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Full Mouth X-Ray Series

Wisconsin rates for HCPCS D0210

A complete set of individual X-ray images that together cover every tooth, its root, and the surrounding bone throughout the mouth. It gives a much more detailed view than a handful of bitewing images and is typically done for a new patient or repeated periodically to fully assess tooth roots, bone levels, and hidden problems like abscesses. It usually includes both close-up root views and bitewing-style images.

Rates data updated July 2026.

Facilitymedian $48 · 10th–90th $37$1020%20%10th90th$48Professionalmedian $59 · 10th–90th $39$1620%10%20%10th90th$59$10.0$20.0$50.0$100.0$200.0$500.0

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
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$41.69
Typical High
$48.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$79.43
Typical High
$169.82
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$46.77
Typical High
$93.33
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$50.12
Typical High
$144.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$54.95
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$46.77
Typical High
$93.33
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Quartz
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$114.82
Typical High
$165.96
Quartz
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$316.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$316.23
Security Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$134.90