What is the average cost of Periodic Oral Evaluation (D0120)?

The national average negotiated reimbursement rate for Periodic Oral Evaluation (D0120) is $64, based on 468 rate records from CMS Transparency in Coverage data across 29 states.

Which state has the highest Periodic Oral Evaluation reimbursement rate?

North Dakota has the highest average negotiated rate for D0120 (Periodic Oral Evaluation) at $58, based on 1 rate records.

How much does Periodic Oral Evaluation cost in Tennessee?

The average negotiated rate for D0120 (Periodic Oral Evaluation) in Tennessee is $15, which is among the lowest in the nation based on CMS Transparency in Coverage data.

How many providers offer Periodic Oral Evaluation nationwide?

Based on CMS Transparency in Coverage data, 181 providers across 29 states have negotiated rates on file for D0120 (Periodic Oral Evaluation), totaling 468 rate records.

Periodic Oral Evaluation (D0120) — National Rates

Negotiated reimbursement rates for D0120 across 29 states, sourced from CMS Transparency in Coverage data. 468 rate records.

National Average Negotiated Rate

$64

468 rate records · 29 states

📊 Data updated monthly · Last refresh: March 2026

About D0120 — Periodic Oral Evaluation

CDT Code D0120 covers Periodic Oral Evaluation. The national average negotiated rate is $64. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D0120

North Dakota

$58

1 records

Nevada

$54

6 records

New Jersey

$48

7 records

26+ more states available with Pro ↓

Full National Breakdown

Median

$70

Low

$15

High

$206

Highest & Lowest Reimbursement States

↑ Top 5

State	Avg Rate
North Dakota	$58
Nevada	$54
New Jersey	$48
New York	$45
Oregon	$42

↓ Bottom 5

State	Avg Rate
Idaho	$15
Illinois	$15
Kansas	$15
Missouri	$15
Tennessee	$15

All States — D0120 Average Rates

North Dakota

$58

Nevada

$54

New Jersey

$48

New York

$45

Oregon

$42

Washington

$42

Virginia

$41

California

$41

Connecticut

$40

Colorado

$36

Florida

$35

South Carolina

$34

Arizona

$30

Ohio

$26

Pennsylvania

$26

Massachusetts

$23

Michigan

$22

Oklahoma

$22

Louisiana

$20

Texas

$19

Minnesota

$18

Kentucky

$16

Nebraska

$16

Iowa

$15

Idaho

$15

Illinois

$15

Kansas

$15

Missouri

$15

Tennessee

$15

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State-by-State Comparison Table

State	Average	Median	Min	Max	Records
North Dakota	$58	$58	$58	$58	1
Nevada	$54	$54	$52	$57	6
New Jersey	$48	$45	$38	$70	7
New York	$45	$44	$15	$90	5
Oregon	$42	$42	$42	$42	1
Washington	$42	$42	$42	$42	4
Virginia	$41	$41	$41	$41	1
California	$41	$44	$15	$59	16
Connecticut	$40	$40	$40	$40	3
Colorado	$36	$36	$36	$36	1
Florida	$35	$35	$34	$35	7
South Carolina	$34	$33	$16	$85	82
Arizona	$30	$30	$30	$30	4
Ohio	$26	$26	$15	$37	2
Pennsylvania	$26	$27	$23	$27	3
Massachusetts	$23	$26	$15	$26	5
Michigan	$22	$22	$17	$28	2
Oklahoma	$22	$22	$22	$22	1
Louisiana	$20	$20	$20	$20	1
Texas	$19	$17	$15	$25	5
Minnesota	$18	$18	$17	$18	2
Kentucky	$16	$16	$15	$17	2
Nebraska	$16	$16	$16	$16	1
Iowa	$15	$15	$15	$15	15
Idaho	$15	$15	$15	$15	1
Illinois	$15	$15	$15	$15	1
Kansas	$15	$15	$15	$15	1
Missouri	$15	$15	$15	$15	1
Tennessee	$15	$15	$15	$15	1

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