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Honest Comparison

DigitalTCO vs VideaAI

Both DigitalTCO and VideaAI (VideaHealth) offer AI-generated dental clinical notes. But one is a documentation platform built by a dentist for individual practitioners, and the other is an enterprise imaging platform that added voice notes in late 2025. Here's what you need to know.

The short version

VideaAI is an enterprise dental AI platform built for Dental Service Organisations. Its core strengths are AI-powered radiograph analysis (FDA-cleared, deployed across Aspen Dental nationwide) and analytics dashboards for multi-location groups. Voice Notes — its clinical documentation feature — launched in October 2025, well after DigitalTCO created the category in 2023. If you're a DSO evaluating enterprise-wide AI with imaging, analytics, and documentation in one platform, VideaAI is worth considering. If you're an individual dentist, associate, or practice owner who needs comprehensive clinical documentation right now — notes, letters, consent forms, reusable content — DigitalTCO is the more complete, more accessible, and more affordable solution.

What is VideaAI?

VideaHealth (trading as VideaAI) is a Boston-based dental AI company founded in 2018 by Florian Hillen. Originally known as DentistAI, the company built its reputation on FDA-cleared AI radiograph analysis — its Clinical Assist platform analyses dental X-rays to detect caries, bone loss, and other pathology. VideaAI is deployed at scale across major DSOs including Aspen Dental (nationwide) and Great Expressions Dental Centers (210+ practices). The platform claims over 90,000 clinicians use its products and it has analysed over 500 million X-rays. In October 2025, VideaHealth launched Voice Notes — an ambient AI scribe that captures clinician-patient conversations and generates structured clinical notes. VideaHealth claims Voice Notes is 'the first ambient AI scribe purpose-built for dentistry,' though DigitalTCO had been generating AI dental notes from voice since 2023.

"The leading dental AI platform for DSOs and practices"

What VideaAI does well

  • FDA-cleared radiograph analysis (Clinical Assist) — mature imaging AI product deployed at massive scale, with proven diagnostic accuracy across caries, bone loss, and pathology detection
  • Massive enterprise footprint — deployed across Aspen Dental (nationwide), Great Expressions (210+ practices), and 50+ DSOs. If your DSO already uses VideaAI for imaging, adding Voice Notes keeps everything in one ecosystem
  • Combined imaging + documentation vision — the long-term promise of linking diagnostic findings from X-rays directly to clinical documentation is compelling, though still evolving
  • Ambient listening mode — Voice Notes can passively listen to provider-patient conversation (Smart Ambient Mode) as well as accept dictation (Quick Dictation Mode)
  • Enterprise analytics — dashboards for multi-location performance tracking, coaching insights, and production analytics across the organisation
  • Revenue impact claims — VideaHealth claims up to $117,000 in additional annual revenue per dentist through combined platform efficiency

Where VideaAI falls short

  • Voice Notes launched October 2025 — the documentation product is new. DigitalTCO has been generating AI dental notes since 2023, with over 1 million notes generated and continuous refinement over three years
  • Enterprise-only sales motion — no self-serve signup. Contact sales, book a demo, negotiate enterprise pricing. Individual dentists and small practices cannot simply sign up and start using it
  • Pricing not publicly listed — enterprise contracts with DSO-negotiated rates. No transparent per-user pricing for individual practitioners
  • No letter generation — Voice Notes generates clinical notes only. No referral letters, patient letters, reply letters, or any correspondence tools
  • No consent form generation — no procedure-specific consent form PDFs
  • No reusable content system — no equivalent to DigitalTCO's Spiel Store
  • Template-required — requires custom template configuration before use. No template-free generation mode
  • Claims to be 'the first ambient AI scribe purpose-built for dentistry' — this claim was made at launch in October 2025. DigitalTCO had been converting dentists' voice into structured clinical notes since 2023
  • Founded by a tech CEO, not a practising dentist — the platform's approach reflects enterprise software design rather than daily clinical workflow
  • UK market presence is minimal — primarily US DSO-focused

The key differences

Enterprise imaging platform vs documentation platform

VideaAI is fundamentally an enterprise imaging and analytics company that added documentation in late 2025. Its strengths are X-ray AI, diagnostic support, and multi-location analytics. DigitalTCO is fundamentally a documentation company — every feature is designed around turning a dentist's voice into defensible clinical records, letters, and consent forms. These are different products solving different primary problems.

Who can actually buy it

VideaAI requires a sales conversation, demo, and enterprise contract. It's designed for DSO procurement teams, not individual dentists. DigitalTCO is self-serve: sign up online, open on your phone, generate your first note in 2 minutes. $120/month, all features included, cancel anytime. If you're an individual dentist or small practice, DigitalTCO is the only one you can actually start using today.

Three years of refinement vs a new product

DigitalTCO has been generating AI dental notes since 2023. Over 1 million notes generated. Three years of continuous improvement based on real clinical feedback from over 1,000 daily users. VideaAI Voice Notes launched in October 2025. It may be excellent, but it hasn't had the same depth of iteration on the documentation-specific problem that DigitalTCO has.

Notes vs the full documentation suite

VideaAI Voice Notes generates clinical notes. DigitalTCO generates clinical notes AND one-click referral letters, patient letters, and reply letters (Letter Engine), templated correspondence (Molar Mail), freeform dictated letters (Cariespondence), procedure-specific consent form PDFs, and reusable voice-triggered content blocks (Spiel Store). If documentation is your problem, DigitalTCO solves the whole problem — not just the notes.

Feature-by-feature comparison

Feature
DigitalTCO
VideaAI
AI clinical notes from voice
Built specifically for dentistry
Founded by a practising dentist
Template-free note generation (Cheat Mode)
Ambient listening mode
AI radiograph analysis (FDA-cleared)
Enterprise analytics dashboards
One-click referral letters
One-click patient letters
Templated letter system (Molar Mail)
Freeform dictated letters (Cariespondence)
Consent form PDF generation
Reusable voice-triggered content (Spiel Store)
Custom examination templates
Direct PMS integration
Works with any dental PMS (copy-paste)
Mobile app
HIPAA-aligned
Encrypted data
Data never used for AI training
BAA available
Self-serve signup (no demo required)
Free trial
28 days
Demo only
Simple, flat pricing
Available in UK
US only

Pricing

Recommended

DigitalTCO

$120/mo

Everything included. No tiers. 28-day free trial.

  • All features included
  • Unlimited notes
  • Letters, consent forms, Spiel Store
  • 28-day free trial
  • Cancel anytime

VideaAI

Contact sales

Enterprise pricing. Not publicly listed. Requires demo and sales conversation. Typically sold as part of a broader VideaAI platform contract.

  • Voice Notes available standalone or bundled with Clinical Assist
  • Enterprise pricing negotiated per DSO or group
  • No self-serve signup — demo required
  • No publicly listed per-user monthly cost
  • Individual practitioners cannot purchase directly
  • Contract terms negotiated on a case-by-case basis

One more thing that matters

DigitalTCO was built by Kevin, a practising dentist who received a formal GDC complaint — not because he did anything wrong clinically, but because his notes couldn't prove he did anything right. Seven words across multiple appointments: "Examined. Discussed options. Pt happy to proceed."

That experience led him to build the tool he wished he'd had. Every feature in DigitalTCO exists because a dentist needed it — not because an engineer thought it was clever. The complaint story, the clinical terminology, the way notes need to be structured for medico-legal defensibility — it's all baked in because the person who built it has been on the wrong end of inadequate documentation.

VideaAI was built by a technology company. DigitalTCO was built by a dentist who learned the hard way.

Try both. Decide for yourself.

Start your DigitalTCO free trial, use it alongside whatever else you're evaluating, and see which one your notes look better in.

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HIPAA-AlignedEncrypted1,000+ Dentists1M+ Notes GeneratedBuilt by a Dentist