The surgeon delivers anesthesia in the office, the assistants carry DAANCE and ACLS cards, and someone covers the hospital trauma panel at 2 a.m. WageTime puts the anesthesia team, the production split, and the call stipend on one run.
About 7,400 oral and maxillofacial surgeons practice in the US, and the office that supports one runs a payroll no general dental office would recognize (KFF / ADA). The person running it reconciles a surgical and anesthesia team, production paid on high-value surgical cases, DAANCE and ACLS renewals, and hospital call pay, mostly in a spreadsheet, every payday.
Oral surgery delivers deep sedation and general anesthesia in the office, so a surgery day staffs an anesthesia team: the surgeon administers, a DAANCE-certified assistant monitors, and a second assistant runs recovery. Those are long days with a monitoring premium, and the whole team’s hours, differentials, and overtime get rebuilt in a spreadsheet every period.
On top of the dental license, DEA, and radiography, an OMS anesthesia assistant holds a DAANCE certificate and a current ACLS or BLS card, and the surgeon carries a state anesthesia or sedation permit. Each renews on its own clock, and a lapsed anesthesia credential worked on a sedation day is a board and liability problem, not a paperwork one, found the week it was already due.
The associate surgeon is on a percentage of collections, and the cases are high-value: implants, wisdom teeth, orthognathic surgery, much of it out of network and fee for service. The split comes off the practice-management report into a spreadsheet, gets re-typed into payroll, and a light surgical week still has to clear minimum wage for the hours actually worked.
An oral surgeon covers the hospital emergency call panel for facial fractures and dental trauma, and the associate takes weeknight and weekend call. That call earns a stipend, and a 2 a.m. callback earns callback pay, and today both are tracked on a call calendar and added to the check by hand, if anyone remembers.
Some days a per-diem CRNA or a locum surgeon covers anesthesia or the schedule as a 1099, working the same suite as the W-2 assistants, coordinator, and front desk. Paying a contractor on one system and the staff on another turns an ordinary surgery day into a two-payroll afternoon.
WageTime pays the surgery day as the team event it is: the surgeon, the DAANCE-certified monitor, and the recovery and surgical assistants run their hours on one payroll, and the monitoring premium applies as a pay code instead of by hand.
Replaces the surgery-day spreadsheet, and the monitoring premium added by hand.
The production split is configuration in WageTime, not a monthly reconciliation. OMS associates are usually paid on production, around 35% to 45% once a collection benchmark is met, and the percentage runs on the production or collected-revenue basis the practice defines, out-of-network dollars included.
Replaces the production spreadsheet, and the split re-typed off the practice-management report.
DAANCE, ACLS, and the anesthesia permit live on one WageTime record. The DAANCE certificate is the AAOMS dental anesthesia assistant national certification an OMS monitor earns; it renews beside every other card, categories matched to your state board’s tiers.
| Employee | Credential | Expires | Status |
|---|---|---|---|
| R. Okafor, CDA | DAANCE certificate | Aug 09 | 14 days |
| M. Reyes assistant | ACLS card | Oct 05 | 71 days |
| Dr. A. Nguyen | State anesthesia permit | Mar 31 | Current |
| Dr. A. Nguyen | DEA registration | Sep 12 | Current |
| T. Boyd assistant | Radiography cert | Jan 20 | Current |
Replaces the DAANCE renewal nobody was watching, and the board letter that follows a lapse.
Hospital call and a 2 a.m. callback run on pay codes in WageTime, not lines added by hand. 64% of maxillofacial surgeons surveyed were required to take facial-trauma call but 44% were paid for it (Journal of Oral and Maxillofacial Surgery).
Replaces the call stipend added by hand, and the 2 a.m. callback nobody logged.
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 demoEach member runs hourly, and the anesthesia-monitoring premium and any evening or Saturday surgery differential are custom pay codes that apply automatically. WageTime computes weighted-average overtime when a long surgery week mixes hours and a nondiscretionary differential, and minimum-wage processing covers a light one. Approved clock hours flow straight into the run.
Set the collections percentage as a tiered commission pay code and any per-procedure incentive as a per-unit code, both running on the collected-revenue basis you define, so a fee-for-service, out-of-network month is paid on what actually came in. Minimum-wage processing checks a light surgical week. Flat, per-unit, and tiered types run side by side for different deals.
Each employee record carries the oral-surgery set: the DAANCE certificate, the ACLS or BLS card, the state anesthesia permit, the dental license, the DEA registration, and the radiography cert, each with its document attached. WageTime fires renewal alerts 30, 60, and 90 days out, and the office manager reads what comes due this quarter at once. Categories match your state board’s tiers.
Yes. A hospital call stipend is an on-call pay code and a middle-of-the-night callback is its own rate, both settled inside the run with taxes handled. When a callback stacks hours onto a long week, weighted-average overtime computes on the blended rate. How call pay is structured for your practice is your and your advisor’s call; WageTime runs whatever you set.
Yes. A per-diem CRNA or a locum surgeon who covers anesthesia or the schedule runs as a 1099 on the same payroll as your W-2 assistants and coordinator, coded to the surgery or call day so labor cost stays clean, and the year-end 1099 is filed alongside the team’s W-2s. How the contractor is classified is your and your advisor’s call; WageTime pays and files whichever way you set it.
The platform behind WageTime is SOC 2 Type II audited and ISO 27001/27018 certified, with safeguards built for handling HIPAA-covered data, and business and employee data is protected end to end with bank-level encryption. WageTime describes its security posture and does not represent a specific compliance outcome.
$50 a month for the practice plus $10 per person paid that month, with unlimited payroll runs. Off-cycle runs, call-pay corrections, and bonuses cost nothing extra, and every federal, state, and local tax is filed automatically. A practice that adds an associate or a per-diem CRNA pays for who was paid, not a per-seat block. Multi-EIN groups are covered on our DSO and dental groups page.
Your anesthesia team, one surgeon paid on collections, and a weekend on the trauma call panel. Twenty minutes with a payroll specialist on a live demo practice: you’ll watch a surgery day run with the monitoring premium and weighted overtime, a collections split settle on out-of-network dollars, and a call stipend and callback land on the check.
Book a 20-minute demo