(B) In a private dental office setting, a dental hygienist may only perform the following functions under general supervision:

1. (1) oral prophylaxis and assessment;
2. (2) fluoride treatment;
3. (3) oral hygiene instruction and education;
4. (4) exposure and process of radiographs as directed by standard office protocol.

(C) A dentist in a private office setting may authorize general supervision only upon meeting the following criteria:

1. (1) a new patient of record must be clinically examined by the authorizing dentist during the initial visit;
2. (2) an appointed patient must be examined by the authorizing dentist at a minimum of twelve-month intervals.
3. (3) an appointed patient must be notified in advance of the appointment that he or she will be treated by the dental hygienist under general supervision without the authorizing dentist being present or being examined by the authorizing dentist.