Dental Health Care: Fees

Initial Licensure Applications  
Dentist by Credentials $850
Dentist by Examination $600
Dentist 12 Month Residency Program $75
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
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 by 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  
Mailing List – Per License Type $300
Mailing Labels – Per License Type $300
Set of Rules $10
Set of Statues $10
Copies- fee per page
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