Independent Hygienist Practices

Dental hygienists perform many procedures to treat patients’ oral health, such as cleaning teeth, applying sealants and fluoride, and instructing patients on proper oral health. Dental hygienists work in a wide variety of places such as traditional dental clinics, hospitals, and nursing homes. Dental hygienists can also work independently, including running their own practice.

Independent hygienists & state law

Dental hygienists can work independently but must deal with state law. Hygienists can work with autonomy and even open their own clinics in states that allow direct access care, which, according to Dentistry IQ, is “‘the ability of a dental hygienist to initiate treatment based on their assessment of a patient’s needs without the specific authorization of a dentist, treat the patient without the presence of a dentist, and maintain a provider-patient relationship.”

Fortunately, 40 states allow direct access care, although the regulations vary from state to state. For instance, in Idaho and Washington states, a hygienist may practice independently provided the patient visits a dentist for an exam every 12 to 18 months. 

Factors to consider

Independent hygienists must consider numerous factors when starting their own practice. They should consider lease negotiations, supplies and equipment, advertising, payroll, and more. Then there are insurance claims. Most patients have insurance coverage and verification and billing processes can take up a lot of time and money. Rather than hire a dental biller, they may want to consider partnering with a dental billing provider like eAssist as a more economical option.

Thoughts on independent hygienist practices are mixed. According to RDH Magazine, some think the practice may not be economically viable while others think that it could provide wider access to dental care. Depending on their state, hygienists can have their own independent practices and may profit, but starting and operating them can be difficult.

Sandy Odle

Co-Founder and CXO, eAssist

Sandy Odle is the Co-Founder and CXO of eAssist Dental Solutions, where she has played a key role in shaping the company’s business and marketing strategies, leading to record growth and national recognition on the Inc. 500 and Utah Top 100 lists. A passionate social entrepreneur, Sandy believes that business is about building meaningful connections and creating personalized solutions that truly meet customer needs. Her relentless commitment to delivering exceptional client experiences is at the heart of eAssist’s mission. Drawing on the discipline and attention to detail honed during her early career as a ballet dancer, Sandy brings a unique blend of creativity, precision, and work ethic to everything she does.