Getting Started

A 10-minute orientation for a practice owner evaluating Alvero. No setup required to read this — it explains the system you'd be turning on.

What Alvero is

Alvero is an AI operating shell for dental practices. It is not a practice management system (PMS) and it does not replace Dentrix. It sits on top of the systems you already run and replaces the human bottleneck around them — the reporting, recall chasing, reconciliation, and the morning scramble — with a coordinated workforce of 14 AI agents.

How it connects

Alvero reads from your PMS and financial systems through their APIs. No flat-file exports, no rip-and-replace, no staff retraining.

Dentrix — direct API for appointments, production, claims, and patient records.
QuickBooks Online — accounting sync for Bookkeeper AI.
Plaid — bank and card feeds for reconciliation.
Twilio — the transport for two-way Messenger (with human approval on every outbound PHI event).

The 14-agent workforce

Three coordinated tiers:

Bookkeeper AI — 7 agents: reconciliation, deposits, posting, document ingest, close, and supervision.
Economic Layer — 4 agents: Cost Cutter, Revenue Hunter, Efficiency AI, Owner Brief AI.
Meta-Tier — 3 agents: Pattern Miner, Per-Tenant Coach, Agent Evaluator — improving your tenant over time, safely, with a 14-day evaluator and auto-rollback.

Full detail per agent is in the Agents reference; the system topology is in Architecture.

PHI safety

Human approval on every outbound PHI event. Two-way Messenger drafts and queues patient communication, but nothing containing protected health information sends without explicit staff sign-off. Every clinical output in Doctors Portal requires a doctor's approval. See the Security Model.

Explore the code

Public sample integrations — including the canonical event type definitions Alvero emits — live at github.com/alvero-dental/alvero-sample-integrations ↗. Start with README.md for the integration overview and src/shared/canonical-events.ts for the event contracts referenced throughout Integrations and the API Reference.

Next steps

Read Architecture for the full topology, or book a 20-minute scoping call to see Alvero on your own numbers.