D0120
HCPCSPeriodic oral evaluation
Verified from hospital fileNot a bill estimate
iDirect answer
Based on the latest published hospital price files, code D0120 (Periodic oral evaluation) appears at 4 hospitals with disclosed cash prices from $74.00 to $74.00. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Published-price availability
3
hospitals publish a price
1
list this service without a published price
1
Cash
1
List
2
Negotiated
0
Allowed
A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.
Compare D0120 prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
1
Hospitals
4
Prices shown
$74.00
Lowest cash
$74.00
Highest cash
code D0120 cash price1 disclosed · 1 hospital
$74.00median ~$74.00$74.00
4 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| Periodic oral evaluation Outpatient | Endeavor Health Edward Hospital | D0120 HCPCS | — | — | $143 – $230 | — | |
| Periodic oral evaluation Outpatient | University of Chicago Medical Center | D0120 HCPCS | — | — | — | — | |
| HB PERIODIC ORAL EXAMINATION -EST PT Inpatient & outpatient | Endeavor Health Swedish Hospital | D0120 HCPCS | $74.00 | $74.00 | — | — | |
| Periodic oral evaluation Outpatient | Montefiore Mount Vernon Hospital | D0120 HCPCS | — | — | $166 – $229 | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish D0120 prices
Open a hospital to see this code in the context of its full published prices.
Code D0120: frequently asked
- What does code D0120 cost?
- Across the published hospital price files, the disclosed cash price for D0120 ranges from $74.00 to $74.00. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code D0120?
- D0120 is the billing code hospitals use to identify "Periodic oral evaluation" on their published price files. We use it to line up the same service across different hospitals.
- Why do prices for this code differ between hospitals?
- Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.