Medical, Not Dental
Oral appliance therapy is an FDA-cleared medical treatment billed through your medical insurance — not dental.
Finally sleep through the night — without a CPAP machine.
Five minutes up Fourth Avenue from the Spruce Street bridge, our Hillcrest office helps Bankers Hill residents test for sleep apnea at home and treat it with a custom oral appliance. The first step is a free 15-minute phone call with Thomas D'Acquisto.
Free 15-minute consultation with Thomas D'Acquisto, Sleep Director — even at 2am when you can't sleep
Is it sleep apnea, or just a busy life? For an estimated 1 in 4 adults in San Diego County, the fatigue, snoring, and 3am wake-ups have a medical cause that never gets diagnosed. Bankers Hill residents have an easy way to find out: our Hillcrest office is 1.2 miles up 4th Avenue, and testing starts with a home sleep study you wear for one night in your own bed. If you do have sleep apnea, a custom oral appliance — a slim, silent sleep apnea mouthpiece — can treat it without a CPAP mask, hose, or humming machine on the nightstand. Most medical insurance covers it, including Medicare and TRICARE.
Learn more about how oral appliance therapy works or explore your CPAP alternatives.
Local Impact: An estimated 83,000 adults in central San Diego neighborhoods — including Bankers Hill, Hillcrest, and Mission Hills — have undiagnosed obstructive sleep apnea, based on American Academy of Sleep Medicine prevalence data applied to local census figures.
Untreated obstructive sleep apnea doesn't just rob you of sleep — it increases your risk of high blood pressure, heart attack, stroke, Type 2 diabetes, and motor vehicle accidents. The American Academy of Sleep Medicine estimates that untreated sleep apnea costs the U.S. economy $149.6 billion annually in healthcare costs and lost productivity. The sooner you get tested, the sooner you can protect your health — and start waking up rested.
Three simple steps — starting with a free conversation, not a sales pitch.
Start with a free 15-minute consultation with Thomas D'Acquisto, our Founder/Director with 40 years of experience. He'll review your symptoms, answer your questions, and determine your best next step. No pressure, no commitment — call or text +1 (888) 885-7369.
If a sleep study is needed, we provide an FDA-cleared home sleep test. Pick up the device from our Hillcrest office, sleep with it one night in your own bed, and have results reviewed by a board-certified sleep physician within days. No overnight lab visit.
Thomas connects you with the right specialist for your needs. For most patients, that's a custom-fitted oral appliance — silent, portable, and covered by most medical insurance. Most patients notice improvement within the first week.
Or call/text +1 (888) 885-7369 to schedule your free consultation with Thomas
There's no clinic maze here and no sales script. You begin with a free 15-minute phone consultation with Thomas D'Acquisto, our Founder and Director with 40 years in sleep medicine. He'll ask about your symptoms, your history with CPAP if you have one, and your insurance, then map out your options plainly. Patients who move forward see Dr. Andrew Gamache, a Diplomate of the International Academy of Sleep and a sleep apnea patient himself — he wears his own oral appliance nightly. Your coverage is verified before the first visit. Medicare, TRICARE, and most major medical plans are accepted, and CPAP users struggling with masks or air leaks get real help rather than a lecture.
40 Years Experience
Thomas D'Acquisto, Founder/Director
Doctor Uses OAT Himself
Dr. Gamache treats his own sleep apnea nightly
Insurance First
We verify coverage before your first visit
No Pushy Sales Process
Free consultation — zero pressure, zero commitment
If you've been diagnosed with sleep apnea and prescribed a CPAP machine but can't tolerate it, you're not alone. Research shows that 30–50% of CPAP users abandon therapy within the first year. The mask discomfort, air leaks, noise, dry mouth, and claustrophobia are real — and they're the reason millions of people live with untreated sleep apnea.
Oral appliance therapy is an FDA-cleared alternative that the American Academy of Sleep Medicine recommends as a first-line treatment for mild to moderate obstructive sleep apnea, and as an option for severe cases when CPAP is not tolerated. It's a custom-fitted mouthpiece — similar to a retainer — that gently repositions your jaw to keep your airway open. No mask, no machine, no noise.
Already have a CPAP diagnosis? You don't need a new sleep study to switch to an oral appliance. Learn why 50–60% of CPAP users quit within a year. Call Thomas at +1 (888) 885-7369 to discuss your options.
I went from severe sleep apnea to a normal level of 0.9 AHI with my custom fitted mouth piece. This was a huge game changer! More importantly, I feel the best I've ever felt!
”
San Diego Sleep Therapy
Diplomate, International Academy of Sleep
Dr. Andrew Gamache is a Diplomate of the International Academy of Sleep and an AADSM Qualified Dentist with over 14 years of experience in dental sleep medicine. Dr. Gamache understands sleep apnea firsthand — he has sleep apnea himself and uses oral appliance therapy personally. This gives him a unique perspective when working with patients to find the most comfortable and effective treatment. He leads San Diego Sleep Therapy with locations in Sorrento Valley and Hillcrest, providing comprehensive CPAP alternative solutions including oral appliance therapy and Solea.
Dr. Andrew Gamache treats his own sleep apnea with an oral appliance every night. He doesn't just prescribe the treatment — he lives with it.
San Diego Sleep Therapy
Start with a free consultation with Thomas D'Acquisto. He'll review your situation and connect you with Dr. Andrew Gamache if treatment is right for you.
Start with a free consultation with Thomas D’Acquisto — he’ll review your situation and connect you with the right specialist. Call or text +1 (888) 885-7369.
Oral appliance therapy is FDA-cleared and billed through your medical insurance — not dental. For other plans, our team verifies your specific benefits at no cost, before anything begins.
Oral appliance therapy is an FDA-cleared medical treatment billed through your medical insurance — not dental.
Verification, prior authorization, claims, and reimbursement — our team manages the paperwork so you don’t have to.
We check your specific coverage and explain your benefits before anything begins. No surprises.
Bankers Hill holds a rare San Diego combination: Balboa Park across the street, the harbor below, century-old architecture, and some of the city's best restaurants within a short walk. Residents here — professionals, empty nesters, longtime San Diegans — chose the neighborhood for its calm. Sleep apnea takes that calm apart at night: fragmented sleep, a racing heart, mornings that start heavy. An oral appliance suits this neighborhood's sensibility. It's discreet, silent, and no more trouble than a retainer, with none of the machinery a CPAP brings into the bedroom.
5 minutes from Bankers Hill
From Bankers Hill, head north on 4th Avenue or 5th Avenue for about 1.2 miles. Our Hillcrest office is at 306 Walnut Avenue — just south of University Avenue. Street parking and metered spots are available along Walnut Avenue. The drive typically takes 5 minutes.
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Sleep apnea treatment is available for patients throughout the San Diego area from our Hillcrest office.
North Park
7 minutes from Hillcrest
Mission Hills
5 minutes from Hillcrest
University Heights
5 minutes from Hillcrest
Normal Heights
8 minutes from Hillcrest
South Park
8 minutes from Hillcrest
Mission Valley
10 minutes from Hillcrest
Pacific Beach
12 minutes from Hillcrest
Downtown San Diego
8 minutes from Hillcrest
Old Town
7 minutes from Hillcrest
Kensington
8 minutes from Hillcrest
Golden Hill
8 minutes from Hillcrest
Clairemont
12 minutes from Hillcrest
Ocean Beach
12 minutes from Hillcrest
Point Loma
14 minutes from Hillcrest
Bay Park
10 minutes from Hillcrest
Linda Vista
11 minutes from Hillcrest
City Heights
10 minutes from Hillcrest
La Mesa
15 minutes from Hillcrest
College Area
14 minutes from Hillcrest
Talmadge
10 minutes from Hillcrest
Lemon Grove
16 minutes from Hillcrest
Coronado
15 minutes from Hillcrest
Bay Ho
9 minutes from Hillcrest
Call or text Thomas D’Acquisto at +1 (888) 885-7369 — even at 2am when you can’t sleep. Or book your free consultation online.