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Dental · head to head

Lighthouse 360 vs TheraNest

Lighthouse 360 logo

Lighthouse 360

Dental

Cloud Dental Practice Management Platform

From
$399/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: Lighthouse 360 sold as part of the Henry Schein One line rather than standalone, and lighthouse360.com no longer resolves; 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: Lighthouse 360 covers Cloud scheduling, 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 Lighthouse 360 and TheraNest actually diverge.

Attributes where Lighthouse 360 and TheraNest differ
AttributeLighthouse 360TheraNest
Starting price$399/month$29/month
Pricing modelsubscriptionPer user per month
CategoryDentalHealthcare
Founded2009Unknown

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 Lighthouse 360

  • Cloud scheduling
  • Digital charting
  • Treatment planning
  • Billing system
  • Patient portal
  • Imaging integration
  • Insurance processing
  • Analytics dashboard

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.

Lighthouse 360

  • Automated appointment reminders by text, email and phonenot TheraNest
  • Reducing no-shows in dental practicesnot TheraNest
  • Recall management for overdue patientsnot TheraNest
  • Pre-visit forms collected before the appointmentnot TheraNest
  • Review requests after a visitnot 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 Lighthouse 360
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot Lighthouse 360
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot Lighthouse 360
  • 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 Lighthouse 360

Where each one falls short

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

Lighthouse 360

  • Sold as part of the Henry Schein One line rather than standalone, and lighthouse360.com no longer resolves
  • Pricing is not published and requires a demo
  • Offered in the United States, Canada and the UK only

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

Lighthouse 360

$399/month
  • Core$399/month
    • Scheduling
    • Charting
    • Billing
  • Complete$599/month
    • All core features
    • Imaging integration
    • Insurance management

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 Lighthouse 360 if

  • You need cloud scheduling.
  • You work on Web, Ios, Android.
  • You also want digital charting.
Lighthouse 360 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 Lighthouse 360 or TheraNest better?
Neither clearly leads. Lighthouse 360 starts at $399/month and TheraNest at $29/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Lighthouse 360 or TheraNest?
Lighthouse 360 starts at $399/month and TheraNest at $29/month.
Does Lighthouse 360 or TheraNest run on more platforms?
Lighthouse 360 runs on Web, Ios, Android. TheraNest runs on Web, iOS, Android.
What is Lighthouse 360 best used for?
Lighthouse 360 is most often used for automated appointment reminders by text, email and phone, reducing no-shows in dental practices, recall management for overdue patients, pre-visit forms collected before the appointment. Of those, automated appointment reminders by text, email and phone and reducing no-shows in dental practices are not what TheraNest is typically brought in for.
What can Lighthouse 360 do that TheraNest cannot?
Lighthouse 360 covers Cloud scheduling, Digital charting, Treatment planning, Billing system. TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth.

Answered from the vendors’ own pages

Lighthouse 360: How much does Lighthouse 360 cost?

Lighthouse 360 pricing is not published on the vendor website. Customers must request a demo or contact the sales team directly to receive a quote.

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.

TheraNest: Can I bill insurance on the cheapest plan?

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

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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