Periodic Oral Evaluation (D0120) — National Rates

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

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National Average Negotiated Rate
$64
468 rate records · 29 states
📊 Data updated monthly · Last refresh: March 2026

About D0120 — Periodic Oral Evaluation

D0120 is the code for a periodic oral evaluation, typically performed on patients who are returning for routine check-ups. This evaluation assesses the overall health of the oral cavity and includes an examination of the teeth, gums, and other oral structures. Documentation should include findings from the examination, any changes in the patient's health status, and recommendations for future care. Reimbursement for D0120 generally varies by payor, with some plans covering it as part of preventive care while others may have limitations on frequency. It's essential to verify coverage specifics with each insurance provider to ensure proper billing.

Reimbursement rates for D0120 vary significantly by state, payor, and provider network. The national average negotiated rate is $64. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D0120

North Dakota
$58
1 records
Nevada
$54
6 records
New Jersey
$48
7 records

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Full National Breakdown

Median
$70
Low
$15
High
$206

Highest & Lowest Reimbursement States

↑ Top 5

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

↓ Bottom 5

StateAvg 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

StateAverageMedianMinMaxRecords
North Dakota$58$58$58$581
Nevada$54$54$52$576
New Jersey$48$45$38$707
New York$45$44$15$905
Oregon$42$42$42$421
Washington$42$42$42$424
Virginia$41$41$41$411
California$41$44$15$5916
Connecticut$40$40$40$403
Colorado$36$36$36$361
Florida$35$35$34$357
South Carolina$34$33$16$8582
Arizona$30$30$30$304
Ohio$26$26$15$372
Pennsylvania$26$27$23$273
Massachusetts$23$26$15$265
Michigan$22$22$17$282
Oklahoma$22$22$22$221
Louisiana$20$20$20$201
Texas$19$17$15$255
Minnesota$18$18$17$182
Kentucky$16$16$15$172
Nebraska$16$16$16$161
Iowa$15$15$15$1515
Idaho$15$15$15$151
Illinois$15$15$15$151
Kansas$15$15$15$151
Missouri$15$15$15$151
Tennessee$15$15$15$151
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