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CBCT Compliance

Maryland CBCT Compliance Guide (2026 Edition)

Maryland CBCT Compliance Guide (2026 Edition)

Expert Review in Progress

A state-specific execution manual for Maryland dental practices purchasing, installing, or operating a cone beam CT system. The guide organizes Maryland’s requirements into the order a practice actually encounters them—from service-provider verification and pre-installation plan review through registration, operator documentation, preventive maintenance, recurring fees, and MDE inspection readiness.

The Maryland compliance model

Maryland’s defining requirement begins before installation: the facility must submit its floor plan and equipment arrangement to the Maryland Department of the Environment at least 30 days before the CBCT is installed or relocated. Installation, service, and preventive maintenance must be handled by a Maryland-registered service provider, and the machine cannot be used until registration and any required approval have been granted.

Inside the Maryland guide

  • Chronological purchase-to-operation compliance timeline
  • Maryland RX-25 service-provider verification
  • RX-21 pre-installation plan-review workflow
  • The 30-day pre-installation submission deadline
  • RX-1, RX-1a, and RX-24 registration and assembly filings
  • Dental Radiation Technologist credential requirements
  • Written radiation protection program and operator documentation
  • Initial personnel-dosimetry monitoring requirements
  • QA testing, technique charts, postings, and maintenance records
  • RX-33, RX-35, and RX-16 preventive-maintenance reporting
  • Three-year MDE inspection cycle and common compliance gaps
  • Printable CBCT patient logbook and practice templates
  • Day 1 Radiation Master Binder framework
  • Moving, replacing, selling, or adding equipment
  • Agency contacts, forms, fees, and cited primary sources
Publication status

The editorial draft is complete and undergoing independent technical review. The final 2026 edition will be released after expert review and primary-source re-verification.

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2026 State Guide

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How these guides are developed

CBCT Compliance was developed from more than a decade of experience within the dental imaging industry and direct exposure to the practical gaps that arise between equipment purchase, installation, registration, training, quality assurance, and inspection readiness.

Each state guide is built from primary-source regulations, agency forms, official guidance, published fee schedules, and documented compliance procedures. The material is organized into the chronological sequence a dental practice is likely to encounter when acquiring and operating a CBCT system.

Editorial conclusions are not sponsored or controlled by any equipment manufacturer, distributor, lender, or listed professional-service provider. Draft editions undergo independent technical review and primary-source re-verification before final publication.

For informational and educational purposes only. The guide does not constitute legal, regulatory, medical-physics, or other professional advice. Practices should verify current requirements with the applicable regulatory agency and appropriately qualified professionals.