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Orthodontic Billing Services That Recover What You're Owed

Your front desk bills insurance the way a general practice does. Orthodontic treatment runs 18 to 36 months. The billing has to match. TransDontics runs progress billing, payment plan management, and CDT code compliance the way an orthodontic specialist demands.

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1,100+ Certified Billers

Serving Nationwide

Pay Only When We Collect

HIPPA
ISO 27001
AICPA SOC 2
Orthodontic Billing Services

Where Orthodontic Claims Break Down

Orthodontic billing runs on a different clock than the rest of the practice; treatment spans months or years, and a single coding mistake at the start can misfire on every claim that follows. The errors compound quietly, one monthly billing cycle at a time.
  • Banding fees billed without the required initial payment breakdown
  • Monthly recurring claims submitted under the wrong D8670 billing schedule
  • Lifetime ortho maximums exceeded without practice or patient awareness
  • Insurance estimates left unadjusted after a mid-treatment plan or employer change
  • Transfer cases miscoded, triggering denials on partially completed treatment
  • Dual coverage misrouted to the wrong primary payer on long-term cases
  • Retention phase codes submitted after active treatment benefits have lapsed
  • Pre-authorization skipped on cases requiring it before banding begins

What We Handle: From First Claim to Final Payment

TransDontics is not a clearinghouse or a claim-submission portal. We are your complete outsourced dental revenue cycle management department handling every step from eligibility verification to final payment posted to your ledger.

Every Orthodontic Code Range. Billed Correctly. Every Time.

Orthodontic billing spans 14 CDT code categories, from pre-treatment imaging through surgical facilitation and post-treatment retention. TransDontics staff is trained across every range, not just the high-volume treatment codes that general billers know.

Processed Claim Value
$ M+
Avg. A/R Collection Time
0 Days
Turn Around Time (TAT)
0 Hours
Client Retention Rate
0 %
Annual Claims
0 .7M+
First-Pass Claim Rate
0 %
Avg. Revenue Growth
8 - 9 %
Avg. Denial Reduction
0 %

Total Payor Mastery Across Every Network

 Whatever dental insurance your practice accepts, we ensure you get paid. TransDontics’ billing experts navigate the complexities of every major dental insurance network to maximize your revenue.

United Healthcare Dental
United Concordia Dental
TRICARE
Sun Life Financial
SkyGen USA
Principal
MetLife
Medicare
Medicaid
MCNA Dental
Liberty Dental Plan
Indian Health Service
Humana
Guardian
GEHA
FEDVIP
DentaQuest
Dental Health Services
Delta Dental
Cigna
CHAMPVA
Careington
BlueCross BlueShield
Avesis
Anthem
Ameritas
Aetna
United Healthcare Dental
United Concordia Dental
TRICARE
Sun Life Financial
SkyGen USA
Principal
MetLife
Medicare
Medicaid
MCNA Dental
Liberty Dental Plan
Indian Health Service
Humana
Guardian
GEHA
FEDVIP
DentaQuest
Dental Health Services
Delta Dental
Cigna
CHAMPVA
Careington
BlueCross BlueShield
Avesis
Anthem
Ameritas
Aetna

Why General Dental Billers Cost Orthodontic Practices Money?

Orthodontic billing is not a subset of dental billing. It is a separate discipline with different codes, different milestones, and different failure modes. Here is what that difference looks like in practice.

Capability

D8000-Series CDT Expertise

Milestone / Progress Billing

Pre-Authorization Packages

Payment Plan Management

Orthodontic Software Access

Dual Insurance Coordination

Lifetime Maximum Tracking

Monthly Performance Reporting

General Dental Biller

Generalist coding

Lump-sum approach

Basic submission

Not included

Limited to 1-2 PMS

Manual, error-prone

Not tracked

No reporting

Orthodontic-only

24hr per milestone

Full documentation

Full lifecycle

15+ platforms

Verified pre-treatment

Per-patient database

Formatted + commented

*Industry averages sourced from publicly available compensation and claims performance benchmarks. Individual results may vary.

Trusted by Dental Practices Across All 50 States

From solo practices in rural Montana to multi-location DSOs in New York City, TransDontics delivers the same 98% clean claim rate and 48-hour follow-up guarantee coast to coast. We know your state’s Medicaid rules, regional payer behavior, and local coding nuances. Your geography is never a limitation.

The 16 Point Claim Rate Gap

The difference between 82% and 98% is not a statistic. It is a specific dollar figure per month that belongs in your bank account, not in a denial queue.

82%

Industry Average

98%

TransDontics

Collection Performance Analysis
Monthly Billing
At 82%
At 98%
Monthly Gap
$50,000/mo
$41,000
$49,000
+$8,000/mo
$100,000/mo
$82,000
$98,000
+$16,000/mo
$200,000/mo
$164,000
$196,000
+$32,000/mo
$300,000/mo
$246,000
$294,000
+$48,000/mo

You Pay Nothing Until We Collect For You!

No setup fees. No monthly retainers. No long-term contracts. TransDontics earns a small percentage only on successfully recovered claims; your interests and ours are perfectly aligned. The average practice saves $35,000–$55,000 annually after switching from in-house billing.

contact us - TransDontics

TransDontics Provides Coverage Across All Dental Payors

Whatever dental insurance you accept, we’ve got you covered. TransDontics billing experts navigate every major dental insurance network with 12+ years of payor expertise.

United Healthcare Dental
United Concordia Dental
TRICARE
Sun Life Financial
SkyGen USA
Principal
MetLife
Medicare
Medicaid
MCNA Dental
Liberty Dental Plan
Indian Health Service
Humana
Guardian
GEHA
FEDVIP
DentaQuest
Dental Health Services
Delta Dental
Cigna
CHAMPVA
Careington
BlueCross BlueShield
Avesis
Anthem
Ameritas
Aetna
United Healthcare Dental
United Concordia Dental
TRICARE
Sun Life Financial
SkyGen USA
Principal
MetLife
Medicare
Medicaid
MCNA Dental
Liberty Dental Plan
Indian Health Service
Humana
Guardian
GEHA
FEDVIP
DentaQuest
Dental Health Services
Delta Dental
Cigna
CHAMPVA
Careington
BlueCross BlueShield
Avesis
Anthem
Ameritas
Aetna

Frequently Asked Questions

What orthodontic billing services does TransDontics provide?

TransDontics provides end-to-end orthodontic billing services including insurance verification and pre-authorization, progress billing and milestone claims, payment plan setup and management, CDT code compliance (D8080, D8090, D8660), denial management and appeals, and monthly financial reporting. All services are performed by orthodontic-specialized billing staff, not generalists.

TransDontics supports Dolphin Management, OrthoTrac, Carestream OrthoTrac, Dentrix, Open Dental, Curve Dental, Eaglesoft, Ortho2, and 13+ additional practice management systems. Our team operates natively inside your existing software with zero migration or data transfer required.

Progress billing involves submitting insurance claims at pre-defined treatment milestones rather than all at once. TransDontics maps each patient’s treatment plan to billing triggers at banding day, mid-treatment records, and debanding, then submits claims within 24 hours of each milestone. This prevents lump-sum denials and ensures consistent cash flow across the 18-36 month treatment arc.

TransDontics achieves a 98% clean claim rate for orthodontic billing, compared to an industry average of 82%. A clean claim is one accepted for processing on first submission without requests for additional information. The 16-point gap translates directly to faster reimbursement cycles and fewer staff hours spent on re-submissions.

TransDontics manages the full lifecycle of patient payment plans including initial setup, monthly statement generation, payment tracking, overdue balance follow-up, and coordination with third-party financing providers such as CareCredit and Lending Club. We reduce outstanding balances by an average of 34% within the first 90 days of engagement.

Yes. Pre-authorization is one of the highest-leverage services in orthodontic billing because denials at the pre-auth stage delay treatment starts and damage patient relationships. TransDontics submits pre-authorizations with complete supporting documentation including orthopantomograms, cephalometric analysis, and periodontal status, reducing pre-auth denial rates to under 3%.

Our orthodontic billing team is trained in the full D8000 series including D8080 (comprehensive orthodontic treatment, adolescent), D8090 (comprehensive orthodontic treatment, adult), D8660 (pre-orthodontic examination), D8670 (periodic orthodontic treatment visit), D8680 (orthodontic retention), and limited orthodontic codes D8010 through D8040. Correct code selection is audited on every claim before submission.

TransDontics completes onboarding for orthodontic practices in 5 business days. Day 1-2 covers software access and current A/R audit. Day 3 covers workflow mapping and team assignment. Day 4-5 covers parallel processing with live claim submission beginning on Day 6. A full 48-hour audit report with specific revenue recovery projections is delivered before the engagement begins.

Results Dental Professionals Actually Talk About

Specific, verified outcomes, not generic praise. Every metric sourced from client data.

Ready to Stop Leaving Money on the Table?

Join 500+ dental practices; from solo general dentists to multi-location DSOs, that trust TransDontics, the dental billing company built for growth. Start with our complimentary audit. Our billing specialists will review your claims and show you exactly what’s recoverable.Dedicated specialist assigned to your practice + weekly performance reports

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