Is Your Dental Recommendation Necessary or an Upsell?

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Mister K

Subject: It's up to the patient to finfd the right dentist

New gimmick: Dentists won't do a simple debridement (code 4355) because they want you to commit to a root planing and quadrant cleaning. But, regardless of how many pockets or their size, it's up to the patient to decide what he wants done. I wanted a simple tooth cleaning (debridement). If no periodontal disease had been present, it would have been coded as a 01110 (preventative). But there was bone loss and other issues. NO INSURANCE PAYS THE FIRST YEAR FOR ANYTHING OTHER THAN "PREVENTATIVE." So, I would have to pay for anything else that is not "preventative.' By definition, it's not a stretch for a dentist to code any cleaning as a 01110, because it's still preventative, in that it delays or prevents further destruction from continuing above the gum line. At the end of the day, dentistry has become a game, not unlike automobile mechanics, or electronic repair. For the gullible, they want you to go to CareCredit.

Mike Lindenberg

Subject: dental procedure review

What you are telling consumers in the above summaries is very simplistic and doesn't take into account all the variables that render a diagnosis and subsequent treatment. Just like building a house, there are variables that one must consider; steel vs. wood frame, brick vs. siding, shingles vs. tile.
The first factor to be considered is the patients perception of oral health. Some people could care less, while others realize the importance. An ethical dentist or medical surgeon will explain the benefits and contraindications for several different procedures and allow the patient to choose what they feel is best for themselves. As with most "products", the best option is often the most expensive.
For example, in reference to root scaling and planing, I don't see any mention of the fact that 1 out of every 2 adults over 30 has some form of periodontal disease. Unfortunately, it doesn't take long for this disease to cause bone loss. Once "pocket" formation develops, it is imperative to treat aggressively, which often requires some form of root scaling to eradicate all calculus from the root to allow the "cuff of tissue around the root" to reattach. What is it worth to save a tooth or teeth? It sure is easier to chew with real ones.

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I second the original question (still unanswered). Speaking as someone who logged in today to try to find an attorney, I see this category as one that's exactly what I have my Angie's List membership for:

1. It's important that I find a good one
2. I'm not an expert enough to know myself who is a good one
3. The industry is full of advertisements and misinformation
4. I wish I knew what experiences other people have had

I don't care about lawns--I planted mine in clover and don't have to mow it. When I do need to mow I use a rotary Fiskars mower, which is great--or a scythe. That's right--a scythe (the European type, which is smaller, and it's very good exercise). Gas-powered mowers, chemical fertilizers and weed killers--all nasty stuff that gets into everyone's air, soil, and water. I'm sure my neighbor doesn't like my wildflowers, semi-wild pockets of fruit bushes, and unmown areas and yes, dandelions (I have 10 acres) but that's too bad. It's better habitat for wildlife, especially the pollinators on which our food supply depends. I think this obsession with the Great American Lawn is a waste of time and resources. Plant some food instead.

I'm not sure Angie et. al. want you to have a complete answer to this question. By re-subscribing at the Indiana State Fair in 2012, I think I paid $20.00 per year for a multi- year subscription. Maybe even less. At the other extreme--and I hope my memory isn't faulty about this--I think the price, for my area, for ONE year was an outrageous $70.00. And they debited me automatically without warning. I had to opt out of that automatic charge. I like Angie's List, but if some of the companies they monitor behaved the way they do in this respect, they'd be on some sort of Pages of Unhappiness. I'll be interested to see if this comment gets published or censored out of existence.

That's very difficult to answer without seeing the house. As one poster said, the prep is the most important part. On newer homes that don't have a lot of peeling paint, the prep can be very minimal even as low as a couple or a few hundred dollars for the prep labor.

On a 100 year old home with 12 coats of peeling paint on it, then the prep costs can be very high and can easily exceed 50% of the job's labor cost.

A 2100 sq ft two story home could easily cost $1000 just for the labor to prep for the paint job. That number could climb too. Throw in lots of caullking  or window glazing, and you could be talking a couple or a few hundred dollars more for labor.

Painting that home with one coat of paint and a different color on the trim could run roughly $1000 or more just for labor. Add a second coat  and that could cost close to another $1000 for labor.

For paint, you may need 20 gallons of paint. You can pay from $30-$70 for a gallon of good quality exterior paint. The manufacturer of the paint should be specified in any painting contract. Otherwise, the contractor could bid at a Sherwin-Williams $60 per gallon paint and then paint the house with $35 Valspar and pocket the difference. $25 dollars per gallon times 20 gallons? That's a pretty penny too.

That was the long answer to your question. The short answer is $2000 to $4000 and up, depending upon the amount of prep, the number of coats, the amount of trim, and the paint used.