When you are a dentist, associate, or specialist and are trying to make the decision on whether to work as a 1099 or W2, you have likely heard the same old worn-out arguments: 1099 is better for write-offs, or W2 is better for benefits. Both are technically true, yet neither of them tell the whole story. It is not only the difference between the two in terms of taxes, but also the way you prefer to live and work every day.

Being a W2, life is a little more predictable. There are automatic withholding taxes, you receive standard benefits such as health insurance, malpractice, possibly a 401(k), and some CE or PTO. It is predictable, well-organized, and simple to manage. This arrangement is attractive to most associates, especially at the beginning of their careers. You are able to concentrate on mastering your dentistry skills and do not have to concern yourself with quarterly tax and business deductions; you can do your taxes simply through an online software. It is the plug-and-play version of your career: you come in, work hard, and leave. The downside here is that you sacrifice a certain degree of control; you can't write off costs as easily, your schedule may be predetermined, and your income potential is limited unless production-based bonuses are high. However, the peace of mind and ease are worth it to many.

Now, when you take a 1099 offer, that is a whole different game. You are not merely a dentist; you are a small business. You are more flexible and have more opportunities to design your income the way you want. CE courses, scrubs, supplies, travel, and part of your home office can be written off. If you are a car person (like me), you can take advantage of Section 179 of the tax code and be able to write off a business deduction for a vehicle over 6,000 pounds, think Bentley Bentayga and Mercedes G-Wagon. You choose the way you spend your money and construct your way of life. However, this comes with the responsibility, quarterly tax payments, and spending money to get a qualified CPA, instead of possibly doing your taxes through a low-cost version of TurboTax if you were W-2. Some love it, some don't.

No universal solution fits all, and that is what people jump over. The final determination lies in the fact that you know what arrangement will suit your goals and life. The point is understanding what you are really getting yourself into before signing a contract.

Written by: Vinny Grasso