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Limited Problem-Focused Oral Evaluation

Iowa 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 $28 · 10th–90th $19$580%20%10th90th$28Professionalmedian $25 · 10th–90th $19$1050%10%20%10th90th$25$20.0$50.0$100.0

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
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$41.69
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$109.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$27.54
Typical High
$57.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$158.49
Typical High
$158.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$46.77
Typical High
$72.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$46.77
Typical High
$47.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57