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How to become a licensed dental hygienist in District of Columbia. Degree required: Graduate of a CODA-accredited dental hygiene program. NBDHE: required. Local anesthesia permitted. Total initial fees: varies. Verified 2026-03-08. Data verified 2026-03-08. Source: LicenseMap (getlicensemap.com).
Dental Hygienist
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73% of data points are verified against official sources. 7 fields based on preliminary research. 6 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
Varies
Total Initial Fees
20 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
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
Jurisprudence Exam
VerifiedExam Name
DC Dental Hygienist Written Take-Home Law Examination
Official Title
Licensed Dental Hygienist
Requirements
CODA-accredited degree, NBDHE, CDCA clinical exam, DC Law Examination, three character references
Supervision
Under supervision of a licensed dentist
Additional Requirements
Permitted Procedures
VerifiedAllowed
Local Anesthesia
Allowed
Nitrous Oxide
Not Allowed
Restorative Duties
Not Allowed
Laser Use
Notes
DC dental hygienists can obtain Board authorization for local anesthesia and nitrous oxide, but both require direct supervision of a dentist. As of recent board data, 84 hygienists hold local anesthesia and nitrous oxide authorization, and 2 hold nitrous oxide only authorization. The Board limits the ratio of supervised hygienists: no less than 2 hygienists per 1 dentist (this limit does not apply to government employees).
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
DC requires dentist supervision. Board advises the Mayor on limiting the number of hygienists supervised by one dentist, with a minimum ratio of 2 hygienists to 1 dentist. This ratio limitation does not apply to government employees (DC or federal). Local anesthesia and nitrous oxide require direct supervision. DC is NOT a direct access jurisdiction.
| Fee | Amount |
|---|---|
Renewal Fee Biennial renewal; $50 late fee for late renewal | $155 |
Total Initial Fees Contact Board for current fee schedule | Varies |
Renewal & CE Requirements
VerifiedBiennial (every 2 years)
Renewal Period
20 hrs
CE Hours Required
CE Topics
Renewal Fee
$155
Biennial; $50 late fee if submitted after deadline
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 examination/credentials
Transfer Details
Out-of-state applicants must meet all standard requirements including NBDHE, CDCA clinical exam, and DC Law Examination. Must provide three character references.
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 authorization (optional, requires Board approval)
Nitrous oxide authorization (optional, requires Board approval)
DC is unique in several ways: the jurisprudence exam is a take-home written format (unusual among jurisdictions); CE requirements include mandatory LGBTQ cultural competency training (2 hours); three character references from persons who have known the applicant at least 1 year are required; and the dentist-to-hygienist ratio limitation has a specific carve-out for government employees. DC primarily accepts CDCA for the clinical exam, which is more restrictive than many states that accept multiple regional exams.
The law examination is a take-home written exam, which is unusual among jurisdictions.
DC requires THREE character references (persons who have known the applicant for at least 1 year).
The dentist-to-hygienist supervision ratio limitation (minimum 2 hygienists per 1 dentist) does not apply to government employees.
CE requirements include mandatory hours on LGBTQ cultural competency - unique among jurisdictions.
Licenses expire December 31 of odd-numbered years.
DC appears to primarily accept CDCA for the clinical exam.
Board location: 2201 Shannon Place SE, 2nd Floor, Washington, DC 20020.
Explore requirements for other professional licenses in District of Columbia.
How this state compares to 50 others for this profession
Timeline
#1 of 51
Salary
#2 of 51
Processing
#1 of 51
Based on May 2024 Bureau of Labor Statistics OEWS data for Dental Hygienists (SOC 29-1292)
Entry Level
$126,960
25th percentile
Median
$127,900
+36% vs. national avg ($94,260)Experienced
$129,290
75th percentile
Wage Distribution (Annual)
330 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
You are here
Dental Hygienist
$127,900
Associate/bachelor's in dental hygiene + NBDHE
DDS/DMD degree (4 years) + INBDE
Dental assisting program (9-12 months)
$56,500
You are here
Dental Hygienist
Associate/bachelor's in dental hygiene + NBDHE
$127,900
DDS/DMD degree (4 years) + INBDE
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
Estimated total: 112–226 weeks
Timeline estimated from licensing requirements on this page.
Source: District of Columbia Board of Dentistry — Licensing Requirements
4–8 weeks
Estimated processing time
Source: District of Columbia Board of Dentistry — Licensing Requirements
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District of Columbia 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 District of Columbia Board of Dentistry.
Requirements vary by state. Always verify current requirements with your state dental board.