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Limited Problem-Focused Oral Evaluation

Idaho 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?

$27.54

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $29.51 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$27.54$23.99 to $33.11
FacilityA hospital or hospital-owned outpatient department$29.51$25.12 to $38.02

How much rates vary

Facilitymedian $30 · 10th to 90th $21 to $52Professionalmedian $28 · 10th to 90th $20 to $63
$20$50facility $30professional $28

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
Professional
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$33.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$63.10
Typical High
$66.07
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$29.51
Typical High
$48.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$2,754.23
Select Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$69.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$41.69
Typical High
$44.67

Where Idaho 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.

Idaho· 21st of 51

$27.54

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.