Smilemd

SmileMD, Inc. is an on-site anesthesia service provider that delivers in-office sedation for dental procedures, with a particular focus on pediatric dental care. Care teams composed of an anesthesiologist, a nurse and a paramedic travel to partner dental practices with operating-room-standard equipment and medications, handling every part of the visit apart from the dental surgery itself, which the host dentist performs using their own staff and equipment.

The company's service model, marketed as "Smile Days," spans the full episode of care: dental offices submit patient lists roughly 30 days ahead, after which SmileMD's pre-admission testing team gathers health histories and medical records and conducts an initial physician review; patients receive reminders and illness screening at three days and 24 hours before the case day; the team then manages intake, sedation and recovery monitoring on site, followed by a nurse check-in call the day after the procedure. SmileMD states it follows guidelines from the American Society of Anesthesiologists, the American Academy of Pediatric Dentistry and the American Academy of Pediatrics, maintains backups of critical equipment and supplies, and tracks medications and equipment maintenance.

SmileMD is presented as the flagship service of OFFOR Health, whose executives — including Chief Medical Officer Dr. Brian Schloss, Chief Dental Officer Dr. Vinod Miriyala, VP of Clinical Operations Keren Avnery, RN, and Director of Clinical Operations Chris Eliff — are listed as SmileMD's leadership. The company operates from Worthington, Ohio.

Founding story

The company was founded by three anesthesiologists with the stated aim of accelerating access to dental care, particularly for Medicaid populations, by bringing hospital-quality anesthesia into dental offices.

Business model

SmileMD sells a mobile anesthesia service to dental practices, supplying the clinical team, equipment, medications and administrative workflow (intake, pre-admission testing, reminders, recovery monitoring and next-day follow-up) so that sedation cases can be performed in the dentist's own office rather than a hospital or ambulatory surgery center. It also contracts with state Medicaid agencies and Medicaid managed care organizations, positioning in-office sedation as a lower-cost site of care than hospital or ASC settings.

Revenue is tied to sedation cases delivered at partner dental offices; the company describes higher reimbursement rates on sedation case days (5-7 patients) than on a standard office day (25-50 patients), and markets cost savings to Medicaid programs and MCOs from shifting procedures out of hospital and ASC settings.

Traction

The company reports serving more than 40,000 patients over a 10-year history and states it continues to expand partnerships with dental practices across the United States; it is actively hiring clinicians.