James River Orthodontics

What James River Orthodontics does

James River Orthodontics is a privately-held, dual-location orthodontic practice serving the Richmond, Virginia metropolitan area. Founded in 2011 by Dr. Larry Scarborough, the practice operates offices in Henrico County (Richmond) and Hanover County (Mechanicsville), treating pediatric, teen, and adult patients. Dr. Wyatt Loflin joined the practice in 2023, expanding clinical capacity to two board-certified orthodontists.

The practice's core service offering is orthodontic treatment stratified by patient age, with Invisalign clear aligner therapy as a flagship product. The practice holds Diamond+ Provider status, placing it in the top 1% of Invisalign providers nationally by case volume. Braces offerings include Damon self-ligating metal and ceramic systems plus gold-coated braces. Underlying clinical technology centers on the iTero 3D intraoral scanner for digital impressions and treatment planning, alongside Damon self-ligating bracket systems. Supporting services include orthodontic surgery for complex adult cases, retainers, whitening kits, and specialized appliances such as palatal expanders.

Revenue is generated primarily through one-time procedural fees for orthodontic treatment (braces and Invisalign), with patient financing via in-house 0% interest plans up to 36 months, pay-in-full discounts, and insurance billing through major carriers including Anthem, Cigna, Delta Dental, GEHA, Guardian, MetLife, and United Concordia. The practice claims treatment pricing roughly 20% below the national average and 30-40% faster treatment times. Patient acquisition occurs through complimentary consultations, dentist referrals via a formal B2B referral program, community partnerships with schools and local nonprofits, and digital channels (Facebook, Instagram, YouTube, Google Reviews). The practice has donated over $400,000 to community causes since inception under its 'Smile with Purpose' branding.

Name

James River Orthodontics

Legal name

James River Orthodontics

Website

https://jamesriverorthodontics.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

11–50 employees

Short description

James River Orthodontics is a privately-held, dual-location orthodontic practice in the Richmond, Virginia metro area, providing Invisalign, braces, and surgical orthodontic care for pediatric, teen, and adult patients under Dr. Larry Scarborough and Dr. Wyatt Loflin.

Ownership category

akta.pro rank

Product category

Orthodontic Healthcare Services

NAICS

Offices of Dentists (621210), Offices of Dentists (6212), Offices of Dentists (62121)

akta.pro primary industry

Comprehensive Orthodontic Clinics (HLABABAA)

akta.pro secondary industries

Clear Aligner Orthodontics (HLABABAD), Orthodontic Group Practices (HLABAKAC), Pediatric Orthodontics (HLABABAB), Adult Orthodontics (HLABABAC), Interceptive/Phase I Pediatric Orthodontics (HLABAGAG)

Keywords

• Orthodontic treatment
• Invisalign clear aligners
• Self-ligating braces
• Pediatric orthodontics
• Orthodontic appliances

Headquarters

HQ city

Henrico

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure, Supply Chain

Revenue model

1. Orthodontic Treatment Services: One-time procedural revenue from orthodontic treatments including braces and Invisalign. Treatment costs vary based on complexity, duration, and appliances required. Payment plans and financing options available to spread costs over treatment period.
2. Retention and Maintenance: Revenue from retainers and whitening kits provided post-treatment to maintain results

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels7 records

Core offering

James River Orthodontics is a dual-location orthodontic practice that provides teeth straightening and bite correction services for children, teens, and adults. Core offerings include Invisalign clear aligner therapy, Damon self-ligating braces (metal and clear ceramic), gold braces, pediatric and teen orthodontic programs, adult orthodontics, orthodontic surgery, retainers, whitening kits, and specialty orthodontic appliances. The practice uses 3D iTero digital scanning and operates two offices in Richmond/Henrico and Mechanicsville, Virginia.

Product overview

James River Orthodontics is a dual-location orthodontic practice offering a comprehensive portfolio of teeth straightening treatments. The core offerings include two main treatment categories: clear aligner therapy via Invisalign® (for which they hold Diamond+ Provider status in the top 1% nationally) and traditional/corrective braces including Damon® self-ligating braces in metal and ceramic variants, plus gold braces. Treatment is stratified by patient age: pediatric orthodontics (starting age 7 with two-phase treatment), teen orthodontics, and adult orthodontics with private treatment rooms. Supporting services include orthodontic surgery for complex cases, retainers, whitening kits, and specialized orthodontic appliances such as palatal expanders and growth modification devices. The practice emphasizes same-day treatment initiation capability and offers complimentary consultations.

Differentiator

Problem solved

Functional benefit

Products and services

• Invisalign Clear Aligner Therapy Clear aligner orthodontic treatment system offered for kids, teens, and adults using custom aligners worn 20-22 hours daily, switched every two weeks to gradually move teeth. Includes virtual care capabilities.
• Damon Self-Ligating Braces Self-ligating braces featuring tie-less technology with a slide mechanism that reduces friction. Available in both metal and clear ceramic (Damon Clear) variants for quicker, more comfortable treatment.
• Gold Braces Braces made of high-grade stainless steel brackets and archwires coated in 24-karat gold, offering a distinctive aesthetic appearance while functioning like traditional metal braces.
• Pediatric Orthodontics Orthodontic care for children starting at age 7, including early evaluation, Phase I and Phase II treatment, kids braces, and Invisalign First for pediatric patients.
• Teen Orthodontics Orthodontic treatment for adolescents ages 11-15, offering traditional braces and Invisalign Teen with compliance indicators, eruption tabs, and replacement aligners included.
• Adult Orthodontics Orthodontic treatment for adults including Invisalign clear aligners, Damon self-ligating braces, and clear ceramic braces, delivered in private treatment rooms for discreet care.
• Orthodontic Surgery Surgical orthodontic procedures to address jaw abnormalities, bad bites, or malocclusion in fully grown adults, coordinated with other specialists for complex cases.
• Retainers Retention appliances worn after active orthodontic treatment to maintain tooth alignment and prevent regression of treatment results.
• Whitening Kits Teeth whitening products offered as a complement to orthodontic treatment for patients seeking enhanced smile aesthetics after alignment.
• Orthodontic Appliances Additional orthodontic devices including palatal expanders, growth modification appliances, and crib appliances to address crowding, crossbites, and habit correction.

Quantifiable outcome

• 30-40% faster treatment times compared to traditional orthodontic approaches
• +3 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

25 partnerships are on record, tiered minor.

• James River AssociationminorOthersConservation partnership supporting the James River which provides water to one-third of all Virginians. Practice is committed to protecting the river and educating the community on conservation.
• James River ParksminorOthersPartner organization for river conservation and environmental education.
• Reedy Creek CoalitionminorOthersLocal conservation organization supported by the practice for environmental preservation efforts.
• Virginia Conservation NetworkminorOthersStatewide conservation network supported through practice donations.
• Anna Julia Cooper SchoolminorOthersEducation partner in 'Back To Education' program where donations are made to schools for each student or teacher starting treatment.
• Atlee High SchoolminorOthersEducation partner receiving donations through practice's Back To Education program.
• Ask (A Share in the Kids)minorOthersHealth organization receiving donations for each new patient. Provides aid and support to families faced with physical and health conditions.
• Reese Strong FoundationminorOthersHealth charity supported by practice donations for new patients.
• Connor's HeroesminorOthersHealth organization providing support to families. Practice donates for each new patient.
• Leukemia & Lymphoma Society of VirginiaminorOthersMajor health charity receiving practice donations as part of healing-focused community outreach.
• Epilepsy FoundationminorOthersHealth organization supported through practice's healing outreach program.
• Sarah Dooley Center for AutismminorOthersAutism support organization receiving practice donations.
• Autism Society of Central VirginiaminorOthersRegional autism advocacy organization supported through practice donations.
• Richmond Autism Integration NetworkminorOthersAutism services network receiving practice community support.
• American Association of OrthodontistsminorOthersProfessional association membership. AAO recommends children have first orthodontic evaluation by age 7.
• American Dental AssociationminorOthersProfessional dental association membership for Dr. Scarborough.
• Omicron Kappa Upsilon National Dental Honor SocietyminorOthersNational dental honor society. Dr. Scarborough was inducted during dental school at VCU, graduating summa cum laude.
• Southern Association of OrthodontistsminorOthersRegional orthodontic professional association membership.
• Virginia Association of OrthodontistsminorOthersState orthodontic professional association membership.
• Virginia Dental AssociationminorOthersState dental professional association membership.
• VCU School of DentistryminorOthersDr. Scarborough attended the Medical College of Virginia, VCU School of Dentistry for dental training and VCU Orthodontic Residency Program for specialized orthodontic training and Masters Degree in Oral Biology.
• American Board of OrthodonticsminorOthersBoard certification organization. Dr. Loflin is certified by the American Board of Orthodontics.
• Richmond Dental SocietyminorOthersLocal dental professional society membership for Dr. Loflin.
• UVA (University of Virginia)minorOthersDr. Loflin received his bachelor's degree from UVA before dental training at VCU and residency in Houston.
• VCU Craniofacial/Facial Reconstruction TeamminorOthersDr. Scarborough is a former member of the MCV/VCU Craniofacial/Facial Reconstruction Team with experience coordinating interdisciplinary and complex cases involving orthognathic jaw surgery.

Scale indicators6 records

Recent moves6 records

Expansion highlights4 records

Emerging players

• Candid: Direct-to-consumer clear aligner brand using a hybrid at-home impression + in-office monitoring model. Competes for the same adult orthodontic patient wallet, particularly price-sensitive and convenience-driven buyers.

Broad incumbents

• Western Dental: Large dental services organization offering orthodontics (braces and clear aligners) alongside general dentistry. Comparable as a broad incumbent competing on price and insurance access in regional markets.
• Heartland Dental: Largest US dental support organization, supporting hundreds of offices including orthodontic offerings. A broader incumbent that competes for both patients and acquisition/partnership opportunities with independent practices like James River Orthodontics.
• Pacific Dental Services: Large dental support organization with many supported offices offering orthodontic services. Comparable as a broad incumbent competing for the same adult and family orthodontic patients in regional markets.
• Great Expressions Dental Centers: Multi-location dental practice group with orthodontic service lines. Comparable as a broad incumbent providing general and specialty dental care including orthodontics to families and individuals.

Others

• Align Technology (Invisalign maker): Manufacturer of the Invisalign clear aligner system. Not a direct competitor but a key technology partner and ecosystem gatekeeper — Diamond+ provider status at James River is granted by Align, and case volume growth is partly a function of Align's provider program economics.
• Ormco (Damon braces): Manufacturer of Damon self-ligating bracket systems used by James River Orthodontics. Ecosystem supplier rather than competitor — comparable as a key technology dependency whose product roadmap and pricing affect JRO's clinical offering.

Regional players

• Monacell Orthodontics: Multi-location orthodontic practice also serving the Richmond/Henrico/Mechanicsville corridor in Virginia. Direct local competitor offering comparable Invisalign and braces services to the same patient population.

Direct peers

• Southern Orthodontic Partners: Orthodontic DSO affiliated with practices across the Southeast US. James River Orthodontics' careers page is even hosted on southernop.com, indicating an existing alignment with this DSO model — directly comparable as an orthodontic group practice platform.
• Smile Doctors: Largest orthodontic-focused DSO in the US, operating hundreds of affiliated orthodontic offices. Directly comparable to James River Orthodontics as a multi-location orthodontic practice, with greater scale, marketing budget, and private-equity backing.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@jamesriverorthodontics6858
• Facebookfacebook.com/jamesriverorthodontics
• Instagraminstagram.com/jamesriverortho
• Xx.com/jamesriverortho

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about James River Orthodontics