How Much Does a Filling Cost? (2025 Guide)
Did you know? According to dental research, approximately 90% of adults have experienced tooth decay, and the average person has between 5 and 8 dental fillings. Understanding the costs helps you plan for one of dentistry’s most common procedures through general dentistry services.
Las Vegas vs. National Average Filling Costs
As a Las Vegas resident, understanding local pricing helps you budget accurately. Our research shows Las Vegas filling costs typically run slightly higher than national averages due to the metropolitan area’s elevated operating costs.
Note: These estimates reflect Las Vegas market research as of 2025. Actual costs vary by practice, insurance, and individual case complexity.
Which filling material is right for you?
Start here: Is the tooth visible when you smile?
YES → Prioritize aesthetics
- Budget-conscious? → Composite resin ($90-$300) using composite bonding techniques
- Premium durability? → Porcelain ceramic ($250-$4,500) or explore same-day crown technology for larger restorations
NO (back teeth) → Prioritize durability
- Insurance covers amalgam only? → Amalgam ($50-$200)
- Want longest lifespan? → Gold ($300-$1,000, lasts 15-30 years)
- Balance of cost + aesthetics? → Composite ($90-$300)
How cavity size affects your cost
1-Surface Filling
Small cavity on one side
- Amalgam: $50–$100
- Composite: $90–$150
2-Surface Filling
Cavity between teeth
- Amalgam: $75–$150
- Composite: $130–$220
3+ Surface Filling
Large cavity
- Amalgam: $120–$250
- Composite: $180–$300
Why it matters: The more tooth surfaces involved, the more material and time required, increasing your cost. Early detection through regular cleanings and checkups helps keep cavities small and treatment affordable.
What happens if you wait: the true cost of delaying treatment
Month 0: Small Cavity Detected
Composite filling: $150–$250
Minimal tooth structure removed, quick procedure, full recovery in 24 hours.
Month 6: Cavity Grows
Larger filling: $300–$400
More tooth structure lost, increased sensitivity, longer procedure time.
Month 12: Decay Reaches Nerve
Root canal + crown: $1,500–$2,500
Severe pain, infection risk, multiple appointments required, crown necessary for protection. Learn more about root canal treatment costs and procedures.
Month 18+: Infection Spreads
Extraction + implant: $3,000–$5,000
Tooth loss, bone loss, extensive reconstruction, lengthy healing period.
The bottom line: A $200 filling today can become a $3,000+ problem within 18 months. Early intervention saves money, preserves tooth structure, and prevents pain. If you’re experiencing dental pain, explore our emergency dental services for immediate care.
Questions to ask before your filling appointment
Being prepared helps you make informed decisions and avoid surprises. Here are essential questions to discuss with your dentist:
Cost & Insurance
Procedure Details
Long-term Considerations
Common filling cost myths debunked
“Silver fillings are dangerous because of mercury”
According to the American Dental Association, amalgam fillings are safe. The mercury is bound with other metals and releases minimal vapor—less than what you’re exposed to daily from food and environment.
“White fillings always cost more”
While composite fillings typically cost $40-$100 more per tooth, many insurance plans now cover them equally on front teeth, making out-of-pocket costs similar.
“I should wait until my cavity hurts”
By the time a cavity causes pain, it’s often reached the nerve—requiring a root canal ($700-$1,800) instead of a simple filling ($150-$300).
“All dentists charge the same prices”
Filling costs vary by location, dentist experience, and practice overhead. Las Vegas prices run 15-30% higher than rural areas, and metropolitan practices typically charge more than community clinics.
Frequently asked questions about filling costs
Why do white fillings cost more than silver?
Composite (white) fillings require more time-intensive placement techniques, specialized bonding materials, and UV curing equipment. The tooth-matching process demands careful shade selection and layered application. These technical requirements add $50-$150 compared to faster amalgam placement.
Can I wait to get a filling, or will it cost more later?
Delaying treatment almost always increases costs. Cavities grow continuously—a small filling needed today may become a large restoration or crown requirement within months. The bacteria causing decay don’t stop progressing, and the additional tooth structure lost cannot regenerate.
How do I know when my old filling needs replacement?
Watch for sensitivity to hot, cold, or sweet foods; visible cracks or chips in the filling; pain when chewing; dark discoloration around the restoration; or a rough, loose feeling. Fillings typically last 5-15 years depending on material and location. Regular dental exams catch failing fillings before they cause larger problems.
Does insurance cover the filling type I want?
Most plans cover both amalgam and composite fillings, but some pay only the amalgam rate for composite restorations in back teeth. The difference becomes your responsibility. Request a pre-treatment estimate from your insurance company before scheduling to understand exact coverage. Learn how to maximize your insurance benefits for dental procedures.
Are there ways to reduce filling costs without insurance?
Yes—consider dental schools (30-50% savings), dental discount plans ($10-$20/month for significant discounts), community health centers with sliding-scale fees, or practice payment plans. According to Medicaid.gov, eligible families and low-income adults may qualify for dental coverage. As Medicare.gov explains, Original Medicare doesn’t cover most dental care, but Medicare Advantage plans often include dental benefits. Using HSA or FSA accounts also provides tax advantages on dental expenses.
Ready to address that cavity?
Contact Comprehensive Dental Care in Henderson to schedule your consultation. Our team will provide a clear cost estimate and discuss payment options that work for your budget. Taking action now prevents more expensive treatment later.
Schedule Your Consultation Today →

