in dentistry. The person running it reconciles a collections-based associate split, per-case values that change by tooth and procedure, CBCT credentials, and sometimes a traveling 1099 specialist, mostly in a spreadsheet, every payday.
An endodontic fee is not one number. An anterior root canal, a premolar, and a multi-canal molar each carry their own value, retreatments and apicoectomies price higher still, and an associate on a percentage earns off whatever case mix walked in the door. That ladder comes off the practice-management report into a spreadsheet, gets re-typed into payroll, and the percentage is rebuilt by hand every period, with a math error nobody catches until the doctor asks.
A typical endodontist completes three to four cases a day, and seven a day is top-10% territory (AAE), so a single-doctor office lives or dies on one clinician’s schedule. When a referral-thin week or a run of cancellations lands, the collections-based pay still has to clear minimum wage for the hours actually worked, and someone is supposed to catch that by eye, every period.
There is no floor of hygienists on production here. The team is a doctor, one or two chairside assistants who work through the operating microscope, and a front-desk coordinator, and in a small office one person spans clinical and admin. An assistant who runs the scope in the morning and the front desk in the afternoon is working two rates in one week, and that is weighted-overtime math no office manager wants to do on paper.
Endodontics runs on cone-beam CT and the operating microscope, and operating a CBCT unit carries radiation-safety requirements that go beyond the bitewing radiography permit a general-office assistant holds, and that vary by state (AAE). The CBCT credential, the dental license, the DEA registration, and everyone’s CPR card each renew on their own clock, tracked today on a sticky note until one lapses and a board letter follows.
More root canals are staying in-house, so an endodontist increasingly travels to referring offices for a scheduled clinical day or two a month, often engaged as a 1099 independent contractor. Paying that specialist on one system and the W-2 assistants on another, and coding the day to the right site, turns an ordinary Tuesday into a two-payroll afternoon.
Collections and per-case splits run as WageTime earning codes every period, not a spreadsheet keyed off the practice-management report. Endodontic associates commonly earn 40% to 45% of collections, above the 28% to 35% a general-practice associate sees, because case values run higher (Cain Watters).
Replaces the per-case spreadsheet, and the collections split re-typed off the practice-management report.
WageTime pays the doctor, assistants, and coordinator in one run and blends the cross-trained seat’s two rates automatically. An endodontist completes three to four cases a day, with revenue riding on one or two producers (AAE), so the run must be right the first time.
Replaces the spreadsheet the concentration forces, and the two-rate overtime figured by hand.
Every credential lives on one WageTime employee record, including the ones a bitewing office never has to track, each with its own renewal date. Because radiation-safety rules differ by state board, credential categories are configured to yours.
| Employee | Credential | Expires | Status |
|---|---|---|---|
| M. Ellis, RDA | CBCT operator credential | Aug 12 | 17 days |
| T. Nguyen, DA | Radiation-safety training | Oct 09 | 75 days |
| Dr. A. Reyes | State dental license | Mar 31 | Current |
| Dr. A. Reyes | DEA registration | Sep 20 | Current |
| T. Nguyen, DA | CPR/BLS card | Jan 18 | Current |
Replaces the CBCT renewal nobody was watching, and the board letter that follows a lapse.
The traveling specialist is paid on the same WageTime run as the W-2 team. An endodontist increasingly travels to referring offices for a clinical day or two a month, commonly as a 1099 billing a day rate or a percentage of cases treated (DentistryIQ).
Replaces the contractor paid on a separate system, and the host day nobody costed.
Full-service payroll is $10 a month per person paid that month, plus $50 a month per company, with unlimited runs. No long-term contracts, no per-run charges.
Off-cycle runs and bonuses cost nothing extra. No long-term contracts; cancel anytime.
Example: 50 people paid × $10 + $50 company = $550 for the month
HR & hiring, onboarding, PTO, time tracking, benefits, and workers’ comp are optional add-ons, priced separately when you’re ready.
See a demoSet the collections percentage once as a tiered commission pay code, and WageTime runs it every period on the collected-revenue basis you define. Endodontic associates are commonly paid 40% to 45% of collections, and that split lands on the same check as any per-case codes, taxes, and deductions, with no separate spreadsheet. How the comp rules apply to your practice is a call for you and your advisor.
Yes. An anterior root canal, a premolar, a molar, a retreatment, and an apicoectomy can each be a per-unit pay code with its own value, so a provider’s pay reflects the actual case mix instead of a flat number. Flat-amount, per-unit, and tiered commission types run side by side, and every code settles inside the same run.
WageTime settles the doctor’s collections pay, the assistants’ hours, and the coordinator’s wage in one run, so a top-heavy office is not reconciling a spreadsheet every payday. A typical endodontist completes three to four cases a day (AAE), and when a referral-thin week lands, minimum-wage processing checks the pay against the wage floor for the hours actually worked.
Yes. Set a clinical rate and an admin rate on the same employee, and WageTime computes weighted-average overtime on the blended regular rate when both fall in one workweek. Approved clock hours flow straight from the time clock into the run, coded to the work so labor cost stays clean.
Yes. The CBCT or radiation-safety credential sits on the employee record next to the dental license, DEA, radiography cert, and CPR card, each with its renewal date and document attached. Renewal alerts fire 30, 60, and 90 days before each expiration, and categories are built to match your state board’s rules.
Yes. A traveling endodontist runs as a 1099 on the same payroll as your W-2 staff, paid a per-diem day rate or a per-case code, coded to the host site, with the year-end 1099 filed alongside the team’s W-2s. Whether the doctor is properly a contractor or an employee is a classification question for you and your advisor; WageTime pays and files whichever way you set it.
WageTime pays a referral coordinator as a straight hourly or salaried seat, the same as any other role, and builds no referral-based incentive codes. Paying anyone based on patient referrals raises federal Anti-Kickback and Stark issues, so a fixed wage is the safe path, and that is what the platform runs. How to structure any incentive is a healthcare-law question for your advisor.
$50 a month for the practice plus $10 per person actually paid that month, with unlimited payroll runs. Off-cycle runs, per-case corrections, and bonuses cost nothing extra, every federal, state, and local tax is filed automatically, and year-end W-2s and 1099s are included. A practice that adds an associate or a traveling 1099 pays for who was paid. Multi-EIN groups are covered on our DSO and dental groups page.
One associate paid on collections, your per-case values, and a traveling specialist’s schedule. Twenty minutes with a payroll specialist on a live demo practice: you’ll watch a collections split run with per-case codes and a minimum-wage floor, a two-rate assistant settle on weighted overtime, and a 1099 host day post coded to its site.
Book a 20-minute demo