go back

Limited Problem-Focused Oral Evaluation

New York 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 $19 · 10th–90th $19$210%50%90th$19Professionalmedian $30 · 10th–90th $20$390%10%10th90th$30$1.0$5.0$20.0$100.0

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
$19.05
Median
$19.05
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$38.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$32.36
Typical High
$40.74
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$25.70
Typical High
$39.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$21.38
Typical High
$30.90
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$53.70
Typical High
$53.70
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$30.90
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$51.29
Typical High
$61.66
Univera
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$25.12
Univera
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$53.70