Dental Hygienist License Cost by State (2026): Complete Fee Breakdown
Government licensing fees for dental hygienists range from $25 to $625 depending on the state. But government fees are only one part of the total cost. This guide breaks down every cost component so you know exactly what to budget before you begin.
Across the 51 states we track, the biggest variable is not the state application fee — it’s the clinical board exam and the education program itself. Understanding each cost category helps you plan your finances and choose the most affordable path.
Two Types of Costs
Government & Exam Fees
Fixed costs paid to government agencies or testing organizations. These are the fees tracked on this site and reflected in the state table below.
- State application / initial license fee: $25–$625
- NBDHE exam fee: ~$465 (paid to JCNDE)
- Clinical board exam: $400–$1,200 (varies by regional agency)
- Jurisprudence exam: $0–$75 (if required by your state)
- Background check / fingerprinting: $25–$75
Education & Other Costs
Costs that vary by program, school type, and state. These are generally not tracked on state pages but are the largest portion of total spending.
- Associate’s degree (community college): $8,000–$30,000
- Associate’s degree (private school): $25,000–$60,000
- Bachelor’s degree: $40,000–$100,000+
- Textbooks & instruments: $1,500–$3,000
- Uniforms & clinical supplies: $300–$800
- CPR/BLS certification: $25–$80
5 Cheapest States (Government Fees)
Renewal: 2 years (biennial); expires December 31 of even-numbered years • CE: 30 hrs
Renewal: Two-year cycle (January 1 of odd year to December 31 of even year) • CE: 30 hrs
5 Most Expensive States (Government Fees)
Renewal: 2 years (biennial); all dental licenses expire on May 31 of even years • CE: 30 hrs
Full State Table — Government Fees
Government fees only. Click any column header to sort. Education and exam costs are additional.
| State ▲ | Gov Fees | Education Hours | Exam Fee | Renewal Fee | Renewal Cycle |
|---|---|---|---|---|---|
| Alabama | $150+ | Varies | Varies | $50 | Annual |
| Alaska | $300+ | Varies | Varies | $200 | Biennial (every 2 years) |
| Arizona | $155 | Varies | $100 | Up to $325 | Triennial (every 3 years) |
| Arkansas | Varies | Varies | Varies | $100 | Biennial (every 2 years) |
| California | $200+ | Varies | $560 | $300 (RDH/RDHEF); $160 (RDHAP) | Every two years by the last day of the month of the licensee's birthday |
| Colorado | $150 | Varies | Varies | $126 | Biennial (every 2 years) — all Dental Hygienist licenses expire February 28 of even-numbered years |
| Connecticut | $150.00 (initial application fee only, as listed) | Varies | Varies | $105.00 | Biennial |
| Delaware | $210 minimum (application fee $110 + exam fee $100) | Varies | $100 | Varies | Biennial |
| District of Columbia | Varies | Varies | Varies | $155 | Biennial (every 2 years) |
| Florida | Up to $325+ | Varies | Up to $225 | Varies | Biennial (every 2 years) |
| Georgia | $100 | Varies | Varies | $260 | 2 years (biennial); licenses expire at close of December 31 in all odd-numbered years |
| Hawaii | $120-$188 | Varies | Varies | $164 (active) / $12 (inactive) | Biennial; all DH licenses expire December 31 of every odd-numbered year regardless of issue date |
| Idaho | $280 | Varies | Varies | $0 (effective January 1, 2026) | Biennial; due by March 31 of odd-numbered years |
| Illinois | $100 | Varies | Varies | $150 | 3 years |
| Indiana | $25 | Varies | Varies | $70 | 2 years (biennial); expires March 1 of even-numbered years |
| Iowa | $146 (exam basis: $100 + $46 background check) to $246 (credentials/verification: $200 + $46 background check) | Varies | Varies | $150 | 2 years (biennial); September 1 - August 31 cycle; dental hygiene licenses expire in odd-numbered years |
| Kansas | Up to $100 | Varies | Up to $100 | Up to $160 | Biennial; expires December 1 of the year specified by the board |
| Kentucky | $75-$125 | Varies | Varies | $110 | 2 years (biennial); expires December 31 of even-numbered years |
| Louisiana | $280+ | Varies | Varies | $230 | 2 years (biennial) |
| Maine | $150-$220 | Varies | Varies | Up to $150 | Renews biennially on December 31st even years |
| Maryland | $325 | Varies | $560 | $182 | Biennial (2 years) |
| Massachusetts | $126 | Varies | $560 | $60 | Biennial (April 1 - March 31, odd years) |
| Michigan | $118.80 | Varies | $560 | $118.80 | 3-year renewal cycle |
| Minnesota | $115 | Varies | $560 | $200 | Biennial, according to birth month and year |
| Mississippi | $400 | Varies | $560 | $100 | Biennial (even years) |
| Missouri | $150 | Varies | $560 | $60 | Every two (2) years; December 1 to November 30 |
| Montana | $185 | Varies | $685 | $170 | Triennial (3 years) |
| Nebraska | $180.25 | Varies | $560 | $110 | Biennial, renewable March 1 of odd-numbered years |
| Nevada | $625 | Varies | $560 | $300 | Biannual; expires on EVEN years by June 30th |
| New Hampshire | $265 | Varies | $560 | $165 | Biennial; licenses renewed between February and April of odd-numbered years |
| New Jersey | $75 | Varies | $560 | $390 | Biennial (2 years) |
| New Mexico | Varies | Varies | $560 | Varies | 3 years (triennial) |
| New York | Varies | Varies | $560 | $169 | 3 years (triennial) |
| North Carolina | Varies | Varies | $560 | Varies | Annual — renewal application due electronically before midnight January 31 each year |
| North Dakota | Varies | Varies | $560 | Varies | 2 years (biennial, odd years) |
| Ohio | Varies | Varies | $560 | Varies | 2 years (biennial) |
| Oklahoma | Varies | Varies | $560 | Varies | 1 year (annual) |
| Oregon | Varies | Varies | $560 | Varies | Biennial (2 years) |
| Pennsylvania | Varies | Varies | $560 | $59 | 2 years (biennial, odd years) |
| Rhode Island | $65 | Varies | $560 | Varies | Biennial renewal confirmed; renewal notices sent 60 days before expiration date |
| South Carolina | Varies | Varies | $560 | Varies | 2 years (biennial); cycle runs March 2 to March 1 of odd years |
| South Dakota | $140+ | Varies | Varies | Varies | 5-year CE cycle |
| State Name | Varies | Varies | Varies | Varies | 2 years |
| Tennessee | $86.25+ | Varies | Varies | $75.00 | Two-year cycle (January 1 of odd year to December 31 of even year) |
| Texas | Varies | Varies | Varies | Varies | Biennial (2 years); first license valid 18–30 months |
| Utah | $464 | Varies | Varies | Varies | 2 years (biennial); all dental licenses expire on May 31 of even years |
| Vermont | $200+ | Varies | Varies | $245 | 2 years (biennial, fixed 2-year periods) |
| Virginia | Varies | Varies | Varies | Varies | Annual renewal; verified via FAQ that renewal is annual |
| Washington | $100+ | Varies | $100 | $70 | Annual renewal on the practitioner's birthday as provided in chapter 246-12 WAC (per WAC 246-815-990) |
| West Virginia | Varies | Varies | Varies | Varies | 2 years (biennial) |
| Wisconsin | $78+ | Varies | Varies | $68 | 09/30/odd years (biennial) |
| Wyoming | $200+ | Varies | Varies | $200 | Biennial; renewal window October 1 – December 31 of odd-numbered years (next: Oct 1 – Dec 31, 2025) |
Note: The table above shows government licensing fees only. NBDHE exam, clinical board exam, and education program costs are additional expenses.
How to Reduce Your Total Cost
Attend a community college program
Community college associate’s programs in dental hygiene cost a fraction of private school programs and lead to the same license. The credential is identical regardless of program cost.
Apply for ADHA scholarships
The American Dental Hygienists’ Association (ADHA) and its Institute for Oral Health offer scholarships for dental hygiene students. State component societies also offer local scholarships.
Choose an ADEX-accepting state for your clinical exam
The ADEX exam is widely accepted and can be taken in many locations. Scheduling in a location where it is more available can reduce travel costs compared to state-specific exams.
Consider states with lower fees if relocating
If you’re flexible about where you practice, states with lower government fees reduce your upfront licensing cost. Check the full requirements before deciding, since lower fees sometimes correlate with fewer allowed scope expansions.
Use employer-sponsored CE
Many dental practices cover CE course costs as part of employment benefits. Negotiating this upfront can save hundreds of dollars per renewal cycle, given the average CE requirement of 26 hours.
Next Steps
How to Become a Dental Hygienist →
Step-by-step guide: education, exams, and licensure
Easiest States for Dental Hygienist Licensure →
Ranked by fees, exam burden, and CE requirements
Education & Training Costs
The state fee table above reflects government licensing fees only. The largest expense for dental hygienists is the education program itself. An associate’s degree from a community college typically costs $8,000–$30,000, while private school programs run $25,000–$60,000. A bachelor’s degree can exceed $100,000. Additional costs include textbooks and instruments ($1,500–$3,000), clinical supplies ($300–$800), the NBDHE exam (~$465), and a regional clinical board exam ($400–$1,200). These costs vary by institution and testing agency, not by state licensing requirements, so they are not included in the government fee totals.
Frequently Asked Questions
How much does a dental hygienist license cost?▼
Which state has the cheapest dental hygienist license?▼
Is the NBDHE exam fee included in state fees?▼
How much does dental hygienist license renewal cost?▼
Sources
- State dental board websites (all 51 jurisdictions)
- Joint Commission on National Dental Examinations (JCNDE) — NBDHE fee schedule
- American Dental Hygienists’ Association (ADHA) — adha.org
- Data last verified March 2026
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