Make PaymentOrthoAdmin2019-11-12T22:13:43+00:00 Please enable JavaScript in your browser to complete this form.Doctor or Office Name *Ortho Technology Account Number *Name *FirstLastEmail *EmailConfirm EmailPhone *Last 4 Numbers of Credit Card on File *Please enter the last four digits of the credit card we have on fileCVV of Credit Card *Please enter the 3 digit CVV number of the credit card we have on fileExpiration Date *Please enter the expiration date of the credit card we have on filePayment Amount *Apply To Invoice Number *Comment or MessagePlease Note: By clicking the submit button, your payment request will be submitted for processing. You will be notified by email when your payment is complete.WebsiteSubmit Payment Need Assistance? When calling, ask for Accounting or email us at otcollections@orthotechnology.com
