According to the Scottish Dental Website, the costings will be:
1428 - Dentist's Fee £8.75 Patient's Charge £7.00
4301 - Dentist's Fee £18.40 Patient's Charge £0.00
4302 - Dentist's Fee £26.60 Patient's Charge £0.00
I have attached a link to the Statement of Dental Remuneration page on the Scottish Dental website where you can download details of the dentist's fees and patient's charges for all dental treatment items.