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Dental · head to head

CareStack vs TheraNest

CareStack logo

CareStack

Dental

All-in-One Cloud Dental Software

From
$829/month
Rated
-
Full reviewWebsite
TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: CareStack essentials plan starting price $829/month is per location, not per user; TheraNest the Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • They diverge on capability: CareStack covers Cloud-based platform, TheraNest covers Progress notes and treatment plans.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which CareStack and TheraNest actually diverge.

Attributes where CareStack and TheraNest differ
AttributeCareStackTheraNest
Starting price$829/month$29/month
Pricing modelsubscriptionPer user per month
CategoryDentalHealthcare
Founded2015Unknown

Identical on both: free tier (No), platforms (Web, Ios, Android), user rating (Not yet rated).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in CareStack

  • Cloud-based platform
  • Patient scheduling
  • Clinical charting
  • Revenue cycle management
  • Patient communication
  • Online booking
  • Insurance verification
  • Business intelligence

Only in TheraNest

  • Progress notes and treatment plans
  • Insurance claims
  • Client portal
  • Telehealth
  • Group and family sessions
  • Payroll and staff reporting

What people use each for

The jobs each tool is most often brought in to do.

CareStack

  • Dental practice management and patient schedulingnot TheraNest
  • Multi-specialty charting and digital imagingnot TheraNest
  • Insurance eligibility verification and claims managementnot TheraNest
  • AI-powered clinical notes and diagnosis assistancenot TheraNest

TheraNest

  • A solo therapist who needs a HIPAA aligned note and scheduling system and does not bill insurance, where the 29 USD entry tier is genuinely sufficientnot CareStack
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot CareStack
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot CareStack
  • A behavioural health organisation that bills a steady volume of insurance claims each month and can size the Advanced allowance against its actual claim countnot CareStack

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

CareStack

  • Essentials plan starting price $829/month is per location, not per user
  • Intelligence plan adds $470/month minimum to base Essentials cost
  • Pricing based on number of locations, chairs, and providers (not per-user)
  • Core charting and imaging capabilities limited to base Essentials plan
  • AI-powered clinical features require Intelligence plan upgrade

TheraNest

  • The Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • Telehealth is only in the Premier plan, so a practice that wants video sessions pays 89 USD per therapist per month even if it needs nothing else from that tier.
  • An annual AMA CPT licence fee is billed separately each December on top of subscription cost, which surprises practices that budgeted only the monthly figure.
  • Additional administrative users are chargeable, so a practice with front desk and billing staff who never see clients still pays 19 to 29 USD per head for people who generate no revenue.
  • The product sits inside a consolidated portfolio that has already renamed the parent company from Therapy Brands to Ensora Health, and product investment in a portfolio is directed by the owner rather than by this product line, so roadmap commitments are worth less than they would be from a single product vendor.

Pricing, plan by plan

CareStack

$829/month
  • Essentials$829/month
    • Scheduling, charting, imaging
    • Patient portal
    • Insurance management
  • Intelligence$1299/month
    • Everything in Essentials
    • AI-powered clinical notes
    • Voice perio charting

TheraNest

$29/month
  • Essentials$29/month
    • Per therapist
    • Scheduling and client portal
    • HIPAA aligned notes and documentation
  • Advanced$59/month
    • Per therapist
    • 30 insurance claims per month included
    • Custom forms
  • Premier$89/month
    • Per therapist
    • Unlimited insurance claims
    • Billing automation

Which should you pick?

Choose CareStack if

  • You need cloud-based platform.
  • You work on Web, Ios, Android.
  • You also want patient scheduling.
CareStack review

Choose TheraNest if

  • You need progress notes and treatment plans.
  • You work on Web, iOS, Android.
  • You also want insurance claims.
TheraNest review

Questions people ask

Is CareStack or TheraNest better?
Neither clearly leads. CareStack starts at $829/month and TheraNest at $29/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, CareStack or TheraNest?
CareStack starts at $829/month and TheraNest at $29/month.
Does CareStack or TheraNest run on more platforms?
CareStack runs on Web, Ios, Android. TheraNest runs on Web, iOS, Android.
What is CareStack best used for?
CareStack is most often used for dental practice management and patient scheduling, multi-specialty charting and digital imaging, insurance eligibility verification and claims management, ai-powered clinical notes and diagnosis assistance. Of those, dental practice management and patient scheduling and multi-specialty charting and digital imaging are not what TheraNest is typically brought in for.
What can CareStack do that TheraNest cannot?
CareStack covers Cloud-based platform, Patient scheduling, Clinical charting, Revenue cycle management. TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth.

Answered from the vendors’ own pages

CareStack: How much does CareStack cost?

CareStack starts at $829 per month for the Essentials plan and $1,299 per month for the Intelligence plan. Pricing is customized based on the number of locations, chairs, and providers. Custom plans are available and implementation fees may apply.

Source
TheraNest: Is TheraNest still sold under that name?

Yes. The company rebranded from Therapy Brands to Ensora Health and the product is now marketed as TheraNest by Ensora Health, but you still buy TheraNest.

CareStack: What is included in each CareStack plan?

The Essentials plan ($829/month) includes scheduling, charting, imaging, patient portal, and insurance management. The Intelligence plan ($1,299/month) adds AI-powered clinical notes, voice perio charting, X-ray analysis, and clinical diagnosis features.

Source
TheraNest: Can I bill insurance on the cheapest plan?

No. Essentials includes no claims. Advanced includes 30 claims a month and Premier is unlimited.

CareStack: Are there additional fees for CareStack add-ons?

Yes, CareStack offers optional add-ons including VoiceStack (AI phone system), CareRevenue (RCM services), and ACE DSN (dental procurement) that can be added to either plan at additional cost. No other additional charges apply beyond the monthly subscription.

Source
TheraNest: Are there hidden costs?

Two. Additional admin users are charged per head, and an AMA CPT licence fee is billed annually in December per therapist.

TheraNest: Does it support group practices?

Yes, with per clinician reporting and payroll figures, though every clinician and every admin is a paid seat.

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