September 9, 2025
A question we often hear from S-Corp dental practice owners is, “But if I pay myself more, won’t I pay more taxes?”
The answer is no, not on your income taxes. An S-Corp is taxed on net profit regardless of how you classify your compensation. Paying yourself more in wages reduces S-Corp profit by the same amount, leaving your taxable income unchanged.
Where wages do matter is in two areas: payroll taxes and retirement plan contributions. W2 wages trigger Social Security and Medicare taxes, but they are also the only type of income that counts when calculating retirement plan contributions. Finding the right balance is critical: too low a wage limits retirement funding, while too high a wage creates unnecessary payroll taxes without extra benefit.
S-Corp dentists must pay themselves a “reasonable salary.” Often, this salary is conflated with taxes. After all, in prior W2 jobs, we all know that the more we are paid, the more we owe in taxes. In reality, for S-Corp dentists, the only increased taxes tied to an increased wage are the payroll taxes.
This is why we advise using payroll as a tool to achieve the following objectives:
Once and only after all the above objectives are met it is time to switch from wages to distributions to minimize payroll taxes.
Payroll Taxes
Payroll taxes (Social Security & Medicare) are separate from income taxes. As an employer and employee, S-Corp dentist owners must pay both the employer and the employee portion of the payroll taxes.
Here are the 2025 payroll tax rates:
Payroll taxes total about $26,900 at $176,100 of wages. Above that, only Medicare continues, meaning that wages beyond the Social Security base carry a marginal payroll tax cost of about 3% (or 3.8% if subject to the Additional Medicare Tax).
Retirement Contributions Depend on Wages
For S-Corp owners, only W-2 wages count toward retirement contributions. Distributions do not, so a high wage is a strategic planning tool.
Here are the 2025 limits:
Plan Type |
Contribution Structure |
2025 Maximum |
Salary Needed to Max Out |
401(k) with Profit Sharing |
$23,500 deferral (+$7,500 if 50+) + up to 25% of wages as employer profit sharing |
$70,000 ($77,500 if 50+) |
~ $200,000–$210,000 for basic max funding; in practice, closer to $350,000 may be needed depending on staff demographics |
SEP IRA |
Employer contributes up to 25% of wages |
$70,000 |
$280,000 |
SIMPLE IRA |
$16,500 deferral (+$3,500 if 50+) + up to 3% employer match |
~$27,000 ($30,500 if 50+) |
Achieved at ~$100,000 salary |
IRS Compensation Cap |
Maximum wages counted for contributions |
— |
$350,000 |
Why You May Need Higher Wages to Max the 401(k)
On paper, a dentist could max out the 401(k) at around $200,000 of wages. In reality, the discretionary profit-sharing contribution is tied to the employee census (e.g., age, time employed). The plan must pass nondiscrimination testing, ensuring contributions are fair between the owner and staff.
That’s where demographics matter:
Best Practices for Dentists
Salary vs. Distribution Strategy in 2025
Salary Level |
Payroll Taxes (approx.) |
Retirement Contribution Potential |
Notes |
$200,000 |
~$29,000 total FICA |
Up to $70,000 (401k with profit sharing), subject to employee census testing |
Mathematical minimum to fund max 401(k), but may not pass testing in most practices. |
$280,000 |
~$37,000 total FICA |
Full $70,000 (401k/SEP) contribution supported |
SEP maxes out here. Many 401(k) plans achieve full owner contribution at this level, depending on staff demographics. |
$350,000 (IRS cap) |
~$41,000 total FICA |
Max $70,000 (or $77,500 with catch-up) |
Often needed in practices with older/higher-paid staff to satisfy nondiscrimination rules and capture the full profit-sharing allocation. |
Key Takeaways:
Example
Consider an S-Corp dental practice with $600,000 in profit before owner wages.
This demonstrates why the “optimal” wage is not just about hitting the IRS limits; it’s also about passing plan testing based on your employee census.
The Bottom Line
For S-Corp dentist-owners, wages are not about changing your income tax. They are about balancing two levers: fully paying in your income taxes via withholding and maxing retirement contributions.
By carefully setting your salary, you can fully pay in your income taxes via withholding to avoid underpayment penalties and a large tax bill, maximizing your retirement funding and minimizing payroll taxes, ensuring your S-Corp works as hard for your future as you do for your patients.
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