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areas/maintenance/medical_appointments.md
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@@ -40,6 +40,65 @@ Tags: [areas, maintenance, health, appointments, radiology]
2. Repeat audiogram per otologic plan of care, or sooner if hearing changes.
3. Results and recommendations discussed with patient.
## Grace and Elias - Pediatric Dental / Rachelle A. Dermody, D.M.D. (June 2026)
- Source: WhatsApp screenshots processed on 2026-06-04; documents dated 2026-06-03.
- Provider: Rachelle A. Dermody, D.M.D., P.A., 441 SW Bethany Drive, Port St. Lucie, FL 34986; phone (772) 879-1879.
- Mailing guarantor on statement: Alicia Reyna, 220 Emerald Ave, Ft. Pierce, FL 34945.
- Statement chart number: REG312; treatment-plan chart number for Grace: REG315.
- Insurance shown: Primary Delta Dental.
### Statement of Services Rendered - 2026-06-03
- Current charges: $1,114.00.
- Current credits: $212.70 credit card payment.
- Prior balance: $0.00.
- New balance: $901.30.
- Dental insurance estimate: $910.00.
- Please pay shown: -$8.70, likely an estimated credit after insurance; confirm with dental office if needed.
#### Elias services
- Periodic oral evaluation: $88.00.
- Prophylaxis - child: $120.00.
- Topical application fluoride varnish: $68.00.
- Sealants: teeth 3, 14, 19, 30 at $104.00 each.
- Elias subtotal: $692.00.
#### Grace services
- Periodic oral evaluation: $86.00.
- Bitewing two image: $80.00.
- Prophylaxis - child: $120.00.
- Topical application fluoride varnish: $68.00.
- Tooth E intraoral occlusal image: $70.00.
- Grace subtotal: $424.00.
### Grace Treatment Plan - 2026-06-03
- Treatment plan total: $5,622.00.
- Estimated deductible to be applied: $50.00.
- Estimated insurance payment: $1,393.00.
- Estimated patient portion: $4,229.00.
- Plain-English summary: Grace has proposed fillings on teeth A, B, I, J, K, L, S, and T, plus a stainless steel crown and pulpotomy on tooth L; treatment is split across 4 visits, each including nitrous oxide.
#### Visit 1 - total $1,171.00 / estimated patient portion $425.40
- 2026-06-03 line items: d00001 oral exam/reversal $41.00 patient $41.00; D9230 nitrous oxide $148.00 patient $148.00; tooth S DO D2392 resin composite 2 surfaces posterior $491.00 patient $98.20; tooth T MO D2392 resin composite 2 surfaces posterior $491.00 patient $138.20.
#### Visit 2 - total $1,961.00 / estimated patient portion $1,313.60
- 2026-06-03 line items: d00001 oral exam/reversal $41.00 patient $41.00; D9230 nitrous oxide $148.00 patient $148.00; tooth K MO D2392 resin composite 2 surfaces posterior $491.00 patient $236.40; tooth L DO D2392 resin composite 2 surfaces posterior $491.00 patient $98.20; tooth L D2930 prefabricated stainless steel crown primary $438.00 patient $438.00; tooth L D3220 therapeutic pulpotomy excluding final restoration $352.00 patient $352.00.
#### Visit 3 - total $1,245.00 / estimated patient portion $1,245.00
- 2026-06-03 line items: d00001 oral exam/reversal $41.00 patient $41.00; D9230 nitrous oxide $148.00 patient $148.00; tooth I DO D2392 resin composite 2 surfaces posterior $491.00 patient $491.00; tooth J MOL D2393 resin composite 3 surfaces posterior $565.00 patient $565.00.
#### Visit 4 - total $1,245.00 / estimated patient portion $1,245.00
- 2026-06-03 line items: d00001 oral exam/reversal $41.00 patient $41.00; D9230 nitrous oxide $148.00 patient $148.00; tooth A MOL D2393 resin composite 3 surfaces posterior $565.00 patient $565.00; tooth B DO D2392 resin composite 2 surfaces posterior $491.00 patient $491.00.
### Upcoming dental appointments from statement
- Grace: Monday, June 15, 2026 at 11:00 AM. Reason shown: ResCmp2s#S, ResCmp2s#T, AnlgNitOx, Orv; likely composite fillings on teeth S and T, nitrous oxide, and Oraverse/reversal.
- Elias: Wednesday, December 2, 2026 at 10:20 AM. Reason shown: Ex, FLV, ProC; likely exam, fluoride varnish, child cleaning.
- Grace: Wednesday, December 2, 2026 at 10:20 AM. Reason shown: Ex, FLV, ProC; likely exam, fluoride varnish, child cleaning.
### OCR uncertainty notes
- `d00001` may be an internal office code rather than a standard CDT code.
- "Oral exam / reversal" and "Orv" were somewhat unclear; may refer to Oraverse/reversal.
- Financial totals and procedure codes appeared readable with good confidence, but should be verified against the original screenshots/documents before payment or medical decisions.
## Related
- [[maintenance/index]]
- [[Areas]]
projects/latin_america_emi_collaboration_2026.md
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- [ ] Buy flights to Chiapas (Alicia to coordinate).
- [ ] Prepare for Chiapas meeting in prayer and logistics planning.
## Flight Price Monitoring
- **Source added:** 2026-06-04, from Adolfo via WhatsApp.
- **Preferred tracking/search URL:** https://www.kayak.com/flights/MIA,MCO-TGZ/2026-09-21/2026-10-09/2adults/children-5-8?ucs=uwkx32&sort=bestflight_a
- **Route/date scope:** Miami or Orlando (MIA/MCO) to Tuxtla Gutiérrez (TGZ), September 21 – October 9, 2026 search window, 2 adults + children age 5–8.
- **Purpose:** Monitor flight prices for the Chiapas leaders gathering and watch for good fares before buying.
## 📥 New Input Received (2026-05-05) — Carolyn (for Chiapas planning)
### Shared Context