Invoicing Software for Dental Practices
How a dental practice can bill patients directly with Billed: an estimate for the treatment plan that the patient approves, an invoice for the patient's share, a payment plan for larger treatment, and card, PayPal, cash or check payments recorded against the invoice.
Key Takeaways
- Send the treatment plan as an estimate first. Billed's help article on estimates says: "Your client can approve it to proceed further."
- Convert the approved estimate into an invoice, and change anything that differs before you save it, such as a procedure added at the final visit.
- For larger treatment, add a payment schedule to the invoice so the patient pays in installments, each with its own amount and due date.
- Patients can pay by card through Stripe or by PayPal from the invoice, and cash or checks paid at the front desk are recorded as offline payments.
- This page covers invoicing patients. Insurance claims, patient-privacy rules and tax are outside it; ask your dental billing advisor, lawyer or accountant.
What this page covers
This page is about invoicing patients directly: for treatment a patient pays for in full, or for the share of a fee a patient owes after their dental plan pays. It doesn't cover filing claims with insurance carriers.
If your practice documents treatment with CDT codes, the American Dental Association (US) says: "The Code on Dental Procedures and Nomenclature (the CDT Code) assures consistency in documenting dental treatment." Billed's help article on items and services says: "You can use these items and services to bill your clients." Save each procedure you bill as an item or service with the code in its name, for example the code followed by the procedure name. Billed's help article on creating an invoice says you add a saved item to an invoice this way: "Add them to invoices by writing the item's name and selecting it to autofill the entire section."
From treatment estimate to invoice
Send the treatment plan to the patient as an estimate before treatment starts. Billed's help article on estimates says: "You can make an estimate and then send it to your client. Your client can approve it to proceed further."
When the treatment is ready to bill, Billed's invoice software page describes how you "convert an approved estimate into an invoice". Billed's help article on converting estimates says: "You can add and edit any information here." If the plan changed between the estimate and the visit, make the change on the invoice before you save it.
Payment plans for larger treatment
Billed's help article on payment schedules says: "A payment schedule lets you add a payment plan to the invoices." The help article on scheduled payments says: "You can let your clients pay the amount in installments through this option." The payment schedules article lists the steps, among them: "Choose a suitable option among percentage or flat amount." and "Fill out the payment amount and due date of each payment." The installments have to add up to the invoice. The scheduled payments article says: "the sum of all installments should be equal to the total balance of the invoice."
A patient who wants to pay ahead can do so. The payment schedules article says: "The clients can also select several payments at once to pay multiple scheduled payments in advance."
Worked example: a crown on a payment plan
These are sample figures. A patient's treatment plan has two procedures: a core buildup at 250.00 and a crown at 1,250.00, so the estimate totals 1,500.00. The practice expects the patient's dental plan to pay 700.00 (120.00 toward the buildup and 580.00 toward the crown), which leaves 800.00 for the patient. The patient approves the estimate.
At the preparation visit, the practice converts the estimate into an invoice and edits the two lines to the patient's share: 130.00 for the buildup and 670.00 for the crown, 800.00 in all. It adds a payment schedule with two payments: 40% due at the preparation visit, 320.00, and 60% due when the crown is seated, 480.00. The two payments add up to the 800.00 invoice total.
The patient pays the first 320.00 in cash at the front desk. The practice records it as an offline payment and sends a payment receipt. Billed's invoice reports then show the invoice as partially paid, with 480.00 left. If the dental plan pays a different amount from the one expected, ask your dental billing advisor how to settle the difference with the patient.
Getting paid and following up
Billed's invoice software page says: "Connect your Stripe account and every invoice you send gets a pay button, so clients can pay by card." It also says: "Connect PayPal to add a PayPal option as well." For payments at the front desk: "When a client pays by check or cash, record it as an offline payment so all your income is in one place." And after the payment: "After a client pays, you can send them a payment receipt."
For balances that aren't paid yet, the same page says: "Set a due date on each invoice so your client knows when to pay." It also says: "Invoice reports show which invoices are paid, partially paid or past due, and you can see who owes you money and send them a payment reminder." and "Payment reminders can be customized."
What this page doesn't cover
This page doesn't cover insurance claims, what a dental plan pays, the patient-privacy rules for which treatment details can appear on an invoice or in an email, or how your practice reports its income. Ask your dental billing advisor, lawyer or accountant about those.
Challenges Dental Practices Businesses Face
Patients who leave without paying their share, with no invoice or due date to follow up on
Large treatment fees that a patient can't pay in one visit, with installments tracked outside the invoice
Treatment plans that change between the estimate and the final visit, so the bill gets retyped
Card, cash and check payments recorded in different places
Tasks and the Billed feature for each
| You need to | In Billed |
|---|---|
| Get a treatment plan approved | Estimate |
| Bill the approved plan | Convert the estimate to an invoice |
| Spread a fee over visits | Payment schedule |
| Record cash or a check | Offline payment |
| Follow up on a balance | Payment reminder |
Sources for this page (checked October 30, 2026). American Dental Association (US): CDT Code. Billed: invoice software, and the help center articles on creating an estimate, converting estimates into invoices, creating an invoice, items and services, payment schedules and scheduled payments.
Invoicing for Dental Practices
Treatment estimates
Send the treatment plan as an estimate. Billed's help article on estimates says: "Your client can approve it to proceed further."
Related Invoice Templates
Invoice templates related to this page.
Frequently Asked Questions
When this isn't for you
If your practice management software already bills patients the way you need, keep using it for that.
Start Invoicing With Billed
Set up your account and send your first invoice with Billed.
