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Limited Problem-Focused Oral Evaluation

Utah 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 $28 · 10th–90th $28$280%50%100%$28Professionalmedian $28 · 10th–90th $20$340%20%10th90th$28$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$33.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$54.95
Select Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$43.65
Typical High
$43.65
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$33.88
Typical High
$35.48