North Carolina Oral Surgery + Orthodontics

What North Carolina Oral Surgery + Orthodontics does

North Carolina Oral Surgery + Orthodontics (NCOSO) is a privately held, multi-specialty dental practice group operating 10+ offices across North Carolina, including Cary (two sites), Durham, Dunn, Garner, Greensboro, Hamlet, Raleigh (two suites), Southern Pines, and Winston-Salem. The company delivers two integrated service lines under one roof: oral and maxillofacial surgery (wisdom teeth removal, dental implants, extractions, bone grafting, biopsies, frenectomies, expose-and-bond procedures) and orthodontic treatment (traditional metal braces, ceramic/clear braces, and Invisalign clear aligners). A pediatric dentistry line under the Lane Kids sub-brand is offered at select locations, alongside a PatientHub loyalty program for orthodontic patients.

Clinically, NCOSO operates as a credentialed specialty group employing multiple board-certified oral and maxillofacial surgeons, orthodontists, and a pediatric dentist, supported by in-office advanced technology such as 3D Cone Beam CT imaging, iTero digital intraoral scanning, multiple sedation modalities (IV sedation, nitrous oxide, local anesthesia), and Exparel non-opioid post-operative pain management. The Durham Miami Blvd location functions as a flagship combining oral surgery, orthodontics, and pediatric care with a large orthodontic bay and pediatric play area.

Commercially, NCOSO runs a direct-to-consumer model with formal dentist-referral inflow from general practices and co-located Lane & Associates Family Dentistry offices at five sites. The practice is in-network with 18+ dental insurers (Aetna, Ameritas, Assurant, BCBS, Cigna PPO, Delta Dental PPO, Guardian, Humana, MetLife PPO, United Concordia, United Healthcare PPO, and others), offers free initial orthodontic consultations, and supports patient financing through CareCredit and Sunbit. Marketing is multi-channel — Facebook, Instagram, YouTube, Pinterest, X, an educational blog, and a Carolina Hurricanes NHL sports-marketing partnership — supplemented by a veterans discount program at select sites.

Name

North Carolina Oral Surgery + Orthodontics

Legal name

North Carolina Oral Surgery + Orthodontics

Website

https://ncoso.com

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

NCOSO is a privately held multi-specialty dental practice operating 10+ offices across North Carolina, delivering oral surgery (implants, wisdom teeth, extractions, bone grafts) and orthodontic treatment (braces, Invisalign) plus pediatric dentistry, serving insured and self-pay patients of all ages.

Ownership category

akta.pro rank

Product category

Dental Healthcare Services (Oral Surgery and Orthodontics)

NAICS

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

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Comprehensive Orthodontic Clinics (HLABABAA)

akta.pro secondary industries

Oral & Maxillofacial Surgery Group Practices (HLABAKAE), Pediatric Sedation & Anesthesia Dentistry (HLABAGAC)

Keywords

• Oral surgery services
• Orthodontic treatment
• Invisalign clear aligners
• Dental implant procedures
• Pediatric dentistry services

Headquarters

HQ city

Garner

HQ country

United States

HQ region

North America

Offices9 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. Oral Surgery Procedures: Revenue from surgical procedures including wisdom teeth removal, dental implants, extractions, bone grafting, biopsies, frenectomies, and expose & bonds. Procedures are billed to dental/medical insurance or paid out-of-pocket. NCOSO files insurance claims on behalf of patients, with only copays due at time of service.
2. Orthodontic Treatment: Revenue from orthodontic services including traditional metal braces, ceramic/clear braces, and Invisalign clear aligners. Treatment plans are custom to each patient. Financing options including CareCredit (interest-free plans) and Sunbit are offered. Insurance may cover a portion of treatment.
3. Pediatric Dentistry: Revenue from pediatric dental services offered at select locations (Durham, Cary St. Charles, Dunn), including routine exams, X-rays, sealants, crowns, nutritional guidance, and special needs care.
4. Insurance Plan Participation: NCOSO is in-network with over 18 dental insurance providers including Aetna, Ameritas, Assurant, Blue Cross Blue Shield, Cigna PPO, Delta Dental PPO, Guardian, Humana, MetLife PPO, United Concordia, and United Healthcare PPO. Revenue is generated through negotiated insurance reimbursement rates.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels11 records

Core offering

NCOSO operates a multi-location dental healthcare practice across North Carolina offering integrated oral surgery procedures (wisdom teeth removal, dental implants, extractions, bone grafting, biopsies, frenectomies, expose-and-bond procedures) and orthodontic treatments (traditional metal braces, ceramic/clear braces, and Invisalign clear aligners). The practice provides multiple sedation options including IV sedation, nitrous oxide, local anesthesia, and the non-opioid Exparel pain management injection, plus pediatric dentistry at select Durham, Cary St. Charles, and Dunn locations through the Lane Kids sub-brand.

Product overview

North Carolina Oral Surgery + Orthodontics (NCOSO) operates a multi-location dental healthcare practice offering two integrated service lines: orthodontic treatments (traditional metal braces, ceramic/clear braces, and Invisalign clear aligners) and oral surgery procedures (wisdom teeth removal, dental implants, extractions, bone grafting, biopsies, frenectomies, and expose/bond procedures). The practice provides various anesthesia options including IV sedation, nitrous oxide, and local anesthesia, plus the non-opioid pain management option EXPAREL. NCOSO also offers pediatric dentistry at select locations. A PatientHub Rewards system incentivizes orthodontic patients, and financing options through Sunbit and CareCredit make treatments more accessible. The 10+ locations across North Carolina include co-located Lane & Associates Family Dentistry offices.

Differentiator

Problem solved

Functional benefit

Brands

• Lane Kids: Pediatric dentistry services offered at select NCOSO locations (Cary St. Charles, Dunn, Durham Miami) for children's dental care including exams, X-rays, sealants, crowns, and special needs care.
• PatientHub

Products and services

• Traditional Metal Braces Conventional metal bracket-and-wire orthodontic treatment to straighten teeth and correct bite issues; one of the orthodontic treatment options offered to children, teens, and adults at NCOSO.
• Ceramic (Clear) Braces Clear ceramic braces offering a less visible teeth-straightening alternative to traditional metal braces; offered alongside metal braces and Invisalign at NCOSO locations.
• Invisalign Clear Aligners FDA-approved clear plastic aligners made from patented thermoplastic material (no BPA, BPS, latex, or gluten) for discreet teeth straightening, available for children, teens, and adults. Treatment is planned using the iTero digital scanner at the Durham location; cost varies by individual aligners and treatment plan.
• Wisdom Teeth Removal Surgical extraction of impacted or misaligned third molars (wisdom teeth), typically performed in late teens or early twenties, with sedation options including IV sedation and Exparel non-opioid pain management.
• Dental Implants Titanium threaded cylinders surgically placed into the jawbone to replace missing tooth roots, using one-stage or two-stage implant techniques with abutment and crown placement, often combined with bone grafting.
• Tooth Extractions Simple and surgical tooth extractions for severely decayed, fractured, or infected teeth, performed under local anesthesia with optional sedation.
• Bone Grafting Minor surgical procedure to rebuild jawbone using autogenous (own bone), allogeneic (cadaver), or xenogeneic (bovine) graft materials in preparation for dental implant placement.
• Oral Pathology Biopsies Tissue sampling procedures performed by NCOSO oral surgeons for pathological examination and diagnosis of oral lesions.
• Frenectomies Surgical removal or modification of the frenulum (tissue connecting lips or tongue to gums) to improve oral function and address tongue-tie or lip-tie conditions.
• Expose and Bonds Combined orthodontic-surgical procedure in which an oral surgeon exposes an impacted tooth and attaches an orthodontic bracket to enable guided eruption into position.
• Pediatric Dentistry Pediatric dental care for children including routine exams, X-rays, sealants, crowns, space maintainers, nutritional guidance, and special needs care, available at the Durham Miami, Cary St. Charles, and Dunn locations under the Lane Kids sub-brand.

Quantifiable outcome

• Over 15 years of serving orthodontic patients across North Carolina
• +2 more outcomes

Named customers2 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

Integration3 records

Feature5 records

Partnerships

Four partnerships are on record, tiered core and minor.

• Centers for Disease Control and Prevention (CDC) and National Institute for Occupational Safety and Health (NIOSH)coreStrategic or Co-development Partner · 1 September 2021NCOSO partnered with the CDC and NIOSH in Fall 2021 to participate in a clinical trial of elastomeric half-mask respirators (EHMRs) across all 10 of its orthodontic and oral surgery offices. The EHMRs are designed with replaceable air-filtering cartridges to prevent the spread of airborne illnesses from practitioner to patient and vice versa. This partnership demonstrates NCOSO's commitment to infection control innovation and positions it at the forefront of healthcare safety protocols.
• Sunbit FinancingminorGTM or Marketing PartnerSunbit is offered as a financing option at NCOSO Raleigh Oral Surgery, Raleigh Orthodontics, Winston-Salem, Southern Pines, Durham, Garner, and Hamlet locations. Sunbit provides point-of-sale financing enabling patients to pay for treatments in installments, making oral surgery and orthodontic care more accessible.
• CareCreditminorGTM or Marketing PartnerCareCredit is offered as a financing partner at NCOSO offices including Cary Tryon, Dunn, Southern Pines, Garner, and Durham. CareCredit provides interest-free payment plan options for orthodontic treatments like braces, helping patients manage the cost of care through affordable monthly payments.
• Lane & Associates Family DentistrycoreStrategic or Co-development PartnerLane & Associates Family Dentistry is co-located within NCOSO facilities at multiple locations including Winston-Salem (Suite A), Hamlet (Suite A), Raleigh (Wake Forest Rd. building), Durham (S. Miami Blvd.), and Greensboro. This arrangement provides patients with a comprehensive dental care ecosystem where general dentistry, oral surgery, orthodontics, and pediatric dentistry are available in the same building or adjacent facilities, creating a seamless referral pathway and convenience for patients.

Scale indicators4 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• Heartland Dental: Largest US DSO supporting general and multi-specialty dental offices nationwide; relevant as a scaled, well-capitalized incumbent that competes for clinical talent and patients in NC markets NCOSO serves.
• Aspen Dental: National branded DSO with general dentistry, implants, and ortho offerings; overlaps with NCOSO's service mix and competes for insured patients across the Southeast.
• Pacific Dental Services: Large multi-specialty DSO with extensive insurance network participation; relevant comparable for NCOSO's payer breadth strategy and multi-specialty operating model.

Direct peers

• US Oral Surgery Management: Specialty DSO platform exclusively focused on oral and maxillofacial surgery practices; the closest operating model comparable to NCOSO's oral surgery service line and a likely partner or acquirer of NCOSO's surgical book of business.
• Affordable Dentures & Implants: National chain focused on extractions, dentures, and dental implants with in-office surgical capabilities — directly comparable to NCOSO's implants, extractions, and bone grafting service line.
• Smile Doctors: Largest ortho-focused DSO in the US, including Invisalign and traditional braces; directly comparable to NCOSO's orthodontic service line, PatientHub-style loyalty program, and Southeast expansion pattern.
• SGA Dental Partners: Southeast-focused DSO supporting general and multi-specialty dental practices; overlaps with NCOSO's NC geography, multi-specialty offering, and doctor-partner affiliation model.
• Imagen Dental Partners: Multi-specialty DSO supporting doctor-owned practices with oral surgery, ortho, and pediatric offerings; comparable to NCOSO in service breadth, physician ownership model, and Southeast footprint.
• Specialized Dental Partners: DSO partnering with multi-specialty dental practices including oral surgery and orthodontics across the Southeast; comparable to NCOSO's multi-specialty service mix and regional growth strategy.
• Allied OMS: Oral and maxillofacial surgery-focused DSO platform supporting surgeon-owned practices with back-office, technology, and growth resources — directly comparable to NCOSO's oral surgery group practice model and physician-owned ethos.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/NCOSO_
• YouTubeyoutube.com/channel/UCT-H0XJ6KUav7jGpbJkv96g
• Facebookfacebook.com/NCOralSurgeryandOrthodontics
• Instagraminstagram.com/ncoralsurgeryandorthodontics
• Pinterestpinterest.com/NCOSO_
• LinkedInlinkedin.com/company/ncoso

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 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 North Carolina Oral Surgery + Orthodontics