Red Flags in Associate Contracts

Red Flags in Associate Contracts (and What to Ask For Instead)

If you’re a dentist reviewing a job offer, don’t just skim the contract and sign. Even well-meaning owners may use templates they barely understand—loaded with restrictive clauses, unclear terms, and one-sided language.

Here are some of the most common red flags in associate contracts—and what you should be asking for instead:


1. Vague or Changing Pay Structure

Red Flag: “Percentage of production or collections, to be discussed.”
Ask For: A clear percentage (e.g. 32% of adjusted production) with details on how often you’ll be paid and what counts toward collections.


2. Draws Disguised as Guarantees

Red Flag: A “guarantee” that’s really a recoverable draw.
Ask For: A true guaranteed base, not one you’ll owe back later. Or, if it’s a draw, make sure the repayment rules are clearly explained.


3. Broad or Excessive Non-Competes

Red Flag: 10+ miles in any direction, or covering areas you never worked in.
Ask For: A shorter distance (e.g. 3–5 miles), limited to locations you actually practiced.


4. Unreasonable Termination Terms

Red Flag: They can terminate you with 30 days’ notice, but you need 120 days to leave.
Ask For: Equal notice periods—or a clause that allows you to terminate for cause with shorter notice if needed.


5. Ownership “Promises” With No Paper Trail

Red Flag: “We’re open to partnership in the future.”
Ask For: A written outline or letter of intent if equity is part of the plan. Without that, assume it’s not happening.


6. Clinical Autonomy Not Respected

Red Flag: Language that allows the owner to override your treatment decisions.
Ask For: A clause affirming your professional judgment—especially if you’re licensed and insured.


7. Fee Schedule and Lab Cost Ambiguity

Red Flag: “You’re responsible for your lab bills,” but no limit or clarity.
Ask For: A lab cost cap (e.g. 7–8%) and agreement on which labs are used.


8. In-Network Requirements Without Consent

Red Flag: Forced participation with dozens of PPO plans post-signing.
Ask For: The right to review and approve any credentialing applications before submission.


9. Overly Broad Duties

Red Flag: “Associate shall perform any and all tasks assigned by management.”
Ask For: A defined scope of duties—clinical dentistry only, unless otherwise agreed.


10. No Contract Review Period or Attorney Access

Red Flag: “We need this signed today.”
Ask For: Time to review with a dental-specific attorney or advisor. If they’re rushing you, something’s off.


Protect Yourself—Professionally and Legally

Even a “nice” office can hand you a contract that works against you. That’s why we always recommend a dental-specific contract review—before you sign.

We offer personalized reviews for dentists entering associateships, and our member site features vetted positions, a filterable directory, and resources to help you navigate your next move confidently.


Founder of Dental Practice Matchmaker

Dr. Jorgensen has worked in dentistry since 1984, and has been a dentist since 1992. She has worked as a dentist, dental hygienist, dental assistant, and dental receptionist in private practices, public health, and corporate offices.

She started  a practice from scratch in 1994, moved that practice twice, and started a second office.

During her career she has hired eight associates, and has been through the selling and buying process several times. If you have a problem in dentistry, she has seen it and solved it.