Full Perio Chart. No Training Fees. No Lock-In.
Dentrix charges $1,500+ in training fees before you're operational — then keeps raising your bill with add-ons. CortexaOS includes the full tooth chart, complete periodontal charting, AI treatment planning, and patient automation at $249.99/month flat.
Keep Dentrix for patient records. CortexaOS can layer AI treatment planning and patient communication on top — no migration required until you're ready.
The Problem with Dentrix
Why dental practices are searching for a Dentrix alternative in 2026.
$1,500+ Before You See a Patient
Dentrix charges $300–$600/month for the base platform plus $1,500–$3,000 in upfront training and implementation fees. For a solo practice or small DSO, you've spent thousands before your first patient record is entered. CortexaOS has no setup fees and no training fees.
Periodontal Chart Is a Lock-In Feature
The full periodontal charting workflow — probing depths, bleeding points, recession, mobility — is the feature practices say locks them into Dentrix. CortexaOS includes the complete periodontal chart as a standard feature, not an upgrade or add-on.
No AI Treatment Planning
Dentrix does not offer AI-powered treatment plan recommendations, sequence optimization, or patient-specific presentation generation. CortexaOS analyzes clinical notes and imaging context to generate evidence-based treatment options and patient-ready presentations.
Patient Communication Is a Separate Product
Dentrix Patient Engage — the tool for appointment reminders, recall campaigns, and two-way patient texting — is a separate subscription add-on. CortexaOS includes automated patient communication, recall queue management, and AI-generated follow-up sequences in every plan.
Dentrix vs CortexaOS
Feature by feature — including what Dentrix charges extra for
⚠️ = Available as paid add-on or requires Patient Engage subscription | ❌ = Not available
Why Dental Practices Switch to CortexaOS
Full Perio Chart — Standard, Not Premium
The complete periodontal charting workflow — probing depths, bleeding points, recession, furcation, mobility — is built into every CortexaOS plan at no extra charge. It's the feature that keeps practices locked into Dentrix. We removed the lock.
AI That Helps You Diagnose and Present
CortexaOS generates evidence-based treatment recommendations from clinical notes, flags imaging findings for documentation, sequences multi-phase plans, and produces patient-ready summaries that improve treatment acceptance rates — none of which Dentrix can do.
Replace OR Orchestrate
Not ready to move off Dentrix? CortexaOS can operate as an AI layer on top of your existing Dentrix instance — adding AI treatment planning, patient communication automation, and practice analytics without requiring a full migration. Switch when you're ready.
Side-by-Side Pricing
The real cost — including what Dentrix charges before you even start
$300–$600/mo base + $1,500–$3,000 upfront training fees + Patient Engage add-on ($100–$200/mo). Per-provider pricing on higher tiers.
Full tooth + perio charting, AI treatment planning, patient communication, insurance processing, recall queue — all included. Zero setup fees.
We paid $2,200 upfront to implement Dentrix and still spent three months getting staff trained. CortexaOS had us running in 4 days. The perio chart is identical, the AI treatment planning saves my coordinator 45 minutes per day, and we cut our software bill by $380 a month.
— Dr. Marcus T., General Dentist, 2-location practice, Phoenix AZ
Frequently Asked Questions
Is CortexaOS a good alternative to Dentrix for dental practices?
Yes. CortexaOS provides full dental practice management including clinical tooth charting, complete periodontal charting, treatment planning, insurance claim processing, patient scheduling, and a patient portal — everything Dentrix offers — plus AI-powered treatment recommendations and patient communication automation that Dentrix does not have. CortexaOS has no setup fees or required training contracts.
Does CortexaOS include full periodontal charting?
Yes. CortexaOS includes a complete periodontal chart with probing depths, bleeding on probing, recession, furcation, mobility scores, and suppuration tracking. This is a standard feature in all CortexaOS plans at no additional charge. The periodontal chart is widely cited as Dentrix's primary lock-in feature — CortexaOS includes it as table stakes.
How does CortexaOS pricing compare to Dentrix?
Dentrix charges $300–$600/month for the base platform plus $1,500–$3,000 in upfront training and implementation fees. The Patient Engage add-on for automated patient communication is an additional $100–$200/month. Most dental practices pay $650–$950+/month once all required components are included. CortexaOS charges $249.99/month with no setup fees and all features included.
Can CortexaOS replace Dentrix completely?
CortexaOS includes all core Dentrix capabilities: tooth charting, periodontal charting, treatment planning, insurance claim processing, patient scheduling, recall management, and patient communication. It additionally provides AI treatment plan recommendations and patient-ready presentation generation that Dentrix lacks. Most solo and small group practices can fully transition to CortexaOS.
Does CortexaOS have AI features that Dentrix does not?
Yes. CortexaOS includes AI-powered treatment plan recommendations based on clinical notes and imaging context, AI-generated patient communication sequences for recall and follow-up, automated treatment acceptance rate optimization, and AI practice analytics benchmarked against industry peers. Dentrix does not offer native AI capabilities for clinical decision support or patient communications.
Does CortexaOS handle dental insurance claims?
Yes. CortexaOS includes insurance eligibility verification, claim submission, and payment reconciliation. Treatment plans link directly to insurance benefits for accurate patient estimate calculations. This is a standard feature in all plans.
Can CortexaOS work as an AI layer on top of Dentrix?
Yes. CortexaOS is designed with a "Replace OR Orchestrate" architecture. Practices can continue using Dentrix for clinical records while using CortexaOS as an AI intelligence layer for treatment planning assistance, patient communication automation, and practice analytics — without migrating patient data immediately.
Are there setup fees or training contracts with CortexaOS?
No. CortexaOS has zero setup fees and no required training contracts. Most dental practices are fully operational within the first week. Dentrix typically requires a $1,500–$3,000 upfront implementation engagement before practices can go live.
Ready to Cut Your Software Bill in Half?
Start your free trial. No credit card required. No training fees. Most dental practices are fully operational within a week.