Got the screw removed, Discount tire always treats me so well. They were able to patch the tire and do a full balance and rotate for free and in less than 2 hours despite the fact they were fully booked for the day and I told them to keep it till 5 pm if need be and got a ride back to work.
They looked up how many miles the truck had when I got the tires in Sept of 2019 and I have put almost exactly 40k on them since then, that's over 20k miles a year which is way more than I've ever driven. Very pleased with the Nitto420s they still have 15-20k of life left IMO I really hope the new 420Vs are as good. Also interesting is that their system pulls up my truck as a "PPV special" Package, I always thought it may have been with such weird options but found no proof of the fact.