The way I see it is that there are two schools of thought. Some orthos will offer their time up for "free" because they believe it will generate more interest and therefore more patients. That "free" time is actually earning them money in the long run. Other orthos would rather not risk giving 10 free consults and only getting one patient as a result. So they charge for the time they are spending with the patient. Perhaps they get less people in for consults, but they aren't losing money on them either. I have no problem with either way.
I will say that the paid consults I had were much more thorough than the free ones. From my frist paid consult I walked away with a booklet that contained my digital photos, a detailed description of my treatment plan (including what exactly was wrong with my teeth and bite, explaining all appliances that may need to be used, what to expect, etc), pre-approval forms for my insurance company. I also had a full 30 minutes of talking with the ortho and another 30 minutes with an assistant.
My free consultations typically had me talking with the ortho for only 10 minutes (and an additioanl 20 minutes with the assistant who explained the basics) and I was just provided with a very general treatment plan and cost. To get a more in depth consultation I would have to spend the money on the records first.
I loved the treatment I got with my paid consultations, but I didn't like the treatment plans as much. So I ended up going with a ortho that had a free consult. Go figure
