Built for the tech you already use. Governed by HIPAA discipline. Led by a founder who's been in the chair-side reality for over a decade.
One vendor. One bill. One number when something breaks. Most issues get resolved before your front desk notices them.
And because we work directly with every major phone, internet, and security provider, when there's a better option, we tell you — and we install and support it ourselves.
Your database has thousands of leads who never booked, no-shows who never rescheduled, and former patients you haven't called in years. That's a goldmine sitting unworked in your PMS.
We turn it on. AI catches missed calls — during business hours, after hours, anytime. Old database leads get reactivated. No lead sits.
Most IT people fix things. We sit with you for an hour every 90 days and ask where the practice is going next — and what your technology needs to look like to get you there.
That's the conversation a CIO has with a CEO. In a hospital it's salaried at $180K. In your practice it's included in Professional and Complete.
Pick the page that answers your first question. Each one is short.
Three pillars in plain English. Tech that runs, every lead worked, a real strategic plan.
Pick your tier, drag the slider, see the number. No forms. No emails. Just the math.
What you actually get vs. what most local MSPs deliver. No buzzwords.
Discovery → assessment → proposal → onboarded. Three weeks for a typical practice.
The founder, the story, why I started Trigon Heights — and what working with me actually looks like.
Including the ones you might be afraid to ask. Pricing, AI, what we won't do — all here.
Most practices we audit save 15-30% on their phone, internet, and security spend. We compare what you're paying now against alternatives from our partner portfolio. Yours whether or not we ever work together.
Thirty minutes. Five questions. No pressure.
What we stand for — then what we actually do. Read each one as if we're sitting across from you in your office. Because eventually, we will be.
Most MSPs hand you a sales deck full of buzzwords and a contract full of fine print. We start with what we stand for. If these three don't match what you want, we're not the right fit — and we'll tell you that on the first call.
We don't try to be everything. We do the three things orthodontic practices actually need their IT firm to do — and we do them at a level you've probably never had from a vendor before.
"I haven't thought about our IT in three weeks, and things have never worked better."
Most practices have one person handling computers, another handling phones, another handling internet — and none of them talk to each other. When something breaks, you make three phone calls. We're the one phone call.
Phones, computers, network, backups, security, email, Wi-Fi, the router in the back office no one can find the password for — it's all on us, under one monthly number. And because we work with every major HIPAA-compliant carrier and platform through our partner portfolio, when there's a better option, we tell you, compare honestly, and stay with you through the install.
"We're closing consultations from leads I forgot we had — and we haven't missed a call in weeks."
Your database has thousands of leads who never booked, no-shows who never rescheduled, and former patients you haven't called in years. That's a goldmine sitting unworked in your PMS.
We turn it on. AI catches missed calls — during business hours when your front desk is helping a patient at the counter, after hours, weekends. Old database leads get worked through quarterly reactivation campaigns.
Honest about scope: direct AI scheduling into your PMS depends on which system you use. For Cloud9, Dolphin, Greyfinch, Tops, OrthoTrac, Ortho2 Edge, and Open Dental — we know the integration points. For systems with closed APIs, we partner with specialty providers and quote any added cost transparently. Either way, every call gets captured.
"For the first time, I'm making technology decisions instead of reacting to technology problems."
Your IT person fixes things. We sit with you for an hour every 90 days and ask "where is this practice going in the next 18 months, and what does your technology need to look like to get you there?"
That's the conversation a CIO has with a CEO. In a hospital it's salaried at $180,000 a year. In your practice it's bundled into Professional and Complete. What's coming. What's worth investing in. What to sunset. What's hype you can ignore.
Through our master-distributor partnerships, we have access to over 500 vetted technology vendors across every category your practice needs. We don't sell you logos. We solve your problem — by comparing options honestly and recommending what fits your size, your HIPAA posture, and your actual workflow.
Cloud-based phone platforms with HIPAA-compliant call recording, BAA coverage, and integration with your scheduling workflow.
Fiber, dedicated business lines, and SD-WAN — sized to your bandwidth needs with backup-circuit options for clinical continuity.
EDR, managed detection & response, identity threat protection, and 24/7 SOC monitoring designed for healthcare-PHI environments.
Microsoft 365 Business Premium with proper BAAs, Azure for healthcare, and SOC 2 / HIPAA-compliant colocation when on-site hosting is the wrong call.
For multi-doctor practices and growing groups — full contact center platforms with HIPAA-aware deployment and BAA coverage.
Encrypted backups with quarterly verified restoration tests. Imaging-server-aware. Documented recovery procedures that satisfy HIPAA audit requirements.
Practice Wi-Fi with proper segmentation between clinical, guest, and IoT networks. Mobile device management for clinical iPads and staff devices.
Direct support for Cloud9, Dolphin, Greyfinch, Tops, OrthoTrac, Ortho2 Edge, Open Dental — and OrthoFi integration for billing and financing.
Imaging server management, 3D printing workflow integration, DICOM-aware backup strategies, and integration with your clinical software.
You sign with the vendor directly. They bill you. We're not the carrier or the cloud provider — and we're not pretending to be. What we do is help you compare options, project-manage every step of the install, sit on every kickoff call with the vendor's team, and stay your single point of contact afterward. One number to call — even when the issue belongs to someone else's network. That's what "vendor management" actually means.
Four tiers. Plain English. Month-to-month after a 90-day initial commitment on Professional and Complete.
Pick what fits. Pay what's fair. Get on with running your practice.
No forms. No emails. No salesperson. Adjust the inputs — see the number you'd actually be quoted.
Items already included in your tier appear with a green ✓ INCLUDED badge.
Each tier scales scope to practice size. Look for the "$X bundled value" banner where setup is included.
Line-by-line review of your phone + internet contracts. Most practices save 15-30%. No obligation.
Honest comparison against the typical alternatives Houston practices use.
Most marketing-led MSP comparisons cherry-pick weak competitors. Here's the honest version — the three actual options Houston practice owners are choosing between.
Most Houston practices have been working with a generalist local MSP for 3-7 years and quietly know it isn't quite right. The question isn't whether they're competent — many are. The question is whether they've ever deeply understood orthodontic IT.
Trigon Heights's bet is simple: specialty depth beats generalist breadth in healthcare IT. When your imaging server fails, you want the IT firm that's already restored 30 of them — not the one figuring it out for the first time on your data.
Discovery call → assessment → proposal → onboarded. Three weeks total.
No marathon sales cycles. No 40-page proposals. You'll know by the end of the discovery call whether we're the right fit.
Thirty minutes. Five questions. Honest answers about where you are and what you actually need.
On-site or remote. Inventory, risk heat-map, HIPAA gap analysis, 90-day technology roadmap. You own the document either way.
One-page proposal within 48 hours. Tier, price, onboarding timeline, first-90-day outcomes you'll see.
Agreements signed. Kickoff within 24 hours. Every device monitored within 72 hours. Your team trained on what to expect.
This is the entire call. 30 minutes. We listen, take notes, and tell you within 48 hours whether we're the right fit for your practice.
Walk me through what happens when a computer or phone goes down on a Tuesday morning.
How much of the owner's time last month went to IT or phone issues?
When was your last HIPAA Risk Assessment? Do you have a BAA with your current IT vendor?
If I could give you back 4 hours a week, what would you spend it on?
What would have to be true 90 days from now for you to tell me this was the best decision you made this quarter?
That's it. If we're not the right fit, we'll say so on the spot — and we'll often suggest who is. Houston has good IT firms; we just want to make sure you're working with the right one for your specific practice.
Thirty minutes. Five questions. No pressure.
Houston has no shortage of managed IT providers. What it has a shortage of is providers who've actually run the operations of a 100-practice healthcare business from the inside.
23 years in IT — 10 in healthcare, 3 at Microsoft. The whole time I've been the person practice owners called when their technology stopped working. I started Trigon Heights to be the person they call before it does.
Most managed IT providers in Houston are good at fixing what's broken. Very few are positioned to tell a practice owner where their technology should be going in the next 18 months — and what investments will or won't get them there. That's the conversation I want to have with the people I work with.
Before Trigon Heights, I built and ran the IT function at a HIPAA-compliant scheduling service from scratch — scaling it to support nearly 100 orthodontic practices as the sole architect. I designed the infrastructure, the phone systems, the AI voice automation, the onboarding playbook, and the operational discipline that ran the entire thing. That's the experience every Trigon Heights client inherits on Day 1. Not a junior tech reading a runbook. The person who wrote it.
The name reflects the three pillars I work from. They show up in how I run the business — and most of all, in how I show up for the people who hire me.
My word means something. Always — not just when it's convenient. When I haven't lived this, it cost me pieces of myself. I won't do that to anyone, and I won't do it to myself.
I don't bargain my self-esteem. Not for a deal, not for approval, not for anything. The work I do — and the people I work with — get my full self.
The smile is the point. The fun is the point. Life is what you make of it — and I do my best work when I'm congruent. When I'm really Steve.
You'll get me on every discovery call, every assessment, every proposal, and every quarterly business review. As Trigon Heights grows, the team will grow with us — but I will always be the strategic seat at your quarterly review. That's the relationship you're hiring.
The standard MSP playbook is to hire as fast as possible, layer junior techs between the owner and the client, and stop returning the founder's calls within a year of signing. Trigon Heights is built the opposite way. The founder stays in the deal. The strategy seat stays your strategy seat.
Outside work, I'm a calisthenics guy — handstands, muscle-ups, working toward a strict press handstand and a planche. Those skills don't come from intensity. They come from years of small, unglamorous repetitions. That's how I think about my work too. Most things worth doing look easier than they actually are; people who shortcut them eventually pay for it.
I take my Saturdays off completely — not negotiable. It's part of why I'll be a better partner to you in five years than someone who's already burned out.
Across healthcare, retail, and Microsoft
Designed, scaled, and supported through daily operations
HIPAA-native discipline built into every engagement
Carriers and platforms accessible through our partner relationships
Microsoft 365, Azure, and identity at enterprise scale
We sell outcomes, not features. The technology is table stakes; the partner is the moat.
Honest scope wins more deals than impressive scope. We tell you what's possible — and what isn't — before we ask for your business.
Month-to-month contracts force us to earn it every month. That's a feature, not a bug.
The technology that's right for your practice today won't be right in two years. Our quarterly review is where we tell you — not wait for you to notice.
The hardest conversations get easier when you're not selling. Every discovery call I take is a mutual evaluation — yes or no, never maybe.
Including the ones you might be afraid to ask.
Including the AI scheduling answer, the cost answer, and the things most MSPs won't tell you.
Exactly what it sounds like — and nothing more. When you book a discovery call, we prepare a side-by-side comparison of your current phone, internet, and security spend against alternatives from our partner network.
Most practices save 15-30% on telecom and security spend just by re-quoting. We show you the math, line by line, with real numbers from real providers. If your current setup is already optimal, we tell you that and walk away.
The audit takes about 5 days to prepare per practice — that's why we cap at 5 audits per month. Yours to keep whether or not we work together.
Our pricing is fully transparent — no quote-request gates. Four tiers from $325/mo (Foundation, 1 user) to $245/user/mo (Complete, everything bundled).
Setup costs are scaled to tier complexity: Foundation onboarding is $1,295 (lite scope); Essentials is $2,495 (standard); Professional and Complete include onboarding in the tier.
Predictable monthly billing. Month-to-month from day one on Foundation and Essentials. 90-day initial commitment on Professional and Complete (covers the upfront work bundled in those tiers).
Honest answer: it depends on which system you use.
For systems with open APIs (Open Dental, Cloud9, modern cloud-based PMS), our deployment handles direct booking natively. For closed systems (Tops, Dolphin, older Dentrix versions), we partner with specialty providers who've built deep integrations.
The result is the same: direct AI booking when it's the right answer, qualified callback handoff when it isn't — and no lead ever sits in voicemail.
It does both. The AI works as overflow during business hours too — when your front desk is on another call, helping a patient at the counter, or buried for ten minutes.
Instead of the call going to voicemail (or the caller hanging up), the AI picks up, captures the reason for the call, and either books the consult, transfers to your team, or texts you a summary so nobody falls through the cracks.
The point is to capture the lead — not to replace your front desk. We don't compete with your team; we close the gap where humans can't be.
Discovery call this week. Assessment the following week. Proposal within 48 hours of the assessment. Full onboarding completed inside 10 business days of signature.
Roughly three weeks from first contact to go-live for a typical 6-12 user practice.
You leave. Month-to-month means month-to-month after the initial commitment period (immediate on Foundation/Essentials, after 90 days on Professional/Complete).
30-day notice. We hand off documentation, access credentials, and any client-owned data within 30 days of cancellation. We've designed the business so we have to earn the relationship every month — including the last one.
If you've had a Risk Assessment in the last 24 months, do this one test: look at the section about your imaging server's backup verification process. If it's the same paragraph that's in the assessment your office friend across town got, neither of you actually had a Risk Assessment. A real one requires the assessor to understand your specific workflow.
Hourly billing aligns the IT firm's incentives against efficiency — they make more money the longer something takes. Predictable monthly pricing aligns incentives with the practice. Both parties want issues resolved fast. (Foundation tier is a hybrid — retainer plus included hours — because real small practices genuinely don't need much support most months.)
Most "endpoint security" focuses on the doctor's laptop. But the front desk is the workstation that touches every patient record, gets the most phishing emails, and is least likely to be patched on schedule. It's also where your highest exposure lives.
Most MSPs sell 24/7 monitoring as a tool that emails an inbox someone will check Monday morning. That's not 24/7. That's monitored-Monday. Ask your current IT firm: "If our imaging server fails at 2 AM Saturday, what happens?" If the answer involves the word "Monday," you don't have 24/7 anything.
Real support is proactive. It's the issues that don't happen because someone caught them in monitoring. It's the conversation with you every quarter about what's coming. If your IT relationship feels like first aid, you're not getting support — you're getting bandaids.
Either. If you have a solo IT person at a growing practice, we often become their escalation layer and strategic backup. If you're on a generic IT vendor, we usually replace them entirely. The discovery call is where we figure out which path fits.
No. We work through master-distributor partnerships that give us access to 500+ vetted technology vendors across voice, internet, security, contact center, cloud, and business continuity.
If the right answer for your practice is a vendor we don't typically use, we'll tell you — and help you get there. We don't sell logos. We solve problems.
You sign with the vendor directly. They bill you. We're not the carrier and we don't pretend to be.
What we do: help you compare options across our partner network, project-manage the install, sit on every kickoff and configuration call with the vendor's team, and stay your single point of contact afterward. One number to call when something goes wrong, even when the issue belongs to someone else's network.
Orthodontic is our specialty because that's where our founder built the deepest expertise — supporting ~100 ortho practices through his prior role.
We also serve dental practices (Dentrix Ascend, Eaglesoft, Open Dental, Curve), specialty medical practices, and other healthcare-adjacent businesses with regulated data. The three pillars (Integrity, Strategy, Partnership) work identically across verticals.
Honest answer: probably not. We serve independent practices. DSO-affiliated practices typically have IT decisions made at the corporate parent level, not the practice level.
If you're considering separating from a DSO or your DSO has explicitly delegated IT to local discretion, we should talk. Otherwise, we're not set up to navigate corporate-level IT decisions.
Tell us a little about your practice. We'll respond within 2 business hours, and prepare your custom Bill Audit within 5 business days of our call. Yours whether or not we work together.