Dandy Sleep System: End-to-End Workflow for Dentists

Overview

The Dandy Sleep System enables dental practices to identify, diagnose, and treat sleep apnea patients through a streamlined, end-to-end workflow—from patient screening to reimbursement.

Dandy Sleep Solution Training Recording

Phase 1: Practice Setup

Dentist Onboarding

  • Complete W-9 and onboarding form
  • Submit documents to Dandy

Dandy Provides Materials

  • Sleep test rings
  • Training materials
  • Marketing materials
  • Gauge forks

Practice Preparation

  • Review training materials
  • Set up in-office materials
  • Charge sleep test rings

 

Phase 2: Patient Identification (In-Office)

  • Patient arrives for a routine visit
  • Dentist screens for sleep apnea indicators:
    • Teeth grinding
    • Airway concerns
    • Fatigue
    • Snoring
  • Dentist introduces the sleep solution
  • Offers a simple at-home sleep test

 

Phase 3: Same-Day Kickoff

If the patient agrees to proceed:

Dentist Completes

  • Full arch scan
  • Bite registration

Patient Receives

  • At-home sleep test ring
  • Signs waiver

Next Steps

 

Phase 4: Patient Onboarding & Insurance Verification

Dandy Responsibilities

  • Contacts patient
  • Collects forms, ID, and insurance details
  • Completes Verification of Benefits (VoB)

Estimates Provided

  • Insurance coverage
  • Patient out-of-pocket cost

 

Phase 5: Sleep Test & Diagnosis

  • Patient completes a 2-night sleep test
  • Results are reviewed by a sleep physician

Consultation

  • Telehealth consultation occurs only if required by insurance

Outcome

  • Diagnosis is confirmed
  • Required documentation is submitted to Dandy for insurance claims
  • Diagnosis is shared with the patient asynchronously

 

Phase 6: Approval & Case Decision

If diagnosis is positive:

  • Dandy shares results and cost estimate
  • Dentist and patient review together
  • Patient accepts treatment

Insurance Process

  • Dandy submits pre-authorization
  • Insurance confirms documentation

 

Phase 7: Treatment, Ordering & Claim Submission

  • Dentist orders MAD (Mandibular Advancement Device) via Chairside

Costs Incurred

  • Device cost: $499–$599 (depending on the practice’s fee schedule)

Insurance

  • Dandy submits a claim to insurance
  • Note: This is the starting claim amount, not the final reimbursement

 

Phase 8: Delivery

  • The device is manufactured and shipped (approximately 2–3 weeks)

Delivery Appointment

  • The device is fitted to the patient
  • Patient pays their portion
  • Sleep test ring is returned

 

Phase 9: Revenue & Profit

  • Practice receives insurance reimbursement (typically within 2–6 weeks)

Dandy Fee

  • $500 system fee per case
  • Collected only after reimbursement
  • First case fee is waived

Example Profit

  • Total collected: ~$2,600
  • Device cost: $499–$599
  • Dandy fee: $500

Estimated Profit: ~$1,500 per case

 

Pricing & Business Model

Getting Started

  • 4 free sleep tests
  • Free in-office marketing materials
  • Complimentary credentialing and payer enrollment (Out-of-Network only)

 

Per Case Costs

System Fee: $500 per case
Includes:

  • Sleep test
  • Telehealth diagnosis
  • Medical billing (VoB, pre-authorization, claims)

Notes

  • The first case is free
  • Fee is collected only after reimbursement

 

Device Pricing

  • ~$499 — Milled acrylic MAD
  • ~$599 — Printed nylon MAD

 

À La Carte Options

  • $400 — System fee (if patient provides their own sleep study)
  • $299 — Additional sleep tests via Dandy Store

Important Note
Telehealth and billing services are not available for Medicare/Medicaid patients (lab fees still apply).

Dandy Sleep Dentist FAQs

 

Billing

Do you charge me if insurance doesn’t go through?
Yes. There is a $75 fee for the sleep test and telehealth component.

Do you charge me if a patient doesn’t decide to proceed with the case?
Yes. There is a $75 fee for the sleep test and telehealth component.

Do you charge me if someone’s test is negative for sleep apnea?
Yes. There is a $75 fee for the sleep test and telehealth component.

How do you obtain patients’ information for insurance?
We reach out to patients via text to upload required documents (driver’s license and medical insurance card) to our portal. Once received, we begin Verification of Benefits (VOB) and any additional insurance steps.

How much should I charge?
This is up to you. We recommend around $2,500 to keep patient out-of-pocket costs under $1,000. Pricing should reflect what your patient base can afford. We can help provide insurance estimates.

When is insurance verified and pre-authorized?

  • Insurance is verified before the sleep test to confirm patient interest and eligibility.
  • Pre-authorization is completed after the test, once results are available.

How much do you charge?
Standard program includes:

  • Four free sleep test devices
  • Free gauge forks
  • Free in-office marketing materials
  • Complimentary practice credentialing and payer enrollment (out-of-network only)
  • Complimentary telehealth (regardless of diagnosis)
  • Complimentary Verification of Benefits and pre-authorization (regardless of case acceptance)
  • $500 success fee once insurance reimburses the provider
  • $400 success fee if the patient provides their own sleep study but uses Dandy billing

Lab fees (based on device selection):

  • ~$499 — Milled acrylic MAD
  • ~$599 — Printed nylon MAD

À La Carte Options

  • $400 — System fee (if patient provides their own sleep study)
  • $299 — Additional sleep tests via Dandy Store

Note: Telehealth and billing are not available for Medicare/Medicaid patients (lab fees only apply).

 

Credentialing

Why do you need a W-9?
Insurance companies require it in order to pay you.

Why do you need detailed information about my practice?
Insurance companies require this information for payment processing.

Will I be in or out of network with medical payers?
Out of network.

Does this impact my dental billing?
No.

Why do I need to update my group NPI taxonomy to multi-specialty?
Multi-specialty taxonomy identifies practices offering multiple types of care. Since you are providing services beyond dentistry (e.g., sleep apnea appliances), this ensures proper authorization and claims processing.

How do I update my group NPI taxonomy?
Log in to your NPPES account and update your taxonomy there.

Will you credential me with Medicare/Medicaid? Can I credential myself?
We cannot conduct telehealth or bill for Medicare/Medicaid patients at this time.

 

Home Sleep Tests

What happens if a patient breaks, loses, or steals a device?
You are responsible for charging the patient. We recommend using a waiver to ensure device return. Replacement devices can be purchased for $299 each via the Dandy Store.

What happens if a patient keeps a device too long?
You are responsible for retrieving devices. If delays impact patient care, consider purchasing additional devices or charging patients for delays.

How should devices be sterilized after use?
Use sanitizing wipes before reuse.

How does a patient get their sleep test ID?
Patients receive an email from SleepImage with their ID after completing the Health Intake form. The email also includes instructions to download the app.

 

Telehealth

How does telehealth work?

  • Patients complete medical intake forms via a portal (sent via text)
  • Sleep physicians review results and send them for formal diagnosis
  • Diagnosis is shared asynchronously with the patient
  • A virtual consultation occurs only if required by insurance
  • Dandy receives all required documentation for claim submission

Do I need to do anything for telehealth?
No—just order a sleep test in Chairside to begin the process.

How do you contact patients?
Primarily via text. Calls and emails are used if SMS is unsuccessful.

 

Ordering

When should I choose Herbst vs. MAD?

  • Milled acrylic MAD: More rigid, offers stable control
  • Printed nylon MAD: More comfortable, adjustable, better for long-term use

How do I order a MAD?
In Chairside, select “Sleep Apnea” and follow the guided steps.

What is the turnaround time?
Approximately 2–3 weeks.

 

Education

Where can I get more sleep training?
Sign up for Dandy sleep training.

Do you offer CE credits?
Not for sleep at this time.

 

Support

Where should patients go for support?

  • Email: sleep@meetdandy.com
  • Support line: (201) 822-1318


 

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