by Albert Georig, DDS
One of the greatest challenges that
face new graduates is to pay back their dental
school loans. Many young dentists are graduating
with loans ranging from $200,000 to $450,000.
And what is most devastating is that these loans
have very high interest rates. This amount of
debt makes it difficult to borrow money and
start a practice. The biggest problem is that young
dentists typically have no concept of the overall
consequence associated with these loans. These
government loans will be with them for life — even
bankruptcy will not eliminate them. This becomes a
government debtors prison.
Pay the principal
In the example shown, we have a 30 -year
$300,000 loan at a 7.9 percent interest rate where
student A will end up paying $485,000 in interest
and would have to make $1.5 million just to
pay that interest. In the first year of the loan, the
dentist pays a monthly payment of $2,180.41
— or $26,165 yearly — of which about $2,500
goes to principal and $23,600 goes to interest.
With almost all banks’ method of front-loading
interest to the early years of a loan, the student is
effectively paying a 900 percent interest rate the
fi rst year! I am sure that most dentists don’t know
they are paying 900 percent interest on their loan.
Once they realize this I would think that most
would like to pay this loan off very quickly and save
hundreds of thousands of dollars in interest. If the
dentist would pay $6,000 toward the principal
each month instead of the $2,180.41, the loan
would be paid off in five years after he would save
$420,000 in interest. Until his school debt is paid
off, it would be very smart to live more simply, as if
he was still a student, because the lifetime benefits
are enormous.
Other ways to quickly eliminate
dental school loans
As a dental student: Just because the government
will lend you the money does not mean you have to take
all of it. You must remember that for every dollar you
borrow you’ll have to pay nine dollars in interest. Try
to refinance your loan at a lower rate. While in school,
have an extra job. Live like a student, not like a doctor.
Try to get scholarships or join the military while
you’re in school and have them pay your way.
As a recent dental graduate: Move to an area where
there is a dental need. This may be where the dentist-to-patient
ratio is above 1 to 2,500. This number can
be found at Aftco.net under dentistics [Editor’s Note:
check out the article on location and demographics on page
61.] You may need to initially become an associate, but
the real profitability in dentistry is in ownership. Work
as an associate in a good practice and learn efficient
clinical skills and office systems in the meantime.
For myself, I would never
start big or new with a practice. I
would look for an office that was
already a dental space. Hopefully
I could buy the equipment that
was already there. But if not there
are many areas where you can
buy used equipment. You might
be fortunate to find a practice
for $200,000 or $300,000. With
the right systems, these practices
can be million-dollar practices. I
know dental practices that are in
1,200 square feet and are netting
$700,000 per year and the owner
is working three days a week.
To truly be successful in dentistry today, you need a
dental consultant who understands systems and profitability.
Each has a different personality; you will connect
with one of them. Take advantage of minority loans,
which vary from state to state and in some cases can
even reduce your business loan interest rates by one or
two percent. Live like a student until your school loans
are paid off. Set a goal to pay off your loans in five years
and be completely debt-free 10 years from graduation.
Conclusion: Most dentists have little understanding
on how money really works and lose hundreds of
thousands of dollars because of this ignorance. Don’t
be one of them. There have been a lot of changes in
dentistry over the past few years and it has become
much more difficult to get started as a young dentist.
But dentistry is still great and if you follow the recommendations
in this article, your career in dentistry
can be incredible — and both personally and professionally
rewarding.
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