Enterprise · DSOs and groups
Orthodontics is your DSO’s highest-margin growth opportunity. orthobrain® delivers it.
Capture the high-value orthodontic cases already sitting in your patient base: in-house, at scale, and without hiring a full-time orthodontist at every location.
The opportunity
The revenue is already in your practices.
Patients with crowding, spacing, and bite issues are already in your chairs. In most general practices that revenue walks out the door, referred out or never diagnosed at all. That referral is the single most expensive transaction in a DSO’s revenue model.
| DSO size | Est. cases / month | Annual revenue | Est. gross profit (60%) |
|---|---|---|---|
| 5–10 locations | 8–15 | $384K – $720K | $230K – $432K |
| 20–50 locations | 30–75 | $1.44M – $3.6M | $864K – $2.16M |
| 100+ locations | 150–300 | $7.2M – $14.4M | $4.32M – $8.64M |
Illustrative, at $4,000 average case value and a conservative 10% conversion rate. Trained teams with active patient communication regularly reach 15 to 20%, raising every figure proportionally.
Beyond revenue
The access imperative.
For DSOs outside major metros, orthodontics is not only a revenue opportunity. It is an access gap growing wider every year. Where specialists will not go, general dentists supported by orthobrain® become essential community healthcare infrastructure.
Source: Harvard School of Dental Medicine / Journal of Dental Research, April 2026.
The challenge
Why DSOs have struggled to capture ortho revenue.
Most DSOs have tried to add orthodontics, and most have underperformed. The reasons are structural, not motivational, and they are exactly what orthobrain® was built to eliminate.
- 01
Clinical confidence gap
General dentists are not trained as orthodontists. Without structured support, case acceptance suffers and outcomes are inconsistent.
- 02
No scalable support model
Hiring an orthodontist at every location is cost-prohibitive. Traveling specialists create scheduling friction and turnover.
- 03
Technology without guidance
DIY aligner platforms hand GPs software but no clinical support. Complex cases start, and stall, without the expertise to finish.
- 04
Workflow friction
Ortho touches scheduling, billing, protocols, and training. Without a turn-key system, adoption collapses.
The solution
Precision plus partnership.
orthobrain® combines proprietary products, an AI-assisted platform, and a human concierge team so general dentists deliver specialist-grade care without a specialist in every chair.
Proprietary products
SimplyClear® clear aligners and SimplyBraces® ready-to-bond brackets. Clinical-grade, built for general practice.
- Precision-engineered fabrication
- Case design by licensed orthodontists
- More retained revenue per case
orthobrain® Doctor Portal
The AI-powered platform that connects clinical intelligence, case management, and enterprise reporting in one place.
- AI-assisted treatment planning
- Case setup with clinical guardrails
- Real-time dashboards by location
Human concierge model
Not a call center. A clinical partnership. Licensed orthodontic professionals work alongside your GPs on every case.
- U.S. orthodontist review, every case
- Proactive case management
- A named point of contact
The clinical loop
How orthodontic excellence scales across every location.
Clinical expertise is distributed across the platform, so every GP at every location benefits from orthodontist oversight without the cost of hiring one.
- 01
Case identification
The GP spots a candidate during a routine exam and captures the clinical records.
- 02
Case submission
Scans, photos, and notes go through the Doctor Portal in under 10 minutes. No new software.
- 03
Orthodontist review
A licensed orthodontist reviews every case, builds or approves the plan, and returns clinical notes.
- 04
Fabrication
Approved plans are produced through the SimplyClear® network with full quality control.
- 05
Case management
The concierge team manages the lifecycle: progression, refinements, and completion.
- 06
Practice intelligence
Every case feeds the enterprise dashboard with real-time volume, revenue, and conversion by location.
Enterprise visibility
Reporting built for clinical leadership.
DSOs need more than clinical tools. They need enterprise-level visibility that makes orthodontics manageable at scale rather than location by location.
Organization view
- Case volume by location and provider
- Submission-to-approval pipeline status
- Active vs. completed cases at a glance
Provider development
- New vs. experienced provider progress
- Case complexity mix per doctor
- Where coaching or CE is needed
Quality and consistency
- U.S. orthodontist review of every case
- Treatment outcome visibility
- Standardized protocols across offices
Growth and KPIs
- Case starts and production trends
- Conversion and acceptance metrics
- Leadership KPI alignment
The economics
A high-margin revenue pillar, on your terms.
orthobrain® is designed to make sense at every stage of scale, from 5 locations to 500. No per-location licensing, no territory restrictions, and no minimum volume commitments at launch.
You keep the fee
DSOs retain the full patient-facing fee, with pricing structured for 55 to 70% gross margins on clear aligner cases.
No lock-in
No per-location licensing, no territory restrictions, and no minimum volume commitments. Pricing scales favorably with volume.
Cost-per-patient analysis
A customized financial model built around your footprint: unit economics, break-even by location, and revenue modeling.
Size agnostic
Every partner gets the same concierge team, full platform access, and orthodontist oversight on every case, regardless of size.
Implementation
From signed agreement to first case in days.
Launching a new service line feels like a multi-quarter project. With orthobrain®, it is not. Most partners see their first cases within days, without disrupting patient care.
- Week 1
Partnership setup
Doctor Portal provisioned for your organization.
- Week 2
Team training
Doctors, hygienists, and front desk trained per location.
- Week 3
First cases live
Orthodontist review on every case. Revenue starts here.
- Week 4
Review and scale
Assess results and confirm the rollout plan.
- Days 30–90
Full deployment
All locations activated with dashboard visibility.
No minimum location requirements. No volume commitments. Same support from day one, regardless of DSO size.
The competitive distinction
What orthobrain® delivers.
Every major manufacturer now offers a “DSO program.” No other solution combines the clinical oversight, the human support model, the AI-powered platform, and the margin structure that orthobrain® does.
Clinical oversight
Per-case orthodontist review. Every case, every time, by a licensed U.S.-based orthodontist.
Dedicated support
A named human concierge who knows your practices, patients, and goals.
AI-assisted planning
Guides GPs through case setup once a candidate is identified, backed by clinical guardrails.
Performance visibility
Real-time DSO dashboard: case volume, conversion, and revenue by location, region, and enterprise.
Margin structure
55 to 70% gross margin on clear aligner cases. No per-location licensing, no territory restrictions.
Speed to launch
First case in days from signed agreement. No minimums, no volume commitments.
Whole-team enablement
Support for every layer of the organization.
Adoption sticks when the whole practice moves together, from the leadership suite to the front desk to the patient in the chair.
Leadership strategy
- Scaling ortho across locations
- Growth strategy
- KPI alignment
- Accountability systems
- Operational standardization
Doctor education
- Clinical onboarding
- CE pathways
- Live and hands-on courses
- Advanced training
- Office hours and Behind the Brain
Team training
- Scheduling
- Consult conversions
- Workflow adoption
- Case presentation
- Financial conversations
Patients
- Chairside education tools
- Improved treatment acceptance
- Consistent experience
- Turn-key marketing support
Case study · Evansville, IN
A record-breaking SimplyClear® Day.
A SimplyClear® Day is a structured, high-impact practice event: the entire team aligned for one focused day to identify, educate, and enroll orthodontic patients, with orthobrain® handling pre-event prep, day-of concierge support, and follow-through. When orthobrain® partnered with Franklin Street Dentistry, it became the most productive single day in the practice’s history, and set a new orthobrain® record.
Meet your DSO team
A partnership, not a vendor relationship.
Dedicated orthodontists, implementation specialists, and growth advisors aligned to your corporate vision.
Richard UriaPresident
Gino DiVincenzoDirector of Sales and Strategic Partnerships- Jade GonzalesHead of Education and Strategic Partnerships
Dee HollomanImplementation Specialist
Make orthodontics a core revenue pillar, not an afterthought.
Schedule a DSO strategy session with the orthobrain® Special Markets Team, or download the 2026 white paper for the full financial case, clinical model, and operational playbook.