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Limited Problem-Focused Oral Evaluation

Indiana 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 $17$4790%10%20%10th90th$28Professionalmedian $25 · 10th–90th $18$470%10%10th90th$25$10.0$20.0$50.0$100.0$200.0$500.0

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
$17.38
Median
$22.91
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$41.69
Typical High
$60.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$28.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$77.62