
Here is the uncomfortable truth every practice owner learns the hard way: a raise buys you about 90 days of gratitude, then it becomes the new baseline. The team member who cried in your office over a $3-an-hour bump is, one quarter later, quietly scanning Indeed again. You didn’t buy loyalty. You bought a brief pause in the resignation timeline — at a permanent cost to your overhead.
The best practices in the country figured out something the treadmill practices never will: people don’t leave for money nearly as often as they leave for meaning, recognition, and belonging. If you want a team that stays for a decade, you have to stop competing on wage and start competing on experience. That’s the entire premise behind the incentive trips, shared wins, and non-cash perks that the strongest dental cultures run — and why they out-retain the practice down the street that keeps throwing money at the problem.
On the Bulletproof Dental Practice Podcast, Pete and Craig have circled this point for years: hiring and retention are the single biggest burn in dentistry, because a lost team member doesn’t just cost you a paycheck — it drops you back into the hiring meat grinder, re-training, lost production, and a broken schedule. And here’s the trap: money is a hygiene factor, not a motivator. Once you clear the market rate, more cash produces almost zero additional loyalty. It gets absorbed into a car payment and disappears from the emotional ledger.
Pete’s tactical framing: a raise is a fixed, permanent, compounding line item on your P&L that resets expectations every year. A well-run incentive trip or shared bonus is a variable expense you only pay when the practice actually wins — and it buys a story your team tells for years. One of those scales your overhead. The other scales your culture. Choose accordingly.
The rule is simple: spend on experiences and recognition, not on quiet cash that vanishes into a checking account. The perks that punch far above their dollar cost:
Pete’s warning to every owner running numbers: a bad incentive rewards the wrong behavior. Bonus purely on production and you’ll get over-diagnosis and internal knife-fights over the schedule. Build it right instead:
Run the math and it stops being soft. Replacing one clinical team member can cost tens of thousands of dollars once you count recruiting, lost production, the schedule holes, and the months a new hire takes to reach full speed. A team trip for the whole office often costs less than a single bad turnover event — and it prevents several. That’s not a morale expense. That’s the cheapest retention insurance you can buy, and it shows up directly in a lower overhead percentage over time.
This is where Craig Spodak refuses to let owners off the hook. Gratitude, he says, is a muscle — most owners let it atrophy while chasing the next production record. The trip, the bonus, the closed Friday: those aren’t bribes. They’re the language you use to tell people you matter here, and we did this together.
Dentistry is a lonely profession, and it is lonely for your team too — the assistant who never hears “thank you,” the front-desk lead who absorbs every angry patient and goes home invisible. When you invest in shared experiences, you’re not buying compliance. You’re building the kind of place people would take a pay cut to stay at. That is the practice nobody quits. That is the practice that stops bleeding out its back door every 18 months. And it’s the practice you actually want to walk into on a Monday.
Stop trying to win the wage war — there’s always a DSO or a corporate office that’ll pay a dollar more. You will never win on price. You win on being the place worth staying for. Fund the experiences, share the wins, recognize relentlessly, and let the raise be the thing you do on top of a culture people already love — not the thing you use to plug the hole where a culture should be.
This is exactly the kind of build-vs-buy leadership decision we work through inside the Bulletproof Mastermind — owners comparing real incentive structures, real retention numbers, and what’s actually working in their offices right now. And it’s the conversation that comes alive on stage at the Bulletproof Summit, where you’re in a room full of owners who refuse to run their practice like an assembly line.
You are not alone in this, and you don’t have to figure out your team the hard way. Come find the people who’ve already built what you’re building.
The 1% of dentists, who want 100% from life.