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Comprehensive Integrative  Orthodontic Assessment


A complete exam looks for the root-causes of crooked teeth and distressed airways.


We will gather histories, oral and body photography, videos of you chewing, swallowing, speaking, and walking, examine your breathing patterns, a 3-D scan of your face and head, and a 3-D scan of your teeth.


The fee includes a discussion with Dr. Raphael about what is best for you and your child.  You will be provided with an online portfolio of the records to share with other health care providers.

Fee $600
For Children
Under 18 years old

Fee $995
For Adults
18 years and older

The Littles Program

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The Littles Foundation Program includes the Assessment and Balance portions of the Program

Fee $1950
For Children
Birth - 3 years

Kickoff Special!!!

There may be addititonal fees for independent allied health practitioners such as lactation, reflex integration, bioenergetics, or myofunctional therapies.

The Littles Advanced Program may include:

  • Enhancing the Face

    • Lingual Frenectomy Release          (Fee $650 - 850)

    • Growth Guidance Orthodontics.    (Fee $1500 - 2500)

  • Enhancing the Body

    • Other treatments and practitioners will charge you independently.

(Lost or broken appliances will incur additional repair and replacement fees)


Oralase and Babylase are ways of healing the body with a non-invasive light (Photobiomoducation).

For more information:

per session $150
or 5 sessions for $600


per session $100
or 5 sessions for $400

Sleep Screening with Home Monitor

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While the "gold standard" of diagnosis for sleep apnea is a overnight study in a sleep lab, we are generally looking not just for sleep apnea but for ANY discomfort you may have breathing while asleep.  That is, many people successfully struggle to breathe and therefore don't have apnea.  But they are still not getting a good night's sleep either.  And that's what I want to know.

The High-Resolution Pulse Oximeter can tell us that.  It is a wrist-worn device that's easy for adults and children to wear.   You will do several nights of wear to get a good average.  You'll also wear it after we've done some therapy to test for progress.

We also use the SleepImage device for smaller children (ages 2 and up).  It is a ring worn on the thumb and tracks the stability of sleep by comparing heart rate and breathing rate.  It's easy to wear and use.   We'll also do before and after readings.

Both sets of readings and a printed report are included in the fee.

(BTW, Some people with chronic problems want to buy their own.

Fee $195
includes use of monitor and printed reports.

Fine Print:  Lost or broken monitors will be charged to the credit card on file for the full replacement value (up to $400.)   Monitors kept for more than the agreed-upon time will incur additional rental fees.  So please take care of the monitor and return it to us as soon as you can.

Thanks for that.

30 minute Private Consultation or Second Opinion

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Discussions by phone, teleconference or email.  Curious inquiries or second opinions.


Please provide as much information, including a description of the problems, a written history, and previous orthodontic records, as will help Dr. Raphael answer your questions.

In return, Dr. Raphael will provide you with a short written summary of his conversation with you.

If you decide to upgrade to a Complete Evaluation this fee will be credited in full.

Fee $325

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