One Roof, One Plan: Rethinking Tax Planning for Dentists

By Matt Mulcock, CFP®, Dentist Advisors & Tom Whalen, CPA, Edge Advisors    |   Taxes, Year-End Planning

The difference between tax filing and tax planning, why your CPA and financial advisor should talk, and the latest tax law changes you should know in 2026.

Key Takeaways:

  • What’s the difference between tax filing and tax planning? Filing is about documenting the past. Planning is about making intentional decisions today that support your future goals, both personally and professionally.
  • Why does it matter if my CPA and financial advisor talk to each other? When your tax planning and financial planning are siloed, you can end up with conflicting advice and missed opportunities.
  • Could recent tax law changes affect dentists? Yes. A higher SALT cap and a now-permanent QBI deduction can both create planning opportunities, especially for practice owners whose income lands in the phase-out range.

This article is a collaborative effort between Matt Mulcock, our Managing Partner and Senior Advisor, and Tom Whalen, our CPA partner. We purposely sit under one roof to provide fully integrated wealth strategy and tax planning for dental professionals, built from both disciplines working together with a 360-degree look at your financial life.

For a lot of dentists, taxes show up exactly once a year. The forms arrive in spring, you sign the documents and write a check for whatever you owe.

We think that sequence is backward. You shouldn’t have to wait until April to find out how your own practice performed (let alone what it’s going to cost you). When your tax strategy and your financial plan are built together, by professionals who talk to each other frequently instead of meeting after the fact, the whole picture holds together.

Related: 5 Ways Dentists Can Improve Their Tax Strategy

Tax Filing vs. Tax Planning: What’s the Difference for Dentists and Practice Owners?

Before we go further, we want to make an important distinction between tax filing and tax planning.

Tax filing is largely reactionary. It reports information that’s already settled and places it on the IRS’s standardized forms. Your balance due is your balance due, and your refund is your refund. That filing work has to happen, and it matters. But by the time it does, the outcome is locked in.

Tax planning lives further upstream. We’re in touch well before anything’s filed, strategizing as the year unfolds, looking at how the business is actually running, then connecting all of it to your tax position. It’s less a tax conversation than a business conversation that taxes flow out of.

Plenty of everyday decisions shift your tax picture, and almost all of them happen long before a return is filed. Whether you’re managing your personal production as an individual provider or steering the finances of a larger practice, timing is everything.

The year-round tax planning we provide comes into play during major milestones, like:

  • Hiring an associate or restructuring compensation.
  • Upgrading clinical technology or purchasing major equipment.
  • Taking an owner’s distribution or reallocating practice profits.
  • Sudden swings in production, overhead costs, or collection rates.

When we plan ahead of the forms, we’re looking at your individual income, how the business runs, what your clinical data’s telling us, and how each operational choice impacts your bottom line while there’s still time to act.

That’s the true value of proactive tax planning. We’re working alongside you year-round to forecast what’s coming, so you can shape the outcome.

Related: Click here to watch “Taxes 101 for Dentists: Making Better Tax Decisions at Every Stage of Your Career”

Why Does It Matter If My CPA and Advisor Talk to Each Other?

Here’s a situation we see when tax planning and financial planning are siloed:

  • Imagine your financial advisor sees a good opportunity to rebalance your portfolio. From where they sit, market conditions are appropriate, but what they don’t see is your business cash flow. The decision to rebalance by selling certain securities could trigger a large capital gain, landing as a massive, unexpected bump to your taxable income.
  • Meanwhile, your CPA has built a careful strategy around your projected practice earnings, completely unaware that this extra income is heading your way.

Both professionals did their jobs well, but because they worked in isolation, you’re the one who ends up absorbing the surprise tax bill. A lot of this comes down to mismatched time horizons. A CPA working alone is often structured to look year-to-year, while a financial advisor is looking across decades.

Now, let’s flip that scenario around and look at what happens when both sides build your strategy together:

Take a dentist who saved diligently throughout their career and finally bought their own practice. They happened to have a sizable balance of pre-tax money sitting in an old IRA from their associate days. Normally, a traditional CPA wouldn’t know that a personal account even exists, and a wealth advisor wouldn’t know the exact corporate tax deductions the new practice purchase is about to generate.

But because both disciplines are already in the same room, the opportunity is obvious. The team can convert multiple six figures of that traditional IRA into a Roth IRA during the exact same year as the practice acquisition. By pairing the new Roth conversion income against the heavy first-year business write-offs from the purchase, the two moves largely offset each other. To the client, it feels close to cash-flow neutral, but in reality, that money is now positioned to grow entirely tax-free for the rest of their life.

The real takeaway here isn’t the specific math of a Roth conversion. It’s that the opportunity only surfaced because two people were looking at the exact same complete picture, instead of leaving you to constantly relay messages between them.

Coordination in Action: 3 Tax Law Changes Dentists Should Know About in 2026

Financial coordination becomes even more important when tax laws change. New legislation often creates new planning opportunities, but only if someone is paying attention. A few recent updates are worth understanding for exactly that reason. Each one shifts the math on decisions you may already be weighing, and each one gets more valuable when your tax and financial strategies are working together.

1. The SALT deduction cap moved from $10,000 to $40,000.

For years, the deduction for state and local taxes was capped at $10,000, while practice owners were routinely paying far more.

Working around that cap by electing to pay at the business level instead of personally often added cost and complexity, and some states responded by charging a higher rate on the business side. Raising the cap to $40,000 takes a lot of that pressure off.

There are income-based limits that pull the benefit back toward $10,000 as income climbs, so for higher earners there’s still planning involved in staying within the thresholds. Whether it’s a meaningful change for you specifically depends on where your income lands, which is exactly the kind of thing your tax and financial teams should be tracking together rather than discovering at filing.

2. The QBI deduction was made permanent.

The qualified business income (QBI) deduction was set to expire at the end of 2025 and is now permanent. Since a high share of dental practices are S corporations, that 20% deduction on leftover profits carries real weight, and losing it would have hit personal tax situations hard.

It phases out at higher income, which is where a little planning goes a long way. For a dentist sitting in that middle range, a few levers can help capture more of the 20%:

  • Retirement plan contributions
  • Managing adjusted gross income
  • Thoughtful timing of charitable giving

Notice that none of those levers are purely tax moves. Your retirement contributions, income, and giving all sit on the financial-planning side of the table. Capturing more of that 20% means both sides are looking at the same number.
Note that dentists well below the threshold get the full benefit automatically, and those well into the millions generally phase out entirely. It’s the people in the middle who have the most to gain from planning around it.

3. Bonus depreciation was made permanent, and R&D rules got more favorable.

Bonus depreciation is now permanent, which matters for equipment-heavy decisions, and the rules around research and development have become more taxpayer-friendly. Both give you more reliable footing when you’re timing a purchase or deciding how to structure your year.

Timing is the operative word. A purchase that makes sense for this year’s tax bill might work against next year’s, and that trade-off only shows up when someone is looking across years instead of just closing out this one.

You don’t need to track all of this yourself. The point is that when a change creates an opening, it helps to have someone already watching for it on your behalf.

Tax Planning Built Around Your Whole Financial Life

The specific rules will keep changing, as they just did with SALT, QBI, and depreciation. What doesn’t change is this: taxes touch nearly every decision you make as a dental professional and practice owner, from how you structure compensation to how you manage debt and when you invest.

When your tax strategy and your financial plan are built together by a team that shares the same information and long-term view, the surprises get smaller and the opportunities get easier to catch.

If you’re already a client, we’re always here to help make sure your tax and financial picture are fully connected.

And if you’re not working with us yet and you’ve been wondering whether your tax and financial advice are pulling in the same direction, we’d love to talk. Learn more about how we bring tax planning and financial planning together under one roof for dentists.

Dentist Advisors provides tax related services as an additional service through our affiliation with Edge Advisors. Unless engaged in those additional services, be sure to consult with a tax professional before implementing any investment strategy.

 


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