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Limited Problem-Focused Oral Evaluation

Wisconsin 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?

$28.84

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $27.54 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 8 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$28.84$21.88 to $47.86
FacilityA hospital or hospital-owned outpatient department$27.54$21.38 to $37.15

How much rates vary

Facilitymedian $28 · 10th to 90th $19 to $58Professionalmedian $29 · 10th to 90th $20 to $93
$20$50$100facility $28professional $29

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
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$25.12
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$81.28
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$27.54
Typical High
$57.54
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$50.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$87.10
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$27.54
Typical High
$57.54
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Quartz
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$53.70
Typical High
$79.43
Quartz
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$158.49
Quartz
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$158.49
Security Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Security Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$56.23
Typical High
$199.53

Where Wisconsin 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.

Wisconsin· 13th of 51

$28.84

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.