US Dental Surgery Network

Our solutions

Everything between a dental practice and a working oral surgery service

Recruitment, state permits, the anesthesia platform, DEA-registered medication management and the mobile team — carried by us, not by the host office.

What we handle for the practice

Recruitment, operations, medication management and digital anesthesia records, organized as one program.

Recruitment

Local oral surgeons, covering clinics in their own region.

  • Recruit mobile oral surgeons to provide clinical care

Operations

Permits, platform and armamentarium, in place before the first case.

  • Obtain all state approvals for general anesthesia from the Board of Dentistry
  • Establish the delivery platform
  • Provide full surgical and anesthesia armamentarium

Medication management

A DEA registration per clinic, and the chain of custody behind it.

  • Unique clinic DEA set up
  • Comprehensive drug management for each clinic
  • Secure controlled substance delivery from affiliated pharmacy distribution company (KorvaPharma)
  • Maintain DEA required logs for controlled substances
  • Scheduled deliveries for clinical needs
  • Periodic drug safe inventories
  • Maintain compliance with DSCSA regulations
  • Digitally document drug usage and wastage per DEA protocols

Building a culture of patient safety

Procurement, pedigree and outcomes, recorded rather than asserted.

  • Safe facility drug procurement process
  • DSCSA protocols for drug delivery to ensure pedigree of controlled substances
  • Digital record of medical histories and anesthesia medications
  • Digital record of adverse patient events
  • Developing evidence for the safety of the surgeon-anesthesia model in the dental space
  • Documenting the safety outcomes of the mobile OMS model in combination with large DSOs

How a clinic goes live

Five steps between a signed agreement and a surgeon operating in a dental office.

  1. 01

    Evaluate

    A needs analysis of the group — how many clinics, and what patient flow each one can support.

  2. 02

    Permit

    We stand up a professional LLC in the state, obtain Board of Dentistry approval for general anesthesia, and register a DEA for the clinic.

  3. 03

    Equip

    Full surgical and anesthesia armamentarium delivered to the site. Nothing for the host office to buy.

  4. 04

    Deliver

    A recruited local surgeon and a trained mobile team work a schedule set a year at a glance.

  5. 05

    Document

    Every case is recorded on the digital anesthesia platform and filed back into the host practice's EHR.

What the dental group does

The engagement is a division of labour, and it is written into the service contract on day one.

Evaluate surgical need

A needs analysis of the group and an evaluation of clinic count and expected patient flow.

Contract for the services

A service contract that sets out each side's responsibilities.

Credential the surgeon

The group credentials the oral surgeon with local insurance plans so the host office bills under its own tax ID.

Set the schedule

A schedule of clinic visits is agreed a year at a glance.

Registration and revenue cycle

The group registers patients, completes the referral order, treatment plan and insurance verification, and owns revenue cycle management.

Routine post-operative follow-up

Routine follow-ups are conducted by the practice. Each surgeon remains responsible for call-backs and unexpected issues.

Procedures delivered on site

Wisdom tooth removal

In-house removal of impacted teeth.

Extractions and socket preservation

Preparing patients for bone regeneration and future implant placement.

Exposure of impacted teeth

Surgical exposure ahead of the completion of orthodontic treatment.

Alveoplasty and tori removal

Facilitating insertion of immediate dentures and partials.

Dental implants

Implants placed in a collaborative practice, so patients do not travel between practitioners.

Oral biopsies

On-site biopsy of suspicious oral lesions, without third-party delay.

Digital anesthesia

A digital anesthesia record.

HerculesPlatform is a cloud-based anesthesia record that integrates with legacy practice-management systems. Drug delivery and vital signs are documented on one timeline from an iPad, consent is captured digitally, and the result is a four to five page PDF that uploads into the host EHR.

  • A populated surgical and anesthesia schedule
  • Digital anesthesia consent
  • Drug delivery and vitals on one integrated timeline
  • A 4–5 page PDF record into the legacy EHR
  • Digital drug-safe inventory at every location
  • Team safety drills monitored by location

Vetted by multiple state dental boards.

A stack of paper anesthesia records, the format the digital platform replaces

Questions dental groups ask

The things that come up before a first clinic goes live.

Do we have to buy equipment?
No. We bring the full surgical and anesthesia armamentarium to the site. The host office purchases nothing.
Who holds the DEA registration?
We do, per clinic. We obtain a local DEA registration for each site after the contract is in place, maintain the required logs, and run periodic drug-safe inventories.
Who holds the anesthesia permits?
We do. A professional LLC is licensed in each state we practice in, and the general anesthesia permits are tied to our own licenses and our surgeons' credentials.
How does billing work?
The group credentials the oral surgeon with its local insurance plans, so the host office bills under its own tax ID and keeps revenue cycle management.
How often would a surgeon be on site?
A schedule of clinic visits is agreed a year at a glance, sized to the patient flow the needs analysis identifies.
How long does it take to start?
It depends on the state's Board of Dentistry approval and the DEA registration for the site. Those two steps set the pace, not the equipment or the staffing.

Start a conversation

Whether you run the clinics or you are the surgeon who would work in them, the first step is the same.