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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.

Facilitymedian $28 · 10th–90th $19$580%10%10th90th$28Professionalmedian $29 · 10th–90th $20$930%10%10th90th$29$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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