Orthodontics Billing Services Built for Ortho
Specialty dental billing for orthodontics: monthly contract drafts, predeterminations, dual insurance coordination, takeover cases, and retention billing. Built for solo ortho practices and DSO ortho service lines.
Why orthodontics billing breaks generic dental billers
Orthodontic billing is built around contracts, not single-visit claims. Initial fee, monthly draft amount, total treatment length, retention: all need predeterminations and ongoing reconciliation. Add dual insurance coordination, mid-treatment plan changes, and takeover cases from another office, and most generic dental billers can't keep up. Ortho needs ortho-trained billers.
- •Monthly ortho contract drafts not posted or reconciled against expected amounts
- •Predeterminations missed, leading to denied D8080 / D8090 claims
- •Dual insurance not coordinated, so secondary never billed
- •Takeover cases billed as new starts, causing duplicate-treatment denials
- •Retention phase (D8680) not separately billed when applicable
What our dental billing service handles
A dedicated dental billing team working inside Dentrix, Open Dental, Eaglesoft, Curve, or Carestream, owning every step from submission to collection.
Insurance claim submission
Daily claim submission with the right CDT codes, attachments, and narratives. First-pass acceptance for routine claims, and complete documentation for complex ones.
Attachments and narratives
Perio charting, intraoral images, x-rays, and clinical narratives attached and submitted with every claim that requires them. No more 'need more info' denials.
Insurance verification and breakdowns
Full benefits breakdowns (frequency, downgrades, missing tooth clauses, waiting periods) completed before the patient's appointment.
Denial and rejection follow-up
Every denial worked within 48 hours. Resubmissions, appeals, and corrected claims, tracked daily until paid.
PPO fee schedule audits
We compare every EOB to your contracted PPO fee schedule and appeal underpayments. Practices typically recover 2-5% of net revenue they were silently losing.
Patient billing and AR management
Patient statements, balance follow-up, payment plan management, and aging report cleanup, keeping patient AR under 30 days.
What dental practices see with Carevonix
Average results across general dentistry and specialty practices in the first 90 days.
95%
First-pass claim acceptance
60%
Reduction in insurance AR over 60 days
+8%
Net collections lift on average
< 14 days
Average days to insurance payment
Why dental practices choose Carevonix
We treat dental billing as a specialty, not a side hustle to a medical billing operation.
- Dental-specialized billing team that knows CDT, attachments, narratives, and frequency rules
- Native experience in Dentrix, Open Dental, Eaglesoft, Curve, and Carestream
- PPO contract audits that recover money you didn't know you were losing
- Works equally well for solo practices, group practices, and DSO portfolios
- Flat monthly pricing with no per-claim percentages
Built for Orthodontics practices
Orthodontics billing rewards contract discipline. Our team manages monthly draft reconciliation, predetermination workflows, and dual coordination, from solo ortho through DSO-scale operations.
Orthodontics codes we work daily
D8080
Comprehensive orthodontic treatment (adolescent)
D8090
Comprehensive orthodontic treatment (adult)
D8210 / D8220
Removable / fixed appliance therapy
D8660
Pre-orthodontic treatment exam
D8670
Periodic orthodontic treatment visit (monthly)
D8680
Orthodontic retention
Where orthodontics revenue leaks
- •Monthly insurance drafts not posted, creating reconciliation chaos
- •Predetermination not submitted before D8080 / D8090, causing denial
- •Secondary insurance not billed after primary processes
- •Takeover cases from another office denied as duplicate treatment
- •Patient autopay drafts and insurance drafts mismatched in PMS
Orthodontics payers we handle
- Delta Dental (all regional plans)
- MetLife Dental
- Cigna Dental
- Aetna Dental and Guardian
- Medicaid orthodontia (state-specific, where covered)
Frequently asked questions
Real questions practice owners ask before they switch.
Ready to see what Carevonix can do for your practice?
Book a 20-minute demo. We'll walk through your current workflows, your numbers, and exactly what would change.