TDSS is a provider network and practice support organization built by clinicians, for clinicians. We handle the credentialing, the billing, the marketing, and the training — so you can focus on patients who are sleeping better because of you.
Insurance and Medicare-credentialed billing handled end-to-end. You see patients. We collect.
A dedicated onboarding contact, a documented timeline, and a team that returns calls.
Marketing services that put DSM-ready patients in front of you — co-branded with your practice.
Advanced DSM Training included for every member. No upcharges. No locked content.
Monthly expert calls, peer support, and continuous team training so you and your staff stay sharp long after onboarding.
Custom EMR with compliant SOAP notes, automatic invoicing, claim creation, and ERA handling — less paperwork, fewer errors.
We don't dictate how you practice or affect your clinical autonomy. Instead, we provide the full set of tools, systems, and expertise needed to integrate DSM at any level, ensuring DSM becomes an integrated, profitable part of your practice instead of an isolated service.
Page 2 captures your tier and any add-ons. Pages 3–6 are the operating agreement and the documents that come with it — what TDSS commits to, what you commit to, and how we work together. Page 7 is payment. Page 8 is acknowledgments and signature. Detailed schedules and the BAA are delivered as separate handouts and incorporated by reference.
Mark your selections below. Your TDSS representative will confirm the details before you sign on Page 8.
Lead generation, patient education, and DSM-specific campaigns built for dental practices. Best for launching DSM.
Everything in Sleep Starter, plus paid ads, reputation management, and local SEO — for practices ready to scale patient volume.
This Agreement is entered into between Texas Dental Sleep Services, PLLC ("TDSS") and the licensed dental provider whose signature appears on Page 8 ("Provider"), effective on the date of Provider's signature.
Starter and Professional memberships run for an initial three-year term from the Effective Date, automatically renewing for additional three-year terms unless either party gives ninety (90) days' written notice of non-renewal. Elite memberships are perpetual and do not expire. For all tiers, either party may terminate immediately for a material breach uncured within thirty (30) days, including loss of licensure, non-payment, or repeated non-compliance.General Provisions Schedule
Each Party may access the other's confidential, proprietary, or commercially sensitive information ("Confidential Information"). All TDSS materials, systems, workflows, and content remain TDSS's exclusive intellectual property; Provider receives a limited, non-transferable license to use them solely for participation in the TDSS network. Each Party shall maintain strict confidentiality, use Confidential Information solely to perform this Agreement, and return or destroy it upon termination.Confidentiality & IP ScheduleBAA governs PHI
Provider is an independent contractor and retains full control over the clinical and professional aspects of patient care — office hours, clinical judgment, staff supervision, and ethical standards. TDSS has no authority to control or direct Provider's clinical judgment, treatment methods, or professional conduct. TDSS's role is limited to administrative, credentialing, billing, and marketing support.
Provider shall maintain all professional licenses required for DSM under state and federal law and applicable carrier requirements; comply with TDSS operational policies (as updated on reasonable notice); uphold the reputation and integrity of the network as reasonably determined by TDSS; adhere to the ethical and regulatory standards of the dental profession; and complete continuing education sufficient to maintain DSM clinical competency. TDSS may audit Provider's documentation, credentialing, and billing on reasonable advance notice.Provider Compliance Schedule
Program fees and included services are set forth in the Full Legal Terms handout. TDSS and its designated billing partner manage insurance verification, claim submission, and reimbursement processing in accordance with carrier requirements. Provider's designated Billing Coordinator (Provider's own staff) is the primary contact for patient copayments, deductibles, and non-covered services.Billing & Reimbursement ScheduleFull Legal Terms
Provider agrees to conduct themselves in a manner that upholds the professional reputation of their practice and TDSS. During this Agreement and for two (2) years thereafter, each Party shall refrain from making statements, written or verbal, that are false or disparaging toward the other or its affiliates, officers, employees, or representatives. Standard whistleblower, regulatory cooperation, and truthful-testimony exceptions, plus the good-faith resolution process, apply.Professional Conduct Schedule
The Parties shall use good-faith efforts to resolve any dispute through informal discussion within thirty (30) days. If unresolved, the Parties shall participate in non-binding mediation in Williamson County, Texas, sharing the mediator's fee equally. If mediation does not resolve the dispute within forty-five (45) days, either Party may submit the matter to binding arbitration in Williamson County, Texas, before a single neutral arbitrator under the AAA Commercial Arbitration Rules. All disputes shall be resolved on an individual basis only; class actions, class arbitration, and consolidated proceedings are waived. The prevailing Party is entitled to reasonable attorneys' fees, costs, and expenses. Nothing in this section prevents either Party from seeking temporary or injunctive relief to protect Confidential Information or intellectual-property rights.Dispute Resolution Schedule
In consideration of TDSS's provision of Confidential Information, proprietary systems, training, and trade secrets — which Provider acknowledges constitute valuable and protectable business interests — Provider agrees that during this Agreement and for six (6) months after termination, Provider shall not engage, directly or indirectly, in any business activity that competes with TDSS in the field of Dental Sleep Medicine within a twenty (20)-mile radius of Provider's primary practice address listed on Page 8. "Competes" means establishing, operating, marketing, or managing a DSM program or service that uses or replicates TDSS's proprietary systems, materials, or business model; this restriction does not limit Provider's general dentistry practice or any non-DSM services. The Parties acknowledge these restrictions are reasonable and necessary; if any portion is found unenforceable, it shall be reformed to the minimum extent necessary under Texas law including the Texas Covenants Not to Compete Act (Tex. Bus. & Com. Code § 15.50 et seq.). Provider may request written consent to waive or modify, which TDSS shall not unreasonably withhold.
During this Agreement and for one (1) year after termination, Provider shall not, directly or indirectly: (a) solicit, induce, or attempt to induce any TDSS employee, contractor, or consultant to terminate or alter their relationship with TDSS; (b) interfere with or disrupt TDSS's relationships with its employees, partners, or affiliates; (c) encourage or assist any TDSS employee or representative in seeking or accepting employment with a competing DSM business; or (d) solicit or divert any current TDSS provider, client, or business partner for the purpose of establishing or promoting a competing DSM enterprise. These covenants do not prevent Provider from hiring individuals who independently respond to general public job postings not targeted at TDSS personnel. Provider may request written consent to specific solicitations, which TDSS shall not unreasonably withhold.
Provider agrees to conduct all DSM administrative, credentialing, billing, and reimbursement functions exclusively through TDSS and its designated billing partner during this Agreement and any renewal term. This exclusivity is intended to ensure regulatory and carrier compliance, maintain consistency in patient care standards, and protect the integrity of the network. Within thirty (30) days of the Effective Date, Provider shall use TDSS Billing exclusively; Provider shall terminate any prior DSM billing relationships within ninety (90) days. Provider shall not file DSM claims independently or represent themselves as a Participating Provider outside the TDSS Billing system. GAP exceptions (out-of-network claims processed in-network for a specific patient) require TDSS's prior written approval. Provider shall comply with all federal and state laws governing DSM billing, including the No Surprises Act, all carrier rules, and TDSS Billing protocols. Without limiting Section 12, Provider's indemnification specifically extends to billing activity by any third party acting on Provider's behalf outside the TDSS Billing system; this survives termination.Billing & Reimbursement Schedule
Provider's Provider Advancement Program membership includes Carrier Relations Support with five (5) monthly credits at no charge. Additional Carrier Relations services are billed per the Billing & Reimbursement Schedule. Fee changes follow the notice provisions in Section 5.Billing & Reimbursement Schedule
Each Party shall indemnify, defend, and hold harmless the other — including its owners, officers, employees, contractors, and affiliates — from any claims, damages, liabilities, costs, and expenses (including reasonable attorneys' fees) arising from (i) the indemnifying Party's negligent or wrongful acts or omissions, (ii) breach of this Agreement, or (iii) violation of applicable law. This obligation survives termination.
Provider shall maintain professional liability (malpractice) insurance with minimum limits of $1,000,000 per occurrence / $3,000,000 aggregate throughout this Agreement and any renewal term, naming TDSS as an Additional Insured. Provider shall furnish a Certificate of Insurance prior to treating patients and on each renewal. The policy shall require the insurer to give Provider and TDSS at least fifteen (15) days' written notice before any cancellation, termination, or material modification. Failure to maintain coverage is a material breach.
TDSS's indemnification covers liability arising directly from TDSS's administrative actions, negligence, or failure to perform; it does not extend to clinical treatment decisions, patient outcomes, or professional acts of Provider or Provider's staff. Provider retains sole clinical responsibility.
Patient records, charts, and treatment histories are maintained by Provider as custodian, subject to patient rights under HIPAA and applicable state law and to TDSS's rights under this Agreement and the BAA. Provider's access to TDSS-maintained records is limited to those for patients personally evaluated or treated by Provider. Provider shall complete all patient documentation in a timely, accurate, compliant manner consistent with professional standards and TDSS protocols. Provider shall furnish copies of records to TDSS, on reasonable advance notice (or immediately for billing or carrier-required matters), for billing, compliance review, credentialing, or quality-assurance purposes; quality-assurance access is limited to documentation review and pattern analysis — TDSS does not direct Provider's clinical decisions. Upon termination, Provider retains responsibility for storage, security, and transfer of patient records for the longer of any period required by Texas law, HIPAA, or applicable carrier or regulatory authority. PHI handling is governed by the Business Associate Agreement, which controls in any conflict with this Section as to PHI matters.BAA controls PHI
This Agreement is governed by Texas law, without regard to conflict-of-law principles. Any judicial proceeding shall be brought exclusively in a court of competent jurisdiction located in Williamson County, Texas, and the Parties consent to personal jurisdiction and venue there.
All notices required under this Agreement shall be in writing and delivered personally, by certified or registered mail (return receipt requested), or by email to a designated address (delivery deemed effective on the next business day absent a non-delivery notice). Notice addresses are set forth in the signature block on Page 8. Either Party may update its notice information by written notice to the other. TDSS notice address: Attn: Chief Compliance Officer, Texas Dental Sleep Services, PLLC, 12505 Hymeadow Drive, Suite 2e, Austin, Texas 78750.
This Agreement binds the Parties and their successors and permitted assigns. Provider may not assign, delegate, or transfer any rights or obligations under this Agreement without TDSS's prior written consent. TDSS may assign this Agreement to a successor entity in connection with a merger, reorganization, or sale of substantially all its assets.General Provisions Schedule
TDSS may offset against amounts owed to Provider any undisputed amounts due to TDSS, on at least thirty (30) days' written notice with supporting documentation. If Provider has an outstanding balance unpaid for thirty (30) days or more, TDSS will contact Provider in writing to discuss resolution. If no resolution is reached within fifteen (15) days of that notice, TDSS may, at its discretion, suspend access to TDSS systems and services, apply any credits or prepaid amounts toward the outstanding balance, or pursue other remedies available under this Agreement or Texas law. TDSS shall make good faith efforts to resolve payment difficulties before exercising any remedies under this section.Billing & Reimbursement Schedule
This Agreement, including all Attachments and Addenda, may be amended only by a written instrument signed by both Parties. TDSS may update Attachments and Addenda related to administrative procedures (excluding program fees and billing fees, which are governed by Section 5) on thirty (30) days' written notice. The most recent version controls.
The following are delivered to Provider with this Agreement and form part of it. Provider acknowledges receipt and an opportunity to review.
Neither Party is liable for failure or delay caused by events beyond reasonable control, including acts of God, natural disasters, war, terrorism, strikes, pandemics, governmental orders, or system outages. The affected Party shall promptly notify the other and use commercially reasonable efforts to resume performance.
Paragraph and section headings are for convenience only and do not affect interpretation.
This Agreement may be executed in counterparts, each deemed an original. Signatures transmitted electronically (PDF, e-signature platform, or other digital means) are valid and binding as originals.
If any provision is held invalid or unenforceable, the remaining provisions remain in full force; the invalid provision shall be replaced by a valid provision that most closely reflects the Parties' intent.
Provider has no authority to enter into contracts or commitments on behalf of TDSS beyond what is expressly authorized. Nothing herein creates a partnership, joint venture, or employment relationship between the Parties.
Sections concerning confidentiality, intellectual property, indemnification, exclusivity, billing obligations, dispute resolution, and any other provisions which by their nature should survive termination shall continue in full force after expiration or termination.
This Agreement, with all referenced Attachments, Addenda, and Schedules, constitutes the entire understanding between the Parties and supersedes all prior agreements, proposals, or communications. No waiver or modification is valid unless in writing and signed by both Parties.
Choose your payment method and fill in your details. You'll review acknowledgments and sign on Page 8.
Payable to TDSS at the booth or mailed within 5 business days.
Visa, MC, Amex, Discover. Charged at signature.
Initiated within 1 business day of signature.
Cardholder authorizes TDSS to charge the amount due today, plus any recurring monthly amounts as stated on Page 2, until terminated under this Agreement.
Account Holder authorizes TDSS to initiate ACH debits for the amount due today, plus any recurring monthly amounts as stated on Page 2, until terminated under this Agreement. Routing and account numbers are not auto-saved.
Initial each acknowledgment, confirm your practice address, and sign below. Both Provider and TDSS representative sign in this same session to make the Agreement effective.
This addendum is offered only with same-day signature at the show identified below. The benefits in this addendum are in addition to the everyday Provider Advancement Program; they are not part of the standard membership.
Four high-value services added to your TDSS membership at no additional cost — available exclusively with same-day booth signature.
By signing below, I confirm that I am signing this Addendum on the show floor identified above. I have signed the TDSS Associate Provider Agreement (Pages 1–8) on the same date. I understand the Show Floor Bonus Package is non-transferable, has no cash value, and is available only with same-day signature.