Only five of the ten tools here publish a starting price on their own site, so a written quote matters more than a headline number for the rest. tab32 is the lowest published starting price at $95 per month, while CareStack starts at $829 per month and Oryx starts at $650 per month. Open Dental and Practice-Web publish low per-location fees, but add-ons for texting, scheduling, and patient communication raise the monthly total.
We compared 10 options for best dental billing software for practices. Each profile below lists the price, free plan, pros and cons as published by the company.
On this page
Best dental billing software for practices: comparison table
Swipe the table sideways on a phone to see every column.
| # | Name | Best for | Starting price | Free plan / trial | Link |
|---|---|---|---|---|---|
| 1 | tab32 | New and small cloud practices | $95 per month | Free trial (14 days) | Visit |
| 2 | Open Dental | Cost-conscious offices that host their own system | $199 per location/month for the first 12… | No | Visit |
| 3 | Practice-Web | Small offices that want a low base fee | $179 per month for 12 months, then $135 per… | No | Visit |
| 4 | CareStack | Growing groups that want one cloud platform | $829 per month | No | Visit |
| 5 | Oryx | Solo and small practices that want bundled imaging and billing | $650 per month | No | Visit |
| 6 | Dentrix Ascend | New practices starting on a cloud system | $199 per month for the first year | No | Visit |
| 7 | Curve Dental | Cloud practices that want one connected record | quote only | No | Visit |
| 8 | Denticon | Multi-location groups and DSOs | quote only | No | Visit |
| 9 | Eaglesoft | Established private practices on Patterson systems | quote only | No | Visit |
| 10 | Dentrix | Single-location offices with deep billing needs | quote only | No | Visit |
The 10 best best dental billing software for practices, in detail
tab32
Best for: New and small cloud practices
tab32 is a cloud dental platform covering scheduling, charting, imaging, billing, and claims in a browser, with no server to buy or maintain. The pricing page opened for this guide lists a $95 monthly subscription for Alpine with unlimited providers and users, plus $0.25 per claim, $0.50 per claim with attachments, and $0.75 per AI eligibility check. The per-use model changes how a practice should budget.
- A quiet month costs less than a busy month, but a practice filing hundreds of claims will see claim and attachment fees add a clear amount on top of t
- That mix suits a new practice that wants a low fixed cost and can track its claim volume.
Pros
- Published $95 monthly price with unlimited providers and users
- claims, attachments, and eligibility priced per use
Cons
- Per-transaction fees add to the monthly total
- Alpine is built for a single practice, so groups move to Summit at a quoted price
Open Dental
Best for: Cost-conscious offices that host their own system
Open Dental is server software that a practice hosts locally or through a hosting partner, and its fee page is one of the clearest in this market. The United States rate is $199 per location per month for the first 12 months, then $149 per location per month, covering all computers at that location for up to 3 providers, with $20 per month for each provider beyond 3. Billing covers claims, statements, payment plans, and insurance tracking, and the fee page itemizes the add-ons many offices will want.
- The eServices Bundle is $165 per location per month, eClipboard is $45, and Web Sched Recall is $75.
- Data conversion is not included.
Pros
- Published fee schedule with a lower rate after 12 months
- fee covers all computers at one location for up to 3 providers
Cons
- Self-hosted, so the practice supplies the server, backups, and IT help
- eServices Bundle costs $165 per location/month extra
Practice-Web
Best for: Small offices that want a low base fee
Practice-Web is a desktop practice management system with cloud add-ons, aimed at solo and small offices. Its pricing page lists $179 per month for 12 months, then $135 per month, with each dentist beyond 3 adding $20 per month. The billing detail on the same page helps with budgeting.
- ClaimConnect through DentalXChange is listed at $0.43 per claim, with $25 per month for claim attachments and $20 per month for real-time eligibility
- Many front-office tools sit outside the base fee: texting is $99 per month, online scheduling is $129 per month, and tablet forms are $75 per month.
Pros
- Published special price with installation, training, and portals included
- claim fees listed per claim at $0.43
Cons
- Texting, online scheduling, and other smart tools are separate add-ons
- database conversion costs $1,195
CareStack
Best for: Growing groups that want one cloud platform
CareStack is a cloud platform for single practices, groups, and DSOs, and its pricing page lists Essentials starting at $829 per month and Intelligence starting at $1,299 per month. The final price depends on locations, chairs, and providers, and users can be added without buying a license for each one. For billing teams, eligibility, electronic claims with scrubbing, attachments, full life-cycle claim tracking, ERAs with automated posting, and rejection and denial workflows are in the base plans rather than scattered across vendors.
- The FAQ states that an implementation fee may apply depending on migration and training.
Pros
- Two published plans with unlimited users
- eligibility, claims, attachments, and ERA posting included in both plans
Cons
- High starting price for a solo office
- implementation fee may apply depending on migration and training needs
Oryx
Best for: Solo and small practices that want bundled imaging and billing
Oryx is a cloud platform built by dentists, with charting, imaging, billing, payments, scheduling, and reporting in one system. Its FAQ page states that Oryx Pro starts at $650 per month for United States practices, covering practice management, imaging, patient communication, billing, and reporting. A startup offer runs Pro and Automate at $0 per month until the practice reaches 200 patients or 12 months.
- The billing case for Oryx is predictability.
- Imaging, texting, online scheduling, payments, and claims sit inside the bundled price, so an office is not adding a separate bill for each function.
- The limit to watch is provider count: Pro covers up to 2 providers, and each extra provider adds $100 per month, or $200 per month on the AI tier.
Pros
- One bundled price covers imaging, billing, payments, and patient communication
- startup offer is $0 per month for eligible new practices
Cons
- Pro covers up to 2 providers, with $100 per month for each extra provider
- Enterprise pricing for DSOs is quoted, not published
Dentrix Ascend
Best for: New practices starting on a cloud system
Dentrix Ascend is the cloud practice management system from Henry Schein One, separate from desktop Dentrix. The Ascend Starter page lists $199 per month for the first year, for practices with fewer than 500 active patients, and states that the package includes the full Ascend Pro platform, a startup consultant, and monthly benchmarking. Year-one pricing only; the offer needs a 24-month term.
- Billing and revenue tools are part of the platform, with insurance verification, claims, patient communication, and reporting in the same system.
- Early cancellation is not permitted during the 24 months, conversion services are not included, and the price after year one is set in the order form,
Pros
- Cloud platform with scheduling, charting, imaging, billing, and claims in one login
- startup coaching and monthly benchmarks included in Starter
Cons
- $199 applies to year one only, for practices with fewer than 500 active patients
- promotion requires a 24-month term with no early cancellation
Curve Dental
Best for: Cloud practices that want one connected record
Curve Dental is a cloud platform that connects clinical care, scheduling, insurance, billing, payments, and patient engagement around one patient record. It runs in a browser with no local server, and support is United States-based around the clock. The FAQ on the same page answers the cost question directly: pricing depends on practice size and the features needed, and a quote is required.
- For billing, Curve covers insurance verification, claims, payments through Curve Pay, and patient engagement through Curve GRO, with AI features for v
- With no published price, the quote should spell out the billing basis, the contract length, and which features are included.
Pros
- Cloud-native platform with scheduling, imaging, billing, payments, and patient engagement on one record
- 24/7 United States-based support
Cons
- No price is published, so budgeting needs a written quote
- pricing depends on practice size and features chosen
Denticon
Best for: Multi-location groups and DSOs
Denticon is the cloud practice management system from Planet DDS, built for groups and DSOs rather than retrofitted from a single-office product. Its pricing page lists three tiers: Essentials for 1 to 2 locations, Pro for 3 to 19 locations, and Enterprise for 20 or more locations. Each tier shows Talk to Sales instead of a price, and the page notes policy minimums.
- The billing strength is centralization.
- One patient record across locations, centralized claims, 835 ERA posting in Enterprise, and collections analysis across the group help a billing team
Pros
- Built for groups, with one patient record across locations and centralized billing and reporting
- unlimited eClaims in Essentials
Cons
- Every plan routes to sales with no published price
- policy minimums apply, and the system is heavy for a solo office
Eaglesoft
Best for: Established private practices on Patterson systems
Eaglesoft is the practice management system from Patterson Dental, in use for more than 30 years and serving nearly 30,000 users according to its product page. The page states plainly that Eaglesoft is currently a server-based practice management solution. Billing features include coverage estimates, fee schedules, line-by-line balances, individual and bulk insurance payments, statements, and family walkouts.
- Service Club plans run from Base through Starter, Foundations, Professional, and Growth, with discounts on the Service Club rate rising by tier, and t
Pros
- Server-based system with billing, imaging, scheduling, and reporting in one platform
- Service Club includes United States-based support and free upgrades
Cons
- No price is published and plans require a 24-month enrollment
- server-based, so the office runs its own hardware
Dentrix
Best for: Single-location offices with deep billing needs
Dentrix is the desktop practice management system from Henry Schein One, and its homepage reports that more than 35,000 practices rely on it. The system covers scheduling, charting, treatment planning, imaging, insurance, billing, and reporting, with eClaims and eligibility tools for the front office. For billing, Dentrix suits an office that wants depth: fee schedules, insurance estimates, claim tracking, and reporting that managers can use to watch production and collections by provider and procedure.
- No price is published on the homepage, so the quote depends on the package, the modules, and the support plan.
Pros
- Long-established system with eClaims, eligibility, imaging, and deep reporting
- Connected Care Essentials covers updates and support
Cons
- No price is published and packages are quoted by size and suite
- desktop Dentrix and cloud Ascend are separate products
How we chose
We opened each vendor pricing page on 2026-11-12 and took the starting price from that page, or recorded quote only where the vendor publishes no price. We used vendor product pages and FAQs for features, plan limits, contract terms, and add-on fees, and we did not use third-party price estimates as starting prices. Tools were included when they handle dental billing as a core function, covering claims, eligibility, statements, and collections No hands-on testing was done.
What to check before you buy
Ask for the quote in writing, with the billing basis stated in plain terms: per location, per provider, per user, or per claim. A $95 monthly base with $0.25 per claim can cost more than a $199 flat fee once claim volume is counted, so model a real month of claims, attachments, and eligibility checks before you compare. Check the initial term, the renewal term, the price after an introductory year, and the notice needed to cancel.
Confirm the clearinghouse and payer connections for your main insurers, and ask how rejected claims come back to the team and how denials are tracked. Check whether ERA posting is automatic or manual, whether statements and text-to-pay are included, and what card processing fees apply.Ask for the full add-on list, since texting, online scheduling, forms, and imaging AI are often billed apart from the base plan.
| Practice size | Monthly budget for software | Best starting point |
|---|---|---|
| New solo practice, 1 provider | Under $250 | tab32 at $95 per month, or Dentrix Ascend Starter at $199 per month in year one |
| Solo or 2-provider office | $150 to $700 | Open Dental at $199 per location/month, Practice-Web at $179 per month, or Oryx at $650 per month |
| Small group, 3 to 5 providers | $650 to $1,300 | Oryx at $650 per month, or CareStack Essentials from $829 per month |
| Multi-location group, 3 to 19 locations | Quote only | Denticon Pro, or CareStack with a group quote |
| Large DSO, 20 or more locations | Quote only | Denticon Enterprise, or CareStack with a custom plan |
Frequently asked questions
What is dental billing software?
Dental billing software manages the money side of a practice, from insurance verification and fee schedules to claims, attachments, statements, and collections. Most tools here are full practice management systems with billing built in, so the claim, the chart, and the schedule share one patient record. A billing-only tool can work too, but it needs a clean connection to the system that holds the schedule and the ledger.
How much does dental billing software cost?
Published starting prices in this guide run from $95 per month for tab32 to $829 per month for CareStack Essentials, with Open Dental at $199 per location per month in year one and Practice-Web at $179 per month. Five tools publish no price and require a quote. Add claim fees, eligibility fees, texting, scheduling, hosting, and conversion to the base price before you compare totals.
Do I need a separate clearinghouse?
Most systems here include electronic claims through a clearinghouse connection, and several list DentalXChange for claims and attachments. Ask whether claims, attachments, eligibility checks, and ERA posting are included in the base price or billed per transaction. A per-claim fee looks small until it is multiplied by a full month of insured visits.
Can dental billing software handle patient payments too?
Yes, most of these tools include patient billing, statements, card-on-file options, and text or email payment links, either built in or through a payment add-on. CareStack lists pay-by-text, electronic statements, and card storage in its plans, and Denticon offers Planet DDS Pay as an add-on. Confirm card processing fees and whether payment plans with auto-debit are included.
Is cloud or server software better for billing?
Cloud software removes the office server and lets staff log in from more places, while server software keeps data on hardware the practice controls and often costs less per month. Open Dental, Eaglesoft, and Dentrix run on a server, while tab32, CareStack, Oryx, Dentrix Ascend, Curve, and Denticon are cloud systems. Choose based on IT help, remote access needs, and how much control the practice wants over backups.
What should a small practice check first?
Start with the billing basis, the contract term, and the add-ons. Get the quote in writing, model one month of claims and eligibility checks, and ask about conversion, training, and data export. A low starting price helps only when the features the front office uses every day are inside that price, so check eligibility, claims, attachments, and ERA posting before signing.
Sources
- https://tab32.com/
- https://tab32.com/pricing/
- https://www.opendental.com/
- https://www.opendental.com/site/fees.html
- https://www.practice-web.com/
- https://www.practice-web.com/pricing
- https://carestack.com/
- https://carestack.com/pricing
- https://www.oryxdental.com/
- http://www.oryxdental.com/faqs/
- https://www.dentrixascend.com/
- https://pages.dentrixascend.com/ascend-new-practice
- https://www.curvedental.com/
- https://www.planetdds.com/
- https://www.planetdds.com/denticon-plans/
- https://www.pattersondental.com/
- https://www.pattersondental.com/cp/software/dental-practice-management-software/eaglesoft
- https://www.dentrix.com/
Prices and features were read on each company’s own website in November 2026. They change often, so confirm the current offer on the official site before you sign up or buy.