Simple, transparent billing
We're an out-of-network provider. We provide superbills so you can seek reimbursement, and we accept HSA and FSA cards directly.
Superbills Provided
We provide an itemized superbill after every session with the CPT and ICD-10 codes your insurance needs to process a reimbursement claim.
HSA & FSA Accepted
Orofacial myofunctional therapy qualifies as a medical expense. Pay directly with your HSA or FSA card — no reimbursement process needed.
Out-of-Network
We do not bill insurance directly. Patients may receive reimbursement by submitting their superbill to their out-of-network benefits.
When is therapy typically reimbursable?
Reimbursement varies by plan. We recommend verifying your out-of-network benefits before your first appointment.
Sleep-Disordered Breathing
Therapy addressing obstructive sleep apnea patterns or snoring is frequently reimbursed when supported by a physician referral or diagnosis.
TMJ Dysfunction
Myofunctional therapy targeting jaw function and temporomandibular disorders is often covered under medical plans.
Post-Surgical Rehabilitation
Therapy following tongue tie or lip tie frenectomy is commonly reimbursable as medically necessary rehabilitation.
Orthodontic-Related Treatment
When coordinated with your orthodontist to address tongue thrust or swallowing patterns, some plans offer coverage.
How to submit your superbill
- 1Call your insurance providerAsk about your out-of-network benefits. Key questions: "Do I have out-of-network coverage?" and "What is my out-of-network deductible and reimbursement rate?"
- 2Complete your sessionAfter your appointment, we'll provide a detailed superbill with all necessary procedure and diagnostic codes.
- 3Submit the superbillLog into your insurance member portal or mail the superbill along with their required claim form. Many insurers also accept submissions by fax.
- 4Track your claimReimbursement typically arrives within 2–6 weeks. If denied, you have the right to appeal — we can provide additional documentation to support your case.
Billing questions answered
No. We are an out-of-network provider and do not bill insurance directly. However, we provide a detailed superbill after each session that you can submit to your insurance company for potential reimbursement.
A superbill is an itemized receipt that includes the services provided, procedure codes (CPT codes), and diagnostic codes (ICD-10). Your insurance company uses this to process your claim and determine reimbursement.
Contact your insurance provider and ask about their out-of-network reimbursement process. You'll typically submit the superbill along with a claim form through your member portal or by mail. Reimbursement timelines and amounts vary by plan.
Yes. Orofacial myofunctional therapy is considered a qualified medical expense. You can use your Health Savings Account (HSA) or Flexible Spending Account (FSA) card to pay for sessions directly.
Common codes include G47.33 (obstructive sleep apnea), M26.6x (temporomandibular joint disorders), R06.5 (mouth breathing), K13.79 (tongue dysfunction), and others depending on your individual presentation. We document carefully to support your reimbursement.
Coverage varies by plan. Many patients receive partial reimbursement, especially when therapy is related to sleep apnea, TMJ dysfunction, or post-surgical rehabilitation. We recommend calling your insurance provider before your first appointment to ask about out-of-network benefits.
Still have billing questions?
We're happy to walk through the process with you before your first appointment.