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Limited Problem-Focused Oral Evaluation

Kentucky 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?

$28.84

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $22.91 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 6 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$28.84$23.44 to $47.86
FacilityA hospital or hospital-owned outpatient department$22.91$22.91 to $25.70

How much rates vary

Facilitymedian $23 · 10th to 90th $23 to $32Professionalmedian $29 · 10th to 90th $20 to $48
$20$50$100facility $23professional $29

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
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$24.55
Typical High
$33.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$47.86
Typical High
$47.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$25.70
Typical High
$36.31
CareSource
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$25.70
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$46.77
Typical High
$54.95

Where Kentucky 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.

Kentucky· 16th of 51

$28.84

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.