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Limited Problem-Focused Oral Evaluation

Arizona 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.

How much rates vary

Facilitymedian $28 · 10th to 90th $20 to $45Professionalmedian $24 · 10th to 90th $20 to $33
$20$50$100facility $28professional $24

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$23.99
Typical High
$33.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$45.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49