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Limited Problem-Focused Oral Evaluation

New Jersey 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?

$27.54

Typical physician fee. In New Jersey, October 2026.

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

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 $29 · 10th to 90th $28 to $29Professionalmedian $28 · 10th to 90th $22 to $29
$20$50$100$200$500$1Kfacility $29professional $28

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
$27.54
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$27.54
Typical High
$28.84
AmeriHealth
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$87.10
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$20.42
Typical High
$28.84
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$52.48
Typical High
$64.57

Where New Jersey 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.

New Jersey· 38th of 51

$27.54

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.