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AI Voice Agent for Orthodontics: Book Consults and Reactivate Treatment Plans in 90 Days

By Alfredo Romero, CEO, Hermes·May 18, 2026

By builders, for builders.

Orthodontic practices are one of the highest-leverage verticals in voice AI because every booked consult is worth thousands of dollars of treatment-plan revenue. The math: the average orthodontic consult converts to a $4,500 to $8,500 treatment plan at roughly 55 to 70 percent close rate, which means a single missed new-patient call carries an expected value of $1,800 to $3,400 in lost top-of-funnel revenue. Most practices lose 25 to 40 percent of inbound new-patient calls to voicemail or hold abandonment, especially during back-to-school season and at the spring/summer decision points when parents are evaluating treatment for teens. An AI voice agent recovers that top-of-funnel volume and runs outbound reactivation against consults that never converted. On Hermes you ship the first orthodontic agent in 72 hours for $149 per month on the Starter plan, then scale to twenty practices on the $699 Agency plan with white-label demo pages bound to your own domain.

This page is for AI voice agency operators serving orthodontic practices, not for orthodontists building this in-house. If you are an orthodontist, talk to a local agency. If you are the agency, the rest of this page is your playbook.

What the orthodontic call flow actually looks like

An orthodontic front desk handles five call archetypes: new-patient consult inquiry (parent calling about a teen, adult calling about themselves), Invisalign vs braces decision support, second-opinion intake (patient already saw another orthodontist and wants to compare), mid-treatment clinical concerns (broken bracket, wire poking, post-adjustment soreness), and reactivation outbound for consults that never converted to a treatment plan. Of those, three out of five (consult intake, second-opinion intake, reactivation) are 90 percent automatable with current voice AI. The clinical ones must escalate. The buyer-persona detail matters: about 70 percent of orthodontic new-patient calls are parents calling about a teen, so the voice should be warm and not condescending about "I will need to talk to your child's parent." Default to addressing the parent as the decision-maker.

Sample prompt template (drop-in)

You are the front-desk assistant for {{practice_name}}, an orthodontic
practice in {{city}}. You answer inbound calls and help families book
consultations, route clinical concerns, and answer Invisalign vs braces
questions at a fee-schedule level.

GUARDRAILS
- Never give clinical advice or recommend a specific appliance for a
  specific case. Use the consult to set expectations: "Dr. {{provider}}
  will recommend the right approach after the in-person evaluation."
- Never quote a final fee. You may quote ranges from the fee_schedule_kb
  (e.g., "comprehensive treatment generally runs four thousand five
  hundred to seven thousand five hundred depending on complexity").
- Never collect SSN or full DOB on the line. Month/day only for confirming
  existing patients.
- Never confirm an appointment without checking calendar_availability.
- If a caller describes a wire poking, broken bracket with bleeding, or
  swelling after an adjustment, route to broken_bracket_triage with
  urgency=urgent and offer same-day or next-day.

CAPABILITIES
- Book new-patient consult: ask whether the consult is for the caller or
  for a child (if child, ask age), main concern (alignment, bite, smile
  aesthetics, second opinion), insurance carrier (no member details),
  preferred days/times. Call book_appointment with
  type="new_patient_consult" duration=60min.
- Invisalign vs braces inquiry: confirm both are offered, give general
  decision factors (compliance, complexity, cosmetic preference) without
  prescribing, route to consult.
- Second-opinion intake: confirm the patient already has a treatment
  plan from another orthodontist. Offer the second-opinion consult slot.
- Broken bracket / wire poking: route to broken_bracket_triage. Offer
  same-day or next-day if available.
- Reactivation outbound: confirm identity (it was {{consult_date}}),
  offer the updated consult slot or the new treatment-plan review,
  send_sms with the booking link.

VOICE / TONE
- Warm, friendly, parent-friendly. Most callers are moms calling about
  teens. Speak to the parent as the decision-maker.
- Acknowledge cost upfront if asked. Avoid evasive answers; use ranges.

ESCALATION
- Phrases: "swelling," "can't close my mouth," "bleeding won't stop,"
  "wire stabbing my cheek" --> transfer_to_oncall.

CLOSE
- Confirm callback. Confirm time + date in spoken form. For consults,
  confirm whether the patient is the caller or a child. Thank by name.

Realistic call transcript snippet

Agent: Thanks for calling Westside Orthodontics, this is Riley. How can I help today?

Caller: Hi, I want to set up a consult for my 13-year-old. Her dentist said she needs braces.

Agent: Of course, that is a very common reason for the first consult. Quick question, are you open to Invisalign Teen as well as traditional braces, or did the dentist specifically recommend braces?

Caller: Honestly we are open. I just want to know what is best for her.

Agent: Perfect, that is exactly what the consult is for. Dr. Lin will go through both options and recommend the right approach for your daughter after the evaluation. Comprehensive treatment generally runs four thousand five hundred to seven thousand five hundred depending on complexity, and we offer in-house financing. We have an opening Wednesday at four or Friday at two thirty, both after school. Which works better?

Caller: Friday at two thirty.

Agent: Great. Can I grab your name, your daughter's name, and a callback number?

(agent collects, confirms spelling, books consult, sends SMS confirmation with the new-patient intake form)

HIPAA and treatment-plan compliance notes

Orthodontic practices are HIPAA-covered entities. The voice agent vendor signs a BAA, recordings stay encrypted at rest, and minimum-necessary collection is the rule. A specific orthodontic detail: treatment plans often involve patient financing through CareCredit, Sunbit, or in-house payment plans, which pulls credit-related and financial-account information into the conversation. The voice agent should never collect a full SSN, full account numbers, or full DOB on the line. Route the financing application to a secure form sent via SMS, or transfer to a financial coordinator at the practice. See HHS HIPAA rules for the federal baseline and our TCPA compliance overview for the outbound reactivation side, because TCPA written consent applies whenever you call a wireless number with an AI voice. Also consult the American Association of Orthodontists for practice-management guidance.

Hermes vs DIY for an orthodontic agency

CapabilityHermesDIY (Retell + GHL + Zapier + Stripe)
Time to first ortho agent live72 hours3 to 6 weeks
Multi-location billingNative, per-workspaceStripe Connect, custom
HIPAA BAAIncluded on Business+Negotiate with each vendor
Reactivation campaignBuilt into platformWire it up in Zapier + GHL
Invisalign vs braces routingPrompt template + KBCustom logic + maintain KB
Monthly cost (10 practices)$699 Agency + overage$1,400 to $2,200 across vendors
Per-client P&L transparencyNative per-workspaceSpreadsheet reconciliation

ROI math for a single orthodontic practice

Orthodontic clients typically pay an agency $797 to $1,497 per month for voice infrastructure plus campaign management. A single-practice office taking 120 inbound calls per month captures 30 to 50 of those calls outside business hours. At a 55 percent consult-show rate, a 65 percent close rate, and a $5,800 average treatment plan, even three additional consults per month is $11,300 of expected top-of-funnel value. The outbound reactivation side, run against the 60-day "consult but did not book" list, typically reactivates 4 to 9 treatment-plan starts in the first 60 days. Run the math on the Hermes pricing page or see the platform overview at Hermes for agencies.

Beta operator results

Placeholders for live beta operator results. Real numbers fill in as agencies complete 60-day runs.

  • Beta operator J, 3-practice orthodontic group, Texas: recovered 41 percent of after-hours new-patient calls in month one, $32K of incremental booked treatment plans.
  • Beta operator K, 2-practice ortho group, Florida: reactivation campaign converted 7 stalled consults in first 30 days, $38K in newly started treatment plans.
  • Beta operator L, solo agency operator serving 4 orthodontic practices, Pacific Northwest: cut average consult-booking time from 4.2 minutes to 1.8 minutes by routing Invisalign vs braces inquiries through the agent before booking.

FAQ

Is an AI voice agent for an orthodontic practice HIPAA-compliant?

Orthodontic practices are HIPAA-covered entities the moment they bill insurance or transmit treatment information electronically, which is the standard for every practice in the US. The voice agent vendor needs to sign a BAA. Hermes signs a BAA for Business and Agency-tier customers. Practical rules on the line: do not record full SSN or full DOB, collect only the minimum to book (name, callback, reason at the level of 'consult for teen,' 'second opinion on Invisalign,' 'broken bracket'), encrypt recordings at rest, and set a 90-day default retention window. Treatment-progress conversations should escalate to the practice rather than be handled by the agent.

How many orthodontic offices can one agency run on Hermes?

Starter ($149 per month) gives you 3 workspaces, Business ($399) gives you 7, and Agency ($699) gives you 20 workspaces with 2,000 minutes pooled. Orthodontics is a high-value, high-touch vertical: most practices take 60 to 180 inbound calls per month per location, with average treatment plans of $4,500 to $7,500 (braces) and $4,000 to $8,500 (Invisalign). Agencies tend to bill orthodontic clients $797 to $1,497 per month because the case value justifies it. Business or Agency plan is the normal landing spot once you have 3 or more orthodontic clients.

What orthodontic call types does the AI handle well versus poorly?

Handles well: new-patient consult booking, Invisalign vs traditional braces inquiry routing, second-opinion intake, payment plan questions at the level of 'do you offer financing,' broken bracket and emergency triage scheduling, and outbound reactivation for consultations that never converted to a treatment plan. Handles poorly without escalation: anything mid-treatment clinical (a wire is poking, tooth pain after an adjustment, retention concerns after debanding). Those should transfer to the on-call orthodontist or office manager. The rule: intake and scheduling is automatable, mid-treatment clinical is not.

Can the agent integrate with Cloud9, Dolphin, Ortho2, or topsOrtho?

Yes via the Hermes webhook layer. Cloud9 has the most workable API surface of the four major orthodontic PMS platforms, so direct calendar writes are a half-day integration. Dolphin Imaging and Ortho2 are partially integratable: the standard pattern is the agent collects intent and contact, posts to a Hermes webhook, your middleware writes a task into the practice's front-desk queue. topsOrtho and older on-prem deployments use a human-in-the-loop confirmation step with a 4-hour SLA. Most orthodontic clients accept the handoff because the alternative is the new-patient call going to voicemail.

How long until an orthodontic agent is live on Hermes?

First live agent in 72 hours. Day 1: configure voice (orthodontic offices tend to pick a warm, friendly, mid-range voice because the buyer is often a parent), prompt, services and financing KB, insurance carrier list. Day 2: test calls including Invisalign vs braces routing, broken bracket triage, and second-opinion intake. Day 3: port a number or attach a forwarder and go live. Second and third orthodontic clients ship in 24 to 36 hours because the prompt template carries over with minor edits for fee schedules and provider names.

Run an orthodontic client on Hermes

First agent live in 72 hours. White-label demo page on your own domain. From $149 per month.

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By builders, for builders · Last reviewed May 2026