NHS England - April 2024 charges

NHS Dentist Cost

NHS dental charges are fixed nationally. There are three treatment bands and an urgent care charge. Here is exactly what each one costs and what it covers.

Band 1
£26.80
Check-up, X-rays, scale and polish
Band 2
£73.50
Fillings, extractions, root canals
Band 3
£319.10
Crowns, bridges, dentures
Urgent
£26.80
Emergency appointment, pain relief

These prices are fixed nationally. Every NHS dentist in England charges the same amount.

What Each Band Includes

One charge covers an entire course of treatment in that band. You pay once, not per procedure.

1
Band 1
£26.80
  • +Dental examination and diagnosis
  • +X-rays
  • +Scale and polish (if clinically needed)
  • +Prevention advice and oral health guidance
  • +Referral to a specialist if needed
This covers everything diagnostic. If your dentist finds a problem during your check-up, the treatment moves to Band 2. You do not pay both charges - the band upgrades automatically.
2
Band 2
£73.50
  • +Everything included in Band 1
  • +Fillings (amalgam or tooth-coloured composite)
  • +Root canal treatment
  • +Tooth extractions
  • +Gum disease treatment (including deep cleaning)
One fee covers all the treatment you need in that course. Three fillings still costs £73.50, not three times that. If you need a filling on Monday and another is spotted at the same appointment, both are covered by the single Band 2 charge.
3
Band 3
£319.10
  • +Everything included in Bands 1 and 2
  • +Crowns
  • +Bridges
  • +Dentures (full or partial)
  • +Veneers (in specific clinical circumstances)
The most expensive NHS charge. Still far cheaper than private: a private crown typically costs £400 to £1,000 per tooth. If you need a crown plus several fillings, NHS Band 3 covers everything for £319.10.
U
Urgent Treatment
£26.80
  • +Emergency appointments during working hours
  • +Out-of-hours emergency treatment
  • +Pain relief
  • +Temporary fillings
Call NHS 111 outside of surgery hours. Urgent treatment is designed to relieve pain, not to complete a full course of treatment. You will usually be referred back to your regular dentist for follow-up.

Who Gets Free NHS Dental Treatment?

Several groups qualify for free NHS dental care. Eligibility is checked at the time of treatment.

Age
  • Under 18 years old
  • Under 19 and in full-time education
Pregnancy and new parents
  • Currently pregnant
  • Had a baby in the last 12 months
Benefits
  • Universal Credit (in most circumstances)
  • Income-based Jobseeker's Allowance
  • Income-related Employment and Support Allowance
  • Income Support
  • Pension Credit (Guarantee Credit)
Low income
  • Named on an NHS Low Income Scheme HC2 certificate
  • Partial help available with an HC3 certificate
If you are unsure whether you qualify, ask at the practice before your appointment. Your dentist can check eligibility. If you claim free treatment and are not entitled, you may be charged a penalty in addition to the original cost.

NHS vs Private Dental Treatment

Both have genuine advantages. The right choice depends on what you need.

NHSPrivate
Cost£26.80 to £319.10 per course£50 to £1,000+ per procedure
Check-up£26.80£50 to £100
Filling£73.50 (covers all fillings in that course)£80 to £250 per tooth
Crown£319.10 (covers entire course)£400 to £1,000 per crown
MaterialsFunctional, clinically appropriateWider choice including premium options
Waiting timesCan be weeks or monthsOften within days
Cosmetic workNot available (clinical need only)Full range available
ImplantsRarely available on NHS£1,500 to £2,500 per tooth
NHS dentistry covers everything you need

If a tooth needs filling, extracting, or crowning for clinical reasons, the NHS will do it. The treatment may use standard materials rather than premium alternatives, but the clinical outcome is the same.

Private covers everything you want

Cosmetic improvements, tooth whitening, ceramic rather than metal fillings, implants instead of dentures - these are generally private only. You also get more flexibility on appointment times.

How to Find an NHS Dentist

Finding an NHS dentist accepting new patients can take time. Here is the most effective approach.

1
Search on nhs.uk

Go to nhs.uk/service-search/find-a-dentist and search by postcode. It shows whether each practice is accepting NHS patients. The information is not always up to date, so always call to confirm.

2
Call practices directly

Many dentists have closed their NHS lists and the NHS website can lag behind. Call each practice and ask specifically: "Are you taking on new NHS patients?" You may need to contact 10 to 15 practices before finding one with availability.

3
Ask about mixed practices

Many dental practices offer both NHS and private treatment. Even if their NHS list is full, they may be able to see you privately for a check-up and add you to their NHS waiting list. This can be quicker than starting from scratch elsewhere.

4
Call NHS 111 for urgent help

If you are in pain and cannot find an NHS dentist, call 111. They can direct you to an urgent dental care service. This is for pain and dental emergencies, not routine check-ups.

Common Questions

If I need a check-up and a filling, do I pay both Band 1 and Band 2?

No. If your dentist finds a filling is needed during your check-up, the whole appointment is charged at Band 2 (£73.50). The band covers the highest level of treatment in that course. You pay once.

Are NHS dental charges the same across the UK?

No. The band system and charges described here apply in England only. Scotland provides free NHS dental treatment to all adults registered with an NHS dentist. Wales and Northern Ireland have their own arrangements. If you are outside England, check with your local health service.

Can I get a refund if I paid and later find I was eligible for free treatment?

Yes, in some cases. If you were eligible for free treatment but paid by mistake, you can claim a refund within three months of payment. You will need form FP57, which your dentist should give you when you pay. Contact the Business Services Authority (0300 330 1343) for assistance.

Does the NHS cover tooth whitening?

No. Tooth whitening is considered a cosmetic procedure and is not available on the NHS. Private tooth whitening typically costs £200 to £700 depending on the method. Over-the-counter whitening products are available but are less effective than professional treatment.

NHS dental charges shown are for England and were updated in April 2024. Charges are reviewed periodically by NHS England. Always confirm the current charge with your dental practice before treatment. This page is for information only and does not constitute clinical advice.