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Limited Problem-Focused Oral Evaluation

Alaska rates for HCPCS D0140

A focused examination centered on a specific complaint, such as pain, swelling, or an injury, rather than a full review of the entire mouth. The dentist evaluates the problem area and may take a targeted X-ray to figure out what is going on, often on a same-day or urgent basis. It is not a substitute for a routine or comprehensive check-up.

Rates data updated July 2026.

Facilitymedian $32 · 10th–90th $21$580%10%10th90th$32Professionalmedian $26 · 10th–90th $20$390%20%10th90th$26$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$38.02
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$31.62
Typical High
$57.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$40.74
Typical High
$79.43
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$109.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$31.62
Typical High
$57.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$40.74
Typical High
$79.43