Quick answer
NHS dental costs in England are set at three bands: £27.90 (Band 1), £76.60 (Band 2) and £332.10 (Band 3), with urgent care at £27.90. Private fees vary widely, from a £40–£70 check-up to £2,000–£3,500 for a single implant, and central London can cost 50–80% more than the Midlands or North.
Key takeaways
The most common question UK patients type into Google is "how much does a dentist cost?" The honest answer depends on whether you go NHS or private, which nation you live in, and what treatment you need. This guide covers every scenario.
NHS dentistry in England is organised into three bands. You pay one fixed charge per course of treatment, regardless of how many items are carried out in that course.
| Band | Charge (April 2026) | What's included |
|---|---|---|
| Band 1 | £27.90 | Examination, X-rays, scale and polish if clinically needed |
| Band 2 | £76.60 | Everything in Band 1, plus fillings, root canals, extractions |
| Band 3 | £332.10 | Everything in Band 1 & 2, plus crowns, dentures, bridges |
| Urgent care | £27.90 | Emergency examination and immediate pain relief only |
Scotland: NHS examinations are free for all registered patients. Under-26s receive all NHS dental treatment free. Other adults pay 80% of the item-of-service fee, capped at £384 per course.
Wales: Same banded system as England: Band 1 £20.00, Band 2 £45.00, Band 3 £202.00 (legacy rates as of 2026).
Northern Ireland: Item-of-service charging — examination from £9.36, fillings from £7.68 per surface.
You don't pay any NHS dental charges if you are:
If you are borderline on income, apply for an HC1 form at your dentist — you may qualify for a partial HC2 reduction.
Private fees vary widely by region, practice type and dentist experience. London central practices can charge 50–80% more than equivalent practices in the Midlands or North.
| Treatment | UK average | London |
|---|---|---|
| Check-up (existing patient) | £40–£70 | £55–£100 |
| Check-up (new patient) | £60–£120 | £80–£180 |
| Scale & polish (hygienist) | £60–£120 | £85–£160 |
| White (composite) filling | £80–£200 | £100–£300 |
| Root canal (molar) | £500–£900 | £700–£1,500 |
| Tooth extraction (simple) | £80–£200 | £100–£300 |
| Wisdom tooth removal | £200–£500 | £350–£700 |
| Crown (ceramic) | £500–£1,000 | £700–£1,500 |
| Dental implant (single, all-in) | £2,000–£3,500 | £2,500–£5,000 |
| Invisalign (full) | £2,500–£5,500 | £3,500–£7,000 |
| Teeth whitening (professional) | £250–£700 | £400–£900 |
| Porcelain veneers (per tooth) | £500–£1,000 | £800–£1,500 |
| Composite bonding (per tooth) | £150–£400 | £250–£600 |
Some treatments can run into the tens of thousands:
Not always. NHS dentistry covers all clinically necessary care to the same clinical standard. The differences are usually about materials (e.g., NHS may use amalgam where private would use white composite), appointment length, and choice of crown material. For routine care, NHS at £27.90–£332.10 is excellent value.
Practices can decline to take on new NHS patients if they have met their NHS contract allocation. Once registered, they cannot refuse clinically necessary treatment. Emergency treatment cannot be refused by any NHS practice to an unregistered patient.
No. X-rays are included within the NHS band charge. On the private side, some practices include them in the consultation fee; others charge £20–£50 extra per set.
Severe pain, swelling (especially neck/jaw), a knocked-out tooth, a broken crown causing pain, or uncontrolled bleeding all qualify as dental emergencies. Call NHS 111 if you can't reach a dentist — they can direct you to an emergency dental service. The NHS emergency charge is £27.90 (Band 1).
An NHS check-up is £27.90 (Band 1) in England, while private check-ups cost £40–£70. Larger treatments range from £76.60 NHS for fillings up to £2,000–£3,500 for a private implant.
In England, Band 1 is £27.90, Band 2 is £76.60 and Band 3 is £332.10. Urgent care is £27.90.
A private white (composite) filling costs £80–£200 on average, rising to £100–£300 in London.
Under-18s, under-19s in full-time education, pregnant women and new mothers, people on qualifying benefits, and HC2 certificate holders.