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Limited Problem-Focused Oral Evaluation

Oregon 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 negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $47.86 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$27.54$27.54 to $48.98
FacilityA hospital or hospital-owned outpatient department$47.86$33.88 to $47.86

How much rates vary

Facilitymedian $48 · 10th to 90th $29 to $49Professionalmedian $28 · 10th to 90th $28 to $72
$20$50facility $48professional $28

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
Professional
Modifier
None
Typical Low
$25.12
Median
$27.54
Typical High
$28.84
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$52.48
Typical High
$66.07
Moda Health
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$39.81
Typical High
$70.79
Moda Health
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$28.84
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$47.86
Typical High
$48.98
Providence
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$44.67
Typical High
$70.79
Providence
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$70.79
Typical High
$79.43

Where Oregon 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.

Oregon· 37th 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.