Services for which the Board charges a fee shall include, but not be limited to, the following fee schedule:
(a) | Dentists: | |
(i) Application for Licensure by Examination | $300 | |
(ii) Application for Licensure by Endorsement | $750 | |
(iii) Application for Non-Clinical Licensure | $50 | |
(iv) License Renewal | $185 | |
(v) Late License Renewal (Jan 1 - Mar 31) | $370 | |
(vi) Non-Clinical License Renewal | $25 | |
(vii) Relicensure | $370 | |
(viii) Reinstatement | $750 | |
(b) | Sedation Permit Holders: | |
(i) Application for Moderate Sedation Permit | $500 | |
(ii) Application for Deep Sedation/General Anesthesia Permit | $500 | |
(iii) Application for Operating Dentist Permit | $25 | |
(iv) Application for Facility Permit | $25 | |
(v) Office Inspector Fee (paid directly to each inspector) | $250 | |
(vi) Moderate or Deep Sedation/General Anesthesia Permit Renewal | $250 | |
(vii) Operating Dentist Permit Renewal | $15 | |
(viii) Facility Permit Renewal | $25 | |
(ix) Permit Reinstatement | $500 | |
(c) | Dental Hygienists: | |
(i) Application for Licensure by Examination | $150 | |
(ii) Application for Licensure by Endorsement | $200 | |
(iii) Application for Non-Clinical Licensure | $50 | |
(iv) Applications for Dental Hygiene Expanded Functions | $30 | |
(iv) License Renewal (including functions) | $95 | |
(v) Late License Renewal (Jan 1 - Mar 31) | $190 | |
(vi) Non-Clinical License Renewal | $25 | |
(vii) Relicensure | $190 | |
(viii) Reinstatement | $200 | |
(d) | Dental Assistants: | |
(i) Application for Radiograph Permit | $30 | |
(ii) Application for Pit and Fissure Permit | $30 | |
(iii) Radiograph and Pit and Fissure Permit Renewal | $15 | |
(e) | Other Fees: | |
(i) License or Permit Verification | $25 | |
(ii) Replacement Document | $25 | |
(iii) Roster | $25 | |
(iv) Non-Sufficient Fund Fee | $30 |
034-10 Wyo. Code R. § 10-3
Adopted, Eff. 4/7/2015.
Amended, Eff. 9/26/2017.