u/Ok-Woodpecker6251

Hi everyone.

I’m planning to have all four of my wisdom teeth removed and wanted to get some opinions on the cost.

I went to a general dentist (who happens to do wisdom teeth removal as well), and he recommended getting a CBCT scan before the consultation. The CBCT costed $350.

For the extraction itself, I was quoted about $1,900 out of pocket after insurance for removing all four wisdom teeth with local anesthesia + nitrous oxide (with two platelet concentrate injection in the lower two).

If I choose moderate IV sedation instead of nitrous, I was quoted around $2,500 (they said the sedation would involve oral Versed, IV hydroxyzine, and Benadryl).

I’m in Florida and just wanted to see if these prices seem reasonable or if I’m potentially being overcharged or not.

Thank you.

https://preview.redd.it/5yy5cehy3xth1.png?width=2198&format=png&auto=webp&s=b3b4a1e52e345514331976f22234cff3512fd11a

Hello.

I am trying to schedule my annual low-dose CT lung cancer screening, but I ran into a coverage issue with Ambetter and wanted to see if anyone has experienced something similar.

The imaging center submitted the order with CPT 71271 and diagnosis code Z12.2. When I arrived, I was told I would be responsible for 50% coinsurance. I contacted Ambetter, and the representative told me that their system was processing CPT 71271 as a diagnostic service rather than a preventive lung cancer screening, which is why coinsurance applied.

The representative suggested that my provider use G0297 instead for preventive screening. I have now spoken with two Ambetter representatives who provided the same information.

I was under the impression that CPT 71271 replaced G0297 for lung cancer screening, but I am not sure how commercial insurance plans handle these codes.

Has anyone with Ambetter (or another marketplace/commercial plan) had a low-dose CT lung cancer screening covered as preventive? Did your provider use G0297, 71271, or require prior authorization?

I am just trying to get the screening completed without an unexpected 50% coinsurance charge. Any experience or advice would be appreciated.

Hello.

I am trying to schedule my annual low-dose CT lung cancer screening, but I ran into a coverage issue with Ambetter and wanted to see if anyone has experienced something similar.

The imaging center submitted the order with CPT 71271 and diagnosis code Z12.2. When I arrived, I was told I would be responsible for 50% coinsurance. I contacted Ambetter, and the representative told me that their system was processing CPT 71271 as a diagnostic service rather than a preventive lung cancer screening, which is why coinsurance applied.

The representative suggested that my provider use G0297 instead for preventive screening. I have now spoken with two Ambetter representatives who provided the same information.

I was under the impression that CPT 71271 replaced G0297 for lung cancer screening, but I am not sure how commercial insurance plans handle these codes.

Has anyone with Ambetter (or another marketplace/commercial plan) had a low-dose CT lung cancer screening covered as preventive? Did your provider use G0297, 71271, or require prior authorization?

I am just trying to get the screening completed without an unexpected 50% coinsurance charge. Any experience or advice would be appreciated.

Hello.

I am trying to schedule my annual low-dose CT lung cancer screening, but I ran into a coverage issue with Ambetter and wanted to see if anyone has experienced something similar.

The imaging center submitted the order with CPT 71271 and diagnosis code Z12.2. When I arrived, I was told I would be responsible for 50% coinsurance. I contacted Ambetter, and the representative told me that their system was processing CPT 71271 as a diagnostic service rather than a preventive lung cancer screening, which is why coinsurance applied.

The representative suggested that my provider use G0297 instead for preventive screening. I have now spoken with two Ambetter representatives who provided the same information.

I was under the impression that CPT 71271 replaced G0297 for lung cancer screening, but I am not sure how commercial insurance plans handle these codes.

Has anyone with Ambetter (or another marketplace/commercial plan) had a low-dose CT lung cancer screening covered as preventive? Did your provider use G0297, 71271, or require prior authorization?

I am just trying to get the screening completed without an unexpected 50% coinsurance charge. Any experience or advice would be appreciated.

Hi everyone, I am troubleshooting my central AC condenser fan problem and would appreciate some advice.

System issue:

• Indoor blower works normally.
• Thermostat set to 78°F, but indoor temperature maintained 83°F.
• Outdoor condenser fan became sluggish and eventually stopped.
• Compressor appears to be running, but the outdoor fan is not moving, causing warm air from vents.

Original symptoms:

• Outdoor fan would hum.
• Fan blade would start slowly.
• It would run, but the speed seemed weak.
• After about 1 hour of operation, the fan became very slow and stopped.

Parts checked/replaced:

1. Original capacitor:
   • Dual run capacitor: 80/5 µF
   • Voltage rating: 440/370 VAC
2. Replaced capacitor with Titan 80 Plus 5 MFD.
3. Also replaced separate fan capacitor:
   • 7.5 MFD with Titan 7.5 MFD.
4. Wiring visually inspected:
   • No burnt wires
   • No melted connectors
   • No obvious loose connections

Motor testing:

• Condenser fan motor removed from the unit.
• Tested outside the condenser.
• Motor runs very smoothly.
• Fan blade spins freely by hand.
• No obvious bearing noise.
• This makes me unsure if the motor itself is bad.

Current behavior after capacitor replacement:

• Fan may run initially.
• After approximately 30 min:
  • Fan becomes sluggish.
  • Fan stops.
• I turned the AC off and waited about 1 hour for everything to cool down.
• Turned AC back on:
  • Fan my sluggish spin for 1-2 minutes and then stops.

Because the motor runs smoothly outside the unit, I am wondering if this is:

1. A condenser fan motor failing only under load/heat?
2. A contactor issue causing low voltage to the motor?
3. Wiring/voltage drop issue?
4. Something else?

HVAC Model N4H360AKF200

Fan Motor Model 5KCP39KFAB36BS

Thank you so much.

Hello everyone, I’m looking for some advice on a speeding ticket I just received.

I was driving from Florida to Virginia on I-81 northbound and got pulled over for speeding (allegedly 81 in a 60 zone). The officer was kind enough just to issue a speeding ticket (not criminal charge).

From what I was told over the phone, the fine is around $205, which I’m okay paying (but this will admit guilt). My main concern is that I have a Florida license, and I’m worried about the ticket affecting my driving record and increasing my already high insurance premiums.

The court date is scheduled for September 27, 2026. I understand I can reschedule it forward but not backward, and my work schedule is unpredictable, so I’m not sure when I’ll be back in Virginia.

I’m trying to figure out:

• If I just pay the ticket, will it automatically be reported to Florida and add points to my license?
• Is there any way to avoid or reduce insurance impact?
• If I take a driver improvement course, would it be pertained to Virginia-specific or Florida-specific?

Any advice or similar experiences would really help. Thank you.

Hello,

I am following up regarding my daughter’s dental visit recently. She required IV sedation for treatment (my child was uncooperative before), and after X-rays were taken, I was informed that the recommended treatment plan included 12 extractions and 2 crowns (positions A and J), with an estimated cost of approximately $2,097. I agreed to proceed at that time while the baby was already under sedation, as I did not want to delay care or extend anesthesia time (anesthesia is paid out of money based on time).

After reviewing the itemized receipt at home, I noticed two charges for odontoplasty (D9971) in positions O and P. I do not recall this procedure being discussed prior to treatment by staff. I do not recall this procedure being discussed prior to treatment by staff. I would appreciate clarification on why it was performed and why it was billed separately from the other treatment done during the same visit.

Additionally, I was told that insurance coverage was limited because the annual maximum had been reached. However, after contacting my insurance provider and obtaining reference numbers x2, I was informed that the plan should have an out-of-pocket maximum of approximately $450, after which eligible services should be covered at 100%. Apparently, this treatment plan does not cover that.

I have already contacted the office and am awaiting a response. In the meantime, please help see if the odontoplasty charges were necessary in this case and how insurance benefits were applied.

Thank you for your time.

https://preview.redd.it/4a9r978lr55h1.png?width=878&format=png&auto=webp&s=fd6de432cad3e3284e04ca31da2439a3fe5274d6

https://preview.redd.it/6dkcs5bpr55h1.png?width=942&format=png&auto=webp&s=d19a3029c9b9f51ae73035698f43b8ff1d3cedb9

https://preview.redd.it/133rix5yr55h1.png?width=1896&format=png&auto=webp&s=a843980e2b7e9f07c5aaffa0ccc5dadbba55eda0

https://preview.redd.it/b1l0muc9s55h1.png?width=1080&format=png&auto=webp&s=ecd7285b646eb10ebc512b90b2b93f10e4906b0b

(Her bottom teeth before)

Hello everyone.

My child is 3.5 years old and has significant dental cavities. I believe part of the cause may have been prolonged milk bottle feeding, which we have since tried to limit.

Recently, she has been experiencing dental pain, and we discovered she has about three abscesses in her upper gums. She is currently on antibiotics.

We have consulted a few dentists, and they are recommending either IV sedation in-office or general anesthesia in a hospital setting because she is very young and not cooperative during exams (nitrous won't help her since she may not likely follow directions).

I understand that anesthesia is generally considered safe nowadays compared to the past, but I am still very worried given her age. In addition, the cost is a minor concern because the anesthesia portion is not covered by insurance and must be paid out of pocket (the anesthesia department quoted 60 min is around $1500-2000).

One dentist mentioned that she may need at least 10 teeth extracted. I am very concerned about how this will affect her eating, speech, and overall oral development afterward. I also wonder whether she will need spacers or any other dental appliances to maintain spacing and alignment.

She is already a very picky eater, and I worry that this experience may make feeding even more difficult for her.

I am also unsure if removing this many teeth at her age is common practice or truly necessary. Some family members suggest leaving the teeth alone and waiting for them to naturally fall out, but I am worried the abscess infection could spread if not treated properly.

Thank you sincerely.

https://preview.redd.it/0hh61whzq62h1.png?width=1600&format=png&auto=webp&s=1da7890c3090f60e22b55eda6212bc9f74b867d8

https://preview.redd.it/1zev4fh1r62h1.png?width=1080&format=png&auto=webp&s=d37a2bca76ecd7fd548d366dc0ebd3e4f5d70bbc

Hello everyone.

I have a Delta Dental DeltaCare USA HMO plan for my child. We recently went in for a dental consultation because my child (3.5 years old) has some dental issues.

The dentist recommended IV sedation in-office because my child is not cooperative, and they were not able to complete X-rays during this visit. The plan is to do IV sedation at the next visit. So once the child is asleep, they will take X-rays and then complete the necessary dental procedures during the same appointment.

At this time, the dentist was only able to provide an estimate for extraction of four teeth, which is about $265 with insurance. She said those teeth are likely non-restorable and must come out. However, any additional treatment (such as more extractions or crowns) will depend on the X-rays taken during sedation.

The anesthesia fee is separate. It is not covered by dental insurance and must be paid out-of-pocket directly to the anesthesia provider (PDAA), since they do not accept insurance.

My main question is regarding the insurance benefit. My child’s plan shows a $450 out-of-pocket maximum. My understanding was that no matter how much the dental work costs (for example, $800 or more), we would only be responsible for up to $450 if the services are covered.

I called a DeltaCare representative, and they confirmed that once the out-of-pocket maximum is reached, insurance would cover 100% of covered services. However, when I asked the dental office billing department about this, they told me it works differently from medical insurance. They said that even if costs go above $450, I may still be responsible for additional charges depending on the treatment, and insurance may only cover a portion.

I’m trying to understand which explanation is correct and how the $450 out-of-pocket maximum actually applies in this situation. Thank you.

Hello everyone.

As you can see in the title, I have a Delta Dental DeltaCare USA HMO plan for my child. We recently went in for a dental consultation because my child (3.5 years old) has some dental issues.

The dentist recommended IV sedation in-office because my child is not cooperative, and they were not able to complete X-rays during this visit. The plan is to do IV sedation at the next visit. So once the child is asleep, they will take X-rays and then complete the necessary dental procedures during the same appointment.

At this time, the dentist was only able to provide an estimate for extraction of four teeth, which is about $265 with insurance. She said those teeth are likely non-restorable and must come out. However, any additional treatment (such as more extractions or crowns) will depend on the X-rays taken during sedation.

The anesthesia fee is separate. It is not covered by dental insurance and must be paid out-of-pocket directly to the anesthesia provider (PDAA), since they do not accept insurance.

My main question is regarding the insurance benefit. My child’s plan shows a $450 out-of-pocket maximum. My understanding was that no matter how much the dental work costs (for example, $800 or more), we would only be responsible for up to $450 if the services are covered.

I called a DeltaCare representative, and they confirmed that once the out-of-pocket maximum is reached, insurance would cover 100% of covered services. However, when I asked the dental office billing department about this, they told me it works differently from medical insurance. They said that even if costs go above $450, I may still be responsible for additional charges depending on the treatment, and insurance may only cover a portion.

I’m trying to understand which explanation is correct and how the $450 out-of-pocket maximum actually applies in this situation. Thank you.

https://preview.redd.it/h5osopv8162h1.png?width=1470&format=png&auto=webp&s=b5c6f009c235adc43c80c75574260c1cbeade901