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Comprehensive Periodontal Evaluation

South Dakota rates for HCPCS D0180

A detailed examination focused specifically on the gums and the bone and tissue that support the teeth, including measuring the depth of the space between gum and tooth around each tooth. It is used for patients who show signs of gum disease or who have risk factors for it, such as certain medical conditions or a smoking history. It goes beyond what is checked in a routine general exam.

Facilitymedian $27 · 10th–90th $23$550%20%40%10th90th$27Professionalmedian $23 · 10th–90th $20$340%20%10th90th$23$20.0$50.0$100.0

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
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.91
Typical High
$33.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$36.31
Typical High
$57.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$165.96
Typical High
$165.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$53.70
Typical High
$57.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$75.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23