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Limited Problem-Focused Oral Evaluation

Connecticut 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 does Limited Problem-Focused Oral Evaluation cost?

$25.70

Typical physician fee. In Connecticut, July 2026.

Insurers have agreed to pay about $25.70 for this service. Most negotiated rates run $21.88 to $33.11.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $68 · 10th to 90th $68 to $68Professionalmedian $25 · 10th to 90th $20 to $45
$20$50$100facility $68professional $25

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
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$38.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$40.74
Typical High
$72.44
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$44.67

Where Connecticut sits

The same service costs 4.6 times more in Minnesota than in Vermont. 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.

Connecticut· 26th of 51

$25.70

MN $102VT $22.39

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.