The Admission Test for Dental Hygiene (ATDH) is the American Dental Association's entrance exam for dental hygiene programs. It has 240 multiple-choice questions across six sections, is scored 200 to 500 and is taken year-round at Prometric test centers. Not every program uses it: the ADA's 2026 list shows 17 programs that require the ATDH and 17 more that accept it. Start with our guide to studying for the ATDH for section-by-section advice and an 8-week plan.

ATDH at a Glance

The ATDH is written by the ADA's Department of Testing Services and used by dental hygiene programs alongside your GPA and prerequisites. Here are the key facts.

FactATDH
SectionsReading Comprehension, Language Usage, Quantitative Reasoning, Perceptual Ability, Biology, General Chemistry
Questions240 multiple choice
Length290 minutes in total, including a tutorial, two optional 15-minute breaks and a survey
Score scale200–500 for each section, plus English Language Skills and Overall composites; no passing score
Fee$150
WherePrometric test centers, year-round

Source: the ATDH User's Guide and the 2026 ATDH Candidate Guide, checked November 7, 2026.