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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.

How much does Limited Problem-Focused Oral Evaluation cost?

$23.99

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $23.99 for this service. Most negotiated rates run $22.91 to $28.84.

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.

How much rates vary

Facilitymedian $32 · 10th to 90th $23 to $50Professionalmedian $23 · 10th to 90th $20 to $47
$20$50$100facility $32professional $23

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where South Dakota sits

The same service costs 4.6 times more in Minnesota than in Vermont. 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.

South Dakota· 46th of 51

$23.99

MN $102VT $22.39

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.