Dental Fillings Cost in Sydney: What You Will Pay in 2026
Dental fillings remain one of the most common procedures performed at Sydney dental practices. In 2026, a single composite (tooth-coloured) filling in Sydney costs $200 to $380 for a straightforward one- to two-surface restoration. Larger cavities requiring more surfaces, or fillings on back molar teeth where access is more demanding, can reach $400 or beyond at premium CBD and eastern-suburbs practices.
Composite resin has almost entirely replaced silver amalgam in Sydney private dentistry. The material bonds directly to tooth structure, requires less healthy tooth removal, and is virtually invisible. Patients who still encounter amalgam are usually being treated at public dental services, including the Sydney Dental Hospital in Surry Hills or Westmead Hospital Dental, where it may be reserved for specific clinical indications.
Understanding what drives the quoted price — and how to reduce your out-of-pocket cost through health fund rebates and payment plans — helps you make an informed decision before sitting in the chair.
Dental Fillings Cost Breakdown
The ADA item numbers 521-528 form the billing framework for restorations in Australia. Each surface of a tooth that requires filling adds to the complexity and the fee.
| ADA Item | Description | Sydney Fee Range |
|---|---|---|
| 521 | One-surface restoration (composite) | $200 - $250 |
| 522 | Two-surface restoration (composite) | $240 - $310 |
| 523 | Three-surface restoration (composite) | $290 - $370 |
| 525 | Four or more surfaces (composite) | $340 - $430 |
| 521 (amalgam) | One-surface amalgam (rare) | $140 - $200 |
| 572 | Glass ionomer restoration | $150 - $220 |
Fees quoted above are per tooth and do not include the initial examination (ADA item 011, typically $80-$120 in Sydney) or X-rays (item 022, typically $60-$100 per film) that are usually required before treatment. Always ask for a written quote that lists ADA item numbers so you can check your health fund benefit before committing.
Practices in Mosman, Balmain, Bondi, and the CBD tend to sit at the upper end of these ranges. Clinics in Parramatta, Strathfield, Burwood, Hurstville, Kogarah, and Penrith are typically more affordable while still offering the same composite materials.
Sydney vs Other Australian Cities
Sydney occupies the top of the national price scale for dental fillings, reflecting higher operating costs and concentrated demand. The table below compares a standard two-surface composite filling (ADA item 522) across major Australian cities.
| City | Two-Surface Composite Filling (Item 522) |
|---|---|
| Sydney | $240 - $310 |
| Melbourne | $210 - $280 |
| Brisbane | $190 - $260 |
| Gold Coast | $180 - $250 |
| Perth | $185 - $255 |
| Adelaide | $175 - $245 |
For patients travelling from regional NSW or interstate, factoring in travel costs against potential savings is worthwhile. However, for most Sydney residents the convenience of a local practice, combined with health fund network agreements, makes staying local the practical and financially sound choice.
Health Insurance Rebates
Dental fillings are covered under Extras (ancillary) health insurance policies. The benefit you receive depends on your level of cover, whether your dentist participates in a preferred provider network, and your remaining annual limit.
| Health Fund | Network Name | Typical Benefit (Item 521) | Typical Benefit (Item 522) |
|---|---|---|---|
| Bupa | Members First | $110 - $160 | $130 - $185 |
| HCF | More for Teeth | $120 - $170 | $145 - $200 |
| Medibank | Members Choice | $105 - $155 | $125 - $175 |
| nib | First Choice | $100 - $150 | $120 - $170 |
| Non-network (any fund) | Standard benefit | $70 - $110 | $85 - $130 |
Figures are indicative. Network dentists in Sydney commonly offer no-gap outcomes on single-surface fillings for mid-tier and above Extras policies. Always call your fund before your appointment and ask for the benefit payable for the specific ADA item numbers on your treatment plan.
NSWOH (NSW Oral Health) public dental services provide heavily subsidised or free treatment to eligible patients — including Health Care Card holders and concession card holders. The Sydney Dental Hospital in Surry Hills is the principal public dental referral centre for complex cases and emergency care in the Greater Sydney area.
Payment Plans
Out-of-pocket costs after health fund rebates can still be significant for multiple fillings or larger restorations. Sydney dental practices commonly offer the following options.
- Interest-free payment plans via third-party providers. Afterpay, Zip, and Humm are accepted at many Sydney practices. Afterpay typically allows up to $2,000 spread over four fortnightly instalments with no interest if paid on time.
- In-house payment arrangements. Some practices, particularly group clinics in Chatswood, Randwick, and North Sydney, offer their own instalment plans. Confirm whether any administration or account-keeping fee applies.
- Superannuation release (extreme cases). Under very limited ATO compassionate grounds provisions, patients with serious dental conditions causing acute pain or preventing normal function may apply to access superannuation. This is a last resort and requires medical and dental documentation.
- University of Sydney and UTS student clinics. The University of Sydney’s dental school at Westmead and the University of Technology Sydney clinic offer supervised treatment at significantly reduced fees, making them a practical option for patients on tight budgets who have flexibility on appointment timing.
Why Costs Vary Between Sydney Clinics
Quoted fees for identical ADA item numbers can differ by $80 or more across Sydney. Four main factors drive this variation.
Location and overhead. Commercial rent in the CBD, Surry Hills, Bondi, and Manly is substantially higher than in Parramatta, Blacktown, or Liverpool. Practices in high-rent locations pass a portion of this overhead into their fee schedule. This does not necessarily reflect a difference in clinical quality or the materials used.
Dentist experience and specialisation. A general dentist with twenty years of restorative experience, or a dentist who has completed postgraduate training in aesthetic dentistry, may charge at the top of the range. Newly qualified graduates working under supervision at university clinics or bulk-billing practices charge considerably less.
Technology and materials. Clinics using premium composite brands, digital shade-matching systems, or rubber dam isolation for every filling may charge a modest premium. These investments can improve longevity and aesthetics, particularly for visible front-tooth restorations.
Urgency and appointment type. Emergency appointments for an acute toothache with same-day filling placement at a Sydney CBD walk-in practice often carry a higher total fee than a planned restoration booked in advance. Separating the emergency examination from the subsequent filling appointment, where clinically appropriate, can reduce total cost.
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Frequently asked questions
How much does a composite filling cost in Sydney in 2026?
A composite (tooth-coloured) filling in Sydney typically costs between $200 and $380 per tooth, depending on the size of the cavity and the suburb you are in. CBD and inner-eastern suburbs such as Surry Hills, Newtown, and Bondi tend to sit at the higher end of this range. Clinics in outer western suburbs such as Parramatta, Blacktown, and Liverpool generally charge less, often $180-$270.
Is amalgam still used for fillings in Sydney?
Amalgam fillings have become rare in Sydney private practices. Most dentists now use composite resin or glass ionomer alternatives. NSW Health guidelines and the 2023 Minamata Convention phase-down have accelerated this shift. Amalgam is occasionally used at public dental facilities such as Sydney Dental Hospital in Surry Hills and Westmead Hospital Dental for specific clinical cases, but patients can usually request composite instead.
What ADA item numbers cover dental fillings?
The Australian Dental Association (ADA) schedule items 521 to 528 cover restorations. Item 521 covers a one-surface restoration (smallest cavity), while items 522, 523, and above cover two, three, and four or more surfaces respectively. The higher the item number, the larger the filling and the higher the fee. Your dentist should quote the relevant item number on your treatment plan before proceeding.
Will my health fund cover dental fillings in Sydney?
Yes. Dental fillings are classified as general (major depending on size) dental treatment and are covered under most Extras policies. Bupa Members First, HCF More for Teeth, Medibank Members Choice, and nib First Choice network dentists typically offer no-gap or reduced-gap options for one-surface restorations. Annual limits for general dental commonly range from $500 to $1,500, so check your remaining balance before treatment.
How does Sydney filling cost compare to other Australian cities?
Sydney is consistently the most expensive city in Australia for dental fillings. A comparable composite filling costs roughly $160-$290 in Brisbane, $150-$270 on the Gold Coast, $170-$300 in Melbourne, and $145-$260 in Adelaide and Perth. Sydney's higher commercial rents, labour costs, and demand concentration in the CBD and eastern suburbs drive the premium.
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