Board-certified
The diagnosis your practice cannot make
All 50 states
Licensed everywhere
Any platform
SleepImage, WatchPAT, and others
$49.50 per study
Published, no minimums
Where we fit in your workflow
The American Dental Association recommends that every dental practice screen for sleep-related breathing disorders as part of the comprehensive examination, and continue monitoring when providing oral appliance therapy. Most practices that act on it hit the same wall: the pathway requires a physician, and they do not have one.
| Step | Who does it | |
|---|---|---|
| 1 | Screen | Your practice — as part of the comprehensive exam |
| 2 | Test | Your practice — home sleep test sent home with the patient |
| 3 | Interpret and diagnose | A board-certified sleep physician. This is us. |
| 4 | Treatment plan and order | Physician documents findings and the appliance is ordered |
| 5 | Deliver and titrate the appliance | Your practice — fit, adjust, and titrate |
| 6 | Verify it is working | Follow-up study, read by a physician. This is us again. |
Steps three and six are the ones a dental practice cannot perform itself. Obstructive sleep apnea is a medical diagnosis. A dentist screens, tests, and treats — a physician diagnoses. That single requirement is why dental sleep programs stall, and it is the part we supply.
Home sleep test interpretation
Board-certified sleep physicians read your studies and return a report that gives you a documented diagnosis to build treatment on.
Five working days or less. If we run past it, you receive a 50% credit on the fee for that study, credited to your next invoice and written into your agreement, rather than promised on a website.
$49.50 per study, at any volume. Published rate, no quote process, no minimum, no monthly fee. A single-dentist practice pays the same as a group.
Licensed in all 50 states. No waiting on a license application before we can start reading, wherever your practice is.
Efficacy studies matter, and they are underused. Once the appliance is delivered and titrated, a repeat sleep study is the only way to know whether it is actually working — whether the patient is getting the result the therapy was prescribed for. Fitting an appliance is not the end of treatment; confirming it works is. Same rate, same turnaround.
Any home sleep testing platform
We work in the system you already use — SleepImage, WatchPAT, and every other home sleep testing platform in common use. Nothing to migrate, no portal of ours to buy, and nothing new for your staff to learn.
We read a great many SleepImage studies, and our physicians like working in the portal, so if that is your platform, you are in familiar hands. It is FDA-cleared as a Software as a Medical Device and validated against manually scored in-lab polysomnography, including for children as young as two.
Pediatric studies. Several of our physicians have worked at children’s hospitals specializing in pediatric sleep medicine, so pediatric records are read by physicians who have done it before rather than by whoever is available.
Telemedicine consultations, if you need them
Some situations need a physician to see the patient, not just read the study — a signed prescription for testing or therapy, or a clinical consult note for a pre-authorization. Our physicians see patients via telemedicine and provide both services.
Consultations run from $99, on a cash-pay basis or through insurance for Medicare and most national private carriers. Dental practices use this most, because payers frequently require a physician visit note before authorizing an oral appliance, but it is open to any client.
Telemedicine consultations
When a patient seeks insurance coverage for an oral appliance, the payer often wants more than a test result. They want a physician visit note and a prescription signed by a medical physician. A dental practice cannot supply either, and without them, the authorization stalls.
Our physicians see patients via telemedicine and provide both services. The patient or your office books the appointment, and payment is taken by card at the time of scheduling.
| Consultation | Fee | What it includes |
|---|---|---|
| Brief / initial consult | $99 | Clinical history reviewed with the patient, and a signed prescription for a home sleep test issued. No clinical note. |
| Full consult | $129 | Sleep study reviewed with the patient, a signed prescription for oral appliance therapy or PAP, and a clinical consult note. |
| Follow-up consult | $99 | For patients our physicians have seen before. Follow-up visit with refills for PAP supplies or DME. |
If insurance may be involved, book the full consult. The clinical note is the document payers ask for at pre-authorization, and the brief consult does not include one. The $30 difference is not worth the cost of a denied authorization, and the note cannot be added afterward.
Book full consults after the study is read. A full consult reviews the interpreted study, so the study needs to be completed and read first. Schedule at least seven working days after the interpretation request.
Using insurance instead. Patients can run these visits through insurance rather than paying cash. We accept Medicare and most national private carriers. We are not a provider for HMO plans, and not every private plan is covered — ask us before you book.
Where the paperwork goes. Notes and prescriptions are provided to the patient, and we can share copies with your office on request.
Full-service program:
when your state will not let you order the test
Some states do not permit a dental practice to order home sleep testing at all. And no state permits a dentist to diagnose obstructive sleep apnea or to provide a mandibular advancement device without a physician’s prescription. That leaves a practice able to identify the problem and unable to do anything about it.
Our full-service program closes that gap. We connect your practice with an independent medical group whose board-certified sleep physicians handle the entire medical pathway, so your practice does the dentistry and the physicians do the medicine.
How it runs:
You screen and refer. The patient is identified in your practice and referred into the program.
Telemedicine evaluation. A board-certified sleep physician evaluates the patient directly.
Testing, if indicated. A home sleep test is sent to the patient and performed at home.
Interpretation and diagnosis. The study has been read, and the findings documented.
Results consultation. The physician reviews the results with the patient and discusses treatment options.
Prescription, where appropriate. If oral appliance therapy is indicated, the physician writes the prescription.
You fabricate and fit. The appliance is made, delivered, and titrated by your practice.
$329 per patient, paid at booking. A flat cash rate, paid online at the time of booking by the patient or by your practice. Nothing is billed to insurance. It covers the initial telemedicine consultation, the home sleep test, interpretation, the full results consultation with a clinical note, and the prescription, where one is indicated.
The physicians are independent. They evaluate each patient on the merits. Where a test is not indicated, they will not order one. Where oral appliance therapy is not the right treatment, they will say so and recommend what is. That independence is the point of the program — your practice needs a real medical decision behind the appliance, not a formality.
Opus coordinates; the medical group provides the care. The physician-patient relationship is between the patient and the medical group. We put the pieces together and run the logistics.
Building a dental sleep program or center
Some practices want more than a reader. We have helped dentists build sleep programs from screening protocol through full diagnostic centers — solo practices, and groups of dentists sharing one facility.
A full center can run diagnostic polysomnography, PAP titration studies, and PAP therapy alongside oral appliance therapy, with oral appliance titration using devices such as the Matrix and follow-up studies to confirm the appliance is working or to refine it.
What we handle:
- Feasibility — whether your referral base and patient volume actually support a center
- Equipment and software selection, and negotiating what you pay for it
- Workflow design and staff training
- Policy, procedure, and compliance documentation
- Contracting medical directors and board-certified sleep physicians for a full-service center
- Billing systems and any outsourced services
Billing
Sleep testing and oral appliance therapy bill through medical insurance rather than dental, which catches out most practices moving into this. Different codes, different documentation, different payers, and rules that differ again for Medicare.
We help you build the billing process and set up the systems, in network or out of network, and we will tell you plainly where you need specialist advice rather than guessing.
Rates
Published and the same for everyone.
| Service | Per study |
|---|---|
| Home sleep test interpretation, any volume | $49.50 |
| Follow-up and efficacy studies | $49.50 |
| In-lab study interpretation, if you build a center | $110 |
| Full-service program, per patient (cash rate, paid at booking) | $329 |
No minimums, no exclusivity, no monthly fees. Consulting and center development are quoted per project.
What you sign
A short letter of agreement covering fees, payment terms, turnaround and the credit, non-exclusivity, and operating logistics. No minimum, no exclusivity, no monthly fee, no term commitment.
Common questions
Let’s talk about your practice
Whether you are screening already and need a physician to read studies, or thinking about building a sleep program from scratch, tell us where you are and we will give you a straight answer about whether we can help.