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Limited Problem-Focused Oral Evaluation

Georgia 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?

$25.12

Typical physician fee. In Georgia, July 2026.

Insurers have agreed to pay about $25.12 for this service. Most negotiated rates run $22.39 to $32.36.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $24 · 10th to 90th $24 to $24Professionalmedian $25 · 10th to 90th $20 to $42
$20$50facility $24professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$23.99
Typical High
$33.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$53.70
CareSource
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$81.28
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$50.12
Typical High
$83.18

Where Georgia 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.

Georgia· 39th of 51

$25.12

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.