NBDHE failure rates by year
This is Table 15.2 from the JCNDE’s 2025 NBDHE Technical Report. “Non” means candidates from programs that aren’t accredited.
| Year | CODA 1st | CODA retake | Non 1st | Non retake | All |
|---|---|---|---|---|---|
| 2016 | 5.1% | 41.7% | 27.6% | 35.6% | 8.1% |
| 2017 | 6.2% | 48.9% | 33.2% | 46.9% | 11.0% |
| 2018 | 5.8% | 46.2% | 34.8% | 44.3% | 10.4% |
| 2019 | 7.9% | 49.1% | 35.5% | 51.3% | 13.8% |
| 2020 | 9.7% | 51.3% | 44.0% | 60.7% | 15.7% |
| 2021 | 13.4% | 50.5% | 51.3% | 59.4% | 22.7% |
| 2022 | 14.3% | 54.5% | 55.7% | 66.1% | 24.0% |
| 2023 | 12.1% | 53.9% | 46.4% | 61.1% | 21.4% |
| 2024 | 10.9% | 51.9% | 37.1% | 64.6% | 19.3% |
| 2025 | 10.1% | 54.9% | 40.1% | 59.7% | 18.7% |
To turn a figure into a pass rate, take it away from 100. The 18.7% for all 2025 attempts means 81.3% passed. The report notes that first-time candidates tended to do better than repeaters, and graduates of accredited programs better than others.
Why does the NBDHE pass rate shift in 2017?
The table marks 2017 as the year a new standard was introduced. A 12-member committee recommended it at a meeting on May 11 and 12, 2015, the JCNDE approved it in 2016, and it took effect in early 2017. The report gives those dates but doesn’t say how much of any change in the figures comes from the standard.
The JCNDE’s April 2026 report also planned an updated NBDHE performance standard for 2026. This table ends in 2025, so it doesn’t show any effect of that change.
Did the 2020 and 2021 short form fail more people?
Candidates from 2020 and 2021 asked whether the shorter NBDHE form used during the pandemic had higher failure rates. The Department of Testing Services studied it and, the JCNDE says, found no meaningful difference between the standard and short forms.
What it did find is that candidates who tested later in 2020 were more likely to fail, on either form. Its view is that they were further from their studies and clinical work.
How many attempts each figure covers
The table counts attempts in each group, so a repeater can appear more than once across the years:
| Year | CODA 1st | CODA retake | Non 1st | Non retake | All |
|---|---|---|---|---|---|
| 2016 | 7,937 | 506 | 214 | 45 | 8,162 |
| 2017 | 7,262 | 677 | 253 | 81 | 8,273 |
| 2018 | 7,360 | 654 | 328 | 88 | 8,430 |
| 2019 | 7,316 | 852 | 377 | 119 | 8,664 |
| 2020 | 6,938 | 764 | 302 | 135 | 8,139 |
| 2021 | 7,478 | 1,571 | 534 | 271 | 9,854 |
| 2022 | 6,933 | 1,721 | 235 | 168 | 9,057 |
| 2023 | 7,456 | 1,682 | 295 | 172 | 9,605 |
| 2024 | 7,709 | 1,537 | 342 | 175 | 9,763 |
| 2025 | 7,893 | 1,560 | 299 | 124 | 9,876 |
The report doesn’t break these down by school or state, and it stops at 2025.
Sources: JCNDE and 2 more. Checked November 2026.
- JCNDE: NBDHE Technical Report 2025 (PDF) ↗
- JCNDE: National Board Dental Hygiene Examination ↗
- JCNDE: April 2026 report of major actions (PDF) ↗
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