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Limited Problem-Focused Oral Evaluation

Maine 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?

$40.74

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $40.74 for this service. Most negotiated rates run $27.54 to $66.07.

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

Facilitymedian $45 · 10th to 90th $45 to $45Professionalmedian $41 · 10th to 90th $20 to $98
$20$50$100facility $45professional $41

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. 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
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$27.54
Typical High
$40.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$40.74
Typical High
$57.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$67.61
Typical High
$114.82
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$28.84
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$77.62

Where Maine 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.

Maine· 4th of 51

$40.74

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.