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Limited Problem-Focused Oral Evaluation

South Dakota 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 $32 · 10th–90th $23$500%10%20%10th90th$32Professionalmedian $23 · 10th–90th $20$470%20%40%10th90th$23$20.0$50.0$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
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$23.44
Typical High
$33.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$33.88
Typical High
$50.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$158.49
Typical High
$158.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$46.77
Typical High
$57.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$66.07
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57