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Limited Problem-Focused Oral Evaluation

Missouri 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?

$39.81

Typical physician fee. In Missouri, October 2026.

Insurers have agreed to pay about $39.81 for this service. Most negotiated rates run $27.54 to $45.71.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $42 · 10th to 90th $23 to $123Professionalmedian $40 · 10th to 90th $23 to $158
$10$20$50$100facility $42professional $40

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
Facility
Modifier
None
Typical Low
$23.44
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$25.12
Typical High
$27.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$39.81
Typical High
$41.69
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$53.70
Typical High
$53.70
Medica
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$45.71
Typical High
$123.03
Medica
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49

Where Missouri 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.

Missouri· 21st of 51

$39.81

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.