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The AI Platform Powering the Sleep and Dental Care Lifecycle

APPNEA.AI takes a dental practice from chairside sleep apnea screening to a paid insurance claim in one guided workflow, with a custom appliance algorithm, HL7 billing interfaces and AI documentation. Used by 498 providers across 201 practices in 37 states.

Build Your Clinical Platform

About the Project

APPNEA.AI is a cloud based, AI enabled EHR and practice management system created by dentists and physicians for dentists and physicians. It gives medical, dental and oral health practices a guided path to implement sleep apnea and TMJ care, from screening and diagnosis through oral appliance therapy, follow up and medical billing, with the insurance work running alongside the clinical work rather than after it.

Industry

Dental Sleep Medicine and Orofacial Pain

Dentists, sleep physicians and dental support organisations treating obstructive sleep apnea, snoring and TMJ disorders with oral appliance therapy.

  • Sleep Apnea
  • TMJ and Orofacial Pain
  • Oral Appliance Therapy
  • DSOs
Traction

498 providers, 201 practices, 37 states

464 dentists and 34 sleep physicians, with 1,554 patient records and $1.55 million in accrued revenue tracked through the platform.

  • 464 Dentists
  • 34 Sleep Physicians
  • 1,554 Patient Records
  • $1.55M Accrued Revenue
Clinical Protocol

An 8 stage, 3 chair visit protocol from Sleep SWOT screening to a paid claim

A chairside clinical track and a back office insurance track advance together, so benefits verification and pre authorisation never hold up treatment.

  • Sleep SWOT and STOP BANG
  • Chairside Screening
  • Home Sleep Test Referral
  • Pre Authorisation
  • Appliance Delivery
  • CMS 1500 Claim
Platform

Next.js and Django with HL7 billing interfaces, 3D scan viewing and an AI documentation layer

Telemedicine, scheduling, eligibility, e fax and secure messaging, a 3D STL viewer for intraoral scans, and AI that drafts notes and audits cases with PHI redacted before inference.

  • Next.js 15
  • Django 5 and Channels
  • PostgreSQL
  • AWS
  • HL7 v2
  • GPT 5 and Pinecone
Scope Delivered

150+ clinical forms, 7 HL7 interfaces, 10 auto generated SOAP note types

Four form suites for sleep apnea, TMD, oral surgery and iSleep plus 48 letter and consent templates including medical necessity appeals.

  • 32 Sleep Apnea Forms
  • 26 TMD Forms
  • 48 Letter Templates
  • MAD FIT Algorithm
  • pVerify Eligibility
Build your idea

Talk to our experts

Scope a specialty EHR or clinical workflow platform with the team that built APPNEA.

  • Free Consultation

Sleep Apnea Treatment Is a Medical Workflow Running Inside a Dental Practice

Dentists can treat obstructive sleep apnea with oral appliances, but the path runs through physicians, sleep studies, medical insurers and appliance labs that dental software was never built to handle.

No guided path
Practices faced manual, repetitive processes across insurance, billing and documentation, fragmented systems that did not talk to each other, and no guided workflow for diagnosis, treatment and long term follow up. The result was strained staff, delayed care and lower patient acceptance.
Medical billing
An oral appliance is billed to medical insurance, not dental: diagnosis G47.33, device code E0486, a CMS 1500 claim and a proof of delivery as the anchor document. Most dental practices had no system, and no staff workflow, for any of it.
One platform
The goal was a single system where screening, referral, diagnosis, appliance design, lab fabrication, delivery, follow up and the claim all live in one case record, with AI removing the documentation and eligibility work that was slowing practices down.

From a chairside screening
to a fitted appliance and a paid claim,
in one guided case

Build Your Specialty Platform

Our Solution

  • Screening and Intake Before the Chair

    Screening and Intake Before the Chair

    Screening and Intake Before the Chair

    • Patients complete Sleep SWOT, symptoms, consent, CPAP intolerance affidavit and financial agreement in a pre visit portal
    • STOP BANG, Epworth sleepiness score and BMI captured and scored automatically
    • Chairside clinical form records Mallampati class, airway and occlusion to decide oral appliance candidacy versus CPAP
  • Diagnosis, Benefits and Pre Authorisation in Parallel

    Diagnosis, Benefits and Pre Authorisation in Parallel

    Diagnosis, Benefits and Pre Authorisation in Parallel

    • One click eligibility through pVerify verifies medical benefits before the case is accepted
    • Home sleep test referral and consult progress notes generate from the same case record
    • Pre authorisation work up coded to G47.33 and E0486 while the clinical track continues
  • MAD FIT Appliance Design and Lab

    MAD FIT Appliance Design and Lab

    MAD FIT Appliance Design and Lab

    • The MAD FIT algorithm turns 50+ clinical inputs, from Mallampati class and overjet to BMI and neck circumference, into the protrusive starting position for the lab
    • iTero STL scans, panoramic findings and lateral ceph reports attach to the case and open in a 3D viewer with measurement tools
    • The lab prescription flows to fabrication and the doctor tracks In Progress to Ready for Fitting inside the platform
  • Delivery, Titration and Long Term Follow Up

    Delivery, Titration and Long Term Follow Up

    Delivery, Titration and Long Term Follow Up

    • Insertion visit, proof of delivery and efficacy study referral captured at fitting
    • One week, four week, eight week, three month, six month and annual follow ups each with their own questionnaire and note
    • Ten SOAP note types generate automatically across the treatment timeline
  • Medical Billing on HL7 Rails

    Medical Billing on HL7 Rails

    Medical Billing on HL7 Rails

    • Seven HL7 v2 interfaces: ADT A04 registration, ADT A08 demographics and insurance, DFT P03 claims and payment posting, ORU R01 denials and appeals
    • CMS 1500 claim submission, explanation of benefits and payment posting tracked against each case
    • Forty eight letter templates cover medical necessity appeals, CPAP intolerance statements and gap requests

Challenges: Where Dental Software Stops and Medical Care Begins

Hover a row to see what changed.

Why This Build Matters for Specialty Practices

APPNEA is what a specialty EHR looks like when it is designed around one clinical pathway instead of a generic chart: the forms, codes, lab hand offs and payer rules of dental sleep medicine are built in, not configured around.

The Numbers

Every number below was measured in production after launch — not projected in a pitch deck.

498

Providers — 464 dentists, 34 sleep physicians

201

Practices — Across 37 US states

1,554

Patient Records — Managed on the platform

$1.55M

Accrued Revenue — Tracked through APPNEA

Global presence

Three offices. One team.

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