The Average Cost of Braces: Orthodontists Charge More (video)

braces cost more from orthodontists videoThe Wealthy Dentist conducted a survey that asked dentists what they charge for braces, and how much dental braces cost on average. This survey found that general dentists charge an average of $5,040 for orthodontic work, while orthodontists charge about $5,600 dollars.

The cost of braces tends to be higher that what patients want to pay and lower than what dentists want to receive.

A Washington orthodontist wrote, “Over the past thirty years, the cost of braces has kept pace with cost of living increases. Thankfully, technology has allowed greater efficiency and consequently, reasonable profitability for the orthodontist and a good price for the consumer.”

Click on play to watch the video –

  • Do different orthodontic treatments cost different amounts?

Yes, but less than you might think. Adult braces and Invisalign costs were about equal in this survey. Teen braces (on average) cost a few hundred dollars more.

  • Are prices the same across the US?

You will find the most affordable braces in the American west. Dental braces cost the most in the Northeast, the Pacific and Canada. The reason is simply regional price differences.

For more on this survey see: Braces Cost More from an Orthodontist

General Dentists Offer a Variety of Orthodontic Options to Patients

orthodonic options Recently the American Association of Orthodontists (AAO) reported that over one million adults are wearing braces. New technologies have widened the options for braces and made them attractive to dental patients of all ages.

No longer do patients fear having a “mouth full of metal.”

We conducted a survey that asked dentists what type of orthodontic options they now offer at their practice.

This was their response –

  • Conventional braces — 22%
  • Ceramic braces — 19%
  • Lingual braces — 6%
  • Invisalign® — 22%
  • Inspice ICE® — 4%
  • ClearCorrect® — 10%
  • Simpli 5® — 6%
  • Smart Moves® — 4%
  • RW II® — 3%
  • Red White & Blue® — 4%

“I have done orthodontics as a GP for 24 years.” (General dentist)

“Patients value the option of avoiding bands and brackets.” (Urban dentist)

“I prefer fixed orthodontia, as it is easier to keep the patient compliant.” (North Carolina dentist)

“Pre-treating arch discrepancies including posterior cross bites with removable orthopedic appliances allow you to finalize many cases with Invisalign®.” (California dentist)

Orthodontic Braces: Taxpayers Spent $424 Million for Children in Texas

Orthodontic Braces: Taxpayers Spent $424 Million for Children in TexasIn June of this year, The Wealthy Dentist published a story about Taxpayers footing the bill for orthodontic braces in Texas.

In Texas, Medicaid pays dentists for orthodontics per procedure, instead of a lump sum for the “finished mouth” of straight teeth.

This has made Medicaid orthodontia a lucrative dental business in Texas.

WFAA-TV of Texas has been investigating this story for the last six months and has uncovered hundreds of millions of dollars of questionable Medicaid spending on dental braces for children in Texas. Their news reports prompted federal investigators to now audit the Texas Health and Human Services Commission, which controls the Medicaid funds.

According to the WFAA website –

In a letter to the state, the Inspector General says it will examine the “authorization process for orthodontic treatment” under Texas Medicaid. “The objective of our audit,” the letter continues, “is to review the State’s controls to ensure that only medically necessary orthodontic cases are paid.” The time period covered by the audit is September 1, 2008 through May 28, 2011.

The new station’s investigation revealed that during that period, Texas taxpayers spent $424 million on orthodontic braces for children under Medicaid. Taxpayers spent $100 million in 2008, $140 million in 2009, and $184 million in 2010, state records show.

Texas dentist, Dr. Christine Ellis, who teaches at UT Southwestern Medical Center, has twice traveled to Washington in an attempt to convince lawmakers to scale back Texas Medicaid orthodontics payments and divert funds for more pressing dental needs.

Her attempts fell on deaf ears. According to the WFAA-TV article, Ellis said, “There’s no response. No one is putting the brakes on this thing.”

Billy Millwee of the Texas Health and Human Services Commission is now telling WFAA-TV that if taxpayers money has been lost, the Attorney General might take action to get it back. He went on to say that Texas will have a new managed care Medicaid dental program beginning next spring.

For more on this story see: Feds Investigate Texas Dental Medicaid Program and Taxpayers Footing the Bill for Braces in Texas.

Dental Device May Fight Obesity

Overweight? Maybe Flexible, Removable Jaw Wiring Will Help

Given that one-third of American adults are obese, and another third are overweight, it’s no wonder that weight-loss treatments are big business. One company is addressing the market with a dental device that uses rubber bands to restrict opening of the jaw. (It’s rather like getting your jaw wired shut, but easily reversible.)

The concept started in Europe. An overweight Dutch man was unwilling to get his jaw wired shut since he’s a singer in a band. He worked with an orthodontist to develop the original prototype. Initial tests in Europe have been promising, and the company (Small Bite Inc.) hopes to begin US trials soon.

Continue to full story

Dentists Say Specialists Usually Refer Patients Back

Prosthodontists and Periodontists Suck; Oral Surgeons and Orthodontists Rule

Dental Survey ResultsThis survey asked dentists how frequently their patients are referred back after being sent out for treatment by specialists. The clear majority said they always or almost always got their patients back.

Dentists reported that prosthodontists were the worst offenders when it comes to not referring patients back. There were also complaints about pediatric dentists and periodontists. Dentists were happiest with oral surgeons, orthodontists, and endodontists.

Here are some comments from dentists about specialist referrals…

  • “Periodontists only have incoming phone lines. They never refer back.” (Arizona dentist)
  • “Building a good relationship with your specialists is critical. Specialist referrals are our second greatest source of new patients, after existing patient referrals.” (Pennsylvania cosmetic dentist)
  • “Endodontists love to do it all, endo and restorations. They’re too greedy.” (Arizona dentist)
  • “The endodontists to whom I send patients are tremendous.” (Illinois dentist)
  • “Oral surgeons and orthodontists are a great source of new patients, especially in a growing area.” (North Carolina dentist)
  • “Orthodontists will not share or help with easy cases, and refer existing patients to oral surgeons, not back to us.” (Arizona dentist)
  • “I enjoy the relationship with my periodontist. He does the perio and I do the restorative. I’m not afraid that when I refer the patient that they will get lost.” (California dentist)
  • “Periodontists attempt to take over patients’ care and regular hygiene visits.” (North Carolina dentist)
  • “Pedodontists never, ever refer back! They are by far the worst of all specialists.” (Arkansas dentist)

about specialist referrals or read the complete results

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