Accurate coding. Approved claims. Stronger collections.
We handle orthodontic billing end-to-end, covering insurance verification, banding date claims, monthly continuation claims, lifetime maximum tracking, payment posting, and denial follow-up.
Orthodontic billing services handle insurance verification, claim submission, and payment collection for orthodontic practices. Unlike general dentistry, where each visit is billed separately, ortho treatment is billed as a contract across banding, continuation visits, and final debond.
An orthodontic practice struggles with multi-year contracts, continuation claims, and shifting lifetime maximums, which quickly overwhelms its front-office staff. Outsourcing to a specialist billing partner moves that work to people who submit cleaner claims, work denials, and keep reimbursements on schedule.
Every orthodontic case has multiple billing touchpoints. We keep benefits, claims, payments, and patient balances aligned from start to finish.
We handle orthodontic claims processing from the banding date forward, filing initial placement claims, monthly continuation claims, and final debond claims with accurate CDT coding, complete attachments, and payer-specific edits verified.
Claims filed at every treatment stage, from initial placement to final debond.
Ongoing adjustment visits billed and tracked without gaps in the claim history.
Claims verified against payer edits before submission to reduce rejections.
We complete orthodontic insurance verification before treatment starts, confirming dependent age limits, separate deductibles, and remaining lifetime maximums, including dual coverage and coordination of benefits.
Confirm remaining orthodontic benefit before scheduling treatment.
Age limits and waiting periods checked against plan rules.
Primary and secondary plans coordinated to maximize patient benefit.
We handle orthodontic treatment pre-authorization before banding begins, submitting predetermination requests, documenting medical necessity, and confirming approved treatment length, so patients start care with costs clearly outlined upfront.
Requests filed with payers before banding to confirm coverage in advance.
Clinical justification prepared to support approval on the first review.
Treatment duration confirmed so billing timelines match approved coverage.
We apply accurate orthodontic CDT coding throughout every phase of treatment, from initial banding through monthly adjustments to final debonding, keeping documentation aligned with current code sets and payer-specific billing rules.
Codes assigned separately for banding, adjustment, and debonding stages.
Coding kept current against the latest CDT updates and payer rules.
Clinical records checked against codes before claims go out.
We manage orthodontic payment and installment billing for long-term treatment plans, posting patient payments, reconciling installment schedules against contracted fees, and keeping account balances accurate from the first payment through the last.
Payment plans matched against contracted fees at every billing cycle.
Payments posted promptly to keep account balances current.
Balances tracked accurately across multi-year treatment plans.
We manage orthodontic denials and aging accounts receivable, appealing rejected claims, correcting coding or documentation issues, and following up on unpaid balances until every insurance and patient account is fully resolved.
Rejected claims corrected and resubmitted with supporting documentation.
Unpaid balances tracked and worked until resolved.
Both insurance and patient balances closed out, not just one side.
Partner with orthodontic billing specialists who verify benefits before banding, keep continuation claims on schedule, and pursue every unpaid balance to resolution.
Our orthodontic coding covers dental and medical claim paths, including surgical cases coordinated with oral surgery billing services. Coders match each code to treatment phase and dentition stage, apply ICD-10 when medical necessity supports it, and verify the record before submission.
We first assess the dentition stage and treatment objective, then select the orthodontics procedure code that matches the case, whether the treatment is limited, interceptive, or comprehensive.
We identify whether orthodontic treatment belongs under the patient’s dental benefits or qualifies for medical billing, then apply the appropriate CDT, CPT, and ICD-10 codes.
We apply all diagnoses, including malocclusion, jaw malalignment, and craniofacial diagnosis codes when documentation supports medical necessity for medically billed orthodontic cases.
We review all cephalometric films, panoramic imaging, intraoral photos and scans, and treatment plans to ensure each code is supported before filing.
All codes, documentation, and claim details are validated.
Current Phase: Comprehensive Orthodontics (D8080)
We match every code to the treatment stage and dentition on record.
We use CDT for dental benefits, and CPT with ICD-10 when medical billing applies.
We select based on documented dentition for every comprehensive case.
We review the clinical record before submission, so every code holds up.
Specialized orthodontic revenue cycle management expertise that files every milestone claim on schedule and holds performance to measurable outcomes.
Most dental billing companies tell you what they worked on. MedsDental shows you what changed, and why. Your practice should know where a continuation claim stalled, which lifetime maximum is nearing exhaustion, whether a case falls under dental benefits or medical coding, and what was corrected so the same problem doesn’t recur next quarter.
That is why our orthodontic coding and billing services operate with measurable ownership, not task completion. A case that runs 24 months generates dozens of billing touchpoints, and each one has a next action, an owner, and a deadline. Unresolved balances are escalated, not aged quietly.
You are not adding another billing vendor. You are adding a revenue operation built around how orthodontic treatment is actually paid: in stages, over years, against a benefit that runs out.
Our team uses AI-assisted workflows to flag continuation claims and benefit conflicts before anything reaches the payer.
Certified billing and coding talent trained on D8000-series codes, progress billing schedules, and orthodontic benefit structures.
Proven dental RCM expertise applied to orthodontic cases spanning 18 to 36 months, with benefit maximums and extended payer payment schedules.
Disciplined follow-up, aging control, and missed-charge recovery that keeps orthodontic balances moving toward resolution.
Remaining orthodontic benefit verified before banding and monitored through debonding, so nothing is billed past the cap.
CDT codes for dental benefits, CPT, and ICD-10 when a case routes through medical, handled by people who manage both.
Milestone claims filed on each payer’s schedule, never batched at debond, so revenue never pauses mid-treatment.
Every installment is tracked against the treatment timeline, with overdue balances flagged before they age past the recovery point.
Diagnostic &
Records
Comprehensive &
Limited Care
Progress &
Milestone Billing
Retention &
Post-Treatment
Dentofacial
Orthopedics
Surgical
Orthodontics
Craniofacial &
Special Needs
Medicaid
Ortho Cases
Secure, standards-driven orthodontic billing support that protects patient data at every stage of treatment.
Protecting patient privacy with strict adherence to HIPAA regulations.
Information security management aligned with ISO 27001 standards.
Certified coders delivering clean orthodontic claims and fewer denials.
Current D8000-series expertise for limited and comprehensive treatment.
Coordinating CDT, CPT, and ICD-10 codes for surgical ortho cases.
Billing accuracy tracked across every phase of long-term ortho treatment.
Lifetime maximums and waiting periods verified before treatment begins.
Plan-specific filing rules and policy updates tracked across every payer.
MedsDental provides billing and RCM support for orthodontic practices and multi-specialty groups. We also provide coordinated pediatric dental billing services for practices managing both orthodontic and pediatric cases.
Solo Practices &
Small Practices
Independent
Practices
Family Dental
Practices
Multi-Location
Dental Groups
General & Cosmetic
Dentistry
Community
Dental Clinics
Growing Startup
Practices
High-Volume
Dental Offices
"MedsDental gave us a clear process for orthodontic billing. D8670 claims now go out at each visit, and our denials have dropped significantly. We finally have visibility into every phase of treatment."
Dr. Gloria Erdman, DDS
Orthodontist
Erdman Orthodontic Specialists
An orthodontic practice was holding D8670 periodic treatment visit claims until the end of active treatment, then releasing them in one batch alongside the D8080/D8090 comprehensive code and the D8680 retention claim.
Payers flagged the group as lump-sum billing and denied the periodic visit claims, even though each adjustment visit was independently documented and billable as it occurred. The practice was rebuilding those claims months later, often after timely filing deadlines had passed.
MedsDental rebuilt the claim release schedule to align with each payer’s periodic-visit billing rules. Every active case was mapped so D8670 claims went out at the visit, with case history and D8080/D8090 treatment status attached from the start.
Remaining lifetime maximums were checked before each billing cycle, and the D8680 retention claim was scheduled separately so it never got caught in the same batch payers were already flagging.
Periodic treatment claims began reaching adjudication with the documentation and case history that payers were requesting, rather than arriving as an end-of-treatment batch. Fewer D8670 claims entered rework queues, and the practice stopped rebuilding submissions for visits that had happened months earlier.
Connect your orthodontic practice management software, imaging systems, and clearinghouses through one coordinated revenue cycle.
When orthodontic treatment spans years, billing can become difficult to track. Here’s how MedsDental helps practices bring greater structure to claims, payments, and follow-up.
Dr. Kole Muller, DDS
NovaSmile Care Center
“Managing D8670 continuation claims used to require constant spreadsheet updates. MedsDental has made our orthodontic treatment billing easier to track, with treatment stages, submitted claims, and payer responses organized in one workflow.”
Dr. Genoveva Kreiger, DMD
Pacific Coast Orthodontics Center
“Our orthodontic cases involve different benefit limits and treatment timelines. MedsDental verifies eligibility and remaining benefits before claims are submitted, so our coordinators have better information when discussing coverage and payment expectations with patients and families.”
Dr. Melissa Prohaska, DDS
Tri-County Orthodontic Specialists
“Payment posting is much easier to follow now. MedsDental matches our EOB and ERA information to the appropriate orthodontic accounts, helping us identify underpayments, remaining balances, and claims needing follow-up without searching through multiple systems.”
MedsDental handles orthodontic insurance billing services end-to-end, from benefit verification and continuation claims through prior authorization and final debond, so you can focus on exceptional patient care.
Ortho benefit payout structures, lifetime maximums, age limits, and dual coverage rules checked before every claim release.
Orthodontic medical billing coordinated across providers, plus Medicaid orthodontic prior authorization prepared to state requirements.
Insurance payments, contract adjustments, treatment extension, and early debond billing review aligned to protect collections.
Clear answers to the billing questions that impact your practice's cash flow and bottom line.
Orthodontic billing differs from general dentistry in several respects. General dentistry bills each visit separately, while orthodontic treatment is billed as a contract across banding, continuation visits, and debonding, against a lifetime maximum that is usually lower than the total fee.
Continuation claims (D8670) are managed by releasing each claim at the visit rather than holding them for batch submission at debond, because every periodic visit is independently billable. Payers flag batched milestone claims as lump-sum billing and deny them, often after the timely filing deadline.
When a patient’s coverage changes mid-treatment, the remaining lifetime maximum, waiting periods, and age limits must be re-verified under the new plan, as the incoming payer may consider a benefit already partially consumed. Without that check, claims are automatically denied.
Dual insurance for orthodontic cases is governed by coordination of benefits, which determines the order of payment, with the secondary plan applying its own lifetime maximum to the remaining balance. Errors rarely surface immediately, as they appear as clawbacks months after treatment.
Most state Medicaid programs require prior authorization with documented medical necessity, typically supported by cephalometric imaging, photographs, and state-specific scoring criteria. Approved cases are then billed to the state fee schedule rather than a commercial rate.
When a patient transfers mid-treatment, the receiving practice bills only the remaining portion of care, and the prior practice’s submitted claims have already consumed part of the lifetime maximum. Verifying what has been paid before banding prevents denials and patient balance disputes.
At MedsDental, we bill orthodontics as a distinct discipline rather than a subset of dental billing. Our certified coders work with the full D8000 series, verify benefits before banding, release continuation claims according to each payer’s schedule, and code surgical and craniofacial cases to the medical path.
MedsDental tracks every case from banding through debond, with lifetime maximums monitored across the plan, continuation claims scheduled per payer rules, and aging claims worked before timely filing windows close.
More collections. Less stress. That’s the MedsDental promise.
CODING VERIFIED
HIPAA Compliant
Weekly A/R Reviews
Contract-level reporting CTA
Per-visit D8670 release
