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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 October 2026.

How much does Limited Problem-Focused Oral Evaluation cost?

$32.36

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $22.91 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$32.36$24.55 to $81.28
FacilityA hospital or hospital-owned outpatient department$22.91$19.50 to $29.51

How much rates vary

Facilitymedian $23 · 10th to 90th $19 to $37Professionalmedian $32 · 10th to 90th $19 to $158
$20$50$100facility $23professional $32

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
$19.50
Median
$19.50
Typical High
$19.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$30.20
Typical High
$131.83
DeanCare
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$29.51
Typical High
$102.33
DeanCare
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Medica
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$26.92
Typical High
$50.12
Medica
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Prevea360
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$29.51
Typical High
$102.33
Prevea360
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Quartz
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$53.70
Typical High
$63.10
Security Health
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Security Health
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$199.53

Where Wisconsin 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.

Wisconsin· 28th of 51

$32.36

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.