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Limited Problem-Focused Oral Evaluation

North Carolina 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?

$41.69

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $28.18 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$43.65$30.20 to $70.79
FacilityA hospital or hospital-owned outpatient department$28.18$25.12 to $36.31

How much rates vary

Facilitymedian $28 · 10th to 90th $21 to $48Professionalmedian $44 · 10th to 90th $25 to $74
$20$50$100facility $28professional $44

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$44.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$53.70
Typical High
$74.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$28.18
Typical High
$45.71
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$70.79
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$199.53

Where North Carolina 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.

North Carolina· 3rd of 51

$41.69

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.