Did you know that many orthodontic practices experience delayed payments due to issues like missing documentation or incorrect coding for braces and related treatments?
With insurance companies’ intricate policies, pre-authorization requirements, and ever-evolving billing codes, orthodontic billing is one of the more challenging areas of medical revenue cycle management.
Billing errors, which can result in a 5-10% loss of a dental practice’s annual revenue—amounting to $50,000 to $100,000 per year for an average practice—can significantly impact financial stability.
It demands attention to detail, speed, and a deep understanding of both the patient’s treatment plan and the payer’s unique criteria. Even a single mistake can result in weeks of delays, or worse, clawbacks.
In this guide, we’ve compiled the top 10 orthodontic billing services across the North Carolina in 2025—so you can select a partner that’s not only skilled in reducing denials and boosting collections but also positioned to help your practice thrive in an ever-more complex billing environment.
What is Orthodontics Billing Service?
Orthodontics billing services handle insurance claims, patient payments, and documentation related to billing for braces and other treatments. These services ensure accurate coding, timely submissions, and proper reimbursements, helping orthodontic practices reduce denials and focus on patient care while improving financial performance.
Top Orthodontics Billing Services North Carolina – Best for Braces Billing
| Rank | Company Name | Rating | Specialization (with LSI keywords) | Unique Feature |
| 1 | Quality Healthcare Systems (QHS) | ⭐⭐⭐⭐⭐ | Orthodontic medical billing, medical billing for braces, denial management, insurance verification, prior authorization handling | 99% clean claim rate; 97% first-pass ratio; 30% revenue increase |
| 2 | MyOrthodontist | ⭐⭐⭐⭐ | Orthodontic care, in-house billing services, insurance claims processing | Streamlined revenue cycle for faster claims submissions |
| 3 | Crown Point Orthodontics | ⭐⭐⭐⭐ | Orthodontic billing, insurance management, payment plans for braces | Financing options for patients to ensure smooth operations |
| 4 | NC Oral Surgery + Orthodontics (NCOSO) | ⭐⭐⭐⭐ | Orthodontic billing, insurance verification, claims follow-ups | Comprehensive services including financial counseling |
| 5 | TS Orthodontics | ⭐⭐⭐⭐ | Orthodontic billing, in-house billing services, medical billing for braces | Custom payment plans for patients, quick claims submissions |
| 6 | Wilson Orthodontics | ⭐⭐⭐⭐ | Orthodontic billing, insurance claims management, payment plans | Flexible payment options and smooth insurance claim processing |
| 7 | Physicians Revenue Group, Inc. (PRGMD) | ⭐⭐⭐⭐ | Specialized orthodontic billing services, claim follow-ups, revenue cycle management | Focus on optimizing claim accuracy and reimbursement timelines |
| 8 | Capline Dental Services | ⭐⭐⭐⭐ | Dental and orthodontic billing, insurance verification, claims submission | Simplified billing process with a focus on accuracy |
| 9 | Medusind | ⭐⭐⭐⭐ | Orthodontic billing, claims submission, insurance verification | Comprehensive revenue cycle management for orthodontic practices |
| 10 | Dental Revenue Group | ⭐⭐⭐⭐ | Dental billing services, orthodontic billing, claims follow-up | Focus on reducing denials and improving claim submissions for orthodontics |
| 11 | iRCM Inc. | ⭐⭐⭐⭐ | Orthodontic revenue cycle management, insurance verification, claims management | Efficient claims submission and follow-up services |
| 12 | iCoreClaims by iCoreConnect | ⭐⭐⭐⭐ | Billing services for orthodontics, claims management, electronic claim submission | Secure and efficient method for insurance claim handling |
| 13 | eAssist Dental Billing | ⭐⭐⭐⭐ | Outsourced orthodontic billing, claims management, accounts receivable | Faster claims resolutions with a focus on improving cash flow |
| 14 | Medical Billers and Coders (MBC) | ⭐⭐⭐ | Dental and orthodontic billing, insurance verification, claims follow-up | End-to-end services for billing, coding, and accounts receivable |
| 15 | iMagnum Healthcare | ⭐⭐⭐ | Orthodontic billing services, revenue cycle management, claim follow-up | Streamlined billing process to reduce reimbursement delays |
These rankings are based on an analysis of available company information,
including service offerings, customer reviews, and industry reputation.
1. Quality Healthcare Systems – Best for Dental Medical Billing in North Carolina
- Years in Service: Over 15 years
- U.S. State: North Carolina
- Website: qhshealth.com
- Key Services: Orthodontic medical billing, medical billing for braces, denial management, claims follow-up, prior authorization handling, insurance verification, billing for braces and treatments
- Pricing: Plans start from 3% to 7% of collections, based on service level and features included.
With more than 15 years of experience in the revenue cycle management industry, Quality Healthcare Systems (QHS) has built a solid reputation for providing reliable orthodontic billing services in North Carolina.
Specializing in medical billing for braces and other orthodontic treatments, QHS assists practices in navigating the complexities of insurance claims, including handling prior authorizations, claim denials, and billing code accuracy.
QHS customizes billing workflows for orthodontic practices, ensuring compliance with insurance providers while managing the time-sensitive nature of billing for braces.
Their focus on quick claim resolutions, reducing denials, and ensuring fast reimbursements makes them a valuable partner for orthodontic practices.
By providing proactive denial management and scalable billing solutions, QHS helps practices improve cash flow and minimize payment delays, allowing them to grow with confidence.
| Aspect | Pros/Cons |
| Proven Expertise | ✅ Over 15 years of experience in orthodontic billing and denial management. |
| Tailored Solutions | ✅ Custom billing strategies specific to each orthodontic practice’s needs. |
| Advanced Technology | ✅ Use of advanced technology to quickly identify and resolve denials. |
| Comprehensive Service | ✅ End-to-end billing management, from claim submission to follow-up. |
| Faster Resolution | ✅ Rapid claim processing and resolution that improves cash flow. |
| Proactive Prevention | ✅ Identifies billing trends to prevent future denials and maintain steady revenue. |
| Implementation Time | ❌ Initial integration may take time for full system alignment. |
| Requires Collaboration | ❌ Custom solutions require active client participation for seamless integration. |
2. MyOrthodontist
Located in various North Carolina cities, including Cary, Chapel Hill, Durham, and Raleigh, MyOrthodontist provides orthodontic care along with in-house billing services. They assist with processing insurance claims and offer flexible payment plans for patients.
Their billing service team focuses on streamlining the revenue cycle to ensure timely claim submissions, reducing administrative workload for orthodontic practices.
3. Crown Point Orthodontics
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U.S. State: North Carolina (Charlotte)
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Key Services: In-house billing for orthodontics, claims management, patient financing
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Pricing: Not publicly listed
Crown Point Orthodontics operates primarily in Charlotte, North Carolina, offering both orthodontic care and billing services for practices in the region. They work with various dental insurance providers to manage claims for braces and related treatments.
The company also provides financing options to help patients with payment plans, ensuring smoother operations for both providers and patients.
| ✅ Pros | ❌ Cons | Compared to QHS |
|---|---|---|
| ✅ Offers patient financing for braces | ❌ Only supports in-house billing; lacks external scalability | QHS provides full-service external billing |
| ✅ Manages insurance claims for orthodontic treatments | ❌ No transparent service tiers or pricing | QHS offers clear 3–7% tiered pricing |
| ❌ No advanced denial management tools specific to braces billing | QHS uses proactive denial reduction workflows | |
| ❌ No documented orthodontic billing performance benchmarks | QHS publishes case results and metrics |
4. NC Oral Surgery + Orthodontics (NCOSO)
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U.S. State: North Carolina
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Key Services: Orthodontic billing, braces claims submission, insurance verification
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Pricing: Not publicly listed
With offices across North Carolina, NCOSO offers orthodontic services and manages medical billing for procedures like braces. They handle insurance verification, claim submissions, and follow-ups to ensure practices are paid efficiently.
This network is known for providing comprehensive services, including financial counseling and orthodontic treatments, to its patients in the state.
| ✅ Pros | ❌ Cons | Compared to QHS |
|---|---|---|
| ✅ Handles braces billing and insurance verification | ❌ Clinical-first model; billing is not the main focus | QHS is billing-first with full RCM coverage |
| ✅ Submits insurance claims for orthodontic treatments | ❌ No automated billing tools or analytics | QHS uses analytics to accelerate reimbursements |
| ❌ Lacks tiered service packages | QHS offers transparent pricing plans | |
| ❌ No published orthodontic billing results | QHS shares client success metrics |
5. TS Orthodontics
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U.S. State: North Carolina (Asheville)
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Key Services: In-house billing for braces, insurance claims, payment plans
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Pricing: Not publicly listed
TS Orthodontics serves the Asheville, NC, area, offering in-house orthodontic billing services alongside their treatments. They process medical billing for braces and ensure claims are filed promptly with various insurance companies.
The company also works with patients to develop customized payment plans, making it easier for patients to manage their financial responsibilities while receiving orthodontic care.
| ✅ Pros | ❌ Cons | Compared to QHS |
|---|---|---|
| ✅ Processes insurance billing for braces | ❌ No third-party billing support | QHS is designed for outsourced billing needs |
| ✅ Offers flexible patient payment options | ❌ No data-driven denial reduction strategy | QHS uses analytics to reduce orthodontic denials |
| ❌ No multi-location scalability | QHS scales with multi-office orthodontists | |
| ❌ No transparent plan-based pricing | QHS has public pricing tiers from 3% to 7% |
6. Wilson Orthodontics
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U.S. State: North Carolina (Mebane)
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Key Services: Braces billing, claims processing, patient payment plans
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Pricing: Not publicly listed
Wilson Orthodontics is based in Mebane, North Carolina, and provides orthodontic treatments, including braces, while offering billing services to orthodontic practices. They work with various insurance plans to ensure smooth claim processing and minimize patient billing issues.
Wilson Orthodontics also offers flexible payment plans for patients, making the orthodontic treatment more accessible to a wide range of individuals.
| ✅ Pros | ❌ Cons | Compared to QHS |
|---|---|---|
| ✅ Coordinates insurance billing for orthodontics | ❌ Focused on patient support, not provider-side billing workflows | QHS specializes in provider-centric billing |
| ✅ Offers flexible payment plans for braces | ❌ No analytics or proactive claim strategy | QHS delivers measurable RCM improvements |
| ❌ No external billing support for other practices | QHS supports third-party orthodontic billing | |
| ❌ Lacks pricing transparency | QHS offers tiered billing plans |
7. Physicians Revenue Group, Inc. (PRGMD)
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U.S. State: North Carolina (Raleigh)
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Key Services: Orthodontic billing, braces claim submission, denial management, RCM
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Pricing: Not publicly listed
Physicians Revenue Group, Inc. (PRGMD) is a medical billing company offering specialized services for orthodontics practices in North Carolina. They provide comprehensive billing solutions, including claim submissions, follow-up services, and revenue cycle management. Based in Raleigh, NC, PRGMD focuses on improving financial operations for orthodontic practices by optimizing claim accuracy and reimbursement timelines.
| ✅ Pros | ❌ Cons | Compared to QHS |
|---|---|---|
| ✅ Specializes in orthodontic billing workflows | ❌ No orthodontic-specific pricing transparency | QHS offers 3 clearly defined pricing tiers |
| ✅ Offers full RCM including claims follow-ups | ❌ Limited published case studies for orthodontic clients | QHS shows measurable success within 30–90 days |
| ❌ May bundle unrelated services not needed for braces billing | QHS offers orthodontic-only focused plans | |
| ❌ No mention of CMN handling or rental/purchase claim strategies | QHS handles these DME-specific complexities |
8. Capline Dental Services
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U.S. State: North Carolina
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Key Services: Dental and orthodontic billing, insurance verification, claims follow-up
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Pricing: Not publicly listed
Capline Dental Services is a North Carolina-based billing company providing dental medical billing services, including orthodontics. They assist orthodontic practices with claim submission, follow-up, and insurance verification.
Capline aims to simplify the billing process and reduce administrative costs for practices, allowing providers to focus on patient care while ensuring accurate billing for orthodontic treatments.
| ✅ Pros | ❌ Cons | Compared to QHS |
|---|---|---|
| ✅ Supports braces claims and insurance workflows | ❌ Not exclusively focused on orthodontics | QHS specializes in braces and orthodontic billing |
| ✅ Reduces admin load for orthodontic practices | ❌ No stated experience with braces-related denials | QHS targets common denial reasons in ortho cases |
| ❌ Pricing not shared publicly | QHS provides upfront, tier-based pricing | |
| ❌ No known audit support | QHS includes pre/post-payment audit assistance |
9. Medusind
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U.S. State: North Carolina
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Key Services: Orthodontic claims, insurance verification, A/R management
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Pricing: Not publicly listed
Medusind is a medical billing company serving dental practices in North Carolina, specializing in orthodontics. Their services include claims submission, insurance verification, and accounts receivable management.
Medusind provides revenue cycle management solutions for orthodontic practices across the state, ensuring practices are paid promptly and reducing the administrative burden on orthodontic staff.
| ✅ Pros | ❌ Cons | Compared to QHS |
|---|---|---|
| ✅ Covers braces billing and insurance work | ❌ Broad dental focus, not braces-specific | QHS is specialized for orthodontic billing |
| ✅ Manages accounts receivable | ❌ Doesn’t include patient invoicing or audit services | QHS offers both as part of its premium plans |
| ❌ No claim denial strategy unique to braces treatments | QHS uses tailored denial workflows for ortho | |
| ❌ Pricing model is not transparent or tiered | QHS offers clearly defined 3%, 5%, 7% tiers |
10. Dental Revenue Group
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U.S. State: North Carolina
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Key Services: Braces claim submission, denial reduction, revenue improvement
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Pricing: Not publicly listed
Dental Revenue Group is a North Carolina-based company offering billing and coding services to orthodontic practices. They handle the complexities of insurance claims and billing procedures, focusing on improving revenue flow for dental providers.
With a focus on accurate claim submissions and timely follow-ups, Dental Revenue Group works to reduce denials and increase reimbursements for orthodontic treatments.
| ✅ Pros | ❌ Cons | Compared to QHS |
|---|---|---|
| ✅ Handles braces claims and billing | ❌ General dental billing scope | QHS is focused only on braces/orthodontics |
| ✅ Targets denial management | ❌ No access to software for providers | QHS includes login access in premium plans |
| ❌ Doesn’t assist with patient invoicing | QHS manages this in Premium+ plans | |
| ❌ No RCM analytics tools shared | QHS uses analytics to accelerate payments |
11. iRCM Inc.
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U.S. State: North Carolina
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Key Services: Orthodontic billing, claims submission, insurance follow-ups
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Pricing: Not publicly listed
Located in North Carolina, iRCM Inc. offers revenue cycle management services, focusing on orthodontic billing solutions. Their team handles insurance verification, claims submissions, and follow-up to ensure proper reimbursement for orthodontic treatments.
iRCM works closely with orthodontic practices to streamline the billing process and reduce the risk of claim denials, offering an efficient billing solution.
| ✅ Pros | ❌ Cons | Compared to QHS |
|---|---|---|
| ✅ Offers braces billing with claim follow-up | ❌ No support for audits or patient invoicing | QHS includes audits + invoicing in Premium+ |
| ✅ Streamlines claim submission for orthodontists | ❌ Unclear performance benchmarks for orthodontics | QHS delivers proven results within 30–90 days |
| ❌ No tiered or performance-based billing plans | QHS pricing aligns with features and outcomes | |
| ❌ No known handling of complex braces-related authorizations | QHS covers prior auths and CMNs for braces |
12. iCoreClaims by iCoreConnect
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U.S. State: North Carolina
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Key Services: Electronic claims, denial management, insurance follow-up for orthodontics
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Pricing: Not publicly listed
iCoreClaims, based in North Carolina, offers billing and claims management services for orthodontic practices. They specialize in electronic claims submission, insurance follow-ups, and claims denial management.
iCoreClaims provides orthodontic practices with an efficient and secure method of handling insurance claims, ensuring that providers are reimbursed for treatments like braces in a timely manner.
| ✅ Pros | ❌ Cons | Compared to QHS |
|---|---|---|
| ✅ Specializes in electronic claims submission | ❌ Limited to electronic submissions, lacks full RCM support | QHS offers complete RCM for orthodontic billing |
| ✅ Efficient follow-up processes for orthodontic claims | ❌ No mention of patient invoicing or financial assistance | QHS includes both in Premium+ plans |
| ❌ Not clear if they handle complex prior authorizations for braces | QHS specializes in managing complex ortho authorizations | |
| ❌ No transparent pricing details provided | QHS offers tiered pricing based on service level |
13. eAssist Dental Billing
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U.S. State: North Carolina
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Key Services: Outsourced orthodontic billing, claims submission, insurance follow-up
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Pricing: Not publicly listed
eAssist Dental Billing, servicing North Carolina, offers outsourced orthodontic billing solutions. Their services include submitting claims for braces, managing accounts receivable, and handling insurance follow-ups.
eAssist helps practices streamline their revenue cycle management by improving claim submission accuracy and reducing the time spent on administrative tasks, allowing orthodontists to focus more on patient care.
| ✅ Pros | ❌ Cons | Compared to QHS |
|---|---|---|
| ✅ Focus on outsourced orthodontic billing | ❌ No mention of handling prior authorizations | QHS offers prior authorization management for braces |
| ✅ Streamlines claims submission and reduces admin burden | ❌ Limited transparency on specific results for orthodontic clients | QHS shows measurable success in 30–90 days |
| ❌ Does not handle patient invoicing | QHS provides invoicing in Premium+ plans | |
| ❌ Lack of advanced analytics or audit support | QHS includes both in Premium+ and provides detailed reporting |
14. Medical Billers and Coders (MBC)
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U.S. State: North Carolina
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Key Services: End-to-end billing for orthodontics, including claim submissions and follow-up
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Pricing: Not publicly listed
Medical Billers and Coders (MBC) offers dental billing services to orthodontic practices in North Carolina, including those handling braces treatments.
They provide end-to-end services, from insurance verification and claim submissions to follow-ups and payment posting.
MBC works with various orthodontic practices to ensure accurate and timely billing for services rendered, improving the financial management of these offices.
| ✅ Pros | ❌ Cons | Compared to QHS |
|---|---|---|
| ✅ Offers end-to-end billing for orthodontic practices | ❌ No mention of specialized support for orthodontic authorizations | QHS specializes in managing complex prior authorizations for braces |
| ✅ Handles insurance verification and claims follow-up | ❌ No clear pricing structure or service level differentiation | QHS offers tiered pricing based on features |
| ❌ Not known for RCM analytics or detailed reporting | QHS provides advanced analytics and performance tracking | |
| ❌ Lack of patient invoicing or audit assistance | QHS includes patient invoicing and audits in its Premium+ plan |
15. iMagnum Healthcare
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U.S. State: North Carolina
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Key Services: Orthodontic billing, claims submission, follow-up, A/R management
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Pricing: Not publicly listed
iMagnum Healthcare, operating in North Carolina, offers billing services to orthodontic practices, including for braces and related services. They focus on streamlining revenue cycle management by handling insurance claims, follow-ups, and account management.
iMagnum’s services are designed to ensure orthodontic practices can optimize their billing processes and maintain efficient cash flow by reducing errors and delays in reimbursement.
| ✅ Pros | ❌ Cons | Compared to QHS |
|---|---|---|
| ✅ Provides billing services for orthodontic practices | ❌ General focus, not entirely orthodontics-specific | QHS is fully dedicated to orthodontic billing |
| ✅ Focuses on optimizing revenue cycle management | ❌ No information on patient invoicing or audit capabilities | QHS includes both invoicing and audits in Premium+ |
| ❌ No tiered pricing model shared | QHS offers clear, tiered pricing with transparent service levels | |
| ❌ Limited details on claim denial management strategies | QHS specializes in effective denial management for braces billing |
Why Orthodontic Practices Trust QHS for Braces and Orthodontic Billing Services in North Carolina
Quality Healthcare Systems is the leading medical billing service provider for orthodontists in North Carolina offering braces and related treatments. With deep expertise in navigating the complexities of orthodontic billing—including coding for braces, managing pre-authorizations, and coordinating with both dental and medical insurers—QHS delivers unmatched accuracy, speed, and reimbursement performance.
Whether you’re billing for traditional braces, clear aligners, or orthodontic appliances, QHS ensures timely claim submissions, efficient denial resolution, and compliance with payer-specific policies.
Other Services Quality Healthcare Systems Provides:
A/R Management | Revenue Cycle Management | Provider Credentialing
Precision Billing for Braces and Orthodontics
From verifying eligibility and benefits to managing CDT and cross-coded CPT claims, QHS handles every step of the billing process with orthodontic-specific expertise.
Our team is trained to minimize confusion around covered services, frequency limitations, and documentation requirements—ensuring faster payments and fewer disruptions.
Transparent, Scalable Pricing
QHS offers flexible pricing models that scale with your practice’s needs—whether you’re a solo orthodontist or a multi-location clinic. Our plans are designed to offer maximum value with complete transparency:
- Lite Plan – 3%: Covers claim reviews, submissions, denial follow-ups, and post-payment tasks.
- Premium Plan – 5%: Includes everything in the Lite Plan plus custom billing reports and software access.
- Premium+ Plan – 7%: Adds patient invoicing, audit support, and additional user access for larger teams.
Real Results in 30–90 Days
Orthodontic practices working with QHS see measurable improvements in collections, claim turnaround time, and denial resolution within the first 30 to 90 days. Our tailored approach to braces and orthodontic billing ensures your revenue cycle is optimized from day one.
Frequently Asked Questions
What is the correct coding for braces in orthodontic billing?
Braces billing typically requires the use of CPT codes for procedures and CDT codes for orthodontic treatments. These codes specify the type of braces, the duration of treatment, and any additional services like retainers, ensuring accurate claims and reimbursements.
Why do orthodontic claims get denied?
Orthodontic claims may be denied due to incomplete documentation, incorrect or outdated coding, lack of pre-authorization, or not meeting medical necessity criteria. Regular audits and working with specialized billing services like Quality Healthcare Systems can help prevent these issues.
How can orthodontic practices speed up reimbursement for braces?
Orthodontic practices can speed up reimbursements by submitting accurate claims with the correct codes, ensuring proper pre-authorization, and following up on denied claims. Partnering with billing services like Quality Healthcare Systems can streamline this process, reducing administrative overhead.
What are the benefits of outsourcing orthodontic billing?
Outsourcing orthodontic billing ensures timely and accurate claims submission, reduces administrative burdens, and minimizes the risk of claim denials. Quality Healthcare Systems offers expertise in handling orthodontic billing, allowing practices to focus on patient care while improving financial outcomes.
How are braces billing services different from regular dental billing?
Braces billing requires long-term treatment coding, installment tracking, and coordination between dental and medical insurance. Unlike routine dental procedures, orthodontic billing often includes global fees and pre-authorizations.
What dental billing codes are used for braces in North Carolina?
Common CDT codes for braces include D8080 (comprehensive orthodontic treatment of adolescent dentition) and D8090 (adult dentition). ICD-10 codes like K07.1 (abnormal jaw relationship) may also be used when applicable.
Why should dental practices in North Carolina outsource braces billing?
Outsourcing braces billing reduces administrative errors, speeds up collections, and ensures compliance with both dental and orthodontic billing standards. It also frees up staff time for patient care.
How much do dental billing services cost in North Carolina?
Dental billing services typically cost between 4% to 8% of monthly collections, depending on the service level. Some providers also offer flat-rate or custom pricing based on practice size.
