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Dental · head to head

OrthoTrac vs TheraNest

OrthoTrac logo

OrthoTrac

Dental

Complete Orthodontic Practice Management

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: OrthoTrac orthoTrac support has moved off Carestream Dental's own site to a third-party portal, gosensei.com, and OrthoTrac customer contact is now booked only through a Calendly scheduling link rather than a phone number or online purchase path, per Carestream Dental's own site.; 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: OrthoTrac covers Orthodontic treatment planning, 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 OrthoTrac and TheraNest actually diverge.

Attributes where OrthoTrac and TheraNest differ
AttributeOrthoTracTheraNest
Starting price$399/month$29/month
Pricing modelsubscriptionPer user per month
PlatformsWindows, WebWeb, iOS, Android
CategoryDentalHealthcare
Founded2007Unknown

Identical on both: free tier (No), 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 OrthoTrac

  • Orthodontic treatment planning
  • Contract management
  • Appointment scheduling
  • Insurance processing
  • Imaging integration
  • Progress tracking
  • Appliance tracking
  • Referral management

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.

OrthoTrac

  • Orthodontic practice managementnot TheraNest
  • Treatment planningnot TheraNest
  • Contract managementnot TheraNest
  • Progress trackingnot 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 OrthoTrac
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot OrthoTrac
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot OrthoTrac
  • 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 OrthoTrac

Where each one falls short

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

OrthoTrac

  • OrthoTrac support has moved off Carestream Dental's own site to a third-party portal, gosensei.com, and OrthoTrac customer contact is now booked only through a Calendly scheduling link rather than a phone number or online purchase path, per Carestream Dental's own site.

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

OrthoTrac

$399/month
  • OrthoTrac Standard$399/month
    • Patient scheduling
    • Treatment planning
    • Billing management
  • OrthoTrac Cloud$549/month
    • Everything in Standard
    • Cloud-based access
    • Imaging integration

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 OrthoTrac if

  • You need orthodontic treatment planning.
  • You work on Windows, Web.
  • You also want contract management.
OrthoTrac 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 OrthoTrac or TheraNest better?
Neither clearly leads. OrthoTrac 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, OrthoTrac or TheraNest?
OrthoTrac starts at $399/month and TheraNest at $29/month.
Does OrthoTrac or TheraNest run on more platforms?
OrthoTrac runs on Windows, Web. TheraNest runs on Web, iOS, Android.
What is OrthoTrac best used for?
OrthoTrac is most often used for orthodontic practice management, treatment planning, contract management, progress tracking. Of those, orthodontic practice management and treatment planning are not what TheraNest is typically brought in for.
What can OrthoTrac do that TheraNest cannot?
OrthoTrac covers Orthodontic treatment planning, Contract management, Appointment scheduling, Insurance processing. TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth.

Answered from the vendors’ own pages

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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