Orthodontic-Only Practice Billing Services
Outsourced orthodontic-only billing from Staffingly. AAO-aligned specialists run D8000 series banded continuation, multi-year insurance and patient AR balancing, predetermination on every case, clear aligner billing, retainer cycle billing, and multi-phase ortho treatment plan amendments inside Dentrix, Open Dental, OrthoTrac, Dolphin, Cloud9, and topsOrtho. Live in 1 to 2 weeks. No long-term contracts.
Trained dental support, inside your software
Healthcare-trained specialists under HIPAA-aware workflows.
A managed dental support team, built around your practice
Tell us about your practice.
Send us your situation and our team will scope the right setup, usually within one business day. No obligation.
How Staffingly works, in practice
Inside the workA trained Staffingly specialist handles the workflow inside your existing dental software, with clear escalation back to your team.
How Is Staffingly’s Orthodontic-Only Billing Different?
Most outsourcers bill ortho the same way they bill general dental and call it specialty support. Ours runs an AAO-aligned ortho-only playbook. Four things that change the outcome.
AAO-aligned practice management
Workflows aligned to AAO practice management standards. Banded continuation cadence, predetermination thresholds, multi-phase Phase 1 + Phase 2 billing, and retention-phase billing all run on AAO-recognized patterns. Not a general dental biller guessing at ortho.
D8000 series depth
Specialists pre-tested on D8010 limited treatment, D8030 interceptive, D8070 complete child, D8080 adolescent, D8090 adult, D8210 removable appliance, D8220 fixed appliance, D8660 pre-ortho exam, D8670 periodic, D8680 retention, D8690 repair, and the full ortho code set.
Multi-year AR balancing
Insurance balance and patient balance tracked separately across the full case lifecycle. Continuation claims reconciled monthly. Retainer phase tracked. Refinement and replacement aligner claims billed in real time. No 18-month surprises.
2-Week Free Trial
The industry standard is zero risk-free trial. Staffingly gives you 14 days of live ortho billing at the same rate. Cancel before day 14 and owe nothing. No annual contracts after, ever. Add or remove specialists by the week.
Coverage for practices, specialty offices, and DSOs
One Flat Weekly Rate. No Surprises.
Dedicated virtual dental assistants at a fixed weekly cost. 45 hours per week, fully managed. No contracts, no minimums, no hidden fees.
Want to compare against an in-house hire? Use the savings calculator.
Frequently asked questions
Do you handle banded versus initial-fee-plus-monthly continuation billing?
Yes. Both models are standard. Banded billing posts the full ortho fee up front and unwinds with monthly continuation claims (D8670). Initial-fee-plus-monthly bills the down payment and then bills monthly continuation through the active phase. Both are documented per office in writing and billed correctly across the full 18 to 36 month case.
How do you handle clear aligner case billing?
Initial treatment fee billed as a complete ortho code (typically D8080 or D8090) plus separate billing for replacement aligners, refinement aligners, and final retainers. Refinement aligner claims billed as treatment plan amendments where the payer policy allows. Patient AR balanced separately from insurance AR.
How do you handle multi-phase ortho (Phase 1 then Phase 2)?
Phase 1 (interceptive, typically D8030) billed during the mixed-dentition phase. Phase 2 (complete, typically D8080) billed when full adult dentition is in place. Lifetime ortho maximum tracked across both phases. Predetermination filed for Phase 2 even when Phase 1 was already approved, since payer policies often treat them as separate cases.
What does predetermination look like on every case?
Predetermination filed at case start for D8070 through D8090 complete ortho, multi-phase cases, and any case with insurance benefits. Payer response documented in writing before bands are placed. Patient given a written estimate of insurance share and patient share before treatment begins. No 18-month surprises.
Which ortho PMS systems do you support?
Dentrix, Open Dental with ortho module, OrthoTrac, Dolphin Imaging and Dolphin Management, Cloud9 Ortho, topsOrtho, Ortho2 Edge, and Ortho2 Wisdom. Clearinghouse support includes DentalXChange, ClaimConnect, Change Healthcare, Tesia, and EDI Health Group.
How do you handle mid-course treatment plan amendments?
Mid-course amendments (additional aligner sets, broken bracket replacements, refinement aligners, treatment plan extensions) get billed as separate procedures where payer policy allows, or as documentation updates to the original predetermination where required. Each amendment documented in writing per case.
How does pricing work?
Flat per-specialist weekly rate. $399 single specialist, $349 at volume (5 or more), $299 enterprise (10 or more). 2-week free trial at the same rate. No percentage-of-collections fees. No long-term contracts.
How are your specialists trained, and where do they work from?
Specialists are selected from top-tier healthcare and dental programs, pass rigorous neutral-accent English certifications, and work from biometric-secured HIPAA-aware facilities. Teams are trained specifically for orthodontic billing workflows. Support teams operate globally, including secured facilities.
President and CEO, Staffingly, Inc. 25+ years in IT consulting and healthcare BPO operations. One of the earliest US operators to set up an RPO/BPO delivery network in India. Leads AI-driven healthcare workflows that help dental practices and DSOs cut admin costs without compromising care.
Senior Process Associate, Staffingly, Inc. BDS from Sri Sai College of Dental Surgery, Telangana. Hands-on experience in dental front-office operations, medical billing, EHR workflows, and US specialty practice administration. Former Dental Health Facilitator at FMS Dental Hospitals and Senior Medical Billing Specialist supporting US dental practices. Reviews dental content for terminology, workflow accuracy, and compliance fit.
Security Your Compliance Officer Will Sign Off On
Staffingly is audited to SOC 2 Type II with zero exceptions and certified for ISO/IEC 27001:2022, HIPAA, and GDPR. In eight years we have never had a breach. Every workstation runs inside the Venn Blue Border secure enclave on US-based servers, screen captures and downloads are blocked by policy, and every engagement operates under a signed BAA, and Staffingly maintains $5M in professional liability (E&O) and cyber insurance as part of its enterprise risk-management program.