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Orthodontics

Larkhaven Hollow Orthodontics · Orthodontics · Duluth, MN

Celine Ellsworth is the treatment coordinator at Larkhaven Hollow Orthodontics, a two-doctor orthodontic practice in Duluth, and she bills every adjustment visit after insurance, gets each family's treatment agreement signed and chases the invoices still unpaid.

HealthcareBillingDocuments and e-sign5 tables · 7 views · 2 forms · 1 dimension set · 1 dashboard · 1 digest · 1 document · 1 notification · 1 stage rule set · 1 agent
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Billing board

Invoices
Draft3
LH-30428Saffron Achebe-LindgrenSaffron Achebe: braces, 24 months
LH-30448Thaddeus Ng-BrandvoldThaddeus Ng: braces, 24 months
LH-30470Calliope Weatherspoon-ItoCalliope Weatherspoon: braces, 24 months
Sent11
LH-30404Ansel Thorvaldsen-ReyesAnsel Thorvaldsen: braces, 24 months
LH-30412Leocadia Fenwick-ObiLeocadia Fenwick: braces, 24 months
LH-30422Cormac Delgado-NyquistCormac Delgado: clear aligners, 14 months
LH-30436Evander Rosenquist-PikeEvander Rosenquist: early treatment, 12 months
LH-30446Maren Okonjo-HalvorsenMaren Okonjo: braces, 24 months
6 more
Partly paid3
LH-30424Cormac Delgado-NyquistCormac Delgado: clear aligners, 14 months
LH-30466Bastien Oyelowo-MarshBastien Oyelowo: clear aligners, 12 months
LH-30502Desmond Aaltonen-ReyesDesmond Aaltonen: braces, 20 months
Overdue5
LH-30416Leocadia Fenwick-ObiLeocadia Fenwick: braces, 24 months
LH-30440Evander Rosenquist-PikeEvander Rosenquist: early treatment, 12 months
LH-30452Thaddeus Ng-BrandvoldThaddeus Ng: braces, 24 months
LH-30472Calliope Weatherspoon-ItoCalliope Weatherspoon: braces, 24 months
LH-30490Linus Hargreave-OkaforLinus Hargreave: clear aligners, 16 months
Paid16
LH-30406Ansel Thorvaldsen-ReyesAnsel Thorvaldsen: braces, 24 months
LH-30410Ansel Thorvaldsen-ReyesAnsel Thorvaldsen: braces, 24 months
LH-30418Leocadia Fenwick-ObiLeocadia Fenwick: braces, 24 months
LH-30430Saffron Achebe-LindgrenSaffron Achebe: braces, 24 months
LH-30434Saffron Achebe-LindgrenSaffron Achebe: braces, 24 months
11 more

Tables

Invoices

38 sample rows · 15 columns

Every adjustment and procedure billed after insurance: what the family owes, what has been paid and what is still open.

InvoicePatientTreatment planProcedureFee chargedVisit dateInsurance portion
LH-30448Thaddeus Ng-BrandvoldThaddeus Ng: braces, 24 monthsMonthly adjustment, braces$165Oct 4, 2026$82.50
LH-30428Saffron Achebe-LindgrenSaffron Achebe: braces, 24 monthsMonthly adjustment, braces$165Oct 3, 2026$82.50
LH-30470Calliope Weatherspoon-ItoCalliope Weatherspoon: braces, 24 monthsMonthly adjustment, braces$165Oct 2, 2026$82.50
LH-30512Ottilie BrightwaterOttilie Brightwater: braces, 24 monthsMonthly adjustment, braces$165Sep 27, 2026$82.50
LH-30436Evander Rosenquist-PikeEvander Rosenquist: early treatment, 12 monthsMonthly adjustment, braces$165Sep 26, 2026$66
LH-30494Rosalind PettigrewRosalind Pettigrew: clear aligners, 12 monthsAligner check and new trays$140Sep 25, 2026$0
LH-30422Cormac Delgado-NyquistCormac Delgado: clear aligners, 14 monthsAligner check and new trays$140Sep 23, 2026$56
LH-30446Maren Okonjo-HalvorsenMaren Okonjo: braces, 24 monthsRetainer check$60Sep 21, 2026$0
LH-30484Linus Hargreave-OkaforLinus Hargreave: clear aligners, 16 monthsAligner check and new trays$140Sep 20, 2026$56
LH-30458Imogen Valdivia-StrandImogen Valdivia: braces, 24 monthsRetainer check$60Sep 17, 2026$30
LH-30412Leocadia Fenwick-ObiLeocadia Fenwick: braces, 24 monthsMonthly adjustment, braces$165Sep 15, 2026$82.50
LH-30500Desmond Aaltonen-ReyesDesmond Aaltonen: braces, 20 monthsMonthly adjustment, braces$165Sep 13, 2026$66

26 more rows

Patients

18 sample rows · 9 columns

The children, teens and adults in treatment, who pays for them and which insurance plan they are on.

PatientDate of birthResponsible partyPhoneEmailInsuranceMember ID
Ansel Thorvaldsen-ReyesApr 9, 2012Marguerite Thorvaldsen(218) 555-0141marguerite.thorvaldsen@duluthpostbox.netLakehead Family BenefitsLF70412137
Bastien Oyelowo-MarshOct 11, 2013Adaeze Oyelowo(218) 555-0149adaeze.oyelowo@duluthpostbox.netNorthern Pines Dental PlanNP70413233
Calliope Weatherspoon-ItoJan 29, 2011Hiroshi Ito(218) 555-0150hiroshi.ito@lakehead-mailbox.netLakehead Family BenefitsLF70413370
Casimir Lindqvist-TranApr 25, 2014Mai Tran(218) 555-0157mai.tran@duluthpostbox.netNorthern Pines Dental PlanNP70414329
Cormac Delgado-NyquistFeb 17, 2013Ingeborg Nyquist(218) 555-0143ingeborg.nyquist@duluthpostbox.netNorthern Pines Dental PlanNP70412411
Desmond Aaltonen-ReyesOct 8, 1992Desmond Aaltonen-Reyes(218) 555-0155desmond.aaltonenreyes@duluthpostbox.netNorthern Pines Dental PlanNP70414055
Evander Rosenquist-PikeSep 30, 2014Renata Rosenquist(218) 555-0145renata.rosenquist@duluthpostbox.netNorthern Pines Dental PlanNP70412685
Imogen Valdivia-StrandMar 27, 2010Esteban Valdivia(218) 555-0148esteban.valdivia@lakehead-mailbox.netLakehead Family BenefitsLF70413096
Jorund Abernathy-SinghMay 14, 2015Priya Singh(218) 555-0151priya.singh@duluthpostbox.netNorthern Pines Dental PlanNP70413507
Leocadia Fenwick-ObiNov 22, 2010Tobias Fenwick(218) 555-0142tobias.fenwick@lakehead-mailbox.netLakehead Family BenefitsLF70412274
Linus Hargreave-OkaforDec 2, 2012Neville Hargreave(218) 555-0153neville.hargreave@duluthpostbox.netNorthern Pines Dental PlanNP70413781
Maren Okonjo-HalvorsenDec 5, 2009Chidi Okonjo(218) 555-0146chidi.okonjo@lakehead-mailbox.netSelf-pay—

6 more rows

Treatment plans

18 sample rows · 16 columns

Each patient's agreed course of treatment, its price and payment terms, and the agreement the family signs.

PlanPatientTreatmentDoctorTotal feeDown paymentMonths planned
Jorund Abernathy: early treatment, 12 monthsJorund Abernathy-SinghEarly treatmentIngrid Vasquez-Holm$2,400$40012
Ottilie Brightwater: braces, 24 monthsOttilie BrightwaterBracesCaspian Linden-Ryu$5,800$80024
Bastien Oyelowo: clear aligners, 12 monthsBastien Oyelowo-MarshClear alignersIngrid Vasquez-Holm$4,700$70012
Saffron Achebe: braces, 24 monthsSaffron Achebe-LindgrenBracesIngrid Vasquez-Holm$5,800$80024
Thaddeus Ng: braces, 24 monthsThaddeus Ng-BrandvoldBracesIngrid Vasquez-Holm$5,800$80024
Cormac Delgado: clear aligners, 14 monthsCormac Delgado-NyquistClear alignersIngrid Vasquez-Holm$4,900$70014
Rosalind Pettigrew: clear aligners, 12 monthsRosalind PettigrewClear alignersCaspian Linden-Ryu$4,600$60012
Evander Rosenquist: early treatment, 12 monthsEvander Rosenquist-PikeEarly treatmentCaspian Linden-Ryu$2,400$40012
Ansel Thorvaldsen: braces, 24 monthsAnsel Thorvaldsen-ReyesBracesIngrid Vasquez-Holm$5,800$80024
Linus Hargreave: clear aligners, 16 monthsLinus Hargreave-OkaforClear alignersIngrid Vasquez-Holm$5,100$70016
Desmond Aaltonen: braces, 20 monthsDesmond Aaltonen-ReyesBracesIngrid Vasquez-Holm$5,400$70020
Calliope Weatherspoon: braces, 24 monthsCalliope Weatherspoon-ItoBracesCaspian Linden-Ryu$5,800$80024

6 more rows

Fee schedule

12 sample rows · 4 columns

What the practice charges for each visit and appliance.

ProcedureCodeCategoryFee
Records and consultationLH-110Records$285
Braces placed, both archesLH-210Appliances$395
Clear aligner deliveryLH-220Appliances$320
Monthly adjustment, bracesLH-310Adjustments$165
Aligner check and new traysLH-320Adjustments$140
Elastics and wire changeLH-330Adjustments$95
Retainers, both archesLH-410Retention$460
Retainer checkLH-420Retention$60
Broken bracket repairLH-510Emergency$85
Poking wire visitLH-520Emergency$55
Debond and cleanupLH-610Appliances$275
Palatal expander checkLH-620Adjustments$120

Forms and booking

New patient form

Form
New patient formThe page on the practice website where a family asks for a first visit.
What is the patient's name? *
What is the patient's date of birth?
Who will be responsible for payments?
Which number should we call?
Where should we send invoices?
Which dental plan do you have?Lakehead Family BenefitsNorthern Pines Dental PlanSelf-pay
Send to the front desk

Start a treatment plan

Form
Start a treatment planWhat the coordinator fills in once the doctor has chosen a treatment and a price.
What is this plan called? *
Which patient is it for? *
Which treatment did the doctor choose? *BracesClear alignersEarly treatment
Which doctor is responsible?
What is the total fee?
How much is due at the start?
How many months will it take?
Save the plan

Dashboards

Billing at a glance

Invoices
Invoices by status
  • Sent11
  • Paid16
  • Overdue5
  • Partly paid3
  • Draft3
Collected by status
  • Sent$0
  • Paid$2,055
  • Overdue$0
  • Partly paid$133
  • Draft$0
Invoices by procedure38

Also included

  • Treatment and payment agreementDocumentThe agreement a family signs before treatment starts, with the fee, the down payment and the months planned.
  • Billing boardStage rules
  • Monday overdue digestDigest
  • Invoice overdueNotificationAlerts the coordinator when an invoice slips past its due date so a reminder call can go out.

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