Best Payroll Services for Medical & Dental Practices (2026)
The best payroll services for medical, dental and veterinary practices are Paychex, ADP and Gusto, based on support for mix of salaried providers and hourly staff and benefits administration and 401(k). Expect $44 to $130 per month for 1 to 10 employees at entry-tier list prices as of November 2026; industry-specific features may require a higher tier.
Prices verified November 2026
What makes payroll harder for medical, dental and veterinary practices
- Mix of salaried providers and hourly staff
- Benefits administration and 401(k)
- HR compliance and handbook requirements
- Bonus and production-based pay
What to look for
Practices usually want benefits, retirement and HR support from one vendor. Paychex and ADP bundle these; Gusto Premium and Rippling are strong software-first options.
Our picks for medical, dental and veterinary practices
Paychex
Owners who want a named human to call, businesses considering a PEO later, and anyone bundling payroll with workers' comp or retirement.
ADP
Businesses that expect to grow past 50 employees, need benefits and retirement plans from one vendor, or want the most recognized brand when talking to lenders and accountants.
Gusto
Teams under 50 who want to run payroll themselves in a few clicks and get benefits, 401(k) and HR tools without a sales call.
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- Prices verified November 2026
Other industries
- Restaurants
- Construction
- Retail
- Medical & Dental Practices
- Nonprofits
- Churches & Ministries
- Salons & Spas
- Trucking & Logistics
- Law Firms
- Startups
- Cleaning & Landscaping
- Franchises
Frequently asked questions
What is the best payroll software for medical, dental and veterinary practices?
Paychex is our first pick for medical, dental and veterinary practices because of practices usually want benefits, retirement and hr support from one vendor. ADP and Gusto are strong alternatives.
How much does payroll cost for medical, dental and veterinary practices?
Entry-tier list prices range from $44 to $130 per month for 1 to 10 employees as of November 2026. Medical & Dental Practices-specific needs such as mix of salaried providers and hourly staff may require an add-on or a higher tier.
Which payroll providers handle mix of salaried providers and hourly staff?
Paychex, ADP, Gusto all support it. Ask any provider to walk you through exactly how before signing.