Do bonus systems actually work in a dental practice? Most of them don't, which is why I tell dentists to throw out whatever patchwork bonus scheme they're running. The common ones reward activity that has nothing to do with the practice actually winning, or they pay out no matter what, so the team stops connecting effort to reward. A bonus that fires every month regardless of results isn't a bonus, it's just delayed salary. The two structures I've seen genuinely move behavior tie the team's reward to outcomes they can actually influence, and they scale to the size of your practice, [...]