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.
Ten minutes down SR-163 from Fashion Valley, our Hillcrest office fits sleep apnea care into a Mission Valley schedule: one free phone call with Thomas D'Acquisto, one night of home testing, and a treatment plan that doesn't slow you down.
Free 15-minute consultation with Thomas D'Acquisto, Sleep Director — even at 2am when you can't sleep
Mission Valley days are built around commutes, meetings, and errands — which is exactly why so many people here run for years on broken sleep before getting checked. An estimated 1 in 4 adults in San Diego County has undiagnosed sleep apnea, and the busiest people are often the last to find out. We've stripped the process down. Call for a free consultation, pick up a home sleep test from our Hillcrest office ten minutes south on SR-163, wear it for one night, and get results from a board-certified sleep physician within days. If treatment is needed, a custom oral appliance handles it silently, with no machine to pack for business trips. 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 332,000 adults across the greater San Diego metro area have undiagnosed obstructive sleep apnea — and Mission Valley's mix of commuters, hotel guests, and apartment residents means many go years without a proper diagnosis or treatment.
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
Efficiency matters here, so this is how we've built the process. Thomas D'Acquisto, our Founder and Director with 40 years in sleep medicine, takes your first call personally — a free 15-minute consultation that replaces weeks of referral runaround. He verifies your insurance before your first appointment and routes you to the right care: oral appliance therapy with Dr. Andrew Gamache, a Diplomate of the International Academy of Sleep, or better support for the CPAP you already own. Dr. Gamache treats his own sleep apnea with an oral appliance nightly, so you'll get practical answers, not brochure talk. Medicare, TRICARE, and most major medical plans are accepted.
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.
Mission Valley is San Diego's crossroads — Fashion Valley and the trolley lines, the river path, Snapdragon Stadium on game days, and thousands of new apartments rising along the valley floor. Most people pass through on the way to somewhere else, and sleep apnea care has usually worked the same way: referrals bouncing you across town. We keep it in one place instead. A single Hillcrest office, ten minutes south, handles home sleep testing and oral appliance therapy under one roof, with a director who answers the phone himself.
10 minutes from Mission Valley
From Mission Valley, take SR-163 south toward Hillcrest. Exit at University Avenue and head east. Our office is at 306 Walnut Avenue — just south of University Avenue near 6th Avenue. The drive typically takes 10 minutes. Alternatively, take Friars Road to Fashion Valley Road south.
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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
Bankers Hill
5 minutes from Hillcrest
University Heights
5 minutes from Hillcrest
Normal Heights
8 minutes from Hillcrest
South Park
8 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.