go back

Limited Problem-Focused Oral Evaluation

North Dakota 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?

$58.88

Typical physician fee. In North Dakota, October 2026.

Insurers have agreed to pay about $58.88 for this service. Most negotiated rates run $45.71 to $69.18.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28 · 10th to 90th $28 to $40Professionalmedian $59 · 10th to 90th $28 to $71
$20$50$100facility $28professional $59

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$28.18
Typical High
$30.20
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$58.88
Typical High
$70.79
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$63.10
Median
$70.79
Typical High
$83.18
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.47
Median
$11.75
Typical High
$14.13
Medica
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$85.11
Medica
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49

Where North Dakota 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.

North Dakota· 6th of 51

$58.88

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.