go back

Limited Problem-Focused Oral Evaluation

Montana 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 $40 · 10th–90th $22$500%20%10th90th$40Professionalmedian $29 · 10th–90th $21$400%10%20%10th90th$29$20.0$50.0$100.0

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
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.92
Typical High
$33.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$42.66
Typical High
$50.12
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$42.66
Typical High
$50.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$32.36
Typical High
$53.70
Providence
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$56.23
Typical High
$79.43