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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 October 2026.

How much does Limited Problem-Focused Oral Evaluation cost?

$27.54

Typical physician fee. In Utah, October 2026.

Insurers have agreed to pay about $27.54 for this service. Most negotiated rates run $27.54 to $43.65.

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 $28 · 10th to 90th $28 to $28Professionalmedian $28 · 10th to 90th $28 to $45
$20$50facility $28professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$27.54
Typical High
$27.54
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$44.67
Typical High
$47.86
Select Health
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Select Health
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$43.65
Typical High
$44.67
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$30.20
Typical High
$43.65

Where Utah 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.

Utah· 39th 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.