go back

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 October 2026.

How much does Limited Problem-Focused Oral Evaluation cost?

$38.90

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $29.51 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$38.90$33.11 to $44.67
FacilityA hospital or hospital-owned outpatient department$29.51$26.92 to $39.81

How much rates vary

Facilitymedian $30 · 10th to 90th $21 to $10,233Professionalmedian $39 · 10th to 90th $21 to $50
$20$100$500$2K$10Kfacility $30professional $39

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$33.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$28.84
Typical High
$33.11
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$43.65
CareFirst
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$50.12
Typical High
$51.29
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$26.92
Typical High
$35.48
Medcost
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$31.62
Typical High
$50.12
Medcost
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$20.89
Typical High
$26.92
Sentara
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$29.51
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$26.92
Typical High
$30.90
United
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$45.71
Typical High
$75.86

Where Virginia 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.

Virginia· 22nd of 51

$38.90

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.