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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 October 2026.

How much does Limited Problem-Focused Oral Evaluation cost?

$30.20

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $31.62 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$25.12 to $63.10
FacilityA hospital or hospital-owned outpatient department$31.62$25.12 to $83.18

How much rates vary

Facilitymedian $32 · 10th to 90th $25 to $209Professionalmedian $30 · 10th to 90th $25 to $66
$20$50$100$200facility $32professional $30

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$33.11
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$208.93
Typical High
$208.93
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$63.10
Typical High
$66.07
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$38.90
Median
$43.65
Typical High
$45.71
Moda Health
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.70
Typical High
$33.11
Moda Health
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$33.11
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Select Health
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$69.18
Typical High
$97.72
Select Health
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$43.65
Typical High
$8,511.38

Where Idaho 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.

Idaho· 32nd of 51

$30.20

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.