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How to become a licensed dental hygienist in Colorado. Degree required: Graduate of a CODA-accredited dental hygiene program. NBDHE: required. Local anesthesia permitted. Total initial fees: $150. Verified 2026-03-08. Data verified 2026-03-08. Source: LicenseMap (getlicensemap.com).
Dental Hygienist
Most information on this page has been verified.
83% of data points are verified against official sources. 6 fields based on preliminary research. 2 fields need verification. We recommend confirming details with your state's licensing authority. See sources below · Report incorrect data
Graduate of a CODA-accredited dental hygiene program
Degree Required
Required
NBDHE
Required
Clinical Exam
$150
Total Initial Fees
30 hrs
CE Hours
Allowed
Local Anesthesia
Degree Required
CODA-Accredited Program Required
Program Details
Minimum 2 years
Program Length
Required
NBDHE (National Board)
Required
Clinical Exam
Not Required
Jurisprudence Exam
National Board Exam (NBDHE)
VerifiedExam Name
National Board Dental Hygiene Examination (NBDHE)
Passing Score
75%
Exam Format
350 multiple-choice questions, computer-based
Clinical Exam
VerifiedAccepted Clinical Exams
Official Title
Licensed Dental Hygienist
Requirements
CODA-accredited degree, NBDHE, accepted clinical exam, background check
Supervision
No supervision required - Colorado does not require dentist supervision for dental hygienists
Additional Requirements
Official Title
Independent Practice (standard license - no separate license required)
Requirements
Standard dental hygienist license - Colorado allows unsupervised practice and practice ownership with the standard license
Supervision
None - dental hygienists may practice independently and own practices
Additional Requirements
Permitted Procedures
VerifiedAllowed
Local Anesthesia
Allowed
Nitrous Oxide
Not Allowed
Restorative Duties
Not Allowed
Laser Use
Notes
Colorado is one of the most progressive states for dental hygiene practice. No supervision is required and hygienists may own their own practices. Colorado was the first state to specifically authorize dental hygiene diagnosis as part of the scope of practice, without supervision. Local anesthesia requires a separate permit. Nitrous oxide currently requires direct dentist supervision (CODHA is advocating to move this to indirect supervision).
Permitted Supervision Arrangements
VerifiedGeneral Supervision
Dentist authorizes procedures but need not be present
Direct Supervision
Dentist must be present in the facility
Indirect Supervision
Dentist has authorized procedures and is available
Unsupervised Practice
Hygienist can practice independently without a dentist
Notes
Colorado requires NO supervision for dental hygienists. Hygienists may own their own practices and perform dental hygiene diagnosis independently. Colorado was among the first states to allow this level of independence. Local anesthesia requires a Local Anesthesia Permit. Nitrous oxide requires direct dentist supervision. If a hygienist performs hygiene without a dentist present (indirect supervision), they must have a Local Anesthesia Permit if administering LA.
| Fee | Amount |
|---|---|
Application Fee Dental hygienist license fee | $150 |
License Fee Initial license | $150 |
Renewal Fee $90 renewal + $32 Peer Assistance + $2 Portal Fee + $2 Legal Defense Fund. No additional fee for Local Anesthesia or ITR permits. | $126 |
Total Initial Fees License fee only; local anesthesia permit has no additional fee | $150 |
Renewal & CE Requirements
VerifiedBiennial (every 2 years)
Renewal Period
30 hrs
CE Hours Required
CE Topics
Renewal Fee
$126
$90 renewal + $32 Peer Assistance + $2 Portal + $2 Legal Defense Fund
Regulatory Board
Dental hygienist licenses must be renewed on schedule. Most states require continuing education covering infection control, CPR/BLS, ethics, and clinical topics relevant to dental hygiene practice.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State Credentials
Reciprocity Type
Licensure by endorsement/credentials
Transfer Details
Out-of-state licensed dental hygienists can apply through the standard application process. Must meet education and examination requirements. No jurisprudence exam required for initial licensure.
Additional Requirements for Transfer
Dental hygienist license reciprocity varies by state. Many states offer licensure by credentials or endorsement for hygienists with active licenses in other states, though additional exams or documentation may be required.
CPR/BLS Certification Required
Background Check Required
Local Anesthesia Permit (optional, no additional fee with license)
Interim Therapeutic Restoration (ITR) Permit (optional, no additional fee)
Colorado is arguably the most progressive state in the nation for dental hygienist practice: no supervision is required, hygienists may own their own practices, and the state was the first to authorize dental hygiene diagnosis in the scope of practice. Unlike most states, NO jurisprudence exam is required for initial licensure. The Local Anesthesia Permit and ITR Permit carry no additional fees. The renewal fee structure uniquely includes mandatory Peer Assistance ($32) and Legal Defense Fund ($2) surcharges.
Colorado requires NO supervision for dental hygienist practice - one of the most independent practice environments in the nation.
Dental hygienists may own their own practices in Colorado.
Colorado was the first state to specifically authorize dental hygiene diagnosis as part of scope of practice.
No jurisprudence exam required for initial licensure (only for reinstatement of expired license).
Local Anesthesia Permit and ITR Permit have no additional fee when obtained with license.
Renewal fees include mandatory Peer Assistance Fee ($32), Portal Fee ($2), and Legal Defense Fund ($2).
Grace period for renewal extends through April 30 after February 28 expiration.
Dental hygienist scope of practice is expanding rapidly across states. Direct access, local anesthesia, nitrous oxide administration, and restorative functions vary significantly by state and may have changed since this data was last verified. Always confirm current scope with your state dental board.
Explore requirements for other professional licenses in Colorado.
How this state compares to 50 others for this profession
Timeline
#1 of 51
Salary
#6 of 51
Cost
#16 of 51
Processing
#1 of 51
Based on May 2024 Bureau of Labor Statistics OEWS data for Dental Hygienists (SOC 29-1292)
Entry Level
$100,130
25th percentile
Median
$106,730
+13% vs. national avg ($94,260)Experienced
$114,290
75th percentile
Wage Distribution (Annual)
4,470 employed in this state
Source: BLS OEWS – Dental Hygienists (May 2024)
National employment projections for 2024-2034
Projected Growth
+4.7%
Average GrowthNew Jobs
+10,200
over 10 years
Annual Openings
12,200
per year (avg.)
218,200 currently employed nationwide (2024)
Source: BLS Employment Projections 2024-2034 (September 2025)
Dental Career Ladder+185% salary growth potential
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Dental Hygienist
$106,730
Associate/bachelor's in dental hygiene + NBDHE
Dental assisting program (9-12 months)
$47,770
You are here
Dental Hygienist
Associate/bachelor's in dental hygiene + NBDHE
$106,730
DDS/DMD degree (4 years) + INBDE
$136,260
Salary data from BLS OEWS May 2024 for this state. Career paths represent common advancement routes — actual progression may vary. Bureau of Labor Statistics — Occupational Outlook Handbook
Government fees and exam costs to obtain your initial license
Note: These are government licensing fees only. Education/training program costs (tuition, books, etc.) are not included as they vary widely by institution.
Estimated total: 112–226 weeks
Timeline estimated from licensing requirements on this page.
Source: Colorado State Board of Dental Examiners (DORA) — Licensing Requirements
4–8 weeks
Estimated processing time
Source: Colorado State Board of Dental Examiners (DORA) — Licensing Requirements
Study guides and practice tests for the NBDHE licensing exam.
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Colorado requires a Graduate of a CODA-accredited dental hygiene program from a CODA-accredited program. The NBDHE is required. Dental hygienists may administer local anesthesia. All licensing is managed through the Colorado State Board of Dental Examiners (DORA).
Requirements vary by state. Always verify current requirements with your state dental board.