The Dentalpreneur Podcast w/ Dr. Mark Costes 2436: How High-Income Doctors & Dentists Can Legally Pay Less in Taxes
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Feb 2, 2026 Alexis Galati, founder of Cerebral Tax Advisors and author focused on tax strategies for medical professionals. She discusses tax options for W-2 earners like short-term rentals and oil and gas, advanced planning for business owners including entity choice, S-corp wages, and retirement maneuvers like backdoor and mega backdoor Roths. Practical tactics for shifting personal costs into business are also covered.
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Plan Bigger Than Your Salary For Full Offset
- You often need to invest more than your salary to fully offset taxable W-2 income with oil and gas deductions.
- Expect 80–95% of the investment to be deductible, not a dollar-for-dollar offset.
Start With Entity And Reasonable Compensation
- Review entity choice first; the best entity depends on state law and income level.
- Ensure your S-corp wages are reasonable to balance payroll taxes and retirement contribution limits.
Blended Pay Justifies Lower S‑Corp Wages
- Paying yourself too little as an S-corp can trigger IRS scrutiny and limit retirement contributions.
- A blended rate of all roles you perform justifies a lower wage than pure clinician compensation.
