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Vendor comparison

Orthia vs Viva AI: which AI receptionist fits an ortho or dental office?

Picks and order are never sold. Paid placements are always labelled Sponsored.

Orthia

Starting price
$399/mo per clinic
Free trial
Not published
Last checked

Viva AI

Starting price
$349/mo
Free trial
Trial with conditions (not free)
Last checked

Last updated: 18 October 2026. Orthia is built only for orthodontic practices. Viva AI serves general dental offices and DSOs. Both publish their prices, both publish a demo line you can call today, and both split their plans the same way: the entry tier covers after-hours and overflow calls, and full 24/7 answering starts on the second tier. They differ in how they bill, which practice management systems (PMS) they book into, and how many channels the AI covers. Vendor sites rechecked 15 Oct 2026.

Verdict

Pick Orthia if you run an orthodontic practice on Cloud 9, Dolphin, Ortho2 Edge, OrthoTrac, Dentrix Ascend or Greyfinch. Orthia prices flat per clinic (from $399/mo per clinic), adds real-time insurance eligibility checks during the call, speaks the language of aligners, consults and debonds, and runs month to month with no per-call fees. Its 24/7 tier costs less than Viva's 24/7 tier in our snapshot.

Pick Viva AI if you run a general dental office or a DSO, want one AI across calls, texts, webchat and email, and want recall, reactivation and no-show campaigns from the same vendor. Viva starts at $349/mo, meters AI work in credits, answers in 100+ languages, states SOC 2 Type II and HIPAA, and offers a 30-day risk-free trial.

Side-by-side

Website
Orthia: orthia.io
Viva AI: getviva.ai
What it does
Orthia: AI front desk built for orthodontic practices: answers calls around the clock, books into the practice management system and checks insurance eligibility during the call.
Viva AI: AI receptionist for dental offices that answers calls, texts, webchat and email at any hour in over 100 languages and books appointments into the practice management system.
Starting price
Orthia: $399/mo per clinic
Viva AI: $349/mo
Pricing model
Orthia: Per location
Viva AI: Tiered
Included on entry plan
Orthia: Not published
Viva AI: 4,000 credits
Overage (entry plan)
Orthia: Not published
Viva AI: Not published
Setup fee
Orthia: Not published
Viva AI: Not published
Published pricing
Orthia: Standard from $399/month per clinic; Premium from $499/month per clinic; custom pricing for DSOs
Viva AI: Gold $349/month (4,000 credits, after-hours and overflow); Platinum $899/month (7,000 credits, answers every call 24/7); Diamond $1,199/month (12,000 credits); extra credits $0.08 to $0.10; 30-day risk-free trial
Trial or free plan
Orthia: Not published
Viva AI: Trial with conditions (not free)
Demo line
Orthia: (830) 264-9239
Viva AI: (866) 944-8482
Integrations
Orthia: Cloud 9, Dolphin, Ortho2 Edge, OrthoTrac, Dentrix Ascend, Greyfinch
Viva AI: Dentrix, Dentrix Ascend, Open Dental, Eaglesoft, CareStack, Cloud 9, SoftDent, Curve Dental
Key features
Orthia: 24/7 call answering for orthodontic offices; Books appointments straight into ortho software; Real-time insurance eligibility checks on calls
Viva AI: Answers calls, texts, webchat and email around the clock; Books appointments directly into the practice management system; Runs recall, reactivation and no-show recovery campaigns
Industries (our tags)
Orthia: Dentists, Orthodontists
Viva AI: Dentists
Practice size
Orthia: All practice sizes
Viva AI: All practice sizes
Listing note
Orthia: None
Viva AI: None
Source
Orthia: Vendor site (orthia.io)
Viva AI: Vendor site (getviva.ai)
Last checked
Orthia: 15 Oct 2026
Viva AI: 15 Oct 2026

Every row comes from our vendor data, refreshed whenever the directory is rebuilt. "Not published" means the vendor does not publish it or we have not recorded it.

Pricing

Orthia (orthia.io, 15 Oct 2026): Standard from $399/month per clinic; Premium from $499/month per clinic; custom pricing for DSOs. Standard covers after-hours and overflow; Premium adds full 24/7 coverage and any major language. Month-to-month, cancel anytime, no per-call fees.

Viva AI (getviva.ai, 15 Oct 2026): Gold $349/month (4,000 credits, after-hours and overflow); Platinum $899/month (7,000 credits, answers every call 24/7); Diamond $1,199/month (12,000 credits); extra credits $0.08 to $0.10; 30-day risk-free trial. Gold covers after-hours and overflow; Platinum answers every call 24/7; Diamond has the same features as Platinum with more credits.

How the meters compare: Orthia does not meter calls. Viva meters AI work only, at 10 credits per minute of AI-answered calls and 5 credits per AI-answered message, while staff calls, texting, reminders and campaigns never use credits. At that rate Gold's allowance works out to about 400 minutes of AI-answered calls a month and Platinum's to about 700. Viva says most offices stay within their allotment. Check your own after-hours call minutes before choosing a tier, and see the cost guide.

Features

  • Specialty: Orthia is orthodontic only. Viva is general dental, with a DSO offer for multi-location groups.
  • PMS booking: Orthia books into Cloud 9, Dolphin (V10+), Ortho2 Edge, OrthoTrac (V14.3+), Dentrix Ascend and Greyfinch, and says read and write functions vary by system and version. Viva lists Dentrix, Dentrix Ascend, Open Dental, Eaglesoft, CareStack, Cloud 9, SoftDent and Curve Dental, with real-time read and write. Cloud 9 and Dentrix Ascend are on both lists.
  • Insurance: Orthia checks insurance eligibility in real time during the call. Viva's record does not list live eligibility checks.
  • Channels: Viva covers calls, texts, webchat and email (AI messaging from Platinum). Orthia covers voice plus a website chat widget.
  • Languages: Orthia Standard is English and Spanish; Premium handles any major language. Viva lists 100+ languages and switches mid-call.
  • Transfers and emergencies: Orthia lists smart call routing and emergency triage with staff tasking. Viva lists live call transfer from Platinum and HIPAA-compliant emergency alerts.
  • Outreach: Viva runs recall, reactivation and no-show recovery campaigns. Orthia's record focuses on inbound answering, scheduling and reminders.
  • Compliance: Both state HIPAA compliance with a BAA. Viva also states SOC 2 Type II.

Setup and trial

Orthia's trial in our data: Not stated. It says practices go live in under an hour with a single onboarding call. Viva: Trial with conditions (not free). The vendor describes it as a 30-day risk-free trial, and says onboarding takes about a week. More on trial terms in the free trial guide.

Both publish demo lines. Orthia: (830) 264-9239. Viva: (866) 944-8482, which also accepts texts.

Best fit by practice type

Orthodontists on Dolphin, Ortho2 or OrthoTrac
Lean Orthia: Ortho-only, direct PMS booking
Lean Viva AI: Ortho systems not on its list except Cloud 9
Dentists on Open Dental, Eaglesoft or Dentrix
Lean Orthia: Not its focus
Lean Viva AI: Listed PMS, credits model
Insurance questions on the call
Lean Orthia: Real-time eligibility checks
Lean Viva AI: Not listed
Text, webchat and email follow-up
Lean Orthia: Website chat only
Lean Viva AI: All channels from Platinum
DSOs and groups
Lean Orthia: Custom DSO pricing
Lean Viva AI: DSO offer with cross-location routing

How to choose in one minute

  1. Call both demo lines: Orthia (830) 264-9239 and Viva (866) 944-8482. Ask each to book a new-patient consult and handle a broken bracket after hours.
  2. Confirm your exact PMS version is supported for booking, not just reading.
  3. Decide whether you need after-hours only or every call answered, since both put 24/7 on the second tier.
  4. Choose Orthia for ortho workflows, eligibility checks and flat per-clinic pricing. Choose Viva for general dentistry, multi-channel AI and campaigns.

FAQ

Is Orthia only for orthodontists?

Yes. Orthia says it is built exclusively for orthodontic practices. General dental offices are Viva's focus.

Which is cheaper, Orthia or Viva AI?

At the entry tier, Viva's after-hours plan starts at $349/mo and Orthia's at $399/mo per clinic. For full 24/7 coverage, Orthia's Premium costs less than Viva's Platinum in our snapshot. Viva AI has the lower entry price in our data.

Do both answer 24/7 on the entry plan?

No. Both entry tiers cover after-hours and overflow calls. Full 24/7 answering starts on Orthia Premium and Viva Platinum.

Can I hear them before buying?

Yes. Orthia: (830) 264-9239. Viva: (866) 944-8482.

Which practice management systems do they book into?

Orthia: Cloud 9, Dolphin, Ortho2 Edge, OrthoTrac, Dentrix Ascend and Greyfinch. Viva: Dentrix, Dentrix Ascend, Open Dental, Eaglesoft, CareStack, Cloud 9, SoftDent and Curve Dental.

Disclosure

Snapshot dated 15 Oct 2026. Re-verify prices on each vendor's site before you buy. AI Front Desk List is independent and is not affiliated with Orthia or Viva AI. Picks and order are never sold. Paid placements are always labelled Sponsored. See Advertise.