The fee is for the proper treatment planning and monitoring effects of the aligners. The clincheck sometimes shows movements that don't happen, and an experienced provider will be able to resubmit the case until they feel that what is proposed is what will happen, although it is still guesswork.
Much of the recare visits can be delegated, so bonding of attachments and changing aligners do not always include doctor participation. There are SOME things that must be done by the doctor, but not everything.





