Dentist screening questions: state license path, DEA and sedation permits, procedure mix and production
On this page
- Which dentist seat are you filling?
- Which license, exams and permits does a dentist need?
- Knockout questions
- Which procedures does the dentist do, and how many?
- How do production, pay model and payer mix change the screen?
- Patient safety and compliance questions
- How does dentist experience get overstated?
- A 20-minute phone-screen flow
- Scoring
- Legal cautions for dentist screens
- Questions people ask
Dentist screening questions should confirm four things first: an active license from the dental board in the state where the job is (or a realistic date for one), a DEA registration for that state if the dentist will prescribe controlled substances, any sedation or anesthesia permit the role needs, and the procedures the dentist completes without referring out. Then ask about daily production, the pay model they expect and any non-compete. As of November 2026, dental licensure is still state by state: the Dentist and Dental Hygienist Compact has been enacted by 13 states, but its own site says compact privileges are not yet being issued.
This page covers associate dentists, DSO and group roles, community health centers and locum coverage. For the clinical team around the dentist, use dental hygienist screening questions; the interview guide for dental roles covers the loop after the screen for hygienists, assistants and front office staff. Specialists need the same checks plus the residency and board questions below.
Which dentist seat are you filling?
| Setting | What changes | Ask the candidate |
|---|---|---|
| Associate in a private practice | One or two doctors; the owner's systems, referral habits and schedule template | "In your last practice, which procedures did the owner keep and which came to you?" |
| DSO or group practice | Several offices, central scheduling and production reporting, sometimes rotation between locations | "How many offices did you cover in a week, and who built your schedule?" |
| Community health center | Medicaid and sliding-fee patients, many same-day emergencies, program reporting | "What share of your patients were on Medicaid, and how did you fit in emergencies?" |
| Specialist (endodontics, oral surgery, orthodontics, pediatrics, periodontics) | Referral-based work, a residency, often a specialty board | "Which residency did you complete, and are you board certified or board eligible?" |
| Locum or temporary coverage | Short notice, unfamiliar software and staff, another dentist's treatment plans | "What do you do with a treatment plan you would not have written?" |
| Mobile, school or institutional | Portable equipment, limited imaging, scope set by the program | "What did you treat on site, and what did you refer back to a clinic?" |
Which license, exams and permits does a dentist need?
As of November 2026. We checked these on the Bureau of Labor Statistics, the exam bodies' and the boards' own pages. Each state dental board sets its own rules; confirm with the board where the dentist will practice.
The BLS Occupational Outlook Handbook says every state requires dentists to be licensed, that most states require a DDS or DMD degree, a written exam and a clinical exam, and that dentists must be licensed in the state in which they work. Specialists usually complete a 2- to 4-year residency, and some states also require a special exam for specialty licensure.
| Credential | What it is | What to ask |
|---|---|---|
| DDS or DMD | The dental degree from an accredited program. | School and year. For dentists educated abroad, which route the job state's board accepted. |
| INBDE (written exam) | The Joint Commission on National Dental Examinations' Integrated National Board Dental Examination, a two-day exam that JCNDE says is accepted in all U.S. states and territories as all or part of the written licensure requirement. Dentists licensed years ago passed the older National Board Parts I and II. | The year they passed. You do not need the score. |
| Clinical exam or residency | Many boards accept the ADEX Dental exam; its acceptance map (updated September 9, 2026) names Delaware and New York as not accepting it for initial licensure. New York's Office of the Professions requires all initial applicants to complete an approved dental residency of at least one year; dentists licensed elsewhere without it apply by endorsement. | Which exam or residency, when, and whether the job state accepts it. |
| State dental license | Issued by the state dental board and verified on its license search. | Number, expiry, any restriction, and the date of any pending application. |
| DEA registration | Needed to prescribe controlled substances, registered separately for each state (DEA registration FAQ). Since June 27, 2023, applicants and renewals also attest once to eight hours of substance use disorder training (DEA MATE Act FAQ). | Which state the registration is for, and the expiry. |
| Sedation or anesthesia permit | Set by each state. The Texas State Board of Dental Examiners issues five types: nitrous oxide/oxygen inhalation sedation, Level 1 minimal sedation, Level 2 moderate enteral sedation, Level 3 moderate parenteral sedation, and Level 4 deep sedation or general anesthesia. | Which level, in which state, and how many sedation cases in the last year. |
| Specialty | The National Commission on Recognition of Dental Specialties and Certifying Boards recognizes 12 specialties, from dental anesthesiology to prosthodontics. | Residency program and year; board certified, board eligible, or neither. |
On portability: the Dentist and Dental Hygienist Compact says Oklahoma became the 13th state to enact it in May 2026 and that the compact has reached activation status, but compact privileges are not yet being issued; it expects implementation to take 18 to 24 months. Until then, plan on a license in each state. The license verification guide shows how to record what you checked.
Knockout questions
| Question | Strong answer | Red flag |
|---|---|---|
| 1. The role is in [state]. Do you hold an active [state] dental license, and is anything pending? | A number and expiry date, or an application filed on a stated date with the exam or residency the board requires. | "I'm licensed" with no state, or a license from elsewhere described as valid everywhere. |
| 2. Do you hold a DEA registration for [state]? | Yes, or a plan to apply once the state license issues. | Intends to prescribe on another state's registration. |
| 3. The role includes [nitrous / oral sedation / IV sedation / none]. Which permit do you hold? | Names the permit level and the state. | "I did sedation in residency" with no permit in the job state. |
| 4. Has any board, payer or employer restricted your license, credentialing or privileges? (Ask every candidate.) | A clear no, or a direct explanation with dates. | "It was resolved," with no detail. |
| 5. The schedule is [days, evenings, Saturdays, offices]. Does that work every week? | Yes, or a specific limit said now. | Asks for a different schedule before hearing the role. |
| 6. Are you bound by a non-compete or notice period? | Discloses the radius, length and end date. | "Not a problem," without having read it. |
Which procedures does the dentist do, and how many?
Production numbers mean little until you know the procedure mix. Ask what the dentist does personally, roughly how many in a month, and what they refer out. Dentists who do the work give numbers and limits; dentists who are stretching say "everything".
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"Which root canals do you complete yourself: anteriors, premolars, molars? How many molars a month?"
- Strong answer: an honest split, with referral criteria such as calcified canals, retreatment or curved roots sent to an endodontist.
- Red flags: every molar and every retreatment, with no line at all.
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"What extractions do you do, and where do you draw the line?"
- Strong answer: surgical extractions with sectioning, third molars selected by position, referral for nerve proximity or medically complex patients.
- Red flags: no referral criteria, or none done since dental school.
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"Do you place implants, restore them, or both? How many last year?"
- Strong answer: separates placement from restoration, gives counts, and says who handles complications.
- Red flags: a weekend course presented as implant experience.
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"How do you take crown impressions, and how often does a case come back for a remake?"
- Strong answer: scanner or conventional technique, how they communicate shade and margins to the lab, an honest remake figure.
- Red flags: every remake was the lab's fault.
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"What ages do you treat, and what do you do with a child who will not cooperate?"
- Strong answer: behavior guidance techniques, parent communication, referral to a pediatric dentist when sedation or a hospital setting is needed.
- Red flags: no children at all, for a family practice.
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"Walk me through the last comprehensive treatment plan you presented."
- Strong answer: diagnosis first, phased options including the conservative one, what the patient chose, and how it was documented.
- Red flags: talks only about case acceptance.
How do production, pay model and payer mix change the screen?
Ask which pay model the dentist expects (a daily rate, a percentage of production, a percentage of collections, or a mix) and how lab fees are handled, then compare candidates on the same definitions.
| Question | Strong answer | Red flag |
|---|---|---|
| What did you produce on a typical day, and was that gross or net of insurance adjustments? | A number with its definition, and how it was reported. | Quotes the whole office's production. |
| How much of that came from hygiene exams rather than your own chair? | Separates the two. | Cannot say. |
| What was the payer mix: fee-for-service, PPO plans, Medicaid? | Rough shares. | Does not know which plans the office took. |
| How many patients in your own chair a day, and how long do you book a crown prep? | Specific numbers that match the setting. | Numbers that do not fit the hours. |
| Which practice management and imaging software have you used? | Names them and charts during the appointment. | Back-charts at the end of the week. |
| What pay model and minimum do you need? | A specific expectation. | No number. Ask for expectations, not history; see salary expectation questions. |
An example with invented numbers: a dentist reports $5,000 a day of production in an office where 70 percent of patients are on PPO plans whose fees average 30 percent below the office's full fee. The collectible figure is closer to $3,950 a day. Ask which number they mean before you compare them with a candidate from a fee-for-service office.
Patient safety and compliance questions
| Question | Strong answer | Red flag |
|---|---|---|
| A patient collapses in the chair. What happens in the next two minutes? | Team roles, the emergency kit and oxygen, the AED, calling 911, and when they last ran a drill. | "We call 911 and wait." |
| How do you know the sterilizers are working? | Spore testing and logs, instrument processing flow, what happens after a failed test. | "The assistants handle that." |
| What do you do after a needlestick in your operatory? | Follows the office's exposure plan under OSHA's bloodborne pathogens standard: wash, report, post-exposure evaluation. | Would not report it. |
| How do you decide which radiographs to take for a new adult patient? | Based on history and exam, not a fixed series for everyone. | Full series for everyone, every year. |
| Tell me about a time a production goal and your clinical judgment pulled in different directions. | Judgment won, the reasoning was documented, and they raised it with the owner or manager. | Production-first answer. |
How does dentist experience get overstated?
- Course as caseload. Implant, aligner or sedation courses described as routine work.
- Office numbers as personal numbers. Practice production quoted as the dentist's own.
- Scheduled as collected. Gross scheduled production compared with another candidate's net collections.
- Residency scope as current scope. Procedures done under supervision years ago, not since.
- "License pending" that means the application has not been filed.
A 20-minute phone-screen flow
- Minutes 0 to 3: the setting, schedule, payer mix and start date.
- Minutes 3 to 7: knockouts; license, DEA, permits, restrictions and non-compete.
- Minutes 7 to 14: procedure mix and referral lines.
- Minutes 14 to 20: production definitions, pay model expectation, software and next steps.
Scoring
Pass or fail
- Licensed in the job state, or a dated route to it before the start date.
- DEA registration and sedation permit as the role requires.
- No undisclosed restriction; no non-compete blocking the start.
- Fits the schedule and locations.
Scored 0 to 2 each (10 possible)
- Procedure match with honest referral lines.
- Production stated with clear definitions that survive arithmetic.
- Treatment planning that puts diagnosis first.
- Emergency and infection control readiness.
- Fit with the setting: payer mix, pace and team.
Legal cautions for dentist screens
General information as of November 2026, not legal advice. Non-competes for dentists are limited in several states. In Texas, SB 1318 requires a dentist's non-compete entered into or renewed from September 1, 2025 to include a buyout no greater than the dentist's annual salary and wages, to end within a year and to cover no more than five miles (see the Texas non-compete page). Colorado's SB 25-083, effective August 6, 2025, removed the highly compensated exception for covenants restricting the practice of dentistry, and the New Mexico page covers the statute that makes dentists' non-competes unenforceable once the job ends. Have counsel read any agreement before an offer.
Describe the job's physical demands (long procedures, fine motor work, positioning) and ask whether the candidate can meet them, with or without accommodation; do not ask about health, medications or substance use treatment, which the EEOC's pre-employment guidance bars before an offer. Questions about board actions are fine when every candidate gets them. Permit levels, molar counts and production definitions are the details that blur across a week of calls. Interview Signal keeps these knockout questions pinned until you ask them and writes the notes from what each dentist said, with the transcript kept on your own computer.
Questions people ask
How do I verify a dentist's license before submitting them?
Look the dentist up on the dental board's license search for the state where the job is, because the Bureau of Labor Statistics says dentists must be licensed in the state in which they work. Record the number, expiry date and any discipline, and check the DEA registration for the same state if the dentist will prescribe controlled substances.
Can a dentist licensed in one state work in another state?
Not on that license alone. As of November 2026 the Dentist and Dental Hygienist Compact has been enacted by 13 states, but its own site says compact privileges are not yet being issued, so the dentist needs a license from the job state's board, often through that board's licensure by credentials or endorsement route.
Does a general dentist need a permit to sedate patients?
Check the job state's dental board, because sedation permits are set state by state. Texas, for example, issues five permit types to dentists: nitrous oxide, Level 1 minimal sedation, Level 2 moderate enteral sedation, Level 3 moderate parenteral sedation and Level 4 deep sedation or general anesthesia. Ask which permit the candidate holds in the job state.
Can I ask a dentist what they produced at their last practice?
Yes. Production is a job-related performance figure, so ask for the daily number and whether it was gross or net of insurance adjustments. Ask for the pay the dentist expects rather than what they were paid, because many states and cities ban salary history questions.