NHS vs private dentist costs

If you can't find an NHS dentist, private care is the main alternative. The big difference is how prices are set.

How NHS prices work

NHS dental charges in England are set nationally. Every practice charges the same three band prices for a course of treatment, however many fillings or X-rays it includes:

See NHS dental charges for exactly what each band covers.

How private prices work

Private dentists set their own prices, usually per item rather than per course. That means:

• prices vary a lot between practices, even in the same town
• you usually pay for each filling, X-ray or hygienist visit separately
• you may get more choice of materials (for example, white fillings on back teeth) and longer appointments

The only reliable way to compare is to ask each practice for its price list and a written estimate before treatment. Private practices should give you clear information about fees.

Dental plans and insurance

• Dental plans (monthly memberships) usually cover routine check-ups and hygienist visits at one practice, and may give a discount on treatment. They rarely cover the full cost of treatment.
• Dental insurance pays out towards treatment costs up to set limits, often with waiting periods and exclusions for existing problems.

Read the terms carefully: check what's included, the annual limits, and whether you can leave without a fee.

Can I mix NHS and private?

Yes. A practice can offer you some treatment on the NHS and some privately (for example, an NHS check-up with a private cosmetic filling). It should explain which is which and what each costs. NHS treatment can't be made conditional on you paying for private treatment.

Before you go private

• Set up an alert: NHS places open up every week somewhere in England.
• If you're in pain or have swelling, NHS 111 can arrange urgent dental care for the urgent band charge of £27.90.
• Check whether you qualify for free NHS dental treatment.