Dental Hygienist Salary in North Carolina: A 2024 Earnings Guide

For those drawn to a rewarding career in healthcare that combines patient care, technical skill, and excellent work-life balance, the role of a dental hygienist is a top contender. In North Carolina, this profession not only offers a stable and in-demand career path but also comes with significant earning potential, with average salaries often exceeding $80,000 annually.
If you're considering this career or are a current professional evaluating your earning power in the Tar Heel State, this comprehensive guide will break down everything you need to know about a dental hygienist's salary in North Carolina, from statewide averages to the key factors that can maximize your income.
What Does a Dental Hygienist Do?

A dental hygienist is a licensed oral healthcare professional who is a crucial member of any dental team. Their work focuses on preventative care to help patients maintain optimal oral health and prevent dental diseases. Key responsibilities include:
- Performing professional dental cleanings to remove plaque, tartar, and stains.
- Screening patients for signs of oral diseases like gingivitis, periodontitis, and oral cancer.
- Taking and developing dental radiographs (X-rays).
- Applying preventative materials like sealants and fluorides.
- Educating patients on proper oral hygiene techniques, such as brushing, flossing, and nutrition.
- Documenting patient care and treatment plans.
They work alongside dentists to provide a comprehensive approach to a patient's oral health, acting as both a clinician and an educator.
Average Dental Hygienist Salary in North Carolina

When analyzing compensation, it's helpful to look at the average salary as well as the typical range, which accounts for differences in experience and other factors.
According to the most recent data from the U.S. Bureau of Labor Statistics (BLS) for May 2023, the average (mean) annual salary for a dental hygienist in North Carolina is $81,350, which translates to an average hourly wage of $39.11.
However, this average doesn't tell the whole story. The salary range provides a clearer picture of earning potential throughout a career:
- Entry-Level (Bottom 10%): Earn around $61,900 per year.
- Mid-Career (Median/50th Percentile): Earn $80,090 per year.
- Experienced/Senior-Level (Top 10%): Can earn more than $103,420 per year.
Other reputable sources like Salary.com place the average salary for a North Carolina dental hygienist at $77,801 as of May 2024, with a typical range falling between $67,064 and $88,944. This slight variation is common among data aggregators but confirms that a salary in the high-$70k to low-$80k range is a realistic expectation for most professionals in the state.
Key Factors That Influence Salary

Your specific salary as a dental hygienist is not a fixed number. It is influenced by a combination of professional and environmental factors. Understanding these variables can empower you to negotiate better pay and guide your career decisions.
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Level of Education
To become a licensed dental hygienist in North Carolina, you must graduate from an accredited dental hygiene program, which typically results in an Associate of Applied Science (A.A.S.) degree. This is the standard educational requirement for clinical practice.
While a bachelor's or master's degree is not required for licensure, pursuing higher education can unlock higher-paying career paths beyond the traditional clinical role. Professionals with a Bachelor of Science (B.S.) or Master of Science (M.S.) in dental hygiene may move into positions in:
- Academia: Teaching at dental hygiene schools.
- Public Health: Managing state or community oral health programs.
- Corporate Roles: Working for dental supply or insurance companies.
- Research: Contributing to clinical studies.
These advanced roles often come with higher salaries and different responsibilities, making further education a significant factor in long-term earning potential.
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Years of Experience
Experience is one of the most direct influencers of salary. As hygienists gain hands-on expertise, become more efficient, and build strong patient relationships, their value to a practice increases. The BLS salary percentiles clearly illustrate this progression:
- Entry-Level (0-2 years): New graduates can expect to earn salaries in the bottom 10-25% percentile, roughly $61,900 to $74,620.
- Mid-Career (3-9 years): With several years of experience, hygienists can expect to earn closer to the state median and average, around $80,000 to $82,000.
- Senior-Level (10+ years): Highly experienced hygienists with a proven track record can command salaries in the top 25%, often exceeding $93,420 and potentially reaching over $100,000.
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Geographic Location
In a diverse state like North Carolina, where you work matters significantly. Major metropolitan areas with a higher cost of living and greater demand for healthcare services typically offer higher wages.
Here is a look at the average annual salaries in different North Carolina metropolitan areas, according to the May 2023 BLS data:
- Raleigh-Cary, NC: $85,020
- Charlotte-Concord-Gastonia, NC-SC: $83,720
- Durham-Chapel Hill, NC: $82,310
- Winston-Salem, NC: $81,300
- Greensboro-High Point, NC: $79,880
- Asheville, NC: $79,270
Conversely, nonmetropolitan and rural areas in both the eastern and western parts of the state tend to have lower average salaries, though this is often offset by a lower cost of living.
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Company Type
The type of office you work in also plays a major role in your compensation structure.
- Private Dental Practices: These are the most common employers. Salaries can vary widely depending on the practice's size, patient volume, and profitability. Some may offer bonuses based on production.
- Dental Service Organizations (DSOs): These are large, corporate-owned dental groups with multiple locations. They often offer competitive, standardized salaries and comprehensive benefits packages, including health insurance and 401(k) plans, which might be less common in smaller private offices.
- Hospitals and Medical Centers: Hygienists working in hospital settings may have different pay scales and responsibilities, sometimes working with medically complex patients.
- Public Health and Community Clinics: While these roles may offer slightly lower base salaries, they often provide excellent government benefits and a strong sense of mission.
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Area of Specialization
While dental hygiene is itself a specialty, gaining additional skills and certifications can make you a more valuable candidate. Hygienists who have expertise or certifications in specialized areas, such as periodontics (treating gum disease) or pediatric dentistry, may command higher pay. Furthermore, proficiency with advanced technology, such as laser therapy for soft tissue management, can set a candidate apart and potentially lead to increased compensation.
Job Outlook

The future for dental hygienists in the United States is exceptionally bright. The U.S. Bureau of Labor Statistics projects that employment for dental hygienists will grow by 7% from 2022 to 2032, which is much faster than the average for all occupations.
This strong growth is driven by several factors:
- An aging population that is retaining more of their natural teeth.
- Growing public awareness of the link between oral health and overall systemic health.
- Ongoing research linking gum disease to conditions like heart disease and diabetes.
This robust demand translates into strong job security and ample opportunities for both new graduates and experienced professionals across North Carolina.
Conclusion

A career as a dental hygienist in North Carolina is a stable, respected, and financially rewarding path. With an average statewide salary hovering around $81,350 and top earners exceeding $103,000, the profession offers a comfortable living.
For those looking to enter the field or advance their careers, the key takeaway is that your earnings are in your control. By focusing on gaining experience, choosing a strategic location, working in a high-performing practice, and potentially pursuing further education or specializations, you can significantly enhance your salary potential. For anyone seeking a vital role in healthcare with a promising financial future, becoming a dental hygienist in North Carolina is a compelling opportunity.