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Limited Problem-Focused Oral Evaluation

Pennsylvania 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 $21 · 10th–90th $21$220%50%90th$21Professionalmedian $23 · 10th–90th $20$340%20%40%10th90th$23$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$20.89
Median
$20.89
Typical High
$22.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$23.44
Typical High
$33.88
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$29.51
Typical High
$29.51
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$22.39
Typical High
$29.51
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$23.99
Typical High
$38.90
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$42.66
Typical High
$61.66