Resources for dental hygienists
As dental professionals look for more flexibility and control over their careers, many are exploring the option of working as independent contractors. For dental hygienists, this can be an appealing choice, offering the freedom to set their own hours and choose the practices they work with. However, becoming an independent contractor comes with its own set of challenges and responsibilities, especially in a field that is typically structured around full-time employment. In this article, we’ll explore what it means for a dental hygienist to work as an independent contractor, the benefits and drawbacks of this career path, and what steps you need to take if you’re considering making the transition.
Apr 25, 2025
Can a Dental Hygienist Be an Independent Contractor?
In most states, dental hygienists are considered employees rather than independent contractors. This classification stems from the degree of control exercised by dental practices over their work.
According to IRS guidelines, if an employer has the right to control what will be done and how it will be done, the worker is typically an employee, even if they have some freedom in their tasks.
Dental hygienists often work under the supervision of a dentist, using the practice's equipment and following established protocols. This level of oversight and control aligns with the criteria for employee status. Therefore, while some states may allow hygienists to practice independently under specific conditions, the majority of hygienists are classified as employees, especially in traditional dental office settings.
Independent Contractor vs. Employee: What’s the Difference?
The main differences between being an independent contractor and an employee lie in work structure, compensation, and responsibilities.
Control over schedule and work: Independent contractors have the flexibility to set their own hours and choose which practices to work with. Employees follow a set schedule determined by their employer. Most hygienists should be considered employees because they follow a set schedule.
Payment structure: Contractors are typically paid hourly or per diem, which can mean higher pay rates. Employees usually receive a fixed salary, which provides a predictable income but less flexibility. Through platforms like Teero, employees receive the same hourly rate as contractors and can control their schedule and choose which office they work in.
Tax responsibilities: Contractors handle their own taxes, including self-employment tax, and must file quarterly. Employees have taxes deducted automatically from their paychecks by their employer. Contractors pay around 8% more in taxes than employees.
Job stability and support: Employees enjoy more job stability and administrative support from their employer. Contractors have the freedom to choose their work but face uncertainty without guaranteed income or support systems.
Legal Considerations for Independent Contractors
Dental hygienists working as independent contractors must understand the legal requirements that come with the role to protect both themselves and their patients.
Licensing and State-Specific Regulations
Hygienists must maintain the appropriate state licensure to practice, as each state has its own licensing rules. Some states may also require additional permits for independent contractors, so it’s important to check with state dental boards. In nearly all cases, a dental hygienist should be considered an employee, not an independent contractor, because their scope of practice includes tasks that a dentist supervises. Additionally, hygienists use tools provided by the practice and usually work a schedule set by the practice.
Clear Contracts and Agreements
Independent contractors need a clear and defined contract. It should outline services, payment terms, work schedule, and responsibilities to prevent misunderstandings and provide clarity in case of disputes.
Professional Liability Insurance
Independent contractors should have professional liability insurance to protect themselves from lawsuits related to patient care. Unlike employees who may be covered by their employer’s insurance, contractors are responsible for securing their own coverage.
Misclassification and Legal Risks
Misclassifying a worker as an independent contractor when they should be an employee can lead to fines, back taxes, and penalties. Independent contractors manage their own taxes and insurance, while employees receive these through their employer. It's important that contracts clearly reflect the correct classification to avoid legal issues. Dental hygienists hired as employees receive better coverage for cases like job-related injuries, whereas contractors receive no workers’ compensation or insurance coverage.
How Can Hygienists Use Dental Staffing Companies to Find Temporary Positions?
Dental staffing platforms like Teero help dental hygienists find temporary or permanent work by connecting them with practices in need of staff.
The benefits of working with such a platform include:
Access to pre-vetted practices: Staffing agencies place hygienists in reputable dental offices, saving time on vetting employers.
Job flexibility: Hygienists can choose from a variety of positions that fit their schedule and preferences.
Consistent work: Agencies provide a steady stream of assignments, helping hygienists avoid gaps in employment.
Staffing platforms offer several options to fit different needs:
Finding next permanent position: Ideal for hygienists wanting to try out offices before committing to them permanently
Temporary shifts: Perfect for single-day or short-term assignments like covering for leave.
Find the Right Fit Through Teero
Choosing between working as an independent contractor or a W2 employee can be a pivotal decision for dental hygienists. Working through a staffing platform like Teero provides stability, access to reputable practices, and the opportunity to work in diverse settings without the administrative burdens. Plus, it gives the same flexibility and independence that contracting provides, with the additional security and legal protection of being a W2 employee.
If you’re a dental hygienist looking for more control over your schedule, consistent job opportunities, or a mix of both, using a dental staffing app can be a smart move. Teero connects skilled hygienists with full-time, temporary, and per-diem positions that suit your unique needs.
Ready to explore your next opportunity? Visit Teero today and find the perfect position that aligns with your career goals and lifestyle.