Dental AI Tool Comparison & Stack Finder

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The Software You Already Own Picks Half Your AI for You

Over the last two years the dental AI market sorted itself along distribution lines. VideaHealth powers the AI built into Dentrix ("Dentrix Detect AI"). Pearl is built into Eaglesoft's imaging and into Dentsply Sirona's DS Core. DEXIS ships its own AI inside DTX Studio. So before comparing features, look at what's already wired into the software you run — then decide whether a premium tool like Overjet, or a value tool like Denti.AI, earns its place on top.

HOW TO USE THIS GUIDE: Below shows the approximate cost of AI tools for dental offices. Click the category tabs at the top of this page (X-ray & Imaging AI, Voice & Clinical Notes, Front Office & Phones, Insurance & Billing) to see a full breakdown of each category and the last tab (Best Fit for Your Software) to see recommendations for your current setup.

X-ray & Imaging AI

~$49–$500+/mo per location

Flags caries, bone loss, calculus and more on the X-rays you already take, and turns findings into visuals patients understand. The most FDA-regulated category.

Voice & Clinical Notes

Free–$400/mo

Hands-free perio charting and AI-written clinical notes. The whole game is whether it writes directly into your chart or makes you copy-paste.

Front Office & Phones

~$200–$1,200/mo

AI receptionists that answer 24/7 and book straight into your schedule, plus call analytics that show which calls your team is missing.

Insurance & Billing

~$225–$825/mo or % of collections

Eligibility and full benefits breakdowns before the patient sits down; claims, posting and AR follow-up behind the scenes.

Five Things to Know Before Any Demo

1. "Integrates with your PMS" has four different meanings. Native (built into the software), authorized integration (writes data directly in), sync (reads a copy of your data), and copy-paste (an overlay). Every grid in this review labels which one a vendor offers, and it's the single most important question to pressure-test in a demo.

2. Most pricing is quote-only. Where a price is published we've marked it Published; street prices from reviews and user forums are marked Reported and should be confirmed with the vendor.

3. The big imaging AI vendors are becoming platforms. Overjet and Pearl now sell imaging + voice + insurance verification as suites. Consolidating with one can simplify vendors and earn bundle pricing... so, make sure you ask.

5. AI reads the same X-rays your insurer's AI reads. Overjet's engine also powers claim review for most of the ten largest dental payers. Documentation-quality AI findings increasingly matter on both sides of the claim.

Category 1

X-ray & Imaging AI

Where they cover the same ground: every tool below detects caries, bone loss and calculus on your existing radiographs, overlays the findings chairside, and gives you patient-friendly visuals that lift case acceptance.
Where they differ: FDA clearance depth, whether they're built into your imaging software or bolted on, analytics, and price.

Tool & What Makes it Different	Cost Structure	Dentrix	Eaglesoft	Open Dental	DEXIS / DTX	CS Imaging	Eaglesoft Imaging	Romexis	Sidexis 4
Overjet The only AI cleared to measure disease (mm bone loss, caries outlines), not just flag it. CBCT clearance (Dec 2025), its own imaging platform (IRIS), voice add-on. Premium, enterprise-leaning; also powers payer claim review.	Quote-only. ~$250–$500+/mo per location, larger deployments to ~$3,000/mo; 12-month commitment. Reported	Integrates	v15–23	Integrates	DEXIS 9/10	v6+	v17–21.3	Not listed	Yes
Pearl — Second Opinion Most FDA clearances in the category (up to 18 findings per image; first cleared for both 2D and 3D). Built into Eaglesoft Advanced Imaging (Patterson's chosen AI) and Dentsply Sirona DS Core. Practice Intelligence adds the strongest findings-to-revenue analytics.	Quote-only. Second Opinion ~$299/mo per location + ~$1,500 setup; Practice Intelligence ~$549/mo. Reported	Integrates	Native	Integrates	Yes	Yes	Native	Yes	DS Core
VideaHealth The engine behind Dentrix Detect AI (native in Dentrix & Ascend, sold by Henry Schein). Only FDA-cleared pediatric algorithm (ages 3+). Deepest DSO footprint (Aspen, Heartland). Added voice perio & notes in late 2025.	Quote-only; sold direct or as a Dentrix add-on. ~$79–$199/mo per chair figures circulate. Reported	Native	Integrates	Integrates	Yes	Yes	Yes	Not listed	Yes
DEXIS DTXassist / DEXassist AI built into the imaging software itself — no extra vendor, no cloud sync. Up to 14 findings on 2D intraoral images, plus CBCT tooth ID and nerve tracing on the 3D side. No practice analytics layer.	$2,388/yr subscription (≈$199/mo). Published Free for DTX Studio v3.4+ / DEXIS 10 users through May 31, 2026.	Bridge	Bridge	Bridge	Native	No	No	No	No
Denti.AI The value disruptor: real FDA clearances (detection on intraoral and panoramic; auto-charting) at openly published prices roughly 1/6th of the premium tier. Also sells voice perio, scribe and a receptionist.	Detect $49/mo per location; Detect + Auto-Chart $99/mo. Published	Integrates	Integrates	Integrates	Verify	Verify	Verify	Verify	Verify
Diagnocat The CBCT specialist — full radiology-style 3D reports in 4–6 minutes and automatic DICOM-to-STL segmentation for surgical guides. New to the US (cleared late 2025); no US PMS integrations yet.	Quote-only in the US; international tiers ~€129/mo (2D) and ~€249/mo (3D, capped CBCT reports). Reported	No	No	No	Upload	Upload	No	Upload	Upload

Native built into that software
Integrates / Yes vendor-listed integration or compatibility
Verify not publicly listed — confirm with the vendor
No not available

QUICK TIP: Imaging tools other than DTXassist ingest images through a small installed service that syncs from your imaging database to the vendor's cloud; Diagnocat is manual/auto DICOM upload. "Upload" means it accepts the files but doesn't live inside that viewer. Compatibility lists per vendor and reseller pages, August 2026.

Category 2

Voice & Clinical Documentation AI

Where they cover the same ground: hands-free perio charting and AI-written clinical notes, so your hygienist doesn't need a second person calling out numbers.
Where they differ: whether the data lands directly in your chart or on your clipboard — and a major shift in 2025–26: the PMS vendors themselves (Henry Schein One, Curve, Planet DDS) built voice in natively, and both imaging AI giants bought or built voice products.

Tool & What Makes it Different	Cost Structure	Dentrix	Eaglesoft	Open Dental
Bola AI The integration leader: voice perio, restorative charting and notes with authorized, real-time write-back into six PMSs. Distributed by both Henry Schein and Patterson. Working in ~20 minutes after install.	Quote-only, per location. Reported	Authorized	Authorized	Authorized
Dentrix Voice / Ascend Voice (Henry Schein One) Voice built directly into the Dentrix Ascend chart (Voice Notes + Voice Perio; ambient notes in the Accelerate tier). Desktop Dentrix has voice notes today with charting rolling out. No install, no third vendor.	Bundled into Ascend package tiers; desktop Dentrix Voice is contact-sales. Reported	Native	No	No
Open Dental built-in voice perio Command-based voice perio charting is included free in Open Dental's perio module. Not conversational AI, but a zero-cost starting point.	Free with Open Dental. Published	No	No	Native
Overjet Voice Ambient and script-free: listens to the visit, produces notes and perio charting, plus referral letters and 7-year audit-ready transcripts. From the DentalBee acquisition; rolling out across a 216-location DSO.	Quote-only; sold with the Overjet suite. Reported	Verify	Verify	Verify
Pearl Voice New April 2026: ambient notes with 30+ procedure templates and voice perio. Natural pairing if Pearl already runs your imaging AI (Eaglesoft / DS Core practices).	Quote-only. Reported	Verify	Verify	Verify
Denti.AI Voice Perio + Scribe Published pricing, iOS app, DSO audit dashboards, 10+ PMS list. Positions directly against Bola on price.	Voice Perio $99–$299/mo; Scribe $129–$399/mo, per location. Published	Integrates	Integrates	Integrates
DentScribe.ai Notes + voice perio + "CoPilot," which mines your notes for unscheduled treatment and builds a follow-up checklist. Claims direct publish into the PMS.	Quote-only. Reported	Claimed	Claimed	Claimed
Avora Ambient notes where every AI statement links back to the exact transcript moment (an audit trail against AI errors), plus case-presentation coaching.	Quote-only. Reported	Claimed	Claimed	Claimed
DigitalTCO Notes, referral letters and consent forms from one dictation, with real-time medicolegal flags. Works with any PMS — but by copy-paste only.	$120/mo, unlimited notes, single tier. Published	Copy-paste	Copy-paste	Copy-paste

Native / Authorized writes directly into the chart
Integrates vendor-listed direct integration
Verify / Claimed direct write claimed, named-PMS certification unpublished
No / Copy-paste no direct write

QUICK TIP: "Authorized" means the PMS maker formally sanctions the integration (Bola is an authorized partner of both Henry Schein One and Patterson). For anything marked Verify or Claimed, make write-back the first thing you test in a demo — on your own chart, not theirs.

Category 3

Front Office & Phone AI

Where they cover the same ground: every tool here catches the calls your front desk can't... answering or texting back 24/7 and booking patients into open slots.
Where they differ: voice agent vs. text agent, call analytics depth, whether it replaces your phone system, and how directly it writes into your schedule. This category consolidated fast: Weave bought TrueLark, and the incumbent platforms all released AI receptionists in 2026.

Tool & What Makes it Different	Cost Structure	Dentrix	Eaglesoft	Open Dental
Arini Pure-play AI phone receptionist. Real-time schedule read/write documented through the official Dentrix API; deployment engineers for groups. Claims 68% booking conversion. Keeps your existing phone system.	Quote-only, tiered by interaction volume. Category runs ~$250–$1,200/mo per location. Reported	Real-time	Yes	Yes
Weave AI Receptionist (+ TrueLark) Weave owns the phone line itself, so AI + telephony + payments are one vendor. Early access is specifically for Dentrix, Eaglesoft and Open Dental, with 25% off through 2026. TrueLark powers best-in-class text-back booking.	Not published; core Weave bundle ~$400–$700/mo per location, AI Receptionist priced separately. Reported	Early access	Early access	Early access
Dental Intelligence AI Receptionist Voice agent on top of a mature analytics platform (July 2026). Verifies patient identity by PIN, quotes balances and hygiene due dates, texts secure payment links, answers in-network questions.	Add-on to the DI Engagement module; quote-only. Reported	Yes	Yes	Yes
Peerlogic The call-intelligence specialist: transcription, call scoring, missed-opportunity detection across locations — with "Aimee," its AI voice agent, at the top tier. Published tiers are rare in this category.	$199 / $399 / $699 per location/mo (Aimee in the $699 Premium tier). Published	Sync	Sync	Sync
Viva AI Most transparent pricing in the category; 100+ languages with mid-call switching; SOC 2 Type II. Gold tier keeps your phones; Platinum/Diamond replace the phone system.	$349 / $899 / $1,199 per location/mo + usage credits. Published	Verify	Verify	Verify
RevenueWell AI Receptionist Standalone since April 2026 (no platform lock-in). Optional staff-review-before-booking workflow, English + Spanish, collects missing insurance info by text and phone. 30-day trial.	Quote-only; free 30-day trial. Reported	Verify	Verify	Verify

Real-time documented live schedule read/write
Yes / Sync / Early access vendor-named support
Verify "all major PMSs" claimed, yours not named — confirm

QUICK TIP: Watch for per-call or per-credit metering on top of the monthly fee. The cost structure could cause a busy office to double its bill. And test the AI on your own worst call type (insurance questions from an existing patient) before signing.

Category 4

Insurance Verification & Billing AI

Where they cover the same ground: everyone here chases the same two hours a day your team spends on payer portals and hold music — verifying eligibility and benefits before the patient arrives, then working claims and AR after.
Where they differ: pure software vs. AI-plus-humans service, and whether verified benefits land in your PMS fields or in a PDF.

Tool & What Makes it Different	Cost Structure	Dentrix	Eaglesoft	Open Dental
Zuub Real-time verification with direct connections to 350+ carriers and documented field-level write-back into Open Dental. API-first — increasingly the plumbing other dental software buys.	Subscription per location; ~$299–$349/mo. Reported	Maturing	Yes	Write-back
Verrific (VeriSmart) Software plus a human verification team for the gaps. Published pricing and a free 2-week trial, no contract. Dentrix output is PDF-only — no field write-back there.	Software $299 setup + $299/mo unlimited; outsourced $9.95/full breakdown, $3.95 eligibility-only. Published	PDF only	Yes	Yes
Overjet Insurance Verification Code-level detail — frequencies, downgrades, missing-tooth clauses, service history — auto-run 3+ days ahead of the schedule. Pairs with Overjet's imaging and voice suite.	Quote-only; part of the Overjet platform. Reported	Yes	Yes	Yes
DentalXChange Eligibility AI Verification riding the claim rails of a 35-year clearinghouse. The scale winner: Heartland Dental is deploying it across 1,900+ supported locations (April 2026).	Quote-only; clearinghouse-style per-transaction pricing. Reported	Sync	Sync	Sync
Vyne Trellis Flat-fee unlimited e-claims, attachments and eligibility on 800+ payer connections; formal Open Dental API partnership since 2025. AI flags rejections before they happen.	Single monthly subscription, "no transaction fees"; amount quote-only. Reported	Bridge	Bridge	API
Wisdom Full outsourced revenue cycle run by AI agents plus US-based billers — same-day benefit breakdowns, claims, posting, AR workdown. Raised $28M in 2025 on rapid growth.	Custom by practice size and volume. Reported	In your PMS	In your PMS	In your PMS
eAssist + Copilot The largest outsourced dental billing network, with an internal AI that scrubs claims and validates CDT coding before humans submit. Fully published pricing — rare for a service.	From $1,400/mo or 2.5–3.5% of insurance collections; verification $225–$825/mo tiered. Published	In your PMS	In your PMS	In your PMS
Pearly The patient-balance side: automated statement sequences, payment plans and membership billing with ledger-level, two-way PMS sync. Free pilot program.	Quote-only; $0 pilot to start. Reported	Ledger sync	Ledger sync	Ledger sync
Toothy AI The frontier: autonomous AI agents that verify benefits, submit claims and even place voice calls to payers. Y Combinator 2025 batch — promising, early, reference-check hard.	Quote-only. Reported	Verify	Verify	Verify

Write-back documented field-level write into the PMS
Yes / Sync / Bridge vendor-listed integration
Verify / PDF only / Maturing limited or unconfirmed — ask

QUICK TIP: The question that separates these tools in practice: "when you verify benefits... do the deductible, maximum and frequencies land in my PMS coverage fields, or in an attached PDF my team re-keys?"

Put it together

The Best Formula for Your Software

Pick your practice management system and your imaging software. We'll show the combination (a top pick and an alternate for each category, with the reason why) that fights your setup the least.

Practice Management

Dentrix
Eaglesoft
Open Dental

Imaging Software

DEXIS / DTX
CS Imaging
Eaglesoft Imaging
Romexis
Sidexis 4

Recommended Formula — Dentrix + DEXIS / DTX Studio

X-ray & Imaging AI

VideaHealth (Dentrix Detect AI)Native

Videa is the AI engine Henry Schein builds into Dentrix — findings appear inside the software your team already uses, with no separate viewer, and it’s DEXIS-compatible.

Premium alternate: Overjet, if you want quantified mm bone-loss measurements and the strongest perio documentation. Budget option: Denti.AI Detect at a published $49/mo per location — real FDA clearances at 1/6th the premium price.

Recommended Formula — Dentrix + CS Imaging

X-ray & Imaging AI

VideaHealth (Dentrix Detect AI)Native

Native inside Dentrix, and Carestream is on Videa’s supported imaging list.

Premium alternate: Overjet, which formally supports CS Imaging v6+. Budget option: Denti.AI Detect at a published $49/mo per location — real FDA clearances at 1/6th the premium price.

Recommended Formula — Dentrix + Eaglesoft Imaging

X-ray & Imaging AI

Pearl Second OpinionIntegrates

Eaglesoft Imaging without Eaglesoft PMS is an unusual combo — Pearl is native to that imaging layer and also integrates with Dentrix.

Also: VideaHealth lists Patterson Imaging support. Budget option: Denti.AI Detect at a published $49/mo per location — real FDA clearances at 1/6th the premium price.

Recommended Formula — Dentrix + Romexis

X-ray & Imaging AI

Pearl Second OpinionOnly major fit

Pearl is the only major AI vendor that publicly lists Planmeca Romexis compatibility — Overjet and VideaHealth don’t. It also integrates with Dentrix.

For CBCT: Diagnocat accepts Romexis DICOM exports and produces full radiology-style 3D reports — useful for implant/surgical work, but it has no US PMS integration. Budget option: Denti.AI Detect at a published $49/mo per location — real FDA clearances at 1/6th the premium price. (verify Romexis pickup first).

Recommended Formula — Dentrix + Sidexis 4

X-ray & Imaging AI

VideaHealth (Dentrix Detect AI)Native

Native in Dentrix, and Sidexis is on Videa’s supported list.

Alternate: Pearl — since Sept 2025 it’s embedded in Dentsply Sirona’s DS Core with automatic X-ray exchange, the deepest Sirona-side AI hookup available. Budget option: Denti.AI Detect at a published $49/mo per location — real FDA clearances at 1/6th the premium price.

Recommended formula — Eaglesoft + DEXIS / DTX Studio

X-ray & imaging AI

Pearl Second OpinionPatterson channel

Pearl is Patterson’s chosen AI for the Eaglesoft world and lists DEXIS among its 40+ supported imaging systems. And since you’re on the DEXIS/DTX platform: DTXassist is free for DTX Studio v3.4+ / DEXIS 10 users through May 31, 2026 — turn it on and evaluate it at zero cost.

Premium alternate: Overjet (supports Eaglesoft v15–23 and DEXIS 9/10). Budget option: Denti.AI Detect at a published $49/mo per location — real FDA clearances at 1/6th the premium price.

Recommended formula — Eaglesoft + CS Imaging

X-ray & imaging AI

Pearl Second OpinionPatterson channel

Native to the Eaglesoft ecosystem and Carestream-compatible.

Premium alternate: Overjet (Eaglesoft v15–23, CS Imaging v6+). Budget option: Denti.AI Detect at a published $49/mo per location — real FDA clearances at 1/6th the premium price.

Recommended formula — Eaglesoft + Eaglesoft Imaging

X-ray & imaging AI

Pearl Second OpinionNative

This is the cleanest pairing in the whole market: Pearl is built directly into Eaglesoft Advanced Imaging (live since 2024) and sold through Patterson — one vendor relationship, findings in your existing imaging window.

Premium alternate: Overjet supports Eaglesoft Imaging v17–21.3. Budget option: Denti.AI Detect at a published $49/mo per location — real FDA clearances at 1/6th the premium price.

Recommended formula — Eaglesoft + Romexis

X-ray & imaging AI

Pearl Second OpinionOnly major fit

Pearl is the only major AI vendor that publicly lists Planmeca Romexis compatibility — Overjet and VideaHealth don’t. It also integrates with Eaglesoft.

Recommended formula — Eaglesoft + Sidexis 4

X-ray & imaging AI

Pearl Second OpinionDS Core native

Pearl is Dentsply Sirona’s AI partner — embedded in DS Core with automatic 2D X-ray exchange, so the Sidexis/Sirona sensor side is first-class. It also integrates with Eaglesoft.

Premium alternate: Overjet lists Sidexis compatibility. Budget option: Denti.AI Detect at a published $49/mo per location — real FDA clearances at 1/6th the premium price.

Recommended formula — Open Dental + DEXIS / DTX Studio

X-ray & imaging AI

Overjet or PearlIntegrates

Open Dental doesn’t steer you toward any one vendor — both premium tools integrate with Open Dental and read DEXIS images. Pick on features: Overjet for quantified measurements, Pearl for the widest findings set and analytics. And since you’re on the DEXIS/DTX platform: DTXassist is free for DTX Studio v3.4+ / DEXIS 10 users through May 31, 2026 — turn it on and evaluate it at zero cost.

Budget option: Denti.AI Detect at a published $49/mo per location — real FDA clearances at 1/6th the premium price.

Recommended formula — Open Dental + CS Imaging

X-ray & imaging AI

Overjet or PearlIntegrates

Both integrate with Open Dental and support CS Imaging — Overjet documents CS Imaging v6+ specifically.

Budget option: Denti.AI Detect at a published $49/mo per location — real FDA clearances at 1/6th the premium price.

Recommended formula — Open Dental + Eaglesoft Imaging

X-ray & imaging AI

Pearl Second OpinionIntegrates

Eaglesoft Imaging without Eaglesoft PMS is an unusual combo — Pearl is native to that imaging layer and also integrates with Open Dental.

Also: VideaHealth lists Patterson Imaging support. Budget option: Denti.AI Detect at a published $49/mo per location — real FDA clearances at 1/6th the premium price.

Recommended formula — Open Dental + Romexis

X-ray & imaging AI

Pearl Second OpinionOnly major fit

Pearl is the only major AI vendor that publicly lists Planmeca Romexis compatibility — Overjet and VideaHealth don’t. It also integrates with Open Dental.

Recommended formula — Open Dental + Sidexis 4

X-ray & imaging AI

Pearl Second OpinionDS Core native

Pearl is Dentsply Sirona’s AI partner — embedded in DS Core with automatic 2D X-ray exchange, so the Sidexis/Sirona sensor side is first-class. It also integrates with Open Dental.

Premium alternate: Overjet lists Sidexis compatibility. Budget option: Denti.AI Detect at a published $49/mo per location — real FDA clearances at 1/6th the premium price.

Voice & clinical notes

Dentrix Voice / Ascend VoiceNative

Henry Schein One built voice notes and voice perio directly into the Dentrix Ascend chart (desktop Dentrix voice notes today, charting rolling out) — no third vendor, no install.

Alternate: Bola AI, the authorized third-party integration, if you’re on desktop Dentrix and want hands-free perio now. Budget: Denti.AI Voice Perio from a published $99/mo.

Front office & phones

Weave AI Receptionist — or Arini if you keep your phonesEarly access

Weave’s AI receptionist early access targets exactly Dentrix (with Dentrix, Eaglesoft and Open Dental first, 25% off through 2026) and replaces the phone system itself. If you’d rather keep your current phones, Arini is the strongest pure-play — with real-time Dentrix booking through the official API.

If you already run Dental Intelligence: its AI Receptionist add-on names Dentrix support and quotes balances/due dates in-call. For call analytics first: Peerlogic, published at $199–$699/mo. Transparent-price voice agent: Viva AI, published $349–$1,199/mo + credits.

Insurance & billing

Overjet Verification or DentalXChange Eligibility AIIntegrates

Both name Dentrix support. Overjet gives code-level detail (frequencies, downgrades, missing-tooth clauses) and bundles with its imaging suite; DentalXChange rides clearinghouse rails and just won the largest DSO deployment in the category. Note: Verrific’s Dentrix output is PDF-only, and Zuub’s Dentrix write-back is still maturing — ask pointed questions.

Outsource entirely: eAssist (published pricing) or Wisdom — both work directly inside your Dentrix.

Voice & clinical notes

Bola AIAuthorized

Patterson’s authorized voice partner since 2024 — perio, restorative and notes written into the Eaglesoft chart in real time, sold and supported through the Patterson channel.

Watch: Pearl Voice (April 2026) — if Pearl already runs your imaging AI, one vendor could cover both. Budget: Denti.AI Voice Perio from a published $99/mo.

Front office & phones

Weave AI Receptionist — or Arini if you keep your phonesEarly access

Weave’s AI receptionist early access targets exactly Eaglesoft (with Dentrix, Eaglesoft and Open Dental first, 25% off through 2026) and replaces the phone system itself. If you’d rather keep your current phones, Arini is the strongest pure-play — with real-time schedule read/write for Eaglesoft.

If you already run Dental Intelligence: its AI Receptionist add-on names Eaglesoft support and quotes balances/due dates in-call. For call analytics first: Peerlogic, published at $199–$699/mo. Transparent-price voice agent: Viva AI, published $349–$1,199/mo + credits.

Insurance & billing

Zuub or VerrificIntegrates

Both sync verified benefits with Eaglesoft. Zuub brings direct payer connections at ~$299–$349/mo reported; Verrific pairs published-price software with a human team for the plans automation can’t crack.

Suite play: Overjet Insurance Verification if you’re already buying Overjet imaging/voice. Outsource entirely: eAssist or Wisdom, working inside your Eaglesoft.

Voice & clinical notes

Open Dental built-in voice perio, then Bola AIFree start

Open Dental includes command-based voice perio at no cost — start there. When you want conversational AI and notes, Bola has had an authorized Open Dental integration since 2023.

Budget AI upgrade: Denti.AI Voice Perio + Scribe, published from $99/mo.

Front office & phones

Weave AI Receptionist — or Arini if you keep your phonesEarly access

Weave’s AI receptionist early access targets exactly Open Dental (with Dentrix, Eaglesoft and Open Dental first, 25% off through 2026) and replaces the phone system itself. If you’d rather keep your current phones, Arini is the strongest pure-play — with real-time schedule read/write for Open Dental.

If you already run Dental Intelligence: its AI Receptionist add-on names Open Dental support and quotes balances/due dates in-call. For call analytics first: Peerlogic, published at $199–$699/mo. Transparent-price voice agent: Viva AI, published $349–$1,199/mo + credits.

Insurance & billing

ZuubWrite-back

Zuub is the only verification vendor with documented field-level write-back into Open Dental — eligibility dates, maximums, deductibles and benefit notes land in the actual coverage fields. Pair with Vyne Trellis, which has a formal Open Dental API partnership for claims.

Value: Verrific — published $299/mo software + $9.95 human-verified breakdowns. Outsource entirely: eAssist (published, from 2.5–3.5% of collections) or Wisdom.

Bundle note: Overjet and Pearl both sell imaging + voice + insurance verification as one suite. If two or more of the picks above land on the same vendor, ask for suite pricing before buying piecemeal.

Sources & how to read this review

Compiled August 11, 2026 from vendor and reseller pages, FDA 510(k) trackers, press releases and independent reviews. Published prices were verified on the vendor's own site on that date; Reported figures come from third-party reviews and user forums and should be confirmed directly with the vendor. Key sources:

Overjet · Benco compatibility list
Pearl Second Opinion · Patterson-Pearl integration · Pearl x DS Core
VideaHealth · Dentrix Detect AI
Denti.AI pricing (verified 8/11/26)
DEXIS DTXassist (price verified 8/11/26) · free-through-May-2026 promo
Diagnocat US launch
Bola AI · Patterson-Bola
Dentrix Ascend Voice · Open Dental voice perio
Overjet Voice · Pearl Voice
DigitalTCO · DentScribe · Avora
Arini · Weave AI Receptionist · Dental Intelligence AI Receptionist
Peerlogic · Peerlogic plans · Viva AI · RevenueWell
Zuub · Zuub Open Dental write-back · Verrific
Wisdom · eAssist pricing · Pearly · Vyne Trellis
DentalXChange Eligibility AI · Toothy AI
Innolitics dental AI 510(k) analysis · FDA clearance tracker