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

Step 1: Training and Enrollment

To Learn More and Enroll in the Dandy Sleep Program, please reach out to your Account Manager to discuss next steps.

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 2: Identify Potential Sleep Apnea Patients

Routine exams are the best place to screen for Potential Sleep Apnea Patients. Use our Sleep Apnea Screening Guide to Learn more about how to conduct a screening.

If Sleep Apnea is suspected, you can offer the patient a complimentary Sleep Ring test to have a medical professional review for a Sleep Apnea Diagnosis.

Step 3: Capture Scans 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 4: 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. 

Dandy's Sleep System is deemed out-of-network for insurances, and is not covered my Medicare or Medicaid

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 5: Sleep Testing and Diagnosis

Once patient 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 6: Treatment Acceptance and MAD Ordering

If oral appliance therapy is recommended and the patient chooses to proceed, simply order the MAD through Chairside. See Sleep Apnea Device Checkout in Chairside for more info.

Step 7: 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

For more info on how to deliver/fit the appliance, view Deliver Sleep Apnea Appliances

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:

• MAD Device
• Dandy Sleep System Fee

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

Instructions For Use

• Global IFU - Sleep-Disordered Breathing Orthosis