Fee Schedule

DENTIST

Application for Dental Licensure:
$250.00

Application for a Permit to Administer General Anesthesia, Deep Sedation (GADS) or Light Parenteral Conscious Sedation (LPCS):
$50.00

Registration of an Additional Office in which to Administer General Anesthesia, Deep Sedation (GADS) or Light Parenteral Conscious Sedation (LPCS):
$25.00 

Dental Intern Permit Application:
$100.00 

Instructor's License Application:
$250.00

Instructor's Application for General Anesthesia, Deep Sedation (GADS) or Light Parenteral Conscious Sedation (LPCS):
$50.00

Dental License Renewal:
$120.00 every two years, due by March 1 of even-numbered years.

Dental License Renewal that has been expired for up to three (3) years:
$170.00 

Dental License Renewal that has been expired for more than three (3) years:
$370.00 

Dental Intern Permit Renewal:
$50.00 Annually

Instructor's License Renewal:
$50.00  Annually, Expires March 1st

Reinstatement of Inactive License:
$370.00 

Renewal of Permit to Administer General Anesthesia, Deep Sedation (GADS) or Light Parenteral Conscious Sedation (LPCS):
$50.00 Biennially, Expires March 1st of even-numbered years.

Renewal of Instructor's Permit to Administer General Anesthesia, Deep Sedation (GADS) or Light Parenteral Conscious Sedation (LPCS):
$25.00 Annually, Expires March 1st

Verification of Dental Licensure to another state:
$10.00 for each state to which a verification is to be sent.

Duplicate Wall License:
$10.00

Professional Corporation Registration Application:
$25.00

Professional Corporation Registration Renewal:
$20.00 Biennially, Expires January 31st of even-numbered years.

Penalties for Non-Compliance with Continuing Education requirements:
If a dentist is not in compliance with the continuing education requirements, pursuant to Ind. Code 25-1-4-5(b)(2)(A) the board may impose a civil penalty, not to exceed one thousand dollars ($1,000.00). If the board determines that a practitioner has knowingly or intentionally made a false or misleading statement to the board concerning compliance with the continuing education audit requirements, the board may impose a civil penalty of not more than five thousand dollars ($5,000.00) under Ind. Code 25-1-4-5(b)(2)(A).

Application for Dental Hygiene Licensure by Examination or Endorsement:
$100.00

Application for a Dental Hygiene Intern Permit:
$50.00 

Renewal of Dental Hygiene License:
$70.00 every two years, due by March 1st of even-numbered years.

Renewal of Dental Hygiene License that has been expired for up to three (3) years:
$120.00 

Renewal of Dental Hygiene License that has been expired for more than three (3) years:
$170.00

Reinstatement of Inactive License:
$170.00 

Dental Hygiene Intern Permit Renewal:
$25.00 Annually 

Verification of Dental Hygiene Licensure to another state:
$10.00 for each state to which verification is to be sent.

Duplicate Wall License:
$10.00

Penalties for Non-Compliance With Continuing Education Requirements:
If a dental hygienist is not in compliance with the continuing education requirements, pursuant to Ind. Code 25-1-4-5(b)(2)(A) the board may impose a civil penalty, not to exceed one thousand dollars ($1,000.00). If the board determines that a practitioner has knowingly or intentionally made a false or misleading statement to the board concerning compliance with the continuing education audit requirements, the board may impose a civil penalty of not more than five thousand dollars ($5,000.00) under Ind. Code 25-1-4-5(b)(2)(A).