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After we receive basic referral information, we can begin requesting medical records. Your referring doctor’s office can provide history information, doctor’s notes with referral diagnosis and other related medical records.
After we receive basic referral information, we can begin requesting medical records. Your referring doctor’s office can provide history information, doctor’s notes with referral diagnosis and other related medical records.
Your clinical and imaging reports are reviewed and impressions and bite registration are taken for your custom oral appliance. Manufacturing of your device is done by specialty laboratories.
It takes approximately 3-4 weeks for the laboratory to complete your appliance and return it to our office. The doctor is careful to be sure your appliance fits properly and that you are fully advised on care and use of the device.
We typically schedule patients for 3 follow-up visits to optimize care. During these appointments, over a 3-month period, we assess the progress of your treatment and optimize your oral appliance adjustments. In all cases, we access treatment outcome with follow-up sleep testing and QA assessment.
Oral appliance therapy for OSA and TMD/TMJ is very similar, using an intraoral plastic device to reposition your lower jaw, optimizing airway and helping joint and muscle function.
When oral appliances are optimally adjusted and if patients are compliant in use of device, they have been shown to be highly effective and easy for patients to accommodate. However, response to treatment varies and can be less or more effective depending on patient differences.
Oral appliances (durable medical equipment) can last 3-5 years or more. However, the oral environment can be harsh, shortening the life of the device. Also, some patients may not take as good care of their appliances as others, again limiting the life of the device.
Yes! We communicate with you and your physician throughout the treatment process.
Bring any records and prior oral appliances that are related to your condition. We will contact your referring physician and request necessary medical records.
Oral appliances for obstructive sleep apnea (OSA) and temporomandibular disorders (TMD/TMJ) are considered medical devices and are categorized as durable medical equipment (DME). Oral appliances for obstructive sleep apnea (OSA) are medically coded as E0486 and if covered, are covered exclusively under your medical insurance. Oral appliances for temporomandibular disorders (TMD/TMJ) are medically coded as 21089 and if covered, are covered exclusively under your medical insurance. Durable medical equipment (DME) insurance coverage is considerably better for OSA oral appliance therapy versus TMD/TMJ oral appliance therapy.
Even though we are considered in-network providers with most health insurance plans, coverage and benefits may vary case by case. In today’s healthcare environment, it is important for patients to contact insurance company directly to clearly understand the benefits and the plan limitations. All patients are responsible for co-pays, deductibles, and non-covered expenses for authorized services generated with and from our office.
We accept cash, checks and credit cards for treatment provided.
Appointments can be cancelled with 48 hour notice. There is an applicable $100 late cancellation and missed appointment fee.
We understand there are a number of treatment options available and that you may have questions about how to proceed. Feel free to contact us, schedule an evaluation, and find out if oral appliance therapy is right for you.
130 La Casa Via
Bldg 2, Suite 104B
Walnut Creek, CA 94598
(925) 935-2918 Phone
(925) 935-1532 Fax
Mon-Thu: 8:00 AM – 5:00 PM
Fri – Sun: CLOSED
