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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 October 2026.

How much does Limited Problem-Focused Oral Evaluation cost?

$41.69

Typical physician fee. In Kentucky, October 2026.

Insurers have agreed to pay about $41.69 for this service. Most negotiated rates run $35.48 to $47.86.

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.

How much rates vary

Facilitymedian $23 · 10th to 90th $23 to $26Professionalmedian $42 · 10th to 90th $23 to $48
$50facility $23professional $42

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
Facility
Modifier
None
Typical Low
$23.44
Median
$23.44
Typical High
$25.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$23.44
Typical High
$25.12
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$41.69
Typical High
$47.86
CareSource
Setting
Facility
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$31.62
CareSource
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$25.70
Typical High
$36.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$46.77
Typical High
$54.95

Where Kentucky 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.

Kentucky· 15th of 51

$41.69

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.