Why Dental Practice Payroll Is Harder Than It Looks Dental practice payroll isn’t just cutting checks every two weeks. You’re paying a mix of hourly staff, production-based clinicians, and an owner who may be on an S-corp salary, all under federal and state rules that don’t always agree with each other. Most payroll problems don’t show up right away. They show up months later as a penalty notice, a misclassified associate, or a payroll liability account that never quite recon

A fractional CFO gives your practice the strategic financial guidance of a full-time Chief Financial Officer, without the full-time cost. Instead of hiring a $200,000-a-year executive to sit on staff, you bring in that same level of expertise on a part-time, ongoing basis — usually a few hours a month, built around what your practice actually needs. For most dental practices, this isn't a "someday" hire. It's the level of financial guidance that becomes relevant well before t