CareStack

CareStack is one of the strongest cloud options for a growing group, and one of the few at that level that publishes a price. Scheduling, charting, imaging, claims, patient messaging and reporting come in one subscription, and its support scores are among the best in the category.

The trade-off is complexity. Reviewers consistently describe a long adjustment period and more clicks than they were used to. It suits an organization that will invest in training; it is more than most solo offices need.

What CareStack is

CareStack is a cloud practice management system founded in 2015 by Dr. Mark Huzyak and Abilash Krishna. The company is based in Celebration, Florida, with development offices in India. It states that more than 3,000 US practices use the software, that it employs over 1,300 people and that it has raised $145 million. It also sells in the United Kingdom and Australia.

The product is designed around a single database for every location. On top of the core system CareStack sells VoiceStack, an AI phone system, CareRevenue, an outsourced billing service, and ACE DSN for supply purchasing.

Pricing

We read CareStack's pricing page on September 30, 2026.

At the starting rates, three years cost at least $29,844 on Essentials and $46,764 on Intelligence, before any implementation fee. Three points to settle in the quote:

• The unit. CareStack says the licence is usually set against the number of locations and providers. User accounts themselves are not charged.
• Implementation. A fee may apply depending on the complexity of data migration and training. Ask for it in writing.
• Add-ons. VoiceStack, CareRevenue and ACE DSN have no listed prices. Third-party integrations carry no CareStack charge, though the other vendor may bill you.

The contract length is not stated on the pricing page. For context on what other systems charge, see dental software cost.

Where CareStack is strong

• One system for a group. Shared patient records, centralized scheduling and reporting across locations without a server in each office.
• Breadth in the base plan. Imaging, eligibility verification, claims, electronic remittance posting, e-prescribing and patient messaging are part of the product. We confirmed 13 of the 14 practice management capabilities we track.
• Support. Customer service is rated 4.8 out of 5 on Capterra, unusually high for this category. Reviewers often credit the onboarding team and account managers.
• Reporting. Real-time and custom reports are a frequent point of praise from managers.
• AI tools in the product. The Intelligence plan adds AI notes, voice perio charting and X-ray analysis without a separate vendor.

Where it falls short

• Learning curve. The most frequent criticism. Staff moving from older desktop systems need weeks, not days.
• Clicks. Reviewers describe common tasks that take more steps than they expect.
• Go-live. Data migration and the first weeks are often described as rough, even by users who rate the product highly.
• Clinical workflow. Some dentists feel the system serves the front office better than the operatory.
• Bug fixes. Some reviewers report slow resolution of technical tickets and limited visibility into their status.
• Few documented third-party integrations in our data. We have confirmed four: Overjet, Birdeye, Swell and Sota Cloud. CareStack's approach is to build most functions in.

CareStack alternatives to compare

• Denticon, the long-standing cloud system for DSOs: CareStack vs Denticon.
• Curve Dental, simpler and aimed at smaller offices: CareStack vs Curve Dental.
• Dentrix Ascend, the Henry Schein One cloud system: CareStack vs Dentrix Ascend.

All cloud systems: cloud practice management ranking. For groups: DSO and enterprise systems. Our overall picks are in best dental practice management software.

Bottom line

CareStack is a serious candidate for any group that wants to run on one cloud database and would rather buy most functions from one vendor. Budget for the training period as carefully as for the subscription, get the implementation fee and contract term in writing, and have clinicians, not only managers, try charting in the demo. Planning the move is covered in switching dental software.

What users say about CareStack

Summarized by us from 219 public reviews on Capterra (overall 4.8 out of 5; ease of use 4.5, customer service 4.8), read on September 30, 2026. The G2 rating in our database is 4.7 from 201 reviews. Themes are paraphrased, not quoted.