The Dandy Sleep Program helps dental practices identify, diagnose, and treat patients with obstructive sleep apnea through a streamlined workflow. Your team focuses on screening, scanning, and delivering treatment while Dandy manages patient onboarding, insurance verification, sleep testing, diagnosis coordination, patient communication, and medical billing support.

You screen, scan, and deliver—we handle the rest.

Getting Started

After enrolling in the Dandy Sleep Program, you'll receive a Sleep Starter Kit that includes:

• Sleep test rings
• Marketing materials
• Training resources
• George Gauge and accessories

Before seeing patients, review the training materials, set up your marketing materials, and ensure all sleep test rings are charged and ready for use.

Step 1: Identify Potential Sleep Apnea Patients

Begin screening patients during routine exams for common signs and symptoms of sleep apnea, including:

• Scalloped tongue
• Excessive tooth wear or grinding
• Recessed lower jaw
• Airway concerns
• Snoring
• Daytime fatigue

If a patient presents with potential symptoms, ask simple screening questions such as:

• "Has anyone ever told you that you snore?"
• "Do you wake up feeling tired?"

When sleep apnea is suspected, offer the patient a complimentary at-home sleep test.

Step 2: Capture Records and Submit the Sleep Test Case

Before the patient leaves, capture records for a future Mandibular Advancement Device (MAD). Collecting records at this stage helps avoid an additional appointment if treatment is recommended.

Required Records

• Full upper arch scan, including the palate
• Full lower arch scan, including the retromolar pads
• Left and right protrusive bite registrations using a George Gauge

For the starting position, you may:

• Capture the patient's maximum protrusion and allow Dandy to subtract 4 mm, or
• Submit your preferred starting position

Once records are complete, submit the sleep test case through Chairside. This step activates the sleep testing process and notifies Dandy to begin working with the patient.

Step 3: Patient Onboarding and Insurance Verification

After the case is submitted, a dedicated Dandy Patient Coordinator contacts the patient to:

• Explain the process
• Collect required forms and documentation
• Gather identification and insurance information
• Answer questions
• Guide the patient through next steps

Once all required information is received, Dandy:

• Verifies insurance benefits
• Determines coverage eligibility
• Estimates the patient's out-of-pocket costs
• Identifies any payer-specific requirements

Insurance verification typically takes 2–3 business days.

Throughout the process, the Patient Coordinator remains in contact with the patient to help complete any outstanding requirements and keep the case moving forward.

Step 4: Sleep Testing and Diagnosis

Once onboarding is complete, Dandy activates the sleep test ring and the patient receives instructions and credentials to create their SleepImage account.

The patient will:

1. Download the SleepImage app
2. Create an account using the provided credentials
3. Pair the sleep test ring
4. Complete a one-night sleep study from home

When the study is complete, the results are automatically sent to a board-certified Sleep Medicine physician for review.

If required by the patient's insurance plan, a virtual consultation with a Sleep Medicine physician will be scheduled. Otherwise, the diagnosis is communicated asynchronously.

Dandy then notifies both the practice and the patient of:

• The diagnosis
• Recommended treatment plan
• Insurance coverage details
• Estimated out-of-pocket costs

Step 5: Treatment Acceptance and MAD Ordering

If oral appliance therapy is recommended and the patient chooses to proceed, simply order the MAD through Chairside using the records you already captured.

Insurance Authorization

If required by the patient's insurance plan, Dandy completes any necessary pre-authorizations after diagnosis and before treatment.

Device Cost

• MAD appliance cost: $599

The appliance cost will appear on your monthly Dandy invoice.

Once the order is submitted, Dandy handles insurance claim submission on your behalf.

Step 6: Delivery Appointment

The appliance is manufactured and typically arrives within 2–3 weeks.

At the delivery appointment:

• Fit the appliance
• Collect payment from the patient
• Retrieve the sleep test ring

Step 7: Insurance Reimbursement and Practice Revenue

Insurance reimbursement is sent directly to your practice, typically within 3–6 weeks of claim submission.

Dandy System Fee

A $500 system fee is charged only after:

1. The patient accepts treatment, and
2. Insurance reimbursement is successfully received

This fee covers:

• Sleep testing
• Physician diagnosis
• Insurance verification
• Pre-authorizations
• Medical billing management
• Ongoing patient coordination

Program Costs

There are two costs associated with a completed treatment case:

*The system fee is only charged after insurance reimbursement is received.

Example Practice Economics

While fees and reimbursements vary by case, Dandy generally recommends billing approximately $2,500 for oral appliance therapy.

Actual reimbursement and profitability will vary based on payer, geography, and patient coverage.

You Screen, Scan, and Deliver—We Handle the Rest

The Dandy Sleep Program is designed to make sleep apnea treatment easy to integrate into your practice. Your team focuses on identifying candidates, capturing records, and delivering treatment while Dandy manages patient onboarding, sleep testing, diagnosis coordination, insurance verification, patient communication, and medical billing support.

Every sleep case is assigned a dedicated Dandy Patient Coordinator to guide patients through testing, insurance verification, diagnosis, and treatment acceptance, helping ensure a smooth experience from start to finish.

Frequently Asked Questions

Billing

Do you charge me if insurance doesn't reimburse the claim?

No. The Dandy system fee is only charged after insurance reimbursement is received.

Do you charge me if a patient decides not to proceed with treatment?

No.

Do you charge me if the patient's sleep test is negative?

No.

How do you obtain patients' insurance information?

We contact patients via text and ask them to upload required documentation, including identification and their medical insurance card. Once received, we begin insurance verification and related eligibility reviews.

How much should I charge?

Pricing is determined by your practice. We generally recommend charging approximately $2,500 for oral appliance therapy to help keep patient out-of-pocket costs manageable. Dandy can help provide insurance estimates during the process.

When are insurance verification and pre-authorizations completed?

• Insurance verification is completed before the sleep test.
• If required, pre-authorizations are completed after diagnosis and before treatment.

How much does the program cost?

The standard program includes:

• Four complimentary sleep test devices
• In-office marketing materials
• George Gauge accessories
• Practice credentialing and payer enrollment (out-of-network only)
• Telehealth coordination when required
• Insurance verification
• Pre-authorization support
• Ongoing patient coordination
• Medical billing support

Fees include:

• $599 MAD appliance fee
• $500 system fee after successful insurance reimbursement

Alternative pricing may apply when patients provide an existing qualifying sleep study.

Credentialing

Why do you need a W-9?

Insurance companies require it in order to process reimbursement payments.

Why do you need detailed information about my practice?

Insurance companies require this information to support credentialing and claims processing.

Will I be in-network 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?

Certain medical payers may require a multi-specialty taxonomy to support sleep-related medical claims and reimbursement workflows.

How do I update my group NPI taxonomy?

Log in to your NPPES account and update your taxonomy information.

Will you credential me with Medicare or Medicaid?

Dandy does not currently support telehealth services or medical billing for Medicare or Medicaid patients.

Home Sleep Tests

What happens if a patient loses or damages a sleep test device?

Practices are responsible for establishing their own policies regarding lost or damaged devices. Additional sleep test devices can be purchased through Dandy if needed.

What happens if a patient keeps a device for an extended period?

Practices are responsible for retrieving devices from patients. If delays impact patient care, consider maintaining additional devices in inventory.

How should devices be cleaned between patients?

Follow the cleaning and sanitization instructions provided with the sleep test device.

How does a patient receive their SleepImage credentials?

After completing onboarding requirements, patients receive instructions and credentials needed to create their SleepImage account and complete testing.

Telehealth

How does telehealth work?

• Patients complete medical intake forms through a secure portal
• Sleep physicians review sleep study results
• Diagnoses are communicated to patients
• Virtual consultations occur only when required by insurance
• Required documentation is collected for claim submission

Do I need to do anything for telehealth?

No. Simply submit the sleep test case through Chairside and Dandy will coordinate the process.

How do you communicate with patients?

We primarily communicate via text message, with phone calls and email used when necessary.

Ordering

How do I order a MAD?

In Chairside, select Sleep Apnea and follow the guided workflow.

What is the turnaround time?

Approximately 2–3 weeks from order submission.

Education

Where can I find additional sleep training?

Training resources are available through Dandy's educational materials and training programs.

Do you offer CE credits?

Not currently for sleep training.

Support

How can patients contact support?

Email: sleep@meetdandy.com

Phone: (201) 822-1318

Related Information

• Global IFU - Sleep-Disordered Breathing Orthosis