Dentistry is the Number 1 Job in America for Debt

US News recently published their rankings of the 100 best jobs of 2017, and they boldly claim that dentistry is the number 1 job in America. Their report rates occupations on a list of seven different factors, but none address the cost of a dental education. For new dentists, your dental school dean probably sold you a bill of goods.

Please tell us what schools told you about loans in the comments. I’d love to compare your stories and so would the other folks hanging out here. There are all kinds of BS cliches floating around dental schools these days. I’m here to challenge them.

Dental School Debt is Narrowing the Path to Financial Success in Dentistry

Yes dentistry can still be a lucrative and wise financial decision. However, for many new dentists, the margin of error is smaller than it’s ever been before. For many graduating with over $400,000 in negative net worth, the only way to make dentistry worth it is through practice ownership.

Yes dentists hire me to make a comprehensive plan to save money paying back their student loans. Before I get accused of trying to sensationalize the dental school loan problem for profit, realize that the worse this problem gets, the more clients Student Loan Planner stands to have.

I do this job because I love helping dentists save money and increase the return on investment for their education. I want to add a dose of realism for the profession and speak up against widely held public perception.

It’s Hard to Pay Back Dental School Loans Fast Unless You Take Drastic Measures

No you will not repay your student debt in five to seven years. Your education was most likely not a wise financial investment compared to alternative paths available to someone smart enough to get into dental school.

If you buy a $800,000 practice in an area with a 5000 to 1 population to dentist ratio, hire consultants to grow the practice, and work your tail off with smart financial planners and CPA’s around you, then forget what I said about dentistry not being a good decision.

The problem is so few people take that path, I feel OK making the sweeping generalization.

It’s the Delta Dental, DSO, and Debt Age of Dentistry for Most

The economics of the profession are not the best they’ve ever been. If only I had a dollar for each time a client told me that their dental school dean spouted that off in a speech.

Delta Dental and other PPO insurance plans have crushed average incomes. A typical dentist made over $200,000 not too long ago. That number is more like $170,000 today. The difference? Fees are way lower than they used to be because your average dental office accepts a half dozen different providers.

Over the next decade, corporate Dental Support Organizations will replace thousands of small business owners with employees and retain all the profits.

I have a different rating system for the folks over at US News and the thousands of young dentists and soon to be dentists graduating in the next several years. Being a dentist is the number 1 job in America for debt. Keep reading to the end though, because it doesn’t have to be.

dental school loan calculator

Dental School Debt is Crushing in Magnitude

In my flat fee student loan consulting practice, I help professionals from all different backgrounds. I’ve consulted with surgeons, primary care docs, veterinarians, psychologists, nurses, teachers, lawyers, chiropractors, pharmacists, business owners, dentists, and more. 

Dental student loans are on another level. Dental school debt stands out because it is consistently the highest in absolute dollars of any profession I see. Check out this video below to see an example of how I help a dentist save money on their dental school loans.

The average debt of the 36 125 dentists I’ve consulted with in the past few months is $360,000. Their average salary is about $150,000. If I restricted that to dentists either currently in dental school or who graduated in the past couple years, the average debt would be closer to $450,000 and average income would be closer to $120,000.

Read also: Published Cost Estimates of Dental School Are Totally Wrong

Dental School Debt is Also Almost Impossible Relative to Salary

number 1 job in americaSo say you use my average debt and income figures for recently graduated dentists. A typical debt to income ratio for dental school is therefore $450,000/$120,000=3.75. There is almost no scenario where an individual can repay this level of debt.

The only path to full repayment in this scenario is owning a practice in an area where most dentists probably don’t want to live. If you disagree, that’s cool. Let’s debate it in the comments.

There is a wide distribution around these typical numbers of course. Many dentists coming out of public dental schools have between $250,000 and $300,000 in student loans and are on a path to repay everything within 10-15 years.

However, some others from private schools owe well over $500,000. I’ve even consulted with some specialists graduating from residency programs who owe close to $1 million for their education.
Can you find some success stories of dentists who’ve moved to a rural wealthy enclave in the middle of nowhere making $400,000 a year three years out of school? Sure. I’ve worked with several of them. We refinanced their student loans and saved them tens of thousands in interest.

However, even these ‘unicorn’ dentists would’ve probably been even more successful as non-dentist business owners. You also can’t make an argument in favor of a profession based on how well the 0.1% are doing. You have to look at the vast majority of cases and look at the typical result. For the thousands of dentists doomed to toil in associate positions for most of their career, that result isn’t pretty.

Without the government income driven repayment programs to fall back on, I estimate that 50% of today’s graduating dentists would default on their loans. That’s not a stable occupation with great pay. It’s one where you have an anvil hanging over your head that you’re glad hasn’t dropped yet. Ironically, the only way to get out of this situation is by taking on even more debt to become your own boss as a practice owner.

Read also: Five Ways Dentists Can Protect Themselves Against Student Loans

Dentistry is the Most Expensive of Any Professional or Graduate Program 

number 1 job in americaMedical school is cheaper than dental school. Many people even get scholarships. If you have a high balance, you can use Public Service Loan Forgiveness to pay a fraction of what you borrowed.

Veterinary school is unbelievably expensive, but dental school still wins as the number 1 most expensive professional program. I’ve never heard of a vet med student being asked to spend $5,000 for a DVD with books on it. 

Some of the dentists I’ve spoken to tell me they’ve seen way worse stewardship of their money in dental school than that.

Law school, psychology PhD programs, pharmacy school, and other graduate degree programs do not hold a candle to the absolute magnitude of the cost of dental school. Yes owing $200,000 and not being able to find a job as a lawyer sucks, but at least it’s just $200,000. Once you owe over $400,000 for dental school, you’re not going to be able to afford to have another “find yourself” period of life. That’s a real cost, and hopefully the admissions process weeds that out for the most part. Still, I know from consults that there are folks that would like to try something else in life besides dentistry and they can’t because they have such a huge debt load.

Read also: Dentists Get Drilled on Student Loans

To US News and Others Who Believe Dentistry is the Number 1 Job in America, Look at a Couple $500,000+ Dental School Loan Burdens

I jokingly wonder if dental school deans at the more expensive schools take up a collection plate for US News for keeping talk of debt under wraps. There is a massive student loan bubble waiting to pop, and dentistry is near the top of the list.

The only thing supporting it is the income driven repayment plans that allow folks to pay a fraction of what’s owed. Change access to these income driven plans, and there would be a crisis in the field.

Say US News adjusted their rankings for average debt level after graduation. Dentistry would not be the number 1 job in America. It might not even be in the top 100. Praising dentistry as a high income occupation without mentioning student debt is like praising an owner of a 10,000 square foot home for his wealth without mentioning that the entire thing is mortgaged.

A DDS or DMD is a Very Valuable Asset, Which is Why People Keep Paying Ever More Ridiculous Sums of Money for It

Am I being a little over the top in this post? Sure I am. Dentistry is a lot more secure from recessions, layoffs, and automation than the vast majority of jobs. There will always be a need for dentists. Folks with intense pain will always be willing to pay a lot to get it to stop. 

That’s why there are so many people willing to pay premium prices that rise ever higher. There is an absence of private investors putting a cap on the borrowing limits for dental school. Hence, the government lends without limit and schools raise their prices to claim that money from borrowers willing to sign their names to the paper.

Is this fear mongering just to generate business for my student loan consulting firm? No. Again, large student debt burdens are great for my business. I’m actually trying to scare away dentists from signing up as an associate at a DSO for 30 years. If you read this challenging of an article and know you still love dentistry, I’m encouraged.

Dentistry can still be rewarding, but you have to play great offense AND great defense. I specialize in the defense part of the equation. I optimize student loan strategy for dentists so you aren’t making big mistakes and paying thousands in unnecessary interest. That happens about 90%-95% of the time.

Don’t Lose Heart. There is a Path Forward, and I’d Like to Think I Can Help You Get There

If you’re a talented young dentist, don’t lose heart. I speak with dentists all the time and help them come up with a plan to tackle their student debt. Yes the cost of attending dental school is outrageous. However, once you have the debt, the only route is to evaluate the best options for repayment to save the most money. Then you act on it.

I save the average dentist over $100,000 over the life of their loan payback. Most dentists leave a ton of money on the table with their student loans, and I want to pick it up and put it back in your pocket.

What do I do? I make sure you’re not paying a ridiculously high interest rate when you could qualify for a much lower one. I also take a look at the actual simulated cost of the various income driven repayment options so you’ll know a personalized estimate of the tax penalty associated with loan forgiveness. We’ll talk about how to set up your student loans for maximum advantage regardless if you’re a practice owner, an associate, or a fourth year dental student.

I’ve spoken with everyone from a brand new grads barely making $100,000 in a major metro area to DentalTown ballers making over $500,000 opening a second practice less than three years out of school. All of them had opportunities to save money on their student debt.

Even though I’ve spoken with some wildly successful dentists, most rely on income driven repayment to cover the cost of their dental education. Until the public realizes the truth that most new dentists aren’t paying off their debt in 3 years and driving a Porsche, there will continue to be dozens of applicants for every spot in dental school.

Once the word gets out or the federal government cuts off the unlimited dollars available in loans for dental school, I think we’ll see a crisis of epic proportions on our hands. Until that happens, maybe US News meant to say that the number 1 job in America is being Dean of a Dental School.

I Can Help You Save Money on and Make Sense of Your Dental School Student Loans

If you have a six figure dental school student loan burden, click on the button below to see how I can solve your student loan uncertainty. I perform a holistic loan analysis with my proprietary simulation tool.

This reveals what your best available repayment options are (government, private refinancing, etc). I’ve saved the average client tens of thousands of dollars. Check out my reviews on Facebook to see what past clients are saying.

Or just get Dental School Loan Cashback Refinancing Bonuses!

Click the links below for free if you’d like to shop around for a lower rate for your dental school debt. The companies I see come up the most often for dentists include CommonBond, Sofi, Elfi, and Laurel Road.

If you click on the Laurel Road link and are also an ADA member, you can get an additional 0.25% discount on the rate they offer.

Of course, I’d welcome any reader to contact me if you’re using these refinancing links. I’ll give you my thoughts on the deal you’re considering for free.



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50 Comments on "Dentistry is the Number 1 Job in America for Debt"

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lol this article makes me laugh. So having 250k of school debt and making 200k a year 5 years out of school is a bad investment? Not sure you’re the financial advisor I’d look to for advice.

To any skeptics out there. Every word of this article is true! I graduated from dental school four years ago with $371,000 in student loan debt. To date, the total principle with exorbitant 6.8 – 8.9% interest rates has ballooned the loans to over $455,000 while making payments under the Income-Based-Repayment program. Just imagine, the interest on your loans growing by just over $2200/month, all while corporate dentistry is taking over all the small profitable practices out there and starving out the competition. Companies like Aspen, Heartland and PDS come to the dental schools, recruiting dental students and promising the… Read more »
You are most certainly making a valid point. Private practice owners that serve PPO or EPO plans are also scrambling. Insurance companies like Delta Dental have completely monopolized the system. If a dentist ever dreams of dropping off Delta Dental the patients move over to the next dentist that takes their insurance. It is a vicious cycle: have the dream profession as a dentist then suffer at the expense of Insurance companies and student loans and practice mortgage etc. Having a Tripartite membership with ADA,CDA, Local dental society sucks almost $2k / Year and yet not sure what they do… Read more »
In some ways yes, PDS offers cerec crowns, so there is some leeway in what we can charge the patient since there is no lab fee. The the “Dental Plan” they offer to patients without insurance, is discounted to about what the average contracted rate for a PPO would be. On top of this, they are frequently offering 20% off promotions. I regularly do crowns for around 600 dollars, which is about half of what the private practices in the area are charging. I’m helping more people get the care they need, but also doing twice as much dentistry for… Read more »

[…] my career. But now I couldn’t help but feel cynical. A more realistic picture is painted in this article instead. I know that it was written by someone who runs a business helping people with student […]

Chris @ Mindful Explorer

Its the simple math of income vs expenses that many can’t even grasp in their daily lives. Simply doing the return on investment calculations leaves you in shock of what is needed to achieve this profession. Society places too much emphasis on degrees and social standing amongst the population. Honest jobs and even the trades are often looked down upon but they often have very little investment required to attain them that the ROI is very appealing. But people want the flashy cars and flashy houses and that flashy job title.


[…] is the belief that an education is worthwhile at any cost. I recently was reading about the astounding levels of debt the average dentist owes. The author of this article finds the average dentist just starting out has an average of […]

The Money Wizard

I had always heard Dentistry was an overrated profession. Pretty crazy to see the actual stats.

Veterinarians are a similar profession. Anecdotally, the average Vet I’ve seen graduates with about $400,000 in debt, and can expect to make barely over $100,000.

It’s sad that the allure of a job title pulls people into something that sure smells like a scam.

Debt Ascent
This doesn’t paint the rosiest of pictures for the profession. My wife is a practicing dentist as an associate. She graduated from a private dental school three years ago with approximately $400k in student loan debt. You highlight some important issues. Thanks for that, but I’d like to challenge a few of your assessments: “No you will not repay your student debt in five to seven years.” A dedicated practicing dentist whose sole focus is debt reduction can absolutely pay off this amount of debt in 5-7 years with a dedicated approach. Will it come at the expense of other… Read more »
Debt Ascent
Hi, thanks for the thoughtful reply. You of course bring up some very good points. The price of dental school is very high. Too high. Like I said, we know firsthand. I hope you don’t mind, but I want to thoroughly reply to your thoughts. “Your points are fair ones, but how many dentists and their partners do you know who are willing to live on $3300 a month much less $2300 a month?” My only data point is my wife. We don’t live on $3300 per month. Not even close. Then again, we have two children in a HCOL… Read more »
Reality Check

“$3300/month for a single person for a few years isn’t that extreme I don’t think.”

So says the person with two homes and combined expenses of $10,000/month…In Los Angeles, rent, utilities, car insurance and gas prices alone would eat up $3300/month for a single person. Just don’t eat and don’t get sick.

Debt Ascent
“So says the person with two homes. . .” The only thing I mentioned having two of are incomes and children. “. . .and combined expenses of $10,000/month. . .” I assume this is based on this statement where I said we spend roughly $5k between the two of us after considering costs for loans & our aforementioned children? For clarity, that’s $5k combined. Not each. And for added clarity, that includes all expenses related to our (singular) home. “In Los Angeles, rent, utilities, car insurance and gas prices alone would eat up $3300/month for a single person. Just don’t… Read more »

Now I know why there are crooked dentists preying on the public. My daughter recently relocated and a dentist she saw for the first time told her she had 6 cavities. She went to another dentist for a second opinion and her teeth were fine


So it might be a bad investment for general dentists looking at $120k starting, but what about those of us entering a specialty looking at $250-300k starting?

I am a recent associate, soon to be practice owner and a former community health dentist and faculty at two schools. I practice in a major metro/saturated area driven by imsurance and this year as an associate i took home 360,000 pay, and that is three days in a pure start up. I have never over treated but have dedicated my complete passion to dentistry. It is not a career that you can show up 9-5 put zero effort and expect to take thos salaray. I listen to podcasts on commute to work, live on forums in down time, and… Read more »

Where are you working?


Sounds like a unicorn dentist. practicing in a saturated area driven by insurance and working only 3 days in a startup and took home 360k as an associate? I call BS on that. Make sure you drop by dentaltown and make this announcement there, that’s where this belongs.

Matthew Daugherty
Good article. My wife and I are both dentists with private school student loan debt. I graduated in 2010 and her in 2012. The total amount of debt is most definitely the source of all of our stresses. Its sad to think that we’ve had to put a family, purchasing a house, etc on hold while we deal with this. We have recently looked into the Federal and Statewide student loan repayment programs. The trouble we are having is finding a location for both of us. What are your thoughts on these programs. We figure, if we can find somewhere… Read more »

Wow this article and the comments are very informative.

I’m starting dental school next fall with undergraduate debt of about 40k. Is there any advice you can give me as I enter dental school and the dental field that can better prepare me to face this reality?

Tooth doc
If you’re graduating with this much debt, YOURE DOING IT WRONG. Go to the cheapest dental school you can! Name dropping doesn’t matter outside of academia. Tons of dental specialties make upwards of 200k,300k. Look at ortho, perio, and ENDO. Considering the average dentist works 4 days a week and still makes this much is not bad at all. Isn’t the average American salary like 40k or something? In conclusion, THIS AUTHOR IS TRYING TO INSTILL FEAR IN YOU IN THE HOPES OF YOU HIRING HIM AS A CONSULTANT. HES FULL OF SHIT. DONT LET A NOBODY INFLUENCE YOUR DECISIONS.
JV Doc

How much would you say it costs for a new graduate to either open up their own practice OR purchase a practice from a retiring dentist? I’m completely taking a shot in the dark here but I would say it’s going to cost approximately $500,000 to start up a new office and depending on the charts in an established practice, you are looking at $1million+. Rough numbers, for sure, but do you feel that is accurate?


Thank you for sharing this incredibly helpful information. Reading this short article is going to save me thousands of dollars!