Vivos Therapeutics Announces 18X Increase in Sleep Apnea Diagnostic Testing By Vivos Dentists Using SleepImage Technology

Vivos Therapeutics, Inc. ("Vivos" or "the Company") (NASDAQ: VVOS), a medical technology company focused on developing and commercializing innovative diagnostic and treatment modalities for patients suffering from mild to moderate obstructive sleep apnea (OSA) and snoring, today announced significant increases across several key metrics for its SleepImage Home Sleep Apnea Tests (HST).

In particular, for the three-months ended December 31, 2021, versus the three-months ended December 31, 2020, Vivos reported:

• an 18 times increase in the total number of HSTs given across the network of Vivos trained dentists (known as Vivos Integrated Practices or VIPs);
• a 5.7 times increase in the number of VIPs administering HSTs; and
• a 3 times increase in the average number of HSTs being administered per VIP.

This dramatic performance gain in home sleep testing allowed Vivos to renegotiate its commercial agreement with SleepImage to dramatically lower costs and convert the entire diagnostic program from a loss leader aimed primarily at stimulating new case starts with the Vivos System sleep apnea treatment to a potential recurring revenue center. Under the new revenue model with SleepImage, Vivos will lease out the SleepImage ring recorders to Vivos trained dentists at a fixed price that includes a full month's worth of diagnostic sleep test reports.

"We have always believed that the pathway to getting more patients into treatment for OSA begins with an easy, inexpensive and highly accurate diagnostic process, which is precisely what the proprietary SleepImage test delivers," said Kirk Huntsman, Chairman and CEO of Vivos. "When coupled with the telemedicine model we have through our collaboration with Empower Sleep, which allows for the required medical diagnosis of OSA remotely, we believe that a historical barrier to patients obtaining a clear and medically valid sleep test report has now been eliminated. The number of positive OSA tests we are seeing is staggering, demonstrating the potential that is available for our Vivos System treatment for OSA. Having now familiarized our VIPs with the prevalence of OSA and giving them a way to test for OSA, our goal will be to use this data to continue to encourage VIPs to get their patients who test positive for OSA into treatment with the Vivos System. Converting positive OSA tests using our HSTs into Vivos System case starts is a major focus of our Practice Advisors and support personnel at Vivos as we roll into 2022. We also expect that our new pricing arrangement with SleepImage will yield positive financial results for Vivos."

More than one billion people globally and 54 million Americans suffer from sleep apnea, 80 percent of whom remain undiagnosed. A serious chronic illness, sleep apnea increases the risk of comorbidities, including high blood pressure, heart failure, stroke, diabetes, dementia, chronic pain, fibromyalgia and other life-threatening diseases. The Vivos System treatment protocol non-surgically addresses the dental tissue anomalies and malformations known to be associated with OSA. Unlike current standard-of-care interventions, such as lifetime-use of CPAP machines or surgical procedures, patients treated with the Vivos System typically complete their therapy in 12 to 24 months, and in many cases, do not require further intervention.