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By: All Allied Health Staff
Why choose North Carolina?
One great reason to become a dental assistant in North Carolina is the strong job market in the state. North Carolina is experiencing a growing demand for dental care due to its expanding population and focus on healthcare. This trend has led to an increasing need for dental assistants, offering potential job security and opportunities for career growth. Additionally, North Carolina’s cost of living is relatively affordable, meaning that your salary as a dental assistant may go further to provide a comfortable lifestyle.
Two more reasons to consider North Carolina are:
- Diverse work environments: North Carolina offers a range of dental practices, from urban centers to rural areas, providing varied work settings and experiences.
- Supportive legislation: The state has clear guidelines and support for dental assistants, including opportunities for expanded functions, which can enhance your skills and career prospects.
Quick view of NC
There are roughly 10,930 people employed as dental assistants in North Carolina, says the BLS. This equates to over two people working in the field for every 1,000 people who reside in the state. The median wage per hour is $23 and the forecasted job growth for the coming decade is 6.4%, faster than the national average for all job fields combined.
Compared to high-employment states such as California and Illinois, the cost of living in North Carolina is generally lower, offering more affordable housing, lower utility costs and overall lower expenses for goods and services. This makes North Carolina a more budget-friendly option, allowing for a higher quality of life on a dental assistant’s salary.
Here are five primary employers of dental assistants in North Carolina, including a university dental college:
- University of North Carolina Adams School of Dentistry, Chapel Hill, NC:
- One of the top dental schools in the country, offering opportunities for dental assistants in education, research and clinical settings.
- Novant Health, Charlotte, Matthews, Wilmington and multiple locations, NC:
- Novant Health is a major healthcare system in North Carolina, with numerous dental and healthcare facilities that employs dental assistants across the state.
- Atrium Health Dental Clinic, Charlotte, Wake Forest, NC:
- Another healthcare provider that employs dental assistants in its dental clinics and oral medicine and maxillofacial surgery medical centers in North Carolina.
- Aspen Dental, Greensboro, Asheville and multiple locations, NC:
- A nationwide dental service provider with multiple locations in North Carolina, offering comprehensive dental care.
- Carolina Dental Group, Fayetteville, Raleigh, Chapel Hill, Durham and multiple locations, NC:
- A well-established private dental practice with multiple locations in North Carolina, providing various dental services that utilize the skills of dental assistants.
Salary statistics for North Carolina dental assistants
While the national median salary for dental assistants is just over $47,300 a year, pay in North Carolina is slightly higher than the national median, at $48,710. Your pay may vary depending upon several factors, including where you work and live in NC, how much experience you have, what professional credentials you hold, who your employer is and your level of education.
Median salaries for dental assistants in NC
The median annual salary for dental assistants in North Carolina is $48,710, which is just over the national median. While North Carolina’s major cities don’t rank in the BLS’ top 10 areas for pay, the Piedmont non-metropolitan area—which is located in the middle of the state and is home to the “Triad” of cities, Greensboro, Winston-Salem and High Point—ranks fourth in the U.S. for highest employment of dental assistants.
Dental Assistants
10%$37,330
25%$45,100
50%$48,710Median
75%$56,840
90%$59,300
Median Hourly Wage$23
Job growth6.4%
Total Employment11,100
| Metro area | Median Salary | Bottom 10% | Top 10% |
|---|---|---|---|
| Greensboro-High Point, NC | $51,500 | $39,420 | $58,040 |
| Wilmington, NC | $50,440 | $38,130 | $58,690 |
| Raleigh-Cary, NC | $50,240 | $36,640 | $63,040 |
| Asheville, NC | $49,870 | $36,030 | $58,100 |
| Charlotte-Concord-Gastonia, NC-SC | $49,140 | $38,040 | $59,890 |
| Durham-Chapel Hill, NC | $49,010 | $37,950 | $73,310 |
| Winston-Salem, NC | $47,440 | $36,660 | $57,720 |
| Greenville, NC | $46,790 | $36,650 | $55,820 |
| Hickory-Lenoir-Morganton, NC | $46,760 | $37,650 | $56,740 |
| Burlington, NC | $46,390 | $37,180 | $55,020 |
Source: U.S. Bureau of Labor Statistics (BLS) 2024 median salary; projected job growth through 2034. Actual salaries may vary depending on location, level of education, years of experience, work environment, and other factors. Salaries may differ even more for those who are self-employed or work part time.
Salary ranges for dental assistants in North Carolina
The salary range for dental assistants in North Carolina spans from the lowest 10% of workers at $37,330 to $59,300 for the highest 10% of dental assistants, usually those with several years of experience of who have earned professional credentials such as the Certified Dental Assistant (CDA), Registered Dental Assistant (RDA) or Expanded Functions Dental Assistant (EFDA).
Salaries for dental assistants can vary based on factors such as experience, location and the type of dental practice. Here’s a general overview of salary ranges in North Carolina:
- Entry-Level (0-1 years of experience): $36,000–$39,000 annually
- Mid-Level (2-5 years of experience): $39,000–$55,000 annually
- Experienced (5+ years of experience): $55,000–$59,000 annually
In urban areas like Raleigh, Charlotte or Durham, salaries might be on the higher end of the spectrum, especially for experienced dental assistants or those working in specialized dental practices or dental colleges affiliated with universities.
Some dental assistants may choose to continue their education and become dental administrators, dental lab technicians or dental hygienists, as these roles may offer opportunities for higher salaries. You can compare dental assistant pay to some other dental career salaries below:
Pay by metro areas in North Carolina
In North Carolina, certain metropolitan areas offer higher salaries for dental assistants due to factors such as cost of living, demand for dental services, and the presence of larger healthcare systems or dental colleges. The top metro areas in North Carolina where dental assistants typically earn more include:
- Charlotte-Concord-Gastonia: As the largest metro area in North Carolina, Charlotte has a high demand for healthcare services, including dental care. The region’s growing population, combined with a competitive job market and higher cost of living, drives up salaries. Additionally, the presence of large dental practices and healthcare institutions contributes to higher wages. Median wage: $47,030
- Durham-Chapel Hill: This area is known for its strong healthcare sector, partly due to the presence of major research universities like Duke University and the University of North Carolina at Chapel Hill. Dental assistants in this region benefit from working in well-funded dental schools, research institutions and high-end private practices, and the area has the highest median salary in the state. Median wage: $53,690
- Asheville: Asheville has a rapidly growing population and a thriving healthcare sector. While it’s not as large as Charlotte or Raleigh, the area’s higher cost of living and demand for skilled healthcare workers lead to some of the highest median salaries for dental assistants. Median wage: $50,530
- Wilmington: Wilmington’s coastal location and appeal as a retirement destination have led to a growing need for dental services, particularly in geriatric care. The cost of living and demand for experienced dental assistants in specialized practices contribute to higher pay. Median wage: $46,890
- Greensboro-High Point: Greensboro’s growing healthcare industry, coupled with its role as a regional hub (ans as noted above, fourth largest employer of dental assistants in the U.S.), results in higher salaries for dental assistants. The area’s cost of living is moderate, but the demand for skilled workers in healthcare leads to competitive wages. Median wage: $49,980
Salary growth and job outlook
The dental assisting industry is growing in general, with the BLS citing a 6.4% job growth rate through 2034. The job outlook for dental assistants in North Carolina is also generally positive, driven by several key factors:
Aging population: North Carolina has a significant aging population, particularly in areas like Asheville and Wilmington. As people age, they require more dental care, leading to increased job opportunities for dental assistants in geriatric and general dental practices.
Healthcare coverage: As healthcare coverage expands, more people have access to dental benefits, further increasing the demand for dental services. This is particularly relevant in states like North Carolina, where Medicaid expansion could provide more residents with access to dental care.
Growing demand for dental services: The demand for dental services is increasing due to the state’s growing population, especially in urban areas. As more people seek routine dental care, cosmetic procedures and specialized treatments, the need for dental assistants continues to rise.
More dental practices: The growth of dental practices, including the rise of corporate dental chains and group practices, is creating more job opportunities for dental assistants. These practices often need multiple dental assistants to support their operations.
Presence of educational institutions: The presence of major dental schools, like the University of North Carolina at Chapel Hill, also contributes to job growth. Graduates from these programs often stay in the state, and the schools themselves create opportunities for dental assistants in educational settings.
Factors that can affect pay for dental assistants
Several factors influence how much a dental assistant can earn in North Carolina. Here’s a breakdown of the most significant ones:
- Metro vs. rural:
- Dental assistants in larger metropolitan areas like Charlotte, Raleigh-Durham and Asheville generally earn higher salaries due to the higher cost of living, increased demand for dental services and more competitive job markets. In contrast, salaries in rural areas tend to be lower, reflecting a lower cost of living and less demand for specialized dental services.
- Level of experience and education:
- Entry-level dental assistants usually earn less, but as they gain experience and skills, their earning potential may increase. Those with several years of experience or specialized skills, such as orthodontics or oral surgery, may command higher salaries. Holding certifications such as Certified Dental Assistant (CDA) or Expanded Functions Dental Assistant (EFDA) may also boost earning potential.
- Employer type:
- Dental assistants working in specialized practices, such as orthodontics or oral surgery, may earn more than those in general dentistry due to the advanced skills required. Dental assistants working for large corporate dental chains may have different salary scales compared to those in small, private practices. Corporate chains might offer higher salaries, better benefits and more structured career advancement opportunities. Those working in government-funded clinics or non-profits may receive competitive salaries, especially if these organizations focus on serving underprivileged communities and have access to state or federal funding.
- Presence of large universities:
- The presence of prestigious universities, particularly those with dental schools like the University of North Carolina at Chapel Hill, may impact pay positively. University dental clinics often have more resources, provide advanced care and attract a high volume of patients, including university personnel who often have dental benefits. This environment can lead to higher salaries for dental assistants. Working in a university setting may also provide opportunities for professional development, research and continuing education, which can further enhance a dental assistant’s skills and earning potential.
- State economy:
- The overall state economy impacts job growth, demand for healthcare services and salary levels. A strong state economy typically correlates with higher spending on healthcare, including dental care, which can drive up demand for dental assistants and lead to higher wages. North Carolina’s healthcare industry has been growing, particularly in research and development, biotechnology and healthcare services. This growth can lead to increased demand for skilled workers, including dental assistants, contributing to higher pay. Changes in inflation and the cost of living across the state also play a role. Areas with rising costs may see wage increases to attract and retain qualified dental assistants.
- Continuing education:
- Pursuing continuing education courses or attending workshops on the latest dental technologies and practices can make a dental assistant more valuable to employers, leading to higher pay.
- Advancing to supervisory roles:
- Moving into supervisory or management roles within a dental practice may lead to significant pay increases. Dental assistants with leadership skills and experience may be promoted to positions like lead dental assistant or office manager.
What do I do if I find my pay is unfair in NC?
If a dental assistant in North Carolina encounters wage disputes, pay discrimination or discrepancy based on protected characteristics, several resources and avenues can be pursued to resolve the issue. By utilizing these resources, dental assistants in North Carolina can take steps to resolve wage disputes and ensure they are compensated fairly according to state and federal laws:
North Carolina Department of Labor (NCDOL)
- Wage and Hour Bureau: The NCDOL’s Wage and Hour Bureau is responsible for enforcing the state’s wage laws. If a dental assistant believes they are not being paid fairly or are facing issues like unpaid overtime, incorrect pay rates, or withheld wages, they can file a complaint with the NCDOL.
- Complaint process: To file a wage dispute, a dental assistant can submit a formal complaint through the NCDOL’s online complaint form or by mail. The bureau will investigate the complaint, and if the employer is found in violation, they may be required to pay back wages.
Legal Aid of North Carolina
- Free legal assistance: Legal Aid of North Carolina provides free legal assistance to low-income individuals, including dental assistants, who are experiencing wage disputes. They can help with cases involving unpaid wages, overtime violations and other employment-related issues.
North Carolina Justice Center
- The North Carolina Justice Center’s Workers’ Rights Project works to protect and promote the rights of workers in the state. They can provide assistance in wage dispute cases, advocate for fair wages and work to combat wage theft. They also offer resources and education to workers about their rights under state and federal law.
United States Department of Labor (DOL)
- Wage and Hour Division (WHD): If the wage dispute involves violations of federal wage laws, such as the Fair Labor Standards Act (FLSA), dental assistants can file a complaint with the WHD. This division handles issues like minimum wage violations, unpaid overtime and misclassification of employees.
- Complaint process: Complaints can be filed online, by mail, or by calling the nearest WHD office.
Employment lawyers
- Labor and employment attorneys: Dental assistants can also seek the help of private attorneys specializing in labor and employment law. These lawyers can provide personalized legal advice, represent them in negotiations or court and help recover unpaid wages. Many employment lawyers offer free initial consultations, which can be useful for understanding the strength of a case before deciding to pursue legal action.
North Carolina Bar Association–Lawyer Referral Service
- Finding an attorney: If a dental assistant needs legal representation, the North Carolina Bar Association offers a Lawyer Referral Service to help individuals find a qualified attorney in their area who specializes in employment law.
Workplace posters and resources
- Employers in North Carolina are required to post workplace rights notices that include information about minimum wage, overtime and how to file complaints. These posters often contain contact information for the NCDOL and other resources.
Education and certification for dental assistants in NC
In North Carolina, dental assistants can enter the field with varying levels of education and training, depending on the role they intend to pursue. North Carolina has a tiered system for dental assistants, with specific education and certification requirements for those seeking to perform more advanced duties. DA I roles are entry-level, while DA II requires formal education or equivalent work experience and additional certifications.
Dental Assistant I (DA I)
Education: No formal education is required beyond a high school diploma or equivalent.
Training: On-the-job training is typically provided by the employer. Dental Assistant I roles are more entry-level and involve basic tasks such as sterilizing instruments, taking X-rays (with certification) and assisting the dentist during procedures.
Dental Assistant II (DA II)
To become a DA II, specific education or training is required.
- Approved education program: Completion of a dental assisting program accredited by the Commission on Dental Accreditation (CODA) or an equivalent program.
- Work experience: Alternatively, a DA I can qualify for DA II status by completing two years (3,000 hours) of full-time work experience as a dental assistant.
- Expanded functions: A DA II can perform more advanced duties, such as coronal polishing, applying sealants and taking final impressions, under the supervision of a dentist.
Certification requirements:
- Radiography certification: Dental assistants in North Carolina must be certified to take X-rays. This typically requires completing a course in dental radiography approved by the North Carolina State Board of Dental Examiners.
- Nitrous oxide monitoring: Dental assistants who monitor nitrous oxide must complete an approved course and pass a competency exam.
Cost of living in North Carolina
The cost of living in North Carolina is generally lower than the national average, making it an attractive place to live for many. Housing costs in North Carolina are typically more affordable compared to the national average, especially in smaller cities and rural areas. Even in larger metropolitan areas like Charlotte and Raleigh, while housing costs are higher than in rural areas, they are still often lower than in other major U.S. cities.
Overview:
According to RentCafe, the cost of living in North Carolina is 5% lower than the national average. This is good news for dental assistants who can enjoy even better news knowing that housing averages 14% lower, and utilities are also lower, at 2% less than the national average.
Highest cost of living cities:
Of the cities in North Carolina that RentCafe tracks, only Chapel Hill has a higher cost of living than the national average (5% higher), but because Durham-Chapel Hill is the highest paying metro area in the state, the cost of living should average out when weighed against the higher salary earned.
Lowest cost of living cities:
Cities that are dental assisting hubs and have a lower cost of living than the national average include Charlotte (3% lower), Raleigh (2% lower), Winston-Salem (6% lower), Fayetteville (6% lower), Greenville (2% lower) and Wilmington (4% lower).
Professional groups for dental assistants in NC
Professional groups offer valuable resources for dental assistants in North Carolina, including continuing education, networking, advocacy and career development opportunities. Joining one of these organizations can help dental assistants stay connected with their peers, advance their skills and stay informed about industry changes.
- North Carolina Dental Assistants Association (NCDAA):
- The NCDAA is the state component of the American Dental Assistants Association (ADAA). The NCDAA aims to promote the profession of dental assisting in North Carolina by providing education, advocacy and professional development opportunities. The association offers continuing education courses, hosts events and conferences and provides members with resources to advance their careers.
- North Carolina Dental Society (NCDS):
- While the NCDS is primarily for dentists, it has auxiliary groups and resources for dental assistants. They often collaborate on educational events, conferences and other professional activities.
- American Dental Assistants Association (ADAA):
- While not specific to North Carolina, the ADAA is a national organization with state chapters, including the NCDAA. Membership in the ADAA provides access to national resources, continuing education and advocacy efforts that also benefit dental assistants in North Carolina.
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Our dental assistant salary guide for North Carolina strives to provide you with an understanding of the salary landscape in the state and key information regarding the profession. Use this guide as a starting point to make informed decisions about your dental assisting career path, navigating salaries and for setting realistic expectations for your educational and professional future.