Insurance claims, provider payroll and patient financing for dental practices and DSOs.

The exam, the diagnosis, and the perio charting are drafted from the conversation in the operatory and structured into the note fields your clinicians already use. The dentist reviews and edits, rather than transcribing after hours.

Nothing reaches the chart or a claim until a licensed clinician reviews and signs. The scribe drafts and suggests; the human decides. Who signed, when, and from what source is captured on the record itself.

Once signed, the note is hash-chained and locked. A change is a dated, attributed addendum, never a silent overwrite, so the record holds up to an auditor, a payer, or a dental board request years later.

Templates for exams, hygiene, restorative, endo, perio, and oral surgery, aware of CDT, SNODENT, and ICD-10, so the signed note is already structured to code, not free text a biller has to re-read and interpret later.

Speech-to-text runs through a pluggable provider and is live for design partners, not one-click for every account yet. The governance, signing, and sealing around it are the shipped Fintra platform.

CareStack makes the same all-in-one promise Fintra does: clinical, scheduling, RCM, payments, engagement. Fintra wins where it counts: real multi-entity accounting, provider comp computed from production, governed hash-chained evidence on every write-off and refund, and an ambient scribe that signs and seals. The claim isn’t assembled from modules: it’s one signed-note, then CDT, then clean-claim, then posted-cash loop.

For the 100+-location DSOs Denticon runs, Fintra doesn’t fight the clinical + scheduling core. It sits on top: read production through the connector and own the consolidated books, provider comp, financing, controls, and the note-to-cash cycle. This is the "keep your PMS, own everything downstream" story, aimed at the enterprise system a group already trusts.

Vyne’s moat is electronic attachments: getting the bitewing, perio chart, and narrative to 800+ payers. Fintra rides an attachments/clearinghouse rail rather than rebuilding 800 payer connections, but with an edge: the ambient scribe generates the attachment (signed perio chart + narrative) at the point of care, so it isn’t a manual dig. The attachment writes itself.

The one thing every dental payer needs to adjudicate, and the top thing we’re adding: auto-attach the perio chart, X-ray, and narrative from the signed note and the imaging bridge. In build. The claims engine underneath it is live: tooth/surface-aware CDT coding, per-quadrant SRP expansion, clean-claim scrub, 270/271 eligibility, and 835/ERA auto-posting.

Online self-scheduling, digital intake forms, and treatment-plan presentation with e-signature acceptance, the surface CareStack and Denticon lead with, wired straight into point-of-care financing, so a "yes" at the chair is a signed plan and a funded balance. In build alongside the AI front desk that already books, texts back, and takes payment today.

One chart of accounts across the group with per-location, per-provider, and per-chair P&Ls that roll up in real time, so the DSO closes the month once, not once per office.

Production per chair, collection rate, no-show rate, case acceptance, and AR by payer compared office to office, so the group sees which location needs help and which playbook is worth copying everywhere.

Payer contracts, fee schedules, and comp models managed centrally and applied per location, so a renegotiated rate or a new plan flows to every office without re-entry or drift.

A newly opened or acquired location inherits the group chart of accounts, controls, and governance on day one, so an add-on practice is producing clean claims and consolidated numbers immediately, not after a six-month integration.

The same verdicts, trust scores, and sealed evidence apply at every location and roll up to the group, so a refund in one office and a write-off in another are held to the same policy and auditable from one place.

Fill open chairs from real demand: local search, web, and referral sources tracked to the treatment and collections they actually produced, so spend goes to what fills chairs, not vanity clicks and lead counts nobody can tie to revenue.

Track where new patients come from, specialist referrals, member-get-member, and post-visit reviews, attributed to the treatment and collections they actually produced, so you invest in what fills chairs.

Associate and hygiene incentives computed straight from connected production and collections, with clawbacks on refunds, reversals, and unearned draws, every commission run scored and sealed as evidence like any other pay run.

A new lead becomes a presented treatment plan, a point-of-care financing decision, and a funded, reconciled payment in one flow, one system from first contact to the sealed dollar, with no hand-off to a separate CRM.