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Limited Problem-Focused Oral Evaluation

Maryland 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?

$44.67

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $44.67 for this service. Most negotiated rates run $21.38 to $50.12.

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.

How much rates vary

Professionalmedian $45 · 10th to 90th $21 to $50
$20$50professional $45

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$21.38
Typical High
$21.38
CareFirst
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$46.77
Typical High
$51.29
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$25.70
Typical High
$38.02
United
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$33.11
Typical High
$48.98
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$40.74

Where Maryland 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.

Maryland· 12th of 51

$44.67

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.