How to Get Your Dental Hygienist License in Pennsylvania (2026)

How to Become a Registered Dental Hygienist in Pennsylvania

Pennsylvania is one of the strongest dental hygiene markets on the East Coast, with dense urban demand in Philadelphia and Pittsburgh, a large suburban commuter workforce, and growing hospital-based dental programs that depend heavily on licensed dental hygienists. Licensure is issued by the Pennsylvania State Board of Dentistry, which operates under the Bureau of Professional and Occupational Affairs (BPOA). This guide covers every requirement for 2026.

Step 1: Complete an Accredited Dental Hygiene Program

Pennsylvania requires graduation from a dental hygiene program accredited by the Commission on Dental Accreditation (CODA). The Commonwealth is home to strong in-state programs at the University of Pittsburgh, Harrisburg Area Community College, Luzerne County Community College, and Northampton Community College, among others. Out-of-state graduates from CODA programs qualify for Pennsylvania licensure through the same application pathway.

Pennsylvania also has significant demand for RDHs within hospital dental departments, positions that typically require the full RDH license plus strong familiarity with medically complex patient care.

Step 2: Pass the NBDHE

The National Board Dental Hygiene Examination (NBDHE) is a prerequisite for Pennsylvania licensure. Register through the JCNDE, sit during your final semester or post-graduation, and have scores forwarded to the Board. Pennsylvania requires a passing score on the NBDHE before accepting a clinical board application.

Step 3: Pass a Clinical Examination

Pennsylvania accepts the ADEX (American Board of Dental Examiners) clinical examination. ADEX uses a live-patient format with standardized competency rubrics and is now accepted in the majority of U.S. states, an important consideration given Pennsylvania's proximity to New Jersey, New York, Delaware, and Maryland, where cross-border practice is common. Testing sites include locations in Pennsylvania and throughout the Northeast.

Score reports must be submitted directly from the ADEX testing organization to the Pennsylvania State Board of Dentistry.

Step 4: Apply for Your State License

Submit your application to the Pennsylvania State Board of Dentistry (BPOA) after passing both boards. Required materials include:

• Completed BPOA licensure application (available through the PALS online portal)
• Official transcripts from your CODA-accredited program
• Official NBDHE and ADEX score reports
• CPR/BLS certification
• Application fee, approximately $75-$125
• Background check

The BPOA PALS portal allows online application and tracking. Visit dos.pa.gov and search "State Board of Dentistry" for current fee schedules and application instructions.

Continuing Education Requirements

Pennsylvania RDHs must complete 30 CE hours per two-year renewal cycle, with two mandatory subjects that reflect the Commonwealth's broader public health priorities:

• 2 hours of child abuse recognition and reporting training, required by Pennsylvania statute; must be from an approved provider
• 3 hours of opioid/substance abuse education, enacted as part of Pennsylvania's response to the opioid crisis; covers recognition, patient screening, and referral protocols

The remaining 25 hours may include infection control, periodontics, radiography, implant maintenance, or any BPOA-approved topic. CE records must be retained for four years.

Pennsylvania Dental Hygienist Salary Ranges

Pennsylvania salaries vary substantially by region, with Philadelphia commanding significant premiums:

• Entry-level (0-2 years): $56,000-$68,000/year
• Mid-career (3-7 years): $68,000-$82,000/year
• Experienced (8+ years): $82,000-$98,000/year
• Philadelphia metro (including Main Line suburbs): top of range; hospital-based positions often carry benefits packages worth $15,000-$25,000 annually
• Pittsburgh metro: strong demand; UPMC-affiliated practices pay competitive rates
• Central Pennsylvania (Harrisburg, State College): lower cost of living with mid-range salaries
• Per-diem rates: $42-$60/hr in the Philadelphia market

Top Employers for Dental Hygienists in Pennsylvania

• Private and group dental practices, dominant throughout suburban Philadelphia (Montgomery, Chester, Delaware, Bucks counties) and Pittsburgh's North Shore and South Hills
• UPMC (University of Pittsburgh Medical Center), large hospital system with dental programs and staff RDH positions in western PA
• Penn Medicine and Thomas Jefferson University Hospitals, hospital-based dental departments in Philadelphia
• Temple University Kornberg School of Dentistry, school clinic positions and adjunct faculty roles for experienced RDHs
• University of Pittsburgh School of Dental Medicine, similar school-based opportunities in Pittsburgh
• FQHCs, Health Federation of Philadelphia, Esperanza Health Centers, and others serving underinsured urban populations
• Dental Service Organizations, Aspen Dental and Heartland Dental have substantial Pennsylvania footprints