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Limited Problem-Focused Oral Evaluation

Massachusetts 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 $39 · 10th–90th $22$1580%50%10th90th$39Professionalmedian $39 · 10th–90th $20$1000%10%10th90th$39$20.0$50.0$100.0$200.0

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
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$43.65
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$141.25
Typical High
$158.49
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$64.57
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$46.77
Typical High
$87.10
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$36.31
Typical High
$38.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$74.13
Typical High
$107.15
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$141.25
Typical High
$158.49
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$64.57
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$44.67
Typical High
$64.57