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Periodic Oral Evaluation

Washington, DC rates for HCPCS D0120

A routine check-up exam for a patient who has already been seen by the dental practice, usually done at recall visits every so often. The dentist checks for new cavities, gum changes, and overall oral health, and compares findings to prior visits. It is shorter than a full first-time evaluation since the patient's history is already on file.

Rates data updated October 2026.

How much does Periodic Oral Evaluation cost?

$31.62

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $31.62 for this service. Most negotiated rates run $14.79 to $34.67.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15 · 10th to 90th $15 to $15Professionalmedian $32 · 10th to 90th $15 to $35
$20$50facility $15professional $32

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$14.79
Typical High
$19.05
CareFirst
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$32.36
Typical High
$34.67
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$18.62
Typical High
$34.67

Where Washington, DC sits

The same service costs 4.9 times more in Minnesota than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 10th of 51

$31.62

MN $54.95WV $11.22

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.