Periodic Oral Evaluation (D0120) in California

Negotiated reimbursement rates for D0120 from CMS Transparency in Coverage data. Based on 16 rate records from 16 providers in California.

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Average Negotiated Rate in California
$41
16 rate records · 16 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D0120 in California. 13 provider records.

Provider City Rate Percentile
EndodontistSan Mateo$5388th
Pediatric DentistSan Francisco$5181st
Oral SurgeonHuntington Park$5075th
OrthodontistSherman Oaks$4869th
Oral SurgeonSan Leandro$4762nd
EndodontistEncinitas$4656th
Oral SurgeonIrvine$4350th
General DentistSanta Barbara$3944th
General DentistLos Angeles$3338th
Oral SurgeonSan Francisco$3231st
General DentistOceanside$3119th
General DentistWestminster$1512th
General DentistPalm Desert$1512th

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What is D0120?

Periodic Oral Evaluation (CDT Code D0120) — These rates represent negotiated amounts between dental insurance payors and providers in California as reported in CMS Transparency in Coverage machine-readable files.

Top States for D0120

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

26+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$44
Low
$15
High
$59
25th Percentile
$32
75th Percentile
$50
Data Points
16

Compare D0120 Rates Across All 29 States

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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