Orofacial clefts (OFCs) are common craniofacial birth defects including cleft lip (CL), cleft lip with cleft palate (CLP), and cleft palate (CP). The etiological heterogeneity of OFCs complicates clinical diagnostics as it is not always readily apparent if the cause is Mendelian, environmental, or multifactorial. Although sequencing could aid diagnosis, it is not commonly used for the 60-70% of OFC cases that appear isolated or lack a strong family history. We aimed to estimate the diagnostic yield evaluating 503 genes using whole-genome sequencing data from 841 cases and 294 controls. After curating variants, we evaluated them according to the American College of Medical Genetics pathogenicity criteria blinded to case-control status. We found 'likely pathogenic' variants in 9.04% of cases and 1.36% of controls (p<0.0001), which was almost exclusively driven by dominant variants in autosomal genes. The yield was highest in CP (17.6%) and CLP (9.09%) cases, while CL (2.80%) cases were not significantly different from controls. We identified 'likely pathogenic' variants in cases in 39 genes, underscoring the genetic heterogeneity of OFCs. Notably, nine genes, including CTNND1, IRF6, and COL2A1, were recurrently mutated, accounting for more than half of the yield (occurring in 4.64% of OFC cases). Most reviewed variants (60.6%) were 'variants of uncertain significance' (VUS) and were more frequent in cases (p=7.31 x 10-4), but no individual gene showed a significant excess of VUS. Cumulatively, these results underscore the etiological heterogeneity of OFCs and suggest clinical sequencing could help reduce the diagnostic gap in OFC etiology.