NHS Dental Charges

NHS Banding

NHS Dental charges are based on three treatment bands One to Three which dictates the fee to be charged to the patient unless the patient can claim a qualifying exemption.

NHS Charges for 2019-20

Dental Treatment Band2019-20 Charge2018-19 ChargeIncrease%
Band One£22.70£21.60£1.105.09%
Band Two£62.10£59.10£3.005.08%
Band Three£269.30£256.50£12.804.99%


If you would like further details about treatment under the NHS (National Health Service) please ask your dental team a question or contact the receptionist at your local practice.

You will not be charged for individual items within an NHS course of treatment.

Dental Treatmentalso known asNHS Band2019-202018-19
New patient consultation Check-up or ExaminationBand 1£22.70£21.60
Basic x-raysBite Wings or Radiographsinc patient consultation£nil£nil
Scale and polishBasic hygiene cleaninc patient consultation£nil£nil
Hygiene deep scalingHygiene extended appointmentBand 2£62.10£59.10
Amalgam fillingMetal fillingBand 2£62.10£59.10
Composite fillingWhite fillingBand 2
(normally front teeth only)
Root canal treatmentRoot fillingBand 2£62.10£59.10
Simple extractionTooth removalBand 2£62.10£59.10
CrownCap on toothBand 3£269.30£256.50
DenturesFalse teethBand 3£269.30£256.50

Depending on what you need to have done, you should only ever be asked to pay one charge, at one of the bands above, for each completed course of treatment, even if you need to visit your dentist more than once to finish it. A course of treatment is completed when the treatment listed in your treatment plan has been provided in full.

Important information:

The last year’s charges (2018-19) were:

The legislation: Steve Brine (Parliamentary Under Secretary of State for Public Health and Primary Care) made the parliamentary written statement HCWS1395: NHS Update on 11th March 2019.

Updated 12th March 2019

Dentistry is one of the few NHS services where you have to pay a contribution towards the cost of your care. The NHS dental charges information on this page is reproduced from the NHS website and explains what you may have to pay for your NHS dental treatment during the year from 1st April 2019 to 31st March 2019.

  • Urgent emergency dental treatment – £22.70

    This covers emergency treatment in a primary care NHS dental practice such as pain relief or a temporary filling.

  • Band 1 course of treatment – £22.70

    This covers one or more treatments (as many as are necessary) from the following list :

    • adjusting false teeth (dentures) or orthodontic appliances, such as braces
    • applying sealants or fluoride preparations to the surfaces of your teeth
    • a clinical examination, assessment and report
    • marginal correction of fillings
    • moulds of your teeth – for example, to see how your teeth bite together
    • an orthodontic assessment and report
    • a scale and polish (if clinically necessary)
    • coloured photographs
    • taking a sample of cells or tissue from your mouth for examination
    • treating sensitive cementum (the tissue that covers the root of a tooth)
    • X-rays
  • Band 2 course of treatment – £62.10

    This can cover anything listed in band 1 above, plus any of the following:

    • an addition to your dentures – such as adding a clasp or a tooth
    • apicectomy – removing the tip of the root of a tooth
    • a mouth guard to correct your “bite” (doesn’t include a laboratory-made appliance)
    • fillings
    • free gingival grafts – when healthy tissue from the roof of your mouth is attached to your teeth where the root is exposed
    • frenectomy, frenoplasty or frenotomy – surgery to the folds of tissue that connect your tongue, lips and cheeks to your jaw bone
    • treatment for severe gum disease – such as root planing (cleaning bacteria from the roots of your teeth), deep scaling and a polish, or a gingivectomy (removal of gum tissue)
    • oral surgery – such as removing a cyst, or soft tissue surgery to the mouth or lips
    • pulpotomy – removing dental pulp (the soft tissue at the centre of a tooth)
    • relining and rebasing dentures
    • removing teeth (extraction)
    • root canal treatment
    • sealant to fill small holes or grooves in your teeth
    • splinting loose teeth – for example, after an accident (this doesn’t include laboratory-made splints)
    • transplanting teeth
  • Band 3 course of treatment – £269.30

    This can cover anything listed in bands 1 and 2 above, plus any of the following :

    • bridges – a fixed replacement for a missing tooth or teeth
    • crowns – a type of cap that completely covers your real tooth
    • dentures
    • inlays, pinlays and onlays – used to restore damaged teeth
    • orthodontic treatment and appliances such as braces
    • other custom-made appliances, not including sports guards
    • veneers and palatal veneers – new surfaces for the front or back of a tooth

Treatments such as veneers and braces are only available on the NHS if there’s a clinical need for them (not for cosmetic reasons). Similarly, other cosmetic treatments, such as teeth whitening, are not available on the NHS.

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

For information about help with dental charges, including how to claim a refund, see the NHS website: help with health costs.

You will not be charged for individual items within an NHS course of treatment. Depending on what you need to have done, you should only ever be asked to pay one charge for each completed course of treatment, even if you need to visit your dentist more than once to finish it. A course of treatment is completed when the treatment listed in your treatment plan has been provided in full.

SpaDental only provides NHS treatment at some practices where we also provide private and plan dental treatment.  If you are at unsure whether you are paying for NHS or private treatment, or a mixture of the two, please ask any member of the SpaDental clinical staff before your treatment begins.

Be aware that being late for two or more of your treatment sessions or failure to attend appointments will result in the early termination of the course of treatment.  You will not be offered another NHS appointment at a SpaDental practice.

[accordion-qa title=”Which NHS treatments are 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
[/accordion-qa] [accordion-qa title=”Which treatments are not available on the NHS?”]

The NHS will not provide cosmetic treatment such as tooth 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.

NHS regulations:


Fantastic Saltash patient reviews - thank you!

We very much enjoyed reading the lovely Saltash patient reviews we've received in response to our recent request for feedback. On behalf of all the staff, thank you so much for your lovely comments. We sincerely appreciate your kind words, and will also use your recommendations in our planning. SpaDental considers your review comments carefully. We read them all, and use the information we gather to guide our practice so we can keep on improving…

More Testimonials

Thank you for SpaDental Chard patient reviews

A very appreciative thank you to our patients from the clinicians and staff at SpaDental Chard. It has been a pleasure reading your comments because if our patients are happy, then we're happy. Feedback about the team and treatment from SpaDental Chard reviews "Everyone in the practice is efficient, professional and knowledgeable." - HCG  "5 Star Dental Care - Being in the centre of Chard, [the SpaDental] surgery is easily accessible for most patients. The…

More Testimonials

Plymouth patient reviews and suggestions - thank you!

SpaDental Plymouth sincerely thanks everyone who responds to our request to review the practice. We love reading all your positive comments. That said, we also take on board the suggestions you make. Because we take Plymouth patient reviews seriously, we read them carefully to see if anyone is less than satisfied with their experience and we use that information to guide our practice. Our review rating of 4.7 stars (out of 5) highlights Plymouth patient…

More Testimonials

Reviews Tewkesbury - thank you for your appreciation.

This last week we asked our patients who have visited the practice in the last few months to submit their comments online. We truly appreciate your kind comments. Thank you from all of us for your lovely reviews. Read about our new treatment for patients who have breathing difficulties while they're sleeping. Your opinion is important. Amongst other questions, we ask patients whether or not they would recommend the surgery to their family and friends.…

More Testimonials

Here to support service veterans - SpaDental Plymouth

"This was my first dental appointment since leaving the Armed Forces two years ago, and having left it far too long I eventually thought I ought to try to get myself an NHS dentist. Recognizing the unique challenges that veterans face when they leave the military, Spa Dental's veterans policy enabled me to get an initial appointment and receive treatment as an NHS patient - exactly what I'd hoped for. The professionalism and friendliness of…

More Testimonials

"Absolutely delighted" with veneers - SpaDental Whitchurch, Shropshire

A glowing testimonial for Dental Surgeon - veneers SpaDental Whitchurch Shropshire. Veneers SpaDental Whitchurch Shropshire "Excellent treatment! Absolutely delighted! Dr Jindal replaced two veneers for me, providing throughout brilliant treatment. He advised me of the options for the veneers and I opted for the better quality ones. The whole process was methodical and precise, keeping me informed step by step during the whole procedure. Great attention to detail was given to myself and the implants…

More Testimonials

High praise for Lucy Smith and Maria Shrigley, Plymouth.

Dental Surgeon and her assistant are helping anxious patients to manage dental visits more easily. High praise for the team! We know that it can be hard for people to come in to see the dentist. Here's one message: "I just wanted to say a huge thank you for your care at my recent dental visit. Lucy, I know because of your care and attention to my needs I feel so much better attending an…

More Testimonials

A great dental service to Plymouth patients.

We really appreciate all the reviews we're getting from patients who visit SpaDental Plymouth. Your feedback helps us feel confident we give good advice and offer a great dental service to Plymouth patients. Thank you! Here are some recent reviews: These two reviews highlight the importance of regular examination of the soft tissues in the mouth. "I feel... grateful to [my dentist] for referring me to Derriford hospital for a lump to be removed from…

More Testimonials

Approval ratings are high for Ledbury! Thank you for your reviews.

At SpaDental Ledbury we're enjoying reading your reviews! In April, we asked you to share your experiences with us. We've been emailing our patients to ask you to fill in on-line forms so that we know how your appointments went. It's been heart-warming to read the kind things that you've said about us in your reviews. Thank you! Here are a few of the comments that we've received: "Very professional. Always polite and helpful. Easy…

More Testimonials

More Plymouth patient appreciation for SpaDental - thank you!

Since we piloted the online feedback form for Plymouth patient appreciation or dissatisfaction with our practice, we've had over 300 responses. Thank you so much for taking the time to submit your views. Our review rating of 4.7 stars (out of 5) highlights Plymouth patient appreciation for the work we do. We're smiling with pride, and happy that you're happy! Here are two recent reviews: "Fantastic experience - I was on the NHS waiting list for over…

More Testimonials