FamReynaBrain/areas/maintenance/medical_appointments.md

Date, Author, Tags

Date	Author	Tags
2026-05-26	Pi-Brain	areas maintenance health appointments radiology

Medical Appointments

Adolfo - Radiology

• Exam: CT Temporal Bones Without Contrast
• Prep: No prep necessary
• Date: Thursday, June 4, 2026
• Time: 4:55 PM
• Confirmation Number: 4323239
• Facility: Radiology Imaging Associates — FT Pierce Imaging Center
• Address: 2306 Nebraska Ave, Fort Pierce, FL 34950
• Phone: (772) 464-1650

Adolfo - ENT Audiology (Completed)

• Visit date: 2026-05-21
• Report: Audiologic Report (3 pages) — ENT Hearing Associates of Florida
• Facility: ENT Hearing Associates of Florida / ENT & Allergy Associates of Florida
• Address: 1401 N Lawnwood Circle, Fort Pierce, FL 34950
• Phone: (772) 464-6055
• Audiologist: Michele Phillips, Au.D.
• Referring physician: Timothy S. Tudor, DO

Key findings (from report)

• Mild mixed sloping hearing loss in right ear.
• Normal hearing in left ear.
• Asymmetrical hearing loss noted.
• Tinnitus reported: "crackling electrical noise" in left ear around loud sounds (longstanding).
• Word recognition:
  • Right ear: 84% at 75 dBHL
  • Left ear: 96% at 55 dBHL
• Diagnosis code listed: H90.71

Recommendations (from report)

1. Medical management per physician recommendations.
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.
• Southport Dental: +1 (772) 238-2754; Adolfo identified this as his usual dentist place on 2026-06-10.
• 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.
• Adolfo: Tuesday, June 23, 2026 at 9:00 AM. Rescheduled from 10:00 AM on 2026-06-21. Added to Home calendar on 2026-06-10 as "Dentist appointment"; 9:00 AM reschedule noted in the family brain. Correct usual dental place provided by Adolfo: Southport Dental, +1 (772) 238-2754. Earlier location inference to Rachelle A. Dermody was incorrect.
• 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.

Adolfo - CT Temporal Bones Results (Completed)

• Source: RadNet/Radiology report PDF parsed from WhatsApp on 2026-06-05; accession 4926944.
• Exam: CT Temporal Bones Without Contrast.
• Exam date: 2026-06-04.
• Facility: FT Pierce Imaging Center, 2306 Nebraska Ave, Fort Pierce, FL 34950; phone (772) 464-1650.
• Ordering/referring physician: Timothy Tudor, DO.
• Radiologist: Eliot A. Budnick, DO; electronically signed 2026-06-05 9:03 AM.
• History/reason: Right ear hearing loss.

Findings summary

• Right temporal bone: vestibule, lateral/superior semicircular canals, cochlea, oval and round windows appear normal; scutum intact; no jugular bulb dehiscence; carotid canal walls maintained; mastoid air cells well-aerated; no fracture identified.
• Left temporal bone: same normal findings; no jugular bulb dehiscence; carotid canal walls maintained; mastoid air cells well-aerated; no fracture identified.

Impression

• “Unremarkable CT examination of the temporal bones.”
• Plain-English note: the CT did not show a visible structural/bony abnormality explaining the right-sided hearing loss; follow-up should continue with ENT/audiology as clinically directed.

Adolfo - ENT follow-up appointment

• Source: text reminder captured 2026-06-15.
• Appointment: Thursday, June 18, 2026 at 9:15 AM.
• Provider: Timothy Seth Tudor.
• Facility/address: 1401 N Lawnwood Circle, Fort Pierce.
• Phone: (772) 464-6055.
• Confirmation link received: https://phreesia.me/WvrUH5TD5S
• Status: needs confirmation by Adolfo.

Adolfo - ENT referral to Michael Seidman, MD

• Source: referral/Google listing screenshot shared via WhatsApp on 2026-06-18 after ENT visit.
• Referral doctor: Michael Seidman, MD.
• Specialty: Otolaryngologist in Celebration, Florida.
• Rating shown: 4.8 stars, 71 Google reviews.
• Address: 410 Celebration Pl Ste 100, Kissimmee, FL 34747.
• Phone: (321) 939-3000.
• Hours shown in screenshot: Open; closes 5 PM.
• Location clue shown: AdventHealth Celebration / Hospital Rd area.
• Follow-up: Adolfo was referred by ENT to this doctor; appointment/scheduling status not yet recorded.

Related

• maintenance/index
• Areas