The Dental Centre

NHS Fee Schedule 

Understanding NHS dental charges               

Dentistry is one of the few NHS services where you have to pay a contribution towards the cost of your care. The information on this page explains what you may have to pay for your NHS dental treatment.

• Emergency dental treatment – £19.70
  This covers emergency care in a primary care NHS dental practice such as pain relief or a temporary filling

• Band 1 course of treatment – £19.70
  This covers an examination, diagnosis (including X-rays), advice on how to prevent future problems, a scale and polish if clinically needed, and preventative care such as the application of fluoride varnish or fissure sealant if appropriate.

• Band 2 course of treatment – £53.90
  This covers everything listed in Band 1 above, plus any further treatment such as fillings, root canal work or removal of teeth but not more complex items covered by Band 3.

• Band 3 course of treatment – £233.70
  This covers everything listed in Bands 1 and 2 above, plus crowns, dentures, bridges and other laboratory work.

Any treatment that your dentist believes is clinically necessary to achieve and maintain good oral health should be available on the NHS.

You will not be charged for individual items within a course of treatment. Depending on what you need to have done, you should only ever be asked to pay one charge for each complete course of treatment, even if you need to visit your dentist more than once to finish it. A course of treatment is finished when your dentist considers good oral health has been achieved

All the treatment your dentist believes is clinically necessary to achieve and maintain good oral health is available on the NHS. This means that the NHS provides any treatment you need to keep your mouth, teeth and gums healthy. It does not include treatments such as teeth whitening or veneers, which you might want for cosmetic reasons but which are not clinically necessary.

The following list of dental treatments is therefore not a comprehensive list of treatments that all patients are entitled to under NHS services provision. For each individual course of treatment, a dentist will indicate the treatment options that are clinically appropriate for your personal circumstances and based on specific clinical judgement each time.

Band 1 course of treatment: £19.70

• clinical examination, case assessment and report
• orthodontic case assessment and report
• advice, dental charting, diagnosis and treatment planning
• radiographic examination and radiological report
• study casts
• colour photographs
• instruction in the prevention of dental and oral disease including dietary advice and dental hygiene instruction
• surface application as primary preventive measures of sealants and topical fluoride preparations
• scaling, polishing and marginal correction of fillings
• taking material for pathological examination
• adjustments to and easing of dentures or orthodontic appliances
• treatment of sensitive cementum

Band 2 course of treatment: £53.90

• non-surgical periodontal treatment (gum disease treatment), including root-planing, deep scaling, irrigation of periodontal pockets and subgingival curettage and all necessary scaling and polishing
• surgical periodontal treatment, including gingivectomy, gingivoplasty or removal of an operculum, raising and replacement of a mucoperiosteal flap, curettage, root planning and bone resection
• free gingival grafts
• permanent fillings in amalgam, composite resin, synthetic resin, glass ionomer, compomers, silicate or silico-phosphate, including acid etch retention
• sealant restorations
• endodontic treatments (root canal treatment) of permanent or retained deciduous teeth, pulpotomy and apicoectomy
• extraction of teeth
• transplantation of teeth
• oral surgery including surgical removal of cyst, buried root, unerupted tooth, impacted tooth or exostosed tooth and alveolectomy
• soft tissue surgery in relation to the buccal cavity and lips
• frenectomy, frenuloplasty, frenotomy
• relining and rebasing dentures including soft linings
• addition of tooth, clasp, labial or buccal flange to dentures
• splints (other than laboratory made splints) in relation to periodontally compromised teeth and in connection with external trauma
• bite raising appliances (other than laboratory made appliances)

Band 3 course of treatment: £233.70

• laboratory made porcelain or composite veneers, including acid etch retention
• inlays, pinlays, onlays and palatal veneers, in alloys containing 60% or more fine gold, porcelain, composite resin and ceramics
• crowns including any pin or post aids to retention:
  – full or three-quarter crown cast in alloys containing not less than 33â��% fine gold or platinum or palladium
  – full or jacket crown cast in alloys containing stainless steel or cobalt chromium or nickel chromium
  – crown in porcelain, synthetic resin and other non-metallic crowns
  – full or jacket crowns in alloys containing not less than 33â��% fine gold or platinum or palladium, or alloys containing stainless steel or cobalt chromium or nickel chromium, with thermally bonded porcelain
  – jacket crown thermally bonded to wrought platinum coping
  – prefabricated full or jacket crown, including any pin or post retention
• bridges including any pin or post aids to retention:
  – bridges in alloys containing 60% or more fine gold with or without thermally bonded facings
  – bridges cast in alloys containing stainless steel, cobalt chromium or nickel chromium, with or without thermally bonded facings
  – acid etch retained bridges
  – bridges in other materials
  – provision of full (completed) or partial dentures, overdentures and obturators in synthetic resin or metal or both synthetic resin and metal, including any cast or wrought metal components or aids to retention
  – orthodontic treatment and appliances
  – other custom made applications excluding sports guards

Treatments free of charge

You do not have to pay a dental charge:

• if you are having stitches removed
• if your dentist has to stop bleeding from your mouth
• if your dentures need repair. However, if it isn't possible to repair your dentures and you need new ones then you'll have to pay for this with a Band 3 charge

Not available on the NHS

The NHS will not provide cosmetic treatments such as teeth whitening, which you may want to make your teeth more attractive, but which are not clinically necessary. Even where treatment is clinically necessary the dentist will offer you a treatment option that is clinically appropriate. If you choose to have alternative treatment options then you will have to pay privately for these.

For more information on the NHS and dentistry, visit the NHS Choices website.