Frequently Asked Questions

For Myofunctional Therapy, you do not need to schedule a consultation first. However, a consultation prior to booking an assessment can help determine if myofunctional therapy is the best course of treatment. Following the consultation, if an assessment is needed, the cost of the consultation will be deducted at the time of assessment. Otherwise, this is an out-of-pocket cost and not reimbursable by insurance.

For Early Intervention Parent/Caregiver coaching a consultation is required prior to booking an assessment.

Triple Point Speech Therapy is considered an Out-of-Network provider. We do not bill insurance. However, a superbill will be provided to patients at the time of service. It is the patient's responsibility to submit this to their insurer.

Prior to booking an assessment we encourage checking with your insurance company to determine what your out-of-network costs for the evaluation and/or ongoing therapy will be.Below are the most common CPT codes.

CPT 92610: Evaluation of oral swallowing function

CPT 92526: Treatment of swallowing dysfunction and/or oral function for feeding

CPT 92507: Treatment of speech, language, voice, communication, and/or hearing processing disorder

It is common for insurance companies to require modifiers. Most common modifiers include 95 for all telehealth sessions

Some insurance providers require specific codes (i.e. GN)

You do not need a referral to book an appointment.

Clicking on the BOOK NOW button will link you to the booking page for costs. The cost is due at the time of service.

If you are not able to cover the costs of services, please let us know and we will work with you on a solution.

The number of sessions varies greatly depending on a variety of factors. We understand the time and costs involved in treatment and our goal is to be effective and efficient.

Yes, however all Myofunctional therapy evaluations and the first session are in-person at the clinic, with occasional exceptions. Please inquire directly to see if telehealth is appropriate for your situation.

If an articulation or a fluency disorder is found to be related to an underlying Myofunctional Disorder, yes we will provide therapy focused on those areas as well. We do not offer services for expressive, receptive, social communication disorders, or AAC.

Parent/Caregiver coaching is for caregivers with children under 4 years of age who have already been diagnosed with a communication delay and would like additional support, or are seeking an assessment & treatment because of concerns related to communication development.

The Parent/Caregiver Coaching model for Early Intervention (ages 0-3 typically) is the gold standard therapy model used in Early Intervention. It involves working directly with the parents/caregivers, in the home environment, so they learn the tools to support their child's communication growth.

Please be aware that Early Intervention (EI) Services are free through government funding of local Regional Centers in CA for all children under 3 years of age. Ask your pediatrician for more information about services in your area.

Yes, this service requires a consultation prior to booking. Following the consultation, if further evaluation is indicated, the cost of the consultation will be applied to the cost of the evaluation.

Both options are available depending on location and specific needs.

Triple Point Speech Therapy is considered an Out-of-Network provider. We do not bill insurance. However, a superbill will be provided to patients at the time of service. It is the patient's responsibility to submit this to their insurer.

Prior to booking an assessment we encourage checking with your insurance company to determine what your out of network costs will be.

Clicking on the BOOK NOW button will link you to the booking page for costs. The cost is due at the time of service.

If you are not able to cover the costs of services, please let us know and we will work with you on a solution.

The most common CPT codes for this service are:

CPT 92523: Evaluation of speech sound production with evaluation of language comprehension and expression

CPT 92507: Treatment of speech, language, voice, communication, and or hearing processing disorder

Most common modifiers include 95 for telehealth

Most common codes: GN

If you have feeding concerns, we will evaluate to determine if difficulties your child is having with breast feeding/bottle feeding, transitioning to solids, eating certain foods, or picky eating in general is related specifically to a myofunctional disorder. If it is then, yes. We will work with you and your infant/toddler on re-establishing proper function for feeding, chewing, and swallowing and help to build a more well rounded diet.

We have a 24 hour cancellation policy. Cancellations must be made 24 hours in advance or they will be billed according to our payment policy which is found in the intake forms through online booking.

Click on the BOOK NOW button. This will guide you to our bookings page, where you can book a consultation or assessment and complete intake forms.

Resources

To guide you to more information on Orofacial Myofunctional Disorders: 

International Association of Orofacial Myology https://iaom.com/

Academy of Orofacial Myofunctional Therapy https://aomtinfo.org/

American-Speech-Language-Hearing-Association https://www.asha.org/

Research

 Obstructive Sleep Apnea / Sleep Disordered Breathing

Myofunctional Therapy to Treat Obstructive Sleep Apnea: A Systematic Review and Meta-analysis https://pmc.ncbi.nlm.nih.gov

Effects of oropharyngeal exercises on patients with moderate obstructive sleep apnea syndrome https://pubmed.ncbi.nlm.nih.gov

Lingual and Maxillary Labial Frenuloplasty with Myofunctional Therapy as a Treatment for Mouth Breathing and Snoring https://onlinelibrary.wiley.com/doi

Orofacial motor functions in pediatric obstructive sleep apnea and implications for myofunctional therapy https://pubmed.ncbi.nlm.nih.gov

Increased Behavioral Problems in Children with Sleep Disordered Breathing https://pmc.ncbi.nlm.nih.gov/articles/PMC9479439/ 

Determinants of probable sleep bruxism in a pediatric mixed dentition population: a multivariate analysis of mouth vs. nasal breathing, tongue mobility, and tonsil size https://www.sciencedirect.com/science/article/abs/pii/S1389945720304998

 

 

 Tongue-Tie / Teathered Oral Tissues

Speech and Feeding Improvements in Children After Posterior Tongue-Tie Release: A Case Series https://theijcp.org/index.php/ijcp/article/view

A frequent phenotype for pediatric sleep apnoes: short lingual frenulum  https://pmc.ncbi.nlm.nih.gov/articles

How tongue mobility changes face and jaw development  https://www.researchsquare.com/article

Lingual frenuloplasty with myofunctional therapy: Exploring safety and efficacy in 348 cases https://onlinelibrary.wiley.com

Assessment of posterior tongue mobility using lingual-palatal suction: Progress towards a functional definition of ankyloglossia

https://onlinelibrary.wiley.com

Lacking Consensus: The Management of Ankyloglossia in Children https://onlinelibrary.wiley.com

Efficacy of neonatal release of ankyloglossia: a randomized trial https://pubmed.ncbi.nlm.nih.gov/21768318/ 

A double-blind, randomized, controlled trial of tongue-tie division and its immediate effect on breastfeeding https://pubmed.ncbi.nlm.nih.gov/21999476/

Aerophagia Induced Reflux in Breastfeeding Infants With Ankyloglossia and Shortened Maxillary Labial Frenula (Tongue and Lip Tie) https://www.theijcp.org/index.php/ijcp/article/view/246

Breastfeeding improvement following tongue-tie and lip-tie release: A prospective cohort study https://pubmed.ncbi.nlm.nih.gov/27641715/

Revision Lingual Frenotomy Improves Patient-Reported Breastfeeding Outcomes: A Prospective Cohort Study https://pubmed.ncbi.nlm.nih.gov/29787680/

Objective Improvement After Frenotomy for Posterior Tongue-Tie: A Prospective Randomized Trial https://pubmed.ncbi.nlm.nih.gov/34491142/

Books

Tongue-Tied: How a Tiny String Under the Tongue Impacts Nursing, Speech, Feeding, and More https://tonguetie.com/book/

Sleep Wrecked Kids: Helping Parents Raise Happy Healthy Kids One Sleep at a Time https://sleepwreckedkids.com/

Jaws: The Story of a Hidden Epidemic https://www.sup.org/books/science/jaws