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Limited Problem-Focused Oral Evaluation

New Mexico 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?

$30.90

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $1,175 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.90$22.39 to $30.90
FacilityA hospital or hospital-owned outpatient department$1,175$347 to $1,698

How much rates vary

Facilitymedian $1,175 · 10th to 90th $30 to $2,042Professionalmedian $31 · 10th to 90th $21 to $60
$20$100$500$2Kfacility $1,175professional $31

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$22.39
Typical High
$32.36
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$1,230.27
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$60.26
Providence
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$29.51
Typical High
$37.15
Providence
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$60.26

Where New Mexico 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 Mexico· 30th of 51

$30.90

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.