I've not been to the dentist for about 5 years so it was with some trepidation that I booked a checkup at a local dentist surgery (that I won't name). I was happily given the all clear but recommended to visit the hygienist to remove the tartar. I went with this and paid the ?21.60 for the Level 1 treatment. I've booked into the hygienist (which will cost another ?40-50, not NHS) but strictly, the dentist should have included a scale and polish in the Level 1 and I shouldn't have to pay any more. One of the reasons I stopped going to the dentist was because a while back another local dentist used to charge me for the Level 2 treatment when all I had was a checkup and scale and polish. When I queried this with the receptionist afterwards they said it was a much more comprehensive de-scaling that was covered by the Level 1 and hence the Level 2 charge. It just feels like they're ripping you off, perhaps because in London they NHS Level 1 charge of ?21.60 doesn't provide enough profit. https://www.nhs.uk/common-health-questions/dental-health/how-much-will-i-pay-for-nhs-dental-treatment/