Dentists: Paying Off Student Loans

how do dentists pay off student loans

A dental degree is one of the most expensive degrees in the United States, with dental graduates entering the workforce with an average of $300,000 in student loan debt. Many carry somewhere in the realm of $500,000. With such high levels of debt, how do dentists pay it off? This paragraph will explore the various strategies and options available for dentists to manage and repay their student loans.

Characteristics Values
Average student loan debt for dental school graduates $286,000 to $335,300
Percentage of dental students graduating with debt 83%
Percentage of debt taken out to pay for dental school 97%
Standard loan repayment period 10 years
Extended loan repayment period 25-30 years
Federal loan forgiveness programs Pay As You Earn (PAYE), Revised Pay As You Earn (REPAYE), Public Service Loan Forgiveness (PSLF)
Private loan forgiveness Employer-provided loan repayment programs
Strategies to pay off debt Refinancing, reducing interest rates, consolidating loans, income-driven repayment plans, prepaying loan principal, aggressive payback, additional income through locum tenens work
Average dentist salary $150,000 to $200,000

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Federal loan forgiveness programs

Pay As You Earn (PAYE) and Revised Pay As You Earn (REPAYE)

The PAYE and REPAYE programs require payments of 10% of discretionary income, with REPAYE extending the repayment period to 25 years for graduate loans. These programs can be advantageous if your debt is more than 1.5 times your income. However, it's important to plan for the taxes owed on the forgiven balance.

Public Service Loan Forgiveness (PSLF)

The PSLF program is available to dentists working for the government or qualifying nonprofit organizations. It forgives the remaining balance on Direct Loans after 120 qualifying monthly payments under a qualifying repayment plan. The National Health Service Corps Loan Repayment Program, a part of PSLF, offers up to $50,000 in tax-free student loan repayment for dentists working in Health Professional Shortage Areas.

State-Specific Programs

Various states offer loan forgiveness programs to increase the number of dentists practising in underserved areas. For example, the New York State Primary Care Service Corps Loan Repayment Program (PCSC LRP) provides student loan forgiveness for clinicians who commit to practising in approved sites in underserved areas. Similarly, the Alaska State Loan Repayment Program forgives up to $47,000 for dentists working in designated areas.

National Health Service Corps (NHSC) Loan Repayment Program

The NHSC Loan Repayment Program provides loan repayment assistance to licensed primary care clinicians serving in Health Professional Shortage Areas (HPSAs). For the 2025 cycle, full-time dentists can receive up to $55,000 in loan repayment assistance, while half-time participants can receive up to $30,000. These awards are based on the outstanding balance of an applicant's qualifying educational loans.

Faculty Loan Repayment Program

The HRSA's Faculty Loan Repayment Program offers up to $40,000 in student loan repayment for health professionals, including dentists, who serve as faculty members at health professions schools for at least two years.

While these federal loan forgiveness programs provide opportunities for debt relief, it's important to carefully review the eligibility requirements and conditions of each program before making financial decisions.

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Refinancing and reducing interest rates

Refinancing is one of the most effective ways for dentists to reduce the financial burden of dental school. By consolidating loans and securing a lower interest rate, dentists can save thousands of dollars over the life of their loans.

Private lenders will refinance any sort of student loan, including federal loans. While their terms for the length of a loan might not be as long, the interest rates are likely to be lower. For example, the American Dental Association (ADA) offers private loan refinancing through Laurel Road Bank, where qualifying members get a 0.25% rate reduction as long as they remain ADA members, with potential savings in the tens of thousands.

To get the lowest interest rate, dentists should compare refinance lenders and their loan limits. While some lenders will refinance all debt, others may limit dentists to $200,000 or $500,000, which may not be enough. Dentists should also consider fees, payment flexibility, discharge, benefits and discounts, and the lender's customer service reputation.

Refinancing dental school loans to a lower interest rate or shorter repayment term can help dentists pay off their loans faster. However, they should not refinance if they need federal loan benefits, like income-driven repayment.

Additionally, dentists can start tackling their student debt before they graduate. Unsubsidized loans begin accruing interest as soon as funds are disbursed, so it's beneficial to make payments while in school or during breaks. Dentists can also increase their income by applying their skills outside of regular office hours, such as by providing emergency room dentistry in hospitals.

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Locum tenens dentistry

Taking out student loans to pay for dental school is a common step in becoming a dentist. In fact, 83% of dental students graduated with debt, with the average loan size being $286,000. With such high debt, it may take dentists 20 to 25 years to pay off their loans, and the cost of repayment will be higher than the loan balance.

One way that dentists can supplement their income and pay off their student loans faster is through locum tenens dentistry. Locum tenens dentists fill in for regular dentists when they are absent, providing temporary dental services. These assignments offer flexibility, allowing dentists to work in various locations and explore different healthcare settings. They often come with competitive pay and additional perks, such as the opportunity to gain diverse experiences and maintain a better work-life balance.

To be eligible for locum tenens dentistry positions, dentists typically need to have an active state license, registration with the Drug Enforcement Administration (DEA), and certifications in Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR). Some positions may also require Medicaid registration and the ability to use Electronic Medical Records (EMR).

By taking on locum tenens work, dentists can increase their income, which can help them pay off their student loans faster. This strategy can be particularly effective when combined with other debt repayment strategies, such as refinancing loans to secure lower interest rates or enrolling in federal loan forgiveness programs like Pay As You Earn (PAYE) and Revised Pay As You Earn (REPAYE).

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Employer student loan repayment benefit

According to the American Dental Education Association (ADEA), the average dentist graduates with around $293,000 to $335,000 in student debt, with debt amounts peaking at $335,300 in 2020. With such large amounts of debt, dentists may want to consider working for an employer that offers student loan repayment benefits.

An employer student loan repayment benefit is a powerful tool that dental networks, private practices, and group practices can use to attract and retain top talent. Employers offering this benefit can contribute up to $5,250 tax-free annually to each dentist's student loans, helping them save thousands of dollars in principal and interest payments.

There are several options available for dentists seeking employers with student loan repayment benefits. Firstly, dentists can work for certain government organizations or in Health Professional Shortage Areas (HPSAs) or underserved, high-needs locations. These employers may offer special loan repayment programs, such as the NHSC Loan Repayment Program, which provides up to $50,000 for a two-year initial term. Dentists who choose to serve in the military may also be eligible for programs like the Navy Health Professions Loan Repayment Program, which offers up to $40,000 per year in loan repayment assistance.

Additionally, some states have loan repayment programs, such as the Alaska State Loan Repayment Program, which forgives up to $47,000 for dentists. Federal loan forgiveness programs, such as Public Service Loan Forgiveness (PSLF), are also available to dentists working in qualifying nonprofit or government organizations. These programs can provide significant debt relief and allow dentists to make a meaningful impact in underserved communities.

Overall, employer student loan repayment benefits can be a valuable tool for dentists to manage their student debt and achieve their financial goals while pursuing their careers.

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Aggressive payback

For dentists who own their practices, their incomes are typically in the mid- to high $200,000 range. Some even earn $300,000 or more. These dentists are more likely to be able to implement an aggressive payback strategy.

To get on track for aggressive payback, it is recommended that dentists first pay the minimum amount on their student loans and save as much cash as possible. This makes them more appealing to lenders. During this time, they should focus on gaining experience in a busy private practice, networking, and learning about dentistry and running a business.

After two years, or at the completion of their residency, dentists should be in a position to own something. This could be through a partnership, buying a walk-away practice, or starting a business. The goal is to market and grow the practice, reducing overheads as much as possible.

Frequently asked questions

The average dental student graduates with between $286,000 and $335,000 in student loan debt.

This depends on their approach to repayments. Dentists can pay off their loans more quickly by pursuing loan forgiveness options, working for an employer that offers a student loan repayment program, or prepaying their loan principal.

For dentists who owe 1.5 times their income or less, the best option is usually to pay back their loans as fast as possible, within 10 years. For those who owe more than twice their income, the goal is to get on an income-driven repayment plan that will keep their payments low and maximize taxable loan forgiveness.

Dentists can look for employers who offer student loan repayment as a benefit, work in rural and underserved areas, or refinance their loans to secure a lower interest rate.

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