You find out about a bad week three weeks later.
Always. Every practice. Every PMS. Every QuickBooks.
The front desk is doing their best — but they don't have time to read the chart before they reply.
That's a different question, and no one's been answering it.
Alvero runs on a three-tier agent architecture purpose-built for dental operations. Strategic on top. Deterministic in the middle. Self-improving underneath.
The economic story of your practice, told by four agents that read every chart, every code, every claim, every dollar. These are the agents you'll talk to.
Deterministic agents with versioned policy tables. They run on your books and your patients — so they don't get to vibe. Highlighted below: the 7-agent Bookkeeper AI and intent-routed Messenger.
The 7-agent close engine on QuickBooks, Dentrix, and Plaid. Reconciled. Daily. Automatically.
Intent-routed to TC, hygiene coordinator, AR, CDA, specialty TCs — with chart-grounded draft replies. Now bidirectional: when a patient asks for an X-ray, receipt, or treatment plan, Alvero drafts the response with the document attached — and routes it for one-click staff approval. AI drafts, staff approves, every send audited.
ASA classification, medication safety screening, and preliminary diagnosis from CBCT, radiographs, and intra-oral photos. Every clinical output requires explicit doctor approval before it reaches a patient or pharmacy. Nothing autonomous. Nothing automatic.
Provider, scheduling, and automation agents across every workflow — each one a small, deterministic specialist running on versioned policy tables. No vibes on your books.
Makes the system smarter — quietly, safely, with auto-rollback. Tiered autonomy: Green changes apply automatically, Yellow changes are shadow-tested for 14 days, Red changes require owner approval. A 14-day evaluator catches drift before it ships.
"4 agents brief you. Dozens do the work. 3 make them better every week."
Dr. Michael Webster owns four dental practices. He built Alvero to carry the operator's workload — the day handled before he walks in.
"Dentrix, Open Dental, Curve — they run the chairs. None of them run the operator. So I built one that does."
— Dr. Michael Webster, on the morning he started Alvero
Flight Deck — live in production at 4 practices
Four practices. One operating system. Built and battle-tested by the operator who runs them.
As of May 31, 2026. Composite figures from the four owner-network practices currently running Alvero in production. Individual practice results vary. Full methodology available on request.
Three short pieces, in the operator's own framing — the morning brief, the PHI safety gate, and what running four practices on one system actually proves. These are silent motion pieces; the words are on screen.
The Doctors Portal turns the records appointment into an AI-assisted workflow — CDA-led, doctor-approved. Virtual Records AI does the workup. The doctor reads it and signs.
Uploads CBCT, radiographs, intra-oral photos, medical history, medications, and vitals through the Doctors Portal.
Generates an ASA classification, a medication safety matrix across the dental formulary, and preliminary diagnoses from the imaging.
Nothing reaches the patient or pharmacy without explicit doctor approval. Every approval is audited.
"The records workup is done. Your job is to read it and sign."
Every AI clinical output requires doctor approval · Nothing autonomous · Nothing automatic
Alvero speaks — to owners on the road, and to every team member at 7am. Owner Voice runs in the PWA on iOS. Per-Staff briefings are generated automatically at 5am.
"Alvero, what's my production today?"
"$14,200 across 9 chairs. Hygiene is fully booked. Dr. Chen has one open 90-minute slot at 2pm."
Owner Voice runs in the Alvero PWA on iPhone — no app to install. Tap, speak, and the entire Flight Deck answers back.
"Good morning, Alexandra. You have 8 patients today, $2,150 PAPT scheduled. Your MTD pay is on track at $1,875. Hannah is off today. Your 9am is a new patient, full exam."
Every team member opens Alvero in the morning and hears a personalized 60-second briefing — production, schedule, performance pay, who's off, what's special about today. Generated automatically at 5am.
"Good morning, by name."
Every outbound message pauses at human approval. Every approval is audited. Nothing leaves without a person saying yes.
The owner's strategic cockpit. Financial pulse, agent activity, provider scoreboard. One practice or twenty — same surface, with roll-up across every clinic you own. Built for the 15 minutes you actually have.
Tour the Flight Deck →The practice manager's daily dashboard. Schedule, staff, chairs, exceptions. One Command Centre per clinic, tuned to how that clinic actually runs.
Tour Command Centre →Virtual Records AI prepares the clinical workup — ASA, medication safety, preliminary diagnoses. The doctor approves. Nothing autonomous.
See Virtual Records AI →Seven agents on QuickBooks + Dentrix + Plaid. Reconciled. Daily. Automatically.
Meet the seven →
Alvero connects to Dentrix, QuickBooks, and Plaid (read-only). No migration. No rip-and-replace. Setup runs alongside your existing PMS — your team keeps charting the way they already do.
Operational agents ingest schedules, charts, messages, and ledgers in real time. Every two minutes, the picture refreshes — by chair, by clinician, by location.
Drafted replies (with human approval on every outbound PHI event), posted journal entries, flagged anomalies, daily owner briefs, voice answers. AI does the work. Humans approve the send.
The Meta-Tier benchmarks across the network and tunes each practice's agents weekly. Safely. With rollback. With k-anonymity ≥5 on every benchmark.
Most "AI" products ship a black box. Alvero ships a registry. Every agent moves through eight states — and no agent ever goes from idea to acting on your practice without spending time in Shadow.
"No agent ever goes from 'idea' to 'acting on your practice' without spending time in Shadow."
Alvero doesn't make you upgrade tiers to manage more practices. The Flight Deck rolls up across every clinic you own. The Command Centre stays where it belongs — in the hands of each clinic's manager.
Alvero replaces the swivel-chair stack — recall, recare, billing follow-up, intake triage, owner reporting — and runs every minute your practice is closed. One flat practice fee. No per-seat tax. No surprise overages.
| One admin hire | Alvero | |
|---|---|---|
| Hours covered | 40 / week | 168 / week |
| Sick days | Yes | Never |
| Onboarding time | 4–8 weeks | Same day |
| Scales to multi-practice | No | Yes |
| Turnover risk | Recruiting + retraining | None |
Single-location dentist owners ready to give their front desk an AI team.
Owners running 2–4 locations who need one operating system across every chair.
Multi-brand operators, regional DSOs, and acquisition-stage groups.
Every practice is different. We price by your workflow, not by seat count — bring your numbers to the walkthrough and we'll show you exactly what Alvero costs and what it returns.
No card. No pressure. Just the math on your practice.
¹ Median Canadian dental administrative wage range, $52k–$68k/yr before benefits, training, recruiting, and turnover cost. Source: Government of Canada Job Bank — Administrative Assistant (NOC 13110).
Alvero was forged inside Kelowna Dental Centre and Brightside — two practices owned and operated by Alvero's founder. Every agent shipped because a real practice needed it. Nothing is in here because it demoed well.
The first version of Bookkeeper AI was a Sunday-night script the founder wrote because the books were a month behind. The first version of Owner Voice was a hack to answer a single question — "what's my production today?" — without opening a laptop. Everything since has followed the same rule: it ships when a practice needs it.
Read the full story →Alvero is built for clinical operations. That means tenant isolation, human approval on every outbound PHI event, immutable audit logs, and architecture aligned with PHIPA, PIPA, and HIPAA.
Book a 20-min walkthrough and we'll plug Alvero into a sandbox copy of your own PMS data. No slides, no theatre — just the platform on your numbers.