SmileMD

What SmileMD does

SmileMD, Inc. is a US-based healthcare services company, founded in 2014 and headquartered in Worthington, Ohio, that delivers in-office dental anesthesia and sedation services to pediatric dental patients. The company operates under parent organization OFFOR Health and deploys mobile clinical teams — comprising a board-certified anesthesiologist, a registered nurse, and a paramedic — directly to partner dental practices on scheduled case days. Each case day follows a proprietary "Smile Days" protocol that includes pre-admission testing 30 days prior, illness screenings, procedure administration with operating-room-standard monitoring equipment (capnography, EKG, continuous pulse oximetry), recovery oversight, and 24-hour post-procedure follow-up, all conducted in compliance with ASA, AAPD, and AAP guidelines. The company reports having served over 40,000 patients across a decade of operation.

The business generates revenue through a combination of sedation procedure reimbursements billed to Medicaid and commercial payers and managed-service arrangements with dental practice partners, with additional partnership revenue captured from state Medicaid agencies and managed care organizations (MCOs) for in-network inclusion. SmileMD pursues a field-based B2B go-to-market motion, acquiring dental practice partners through direct outreach and website inquiry forms while maintaining a parallel sales motion targeting state Medicaid agencies and MCOs. Per its Form D filing in August 2024, SmileMD Holdings, Inc. raised $2,350,000 in an exempt securities offering, following prior rounds including a $9,000,000 financing in April 2022 led by AVP with Delta Dental, LOUD Capital, MBX Capital, and SpringRock Ventures participating, and a $6,000,000 round in January 2021 led by SpringRock Ventures.

Name

SmileMD

Legal name

SmileMD, Inc.

Website

https://smilemdsedation.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

51–100 employees

Ownership category

akta.pro rank

Product category

Pediatric Dental Anesthesia Services

NAICS

Offices of Dentists (621210), Offices of Physicians (6211)

SIC

Services-Health Services (8000), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Pediatric Sedation & Anesthesia Dentistry (HLABAGAC)

akta.pro secondary industries

General Dentistry with Sedation Services (Nitrous/IV/Oral Sedation) (HLABAAAD), Dental Anesthesiology & Sedation Group Practices (HLABAKAI)

Keywords

• Pediatric dental anesthesia
• In-office sedation services
• Mobile dental surgery
• Medicaid dental sedation
• Dental practice partnerships

Headquarters

HQ city

Worthington

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Supply Chain, Others

Revenue model

1. Sedation Procedure Reimbursement: SmileMD generates revenue through reimbursement for in-office sedation services performed during dental procedures. The company partners with dental practices and receives payment through Medicaid and commercial insurance claims for the sedation services provided.
2. Dental Practice Partnership Revenue: Dental practices benefit from higher reimbursement rates for procedures performed with sedation compared to traditional office visits, while SmileMD captures a portion of the enhanced procedure value through its service delivery model.

Go-to-market motion2 records

Distribution channels2 records

Marketing channels3 records

Core offering

SmileMD provides in-office pediatric dental anesthesia and sedation services by deploying mobile clinical teams (anesthesiologist, nurse, and paramedic) with hospital-grade monitoring equipment directly to partner dental practices. The service is delivered through scheduled "Smile Days" case days and is supported by pre-admission testing, intra-procedure sedation management, and 24-hour post-procedure follow-up. Revenue is generated via Medicaid and commercial insurance reimbursements for the sedation procedures performed.

Product overview

SmileMD is a single unified healthcare service brand offering in-office dental anesthesia and sedation services. The core offering is the SmileMD service, which operates through a "Smile Days" model where mobile clinical teams (anesthesiologist, nurse, and paramedic) travel to partnered dental practices to deliver sedation. The service is supported by Pre-Admission Testing for patient screening and Post-Procedure Follow-Up for recovery monitoring, with overall Patient Care Coordination managing scheduling and intake. The company serves three primary customer segments: dental practices, patients/families, and state Medicaid agencies/MCOs.

Differentiator

Problem solved

Functional benefit

Products and services

• SmileMD In-Office Dental Anesthesia Service In-office dental anesthesia and sedation service that brings hospital-quality anesthesia (with board-certified anesthesiologist, nurse, and paramedic and OR-standard monitoring equipment) directly to dental practices so dentists can perform pediatric procedures in a familiar, comfortable environment.
• Smile Days Case Day Service Scheduled on-site case day service where SmileMD sends a clinical team (anesthesiologist, nurse, paramedic) to the partner dental office to handle patient intake, sedation administration, and recovery monitoring while the dentist performs the surgical procedure (typically 5–7 cases per day).
• Pre-Admission Testing Service Pre-procedure health history collection, medical records review, and initial doctor review conducted 30 days prior to case day to assess patient eligibility for in-office sedation.
• Post-Procedure Follow-Up Service 24-hour follow-up check-in conducted by nurses after the procedure to monitor patient recovery and address any concerns, ensuring continuous care after in-office sedation.

Quantifiable outcome

• Reduces hospital wait times from 6-18 months to same-day scheduling at dental offices
• +3 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

One partnership is on record.

• OFFOR HealthcoreStrategic or Co-development PartnerOFFOR Health is the parent organization of SmileMD. SmileMD is described as OFFOR Health's flagship service that delivers in-office sedation for pediatric dental patients. The executive leadership team (including CMO Dr. Brian Schloss and CDO Dr. Vinod Miryala) holds positions at OFFOR Health while overseeing SmileMD operations. The organization is focused on improving healthcare access for underserved populations.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• US Anesthesia Partners: One of the largest anesthesia-focused physician services platforms in the US. While SmileMD focuses on pediatric dental office-based sedation, USAP operates across hospital and ASC settings, making it a broader incumbent in the same clinical specialty.
• Pediatrix Medical Group: National physician services organization focused on pediatric and maternal-fetal medicine. Comparable in its pediatric clinical focus and physician-group operating model, though Pediatrix serves neonatal and hospital-based settings rather than dental offices.
• Envision Healthcare: Large physician services company providing anesthesia, emergency, and hospitalist services across the US. Overlapping clinical specialty (anesthesia) and ambulatory care delivery, but operates at much broader scale and scope than SmileMD.
• Sound Physicians: Physician-led medical group providing anesthesia, hospital medicine, and critical care services. Comparable as a multi-specialty physician services organization with similar revenue model around procedure-based reimbursement.

Direct peers

• Heartland Dental: Largest dental support organization (DSO) in the US, supporting thousands of dental practices. Many Heartland-affiliated practices require sedation services for pediatric patients, making it a direct customer and a potential channel for SmileMD partnerships.
• Aspen Dental: Major DSO with hundreds of supported practices including pediatric offerings. Comparable as a buyer of sedation services and as a potential internal competitor if it builds in-house pediatric sedation capabilities.
• Smile Brands: Multi-brand DSO supporting general and specialty dental practices across the US. Overlaps with SmileMD as both serve the dental practice channel, with SmileMD providing the sedation capability Smile Brands' practices need.
• Surgery Partners: Operator of ambulatory surgery centers (ASCs) including pediatric dental surgery capacity. Competes indirectly with SmileMD's value proposition of avoiding hospital/ASC settings, but represents the alternative delivery model for the same procedures.
• Guardian Anesthesia Services: Mobile and office-based anesthesia services provider serving dental and oral surgery practices. Direct comparable in the office-based dental anesthesia delivery model, though geographic and segment focus may differ.
• Concierge Anesthesia: Mobile anesthesia service bringing providers to office-based settings including dental practices. Closest comparable in delivery model and target customer, competing for the same office-based anesthesia demand.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/smilemdohio
• LinkedInlinkedin.com/company/offorhealth

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds5 records

Investors5 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about SmileMD