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Limited Problem-Focused Oral Evaluation

Virginia 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?

$29.51

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $29.51 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$21.88 to $38.90
FacilityA hospital or hospital-owned outpatient department$29.51$25.12 to $37.15

How much rates vary

Facilitymedian $30 · 10th to 90th $21 to $49Professionalmedian $30 · 10th to 90th $20 to $48
$20$50$100facility $30professional $30

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
$20.89
Median
$20.89
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.91
Typical High
$33.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$64.57
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$42.66
Typical High
$56.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$46.77
Medcost
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$30.20
Typical High
$50.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$26.92
Sentara
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$29.51
Typical High
$48.98
Sentara
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$75.86

Where Virginia 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.

Virginia· 11th of 51

$29.51

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.