Fees
Initial Licensure Applications
| Dentist by Credentials | $850 |
| Dentist by Examination | $600 |
| Dentist 12 Month Temporary | $400 |
| Dental Hygienist by Credentials | $400 |
| Dental Hygienist by Examination | $350 |
| Dental Hygienist by Collaborative Practice | $150 |
| Dental Hygienist 12 Month Temporary | $250 |
| Dental Assistant | $50 |
| Expanded Function Dental Auxiliary | $100 |
| Community Dental Health Coordinator | $100 |
| Non Dentist Owner | $300 |
Annual Renewals
| Dentist | $550 |
| Dentist Impairment Fee | $30 |
| Dental Hygienist | $325 |
| Dental Hygienist Impairment Fee | $15 |
| Dental Assistant | $50 |
| Expanded Function Dental Auxiliary | $100 |
| Community Dental Health Coordinator | $100 |
| Non Dentist Owner | $150 |
Anesthesia
| Dentist Nitrous Oxide Fee | $25 |
| Dentist Conscious I | $25 |
| Dentist Conscious II | $300 |
| Dentist Deep Sedation | $300 |
| Local Anesthesia Dental Hygienist Credentials | $100 |
| Local Anesthesia Dental Hygienist Examination | $40 |
Duplicate Licenses
| Dentist Duplicate License | $25 |
| Hygienist Duplicate License | $25 |
| Dental Assistant Duplicate License | $10 |
| Expanded Function Dental Auxiliary Duplicate License | $10 |
| Community Dental Health Coordinator Duplicate License | $10 |
| Non Dentist Owner Duplicate License | $25 |
Other Fees
| Dentist mailing list | $300 |
| Dentist mailing labels | $300 |
| Hygienist mailing list | $300 |
| Hygienist mailing labels | $300 |
| Dental Assistant mailing list | $300 |
| Dental Assistant labels | $300 |
| Expanded Function Dental Auxiliary labels | $300 |
| Community Dental Health Coordinator labels | $300 |
| Non Dentist Owner mailing lists | $300 |
| Non Dentist Owner labels | $300 |
| Set of Rules | $10 |
| Set of Statutes | $10 |
| Copies - fee per page | $.25 |
