Senior Dental Assistant Salary in Billings, MT: $63,008 (2026)
Quick Answer:The top tier of dental assistants working in Billings, MT — those at or above the 90th percentile — pull in $63,008/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 31-9091. Strip back Billings's price premium (BEA RPP 93.5, 6% below national) and that top-decile pay carries the same buying power as $67,370 in average-cost America. The 28% spread above city median typically rewards 7+ years of practice or specialty credentials.
Official BLS data · View source

In Billings, Montana, experienced dental assistants can expect competitive earnings reflecting their advanced skills and years of service. By 2026, top-tier professionals in this field may earn as much as $63,008 annually, significantly distinguishing them from the median salary of $49,043. This notable difference creates a compelling incentive for dental assistants to pursue additional certifications and expand their skills to reach higher income brackets. To tap into this potential, seasoned practitioners may focus on specialties such as oral surgery assisting or transitioning into roles that blend clinical and administrative responsibilities.
2026 Salary Percentile Distribution in Billings
Experienced dental assistants at the top of the pay scale in Billings earn between $55,221 and $63,008 per year (2026 est.). This $23,516 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Billings median of $49,043 sits 1.08% below the US median.
Top DA, CDA Salary Comparison
| Level | Billings | National |
|---|---|---|
| Median (P50) | $49,043 | $49,579 |
| 75th Percentile | $55,221 | $59,914 |
| 90th Percentile (Top 10%) | $63,008 | $64,205 |
In Billings, experienced dental assistants (P90) earn 28.48% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Dental Assistant Pay in Billings
Advanced Certifications in Montana
MT dental assistants with additional specialty certifications within the dental assisting field earn significantly above the $49,043 median. Expanded-scope credentials are increasingly valued by Billings employers.
Specialty Focus
Dental Assistants focusing on high-acuity or specialty areas within the dental assisting field in Billings command premium compensation, often reaching the $55,221–$63,008 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Billings metro area often pay above-market rates for experienced dental assistants who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured dental assistants in Billings with established relationships have strong negotiating leverage. In this competitive market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Dental Assistants in Montana who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Dental Assistant Career & Wage Growth Path in Billings
Clinical Dental Assistant
0-5 yearsSenior/Lead Dental Assistant
5-10 yearsDental Assistant Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedBillings ranks #1 of 7 Montana cities for top earner dental assistant salary (90th percentile: $63,008).
Top 10% dental assistant compensation in Billings ($63,008) is 5.47% above the Montana average P90 ($59,741).
2019 BLS Actual
$51,340
2025 BLS Actual
$61,090
2026 Current Est.
$63,008
2019–2027 Growth
+26.6%
Salary Trajectory for Dental Assistants in Billings (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.14% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $51,340 | Actual |
| 2020 | $50,880 | Actual |
| 2021 | $48,750 | Actual |
| 2022 | $50,470 | Actual |
| 2023 | $56,060 | Actual |
| 2024 | $59,590 | Actual |
| 2025 | $61,090 | Actual |
| 2026(current) | $63,008 | Estimated |
| 2027 | $64,987 | Projected |
Top-earning dental assistants (90th percentile) in Billings saw their compensation grow 19.0% from $51,340 in 2019 to $61,090 in 2025, based on 7 years of BLS OEWS data for this metropolitan area. At a 3.14% annual growth rate, senior-level pay is projected to reach $64,987 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Billings metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.14% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Maximizing Your Dental Assistant Earnings in Billings
Advanced credentials and specialization are pivotal in determining senior dental assistant pay in MT, particularly in Billings. Positions that require exceptional training, such as expanded function dental assistants (EFDA), orthodontic assistants, and pediatric dental assistants, typically command higher compensation. Furthermore, compensation varies amongst employer types, with general dental practices offering different pay scales compared to dedicated specialty offices or corporate dental service organizations like Heartland and Aspen. For those aiming for leadership roles, pathways to becoming a treatment coordinator, clinical coordinator, or practice administrator can lead to enhanced compensation. Holding certifications from recognized bodies such as DANB or pursuing additional licensure and training can also significantly impact earning potential, ensuring that professionals in Billings remain competitive in the evolving dental landscape.
More salary data for Billings, MT:
Frequently Asked Questions
How much do experienced dental assistants make in Billings in 2026?
What drives higher dental assistant pay in Billings?
What certifications boost dental assistant salary in Billings?
Can experienced dental assistants make six figures in Billings?
How much does dental assistant salary increase over time in Billings?
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Written by Maria Gonzalez, CDA, RDH
Career Analyst
Maria Gonzalez has over 10 years of experience in dental assisting. She specializes in pediatric dentistry. She works in a private dental practice.
Methodology & Data Source
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $61,090 for dental assistants in the Billings metro area. A 3.14% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.14%, derived from historical BLS wage trends for dental assistants (SOC 31-9091).
Compiled and verified by Maria Gonzalez, CDA, RDH, a licensed dental assistant with 10+ years of clinical experience. · View source data at BLS.gov