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Limited Problem-Focused Oral Evaluation

Nebraska 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 $30 · 10th–90th $19$680%10%10th90th$30Professionalmedian $24 · 10th–90th $19$390%10%20%10th90th$24$20.0$50.0$100.0$200.0

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
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$23.44
Typical High
$33.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$269.15
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$56.23
Typical High
$57.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$29.51
Typical High
$46.77
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$158.49
Typical High
$158.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$46.77
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$47.86
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$42.66
Typical High
$56.23