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You the Treat Patients. We Run the Practice.
A Dental Sleep Medicine Service Organization
You the Treat Patients. We Run the Practice.
A Dental Sleep Medicine Service Organization
Built by Dentists Who Actually Do This Work
NADSM didn't start in a boardroom.
It started in 2016, in a single Austin sleep practice, founded by a dentist whose own family member's life was changed by an oral appliance after years of failed CPAP therapy. The transformation he saw at home — sixty pounds lost, two blood-pressure medications discontinued, an antidepressant discontinued — was the reason he walked away from a comfortable general practice and built one dedicated entirely to treating sleep apnea.
Why Work With Us
Over the next ten years, that one practice — Sleep Better Austin — grew into a seven-location dental sleep group across Central Texas. We brought in an in-house sleep physician and built a licensed medical arm. We refined the operating playbook through thousands of patients and millions in medical insurance billing. And we proved something that mattered: the entire model is exportable. Other dentists, in other markets, can plug into this infrastructure and grow practices that look very different from what they could build alone.
Insurance Credentialing and Payer Contracts
In-network credentialing and negotiated contracts with the medical payers that actually move the needle for DSM.
Medical Billing & Revenue Cycle Management
Expert DSM-specific billers, coders, and collections built around the realities of medical insurance — not adapted from dental
In-House Sleep Physician & Home Sleep Testing
Through our medical arm, Frontier Sleep & Wellness, partner practices get sleep physician oversight, home sleep testing, and OSA diagnosis built directly into the workflow.
A DSMSO with a Medical Arm built in.
Dental sleep medicine isn't a dental specialty problem. It's a medical-and-dental-together problem. The dentist treats with an oral appliance — but the patient still needs a sleep test, a physician diagnosis, and ongoing physician oversight.
NADSM was structured to solve that. Frontier Sleep & Wellness — our affiliated medical practice and a registered DBA and licensed trademark of NADSM — provides in-house sleep physician oversight, home sleep testing, and OSA diagnosis to every partner on the platform.
Our partner dentists offer one unified path from screening to therapy, without sending patients down the street to get the medical workup elsewhere.
Facing the Dental Sleep Cliff
Most Practices Don't See It Coming.
Here's the pattern we've watched play out across the industry, and it's the reason we built this platform.
A dentist learns dental sleep medicine. They go back to their practice excited, set up a screening protocol, and start identifying OSA risk inside their existing patient base. The first year or two is genuinely exciting — they find patients who need treatment, deliver appliances, watch lives change in the operatory. Volume grows. The practice has momentum.
And then, somewhere around year two or three, the curve flattens. They've screened most of their existing patients. The ones who needed treatment have largely been treated. The internal pool is worked through. And because every spare hour has gone into clinical skill and running the practice, the one thing that would have replaced that pool was never built — a steady, external referral pipeline from sleep physicians, pulmonologists, cardiologists, and primary care.
That's the DSM Cliff. It's where most independent dental sleep practices stall — and where many of them quietly give up on DSM altogether.
We built NADSM specifically to change that trajectory.
From the day a partner joins NADSM, we work both sides of the practice in parallel.
On the inside, we install the screening protocols, team training, and clinical workflows that help you identify and convert every OSA-risk patient already sitting in your dental practice.
On the outside, at the same time, our physician liaisons go to work in your market. We build the referral relationships, host the provider events, run the marketing, and stand up the medical billing and credentialing required to be a credible referral destination for sleep physicians and other medical providers.
Wherever you are on the curve, we can help.
We meet your practices needs today while at the same getting ready for growth tomorrow.
Just over the edge
You built a real DSM practice off your patient pool, but volume has stalled or fallen. The screening hits aren't producing like they used to. You suspect the answer is "more marketing" or "more referrals," but you don't know where to start, and the bandwidth to figure it out doesn't exist. We come in, look at your numbers, and re-engineer the referral and patient acquisition engine around your market. The cliff stops being the end of the story — it becomes the moment you started climbing back.
Still riding the wave — but you can feel it coming.
You're treating a healthy number of DSM patients each month from your existing dental base, and the momentum feels good. But you've noticed the screening hits aren't what they used to be, and you know — quietly — that the patient pool isn't infinite. This is the best moment to plug in. We build the bridge in the background while you keep working the pool, so by the time the internal patients thin out, external referrals are already filling the schedule. You never feel the cliff.
Starting fresh.
You're convinced DSM is the future of your practice — or your next practice — and you want to build it the right way from the start. We model the opportunity in your market, outline the investment, and stand up both the internal screening engine and the external referral pipeline from day one. You skip the cliff entirely.
NADSM Services
In-House Sleep Physician & Home Sleep Testing
Through our medical arm, Frontier Sleep & Wellness, partner practices get sleep physician oversight, home sleep testing, and OSA diagnosis built directly into the workflow.
Negotiated Lab Pricing
Significant savings on appliance lab fees through platform-wide procurement and long-standing lab relationships.
Physician Outreach & Referral Pipeline
Dedicated physician liaisons in your market building relationships with sleep physicians, pulmonologists, cardiologists, and primary care.
Insurance Credentialing & Payer Contracts
In-network credentialing and negotiated contracts with the medical payers that actually move the needle for DSM.
Medical Billing & Revenue Cycle Management
Expert DSM-specific billers, coders, and collections built around the realities of medical insurance — not adapted from dental.
HR, Training & Compliance
Recruiting, onboarding, training programs, workforce management, benefits, and compliance handled centrally.
Centralized Scheduling & Admin
Intake, appointment management, follow-up, and back-office support so nothing falls through the cracks.
Workflows, Technology & Reporting
A clinical and operational playbook built over a decade and refined across multiple markets, with the technology and reporting to run a real business.
About Us
Brandon Hedgecock, DDS, DABDSM, MBA
Brandon Hedgecock, DDS, DABDSM, MBA
Brandon Hedgecock, DDS, DABDSM, MBA
Founder & Chief Executive Officer
Dr. Hedgecock's path into dental sleep medicine started with a member of his own family, who — after years of failed CPAP therapy — was successfully treated with an oral appliance and transformed in front of him. He left a comfortable general practice to build one dedicated entirely to dental sleep medici
Founder & Chief Executive Officer
Dr. Hedgecock's path into dental sleep medicine started with a member of his own family, who — after years of failed CPAP therapy — was successfully treated with an oral appliance and transformed in front of him. He left a comfortable general practice to build one dedicated entirely to dental sleep medicine, founding Sleep Better Austin in 2016. Ten years later, that practice has grown to seven locations across Central Texas, and the operating playbook he built has become the foundation of the NADSM platform. He is a Diplomate of the American Board of Dental Sleep Medicine, has coached hundreds of dentists through the International Academy of Sleep, lectures nationally on dental sleep medicine, and earned his MBA from the McCombs School of Business at The University of Texas at Austin.
Max Kerr, DDS, DABDSM
Brandon Hedgecock, DDS, DABDSM, MBA
Brandon Hedgecock, DDS, DABDSM, MBA
Co-Founder & Chief Dental Officer
Dr. Kerr's path into dental sleep medicine started even more personally — as an OSA patient himself, he experienced firsthand what successful treatment can do for a person's life and health. He joined as an equity partner in 2018 and now leads dentist onboarding, clinical training, and clinical support ac
Co-Founder & Chief Dental Officer
Dr. Kerr's path into dental sleep medicine started even more personally — as an OSA patient himself, he experienced firsthand what successful treatment can do for a person's life and health. He joined as an equity partner in 2018 and now leads dentist onboarding, clinical training, and clinical support across the entire NADSM network. He is a Diplomate of the American Board of Dental Sleep Medicine.
Our Family of Practices
Sleep Better Austin 6 Offices
Sleep Better Austin 6 Offices
Sleep Better Austin 6 Offices
Our flagship clinical entity and the operating proof-of-concept for the NADSM platform. Built by Drs. Hedgecock and Kerr beginning in 2016.
Frontier Sleep and Wellness
Sleep Better Austin 6 Offices
Sleep Better Austin 6 Offices
A registered DBA and licensed trademark of NADSM. Provides in-house sleep physician oversight, home sleep testing, and OSA diagnosis across the platform.
Refresh Dental
Sleep Better Austin 6 Offices
Frontier Sleep & Wellness — San Antonio
Managed partner practice since 2023 — the first practice outside Austin to plug into the NADSM operating model.
Frontier Sleep & Wellness — San Antonio
Sleep Better Austin 6 Offices
Frontier Sleep & Wellness — San Antonio
Managed partner practice operating under the Frontier Sleep & Wellness brand. Joined the platform in 2026.