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Limited Problem-Focused Oral Evaluation

California 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 October 2026.

How much does Limited Problem-Focused Oral Evaluation cost?

$32.36

Typical physician fee. In California, October 2026.

Insurers have agreed to pay about $32.36 for this service. Most negotiated rates run $30.20 to $158.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $32 · 10th to 90th $30 to $44Professionalmedian $32 · 10th to 90th $22 to $204
$20$50$100$200facility $32professional $32

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$30.20
Typical High
$32.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$30.20
Typical High
$33.88
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$32.36
Typical High
$41.69
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$32.36
Typical High
$34.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$204.17
Typical High
$204.17
Molina
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$724.44
Optum
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$31.62
Typical High
$43.65
Providence
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$40.74
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$46.77
Typical High
$67.61

Where California sits

The same service costs 5.1 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.

California· 27th of 51

$32.36

MN $85.11WV $16.60

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.