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CPT D0120

Periodic oral evaluation

Reported by 28 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$29

Average

$141

Median

$135

High

$260

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$98$146$260$475$146
2St Josephs Hospital Health CenterSyracuse, NY$19$46$51$64$13
3IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$124$135$131$143$6
4IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$111$134$133$156$14
5IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$105$134$135$153$12
6IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$120$135$137$148$7
7IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$120$134$138$156$8
8Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$129$245$231$354$81
9Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$128$129$207$337$101
10IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$105$134$133$147$12
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