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Periodic Oral Evaluation

Rhode Island 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 rates vary

Facilitymedian $275 · 10th to 90th $251 to $355Professionalmedian $24 · 10th to 90th $24 to $24
$20$50$100$200facility $275professional $24

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
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$275.42
Typical High
$354.81