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    OpenPayerBilling CodesD0150-comprehensive-oral-evaluation-new-or-established
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    CDT D0150: Comprehensive Oral Evaluation, New or Established Patient

    CDT code D0150 denotes a comprehensive oral evaluation for a new or established patient and represents a core diagnostic encounter in dental practice. Nationally, this code signals a full-mouth assessment used to establish baseline oral health, identify disease or treatment needs, and guide care planning. Its role in the care pathway makes it relevant to utilization, coding accuracy, and coverage determinations across payers.

    Major commercial payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare. Readers will find an overview of clinical context for the service, common diagnostic scenarios that accompany comprehensive evaluations, and how this evaluation relates to other dental assessment codes. The publication summarizes payer coverage patterns, modifier usage where applicable, and common coding comparisons to related evaluation and radiography codes.

    This summary provides clinicians, billing staff, and policy analysts with concise guidance on the clinical intent and administrative role of CDT code D0150, clarifies distinctions from limited or periodic evaluations, and outlines what to expect in payer interactions and documentation needs. Data not available in the input is noted where applicable.

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    Billing Code Overview

    CDT code D0150 is a comprehensive oral evaluation performed for a new or established patient. This evaluation is a dental diagnostic service that involves a thorough assessment of the patient’s oral and dental health, typically including a complete history, assessment of hard and soft tissues, occlusion, and a treatment plan when indicated.

    Service Type: Dental diagnostic service

    Typical Site of Service: Dental Office (POS 11)

    National Reimbursement Benchmarks

    National mean rates for CDT code D0150 show Medicare reporting at $0.00 in the input, while the average commercial (BUCA) mean sits at $45.46. BUCA’s mean rate is higher than the Aetna and Cigna Health means ($31.07 and $29.37, respectively) and lower than Blue Cross Blue Shield and UnitedHealthcare ($64.56 and $59.00, respectively).

    Dispersion (P75 minus P25) varies by payer: Blue Cross Blue Shield and UnitedHealthcare are among the tighter-to-moderate spreads (BCBS: 33.33, UnitedHealthcare: 13.50), while BUCA shows a wider spread (30.00). Aetna and Cigna Health are relatively tight (Aetna: 12.80, Cigna Health: 12.00). The table and chart below present the full breakdown.

    Table of contents

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    National Mean Rates for CDT code D0150 by Payer

    Clinical & Coding Specifications

    Clinical Context

    A 45-year-old patient presents to a dental office (POS 11) for a first-time comprehensive oral evaluation. The patient reports intermittent tooth sensitivity and occasional gingival bleeding. The dentist performs a full medical and dental history, a thorough extraoral and intraoral examination, periodontal assessment, and documents occlusion and existing restorations. Radiographs (as indicated) and a treatment plan are developed during the visit. The visit is coded as CDT code D0150 for a comprehensive oral evaluation for a new or established patient.

    Related Codes

    CodeDescriptionClinical Relationship
    D0120Periodic oral evaluation – established patientOften used for routine recall visits; alternative to D0150 when patient is established and evaluation is periodic rather than comprehensive.
    D0140Limited oral evaluation – problem focusedUsed when the visit is focused on a specific problem rather than a comprehensive exam; may precede targeted diagnostic procedures.
    D0145Oral evaluation for a patient under three years of age and counseling with primary caregiverAge-specific alternative; not used with D0150 for adults.
    D0160Detailed and extensive oral evaluation – problem focused, by reportUsed when an in-depth problem-focused exam is required and documented by report; alternative when issues exceed the scope of D0140.
    D0180Comprehensive periodontal evaluationUsed when a more detailed periodontal assessment is indicated in addition to or instead of the general comprehensive exam.
    D0210Intraoral – complete series of radiographic imagesCommonly ordered during a comprehensive exam to assess full dentition and supporting structures.
    D0220Intraoral – periapical first radiographic imageUsed for focused radiographic evaluation of specific teeth during or following the comprehensive exam.
    D0230Intraoral – periapical each additional radiographic imageBilled in addition to D0220 when multiple periapical images are taken.
    D0272Bitewings – two radiographic imagesCommon adjunct radiograph during a comprehensive exam for detecting interproximal caries.
    D0274Bitewings – four radiographic imagesAlternative bitewing series used during comprehensive diagnostic evaluation.
    • Common pairings: D0150 frequently accompanies radiographic codes such as D0210, D0272, D0274, or periapical series D0220/D0230. D0180 may be used in addition when periodontal findings require separate detailed periodontal evaluation.

    Related Codes

    D1208-TOPICAL-APPLICATION-OF-FLUORIDE-EXCLUDING

    D1208 – Topical application of fluoride - excluding varnish

    D3310-ENDODONTIC-THERAPY-ANTERIOR-TOOTH-EXCLUDING-FINAL

    D3310 – Endodontic therapy, anterior tooth (excluding final restoration)

    D2150-AMALGAM-TWO-SURFACES-PRIMARY-OR

    D2150 – Amalgam - two surfaces, primary or permanent

    D2393-RESINBASED-COMPOSITE-THREE-SURFACES

    CPT D2393: Resin-Based Composite Restoration, Three Surfaces, Posterior

    D4910-PERIODONTAL-MAINTENANCE

    CPT D4910: Periodontal Maintenance Procedures

    D1206-TOPICAL-FLUORIDE-TREATMENT-EXCEPT-VARNISH-THERAPEUTIC

    CPT D1206: Topical Fluoride Treatment for Moderate to High Caries Risk Patients

    D1110-PROPHYLAXIS-ADULT-CLEANING-AND-POLISHING-OF-THE

    CPT D1110: Adult Dental Cleaning and Polishing

    D2140-AMALGAM-ONE-SURFACE-PRIMARY-OR

    CPT D2140: Amalgam Restoration, One Surface, Primary or Permanent Tooth

    D2160-AMALGAM-THREE-SURFACES-PRIMARY-OR

    CPT D2160: Amalgam Filling, Three Surfaces, Primary or Permanent Tooth

    D1351-SEALANT-PER

    CPT D1351: Dental Sealant Application, Per Tooth

    Showing 1–10 of 24

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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