Only five of the eight tools here publish a starting price on their own site, so a written quote matters more than a headline number for the rest. tab32 has the lowest published starting price at $95 per month, while Open Dental lists $199 per location per month for the first 12 months, then $149 per location per month. Oryx starts at $650 per month, Denticon starts at $795 per month, and CareStack Essentials starts at $829 per month, with higher tiers for larger teams.
Dental billing covers more than sending a claim. A practice checks coverage, builds an estimate, files the claim with attachments, posts the remittance, sends statements, and follows up on balances that remain open. When one step lives in a separate system, the front office retypes data and loses track of claims that were never answered. The tools below were picked because billing sits at the center of what they do, either as a full practice management system with claims built in or as a revenue cycle platform.
Five vendors publish a starting price, and three ask for a quote. A low base price can still grow with per-claim fees, add-ons, hosting, and conversion, so read the per-tool notes for the billing basis and the extras that change the monthly total.
On this page
Top dental billing software: 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 | Oryx | Solo and small practices that want bundled imaging and billing | $650 per month | No | Visit |
| 4 | Denticon | Multi-location groups and DSOs | $795 per month | No | Visit |
| 5 | CareStack | Growing groups that want one cloud platform | $829 per month | No | Visit |
| 6 | Curve Dental | Cloud practices that want one connected record | quote only | No | Visit |
| 7 | Dentrix | Single-location offices with deep billing needs | quote only | No | Visit |
| 8 | Vyne Trellis | Practices that want a claims and revenue cycle focus | quote only | No | Visit |
The 8 best top dental billing software tools, 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 vendor homepage opened for this guide lists Alpine from $95 a month with unlimited providers and users, and a 14-day free trial. Claims and eligibility checks are billed per use on top of the subscription, so the monthly total moves with claim volume.
- The billing flow covers claim building, attachments, rejection handling, eligibility checks, auto posting of remittances, appeals drafted from the cha
- A practice can build a claim, attach images, check status electronically, and post the remit line by line with adjustments applied.
Pros
- Published $95 monthly price with unlimited providers and users
- billing, claims, and eligibility built into one cloud record
Cons
- Claims and eligibility checks are billed per use, so busy months cost more
- migration is quoted by what the practice brings across
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. Support fees come with a 90-day money-back guarantee, and fees continue month to month after the initial contract.
- 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, Web Sched Recall is $75, and ODMobile is $35, and data conversion is not inclu
- A practice that wants texting, online scheduling, and forms should add $165 or more to the base fee when it compares totals.
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
Oryx
Best for: Solo and small practices that want bundled imaging and billing
Oryx is a cloud dental platform built by dentists, with charting, imaging, patient communication, payments, insurance workflows, and reporting in one subscription. The vendor FAQ page opened for this guide states that Oryx Pro starts at $650 per month for United States practices, covering up to two providers, with Automate at $899 per month and AI at $1,399 per month. A startup offer runs Pro and Automate at $0 per month with a $1 setup fee until the practice reaches 200 patients or 12 months, whichever comes first.
- Billing includes the clearinghouse, claims, and payments in the same plan, with imaging built in rather than sold as a separate program.
- That bundling is the main argument for the $650 starting price: a practice that now pays one vendor for the practice system, another for imaging, and
Pros
- One bundled price covers imaging, billing, patient communication, and reporting
- startup offer runs Pro at $0 per month until 200 patients or 12 months
Cons
- Higher starting price than the low-cost options here
- enterprise pricing for DSOs is quoted, not published
Denticon
Best for: Multi-location groups and DSOs
Denticon is the cloud practice management system from Planet DDS, built for multi-location groups and dental service organizations rather than retrofitted from a single-office product. The vendor product page opened for this guide states that Denticon starts at $795 per month, with packages based on the size and needs of the practice. The plans page lists Essentials for 1 to 2 locations, Pro for 3 to 19 locations, and Enterprise for 20 or more locations.
- Billing includes unlimited eClaims, real-time eligibility checks, electronic attachments through DentalXChange, and ERA posting on the Enterprise tier
- Central reporting lets leadership see production, collections, and performance across every location from one view, and one patient record follows the
Pros
- Cloud system built for groups, with one patient record across locations
- vendor page states a starting price of $795 per month
Cons
- Plans are sold by location count, so the full price is quoted by group size
- Denticon runs in a browser on Windows only, not on Mac
CareStack
Best for: Growing groups that want one cloud platform
CareStack is a cloud all-in-one dental platform covering scheduling, charting, imaging, billing, patient engagement, and analytics. The vendor pricing page opened for this guide lists Essentials starting at $829 per month and Intelligence starting at $1,299 per month. The Intelligence tier adds AI clinical notes, AI voice perio charting, AI x-ray analysis, and AI clinical diagnosis.
- The final price depends on locations, chairs, and providers.
- Billing covers real-time insurance eligibility, benefit tracking during treatment planning, electronic claims with scrubbing, electronic attachments w
- Collections tools include membership plans, payment plans with auto-debit, pay-by-text and email, electronic statements, scan-to-pay from statements,
Pros
- Published plan prices with claims, eligibility, and ERA posting in both tiers
- license is set by locations and providers, not by user count
Cons
- Higher starting price than the low-cost options here
- implementation fees may apply in some cases, and the final price depends on locations, chairs, and providers
Curve Dental
Best for: Cloud practices that want one connected record
Curve Dental is a cloud practice management platform that connects scheduling, charting, imaging, insurance, billing, payments, and patient engagement in one system, with no server to buy. The vendor billing page opened for this guide states that every subscription includes unlimited basic insurance eligibility checks at no extra cost, and that Eligibility+ is an extra-cost add-on with tiered pricing based on monthly usage. The vendor FAQ states that pricing depends on practice size and the features needed, and asks buyers to request a quote.
- Billing includes electronic claims, real-time eligibility by procedure code, benefit checks, and payment tools through Curve Pay.
- Eligibility+ pulls code-level data from payer portals and syncs coverage details into the Curve workflow, with SmartSync discrepancy detection.
- That detail helps a front office give patients accurate estimates before treatment, which cuts surprises at checkout.
Pros
- Cloud system with billing, eligibility, imaging, and patient engagement in one record
- unlimited basic eligibility checks included in every subscription
Cons
- No price is published, so the practice must request a quote
- detailed eligibility checks through Eligibility+ cost extra, with tiered pricing by usage
Dentrix
Best for: Single-location offices with deep billing needs
Dentrix is the desktop practice management system from Henry Schein One, and its product pages report 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. The eClaims page opened for this guide states that the suite connects to more than 1,300 payers.
- For billing, Dentrix suits an office that wants depth: fee schedules, insurance estimates, claim tracking, electronic attachments such as x-rays and p
- Eligibility checks run in real time and fill coverage tables directly in Dentrix, which cuts manual calls and portal logins.
Pros
- Long-established system with eClaims, eligibility, imaging, and deep reporting
- eClaims connects to more than 1,300 payers
Cons
- No price is published and packages are quoted by size and suite
- desktop Dentrix and cloud Ascend are separate products
Vyne Trellis
Best for: Practices that want a claims and revenue cycle focus
Vyne Trellis is an end-to-end revenue cycle platform from Vyne Dental that handles claims submission and tracking, eligibility checks, patient communication, and payments. The vendor product page opened for this guide states that a practice can submit unlimited electronic claims to more than 800 insurance payers for one low monthly fee, with unlimited images and documents attached electronically. Eligibility can run in batch or in real time, with benefit breakdowns shown in the ClearCoverage view.
- The platform also covers customizable patient forms, online scheduling, campaigns by text and email, live webchat, automated reminders, online reviews
- ERA posting, claim denial support, and team chat sit in the same platform, so the billing team works from one queue rather than several inboxes.
Pros
- End-to-end revenue cycle platform with unlimited electronic claims to more than 800 payers
- batch and real-time eligibility in one platform
Cons
- No price is published, so the practice must request a quote
- Vyne Trellis is a revenue cycle platform, not a full practice management system
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. Tools were included when they handle dental billing as a core function, covering claims, eligibility, statements, and collections. No hands-on testing was done.
We favored tools with a clear billing workflow: eligibility before treatment, clean claims with attachments, tracking after submission, ERA posting, statements, and aging reports. Price transparency counted in the order and in the key takeaways, because a practice cannot compare a $95 monthly base with a quoted price until the quote states the billing basis.
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 per-claim fees can cost more than a $199 flat fee once claim volume is counted, so model a real month of claims 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, and whether statements and text-to-pay are included. Ask for the full add-on list, since texting, online scheduling, forms, and imaging AI are often billed apart from the base plan.
Check data export and conversion before signing. Ask what the conversion fee covers, how long it takes, and what happens to patient records, charts, images, and ledgers if the practice leaves. A month-to-month term after year one, as Open Dental offers, gives the office more room to change than a multi-year group contract.
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 such as Vyne Trellis can work too, but it needs a clean connection to the schedule and the ledger.
How much does top 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, Oryx at $650 per month, and Denticon from $795 per month. Three 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.
Do I need a separate clearinghouse?
Most systems here include electronic claims through a clearinghouse connection, and several list DentalXChange for claims and attachments. Dentrix eClaims connects to more than 1,300 payers, and Vyne Trellis submits claims to more than 800 payers. Ask whether claims, attachments, eligibility checks, and ERA posting are included in the base price or billed per transaction.
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 and Dentrix run on a server, while tab32, CareStack, Oryx, Curve, and Denticon are cloud systems.
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 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://www.opendental.com/
- https://www.opendental.com/site/fees.html
- https://www.oryxdental.com/
- http://www.oryxdental.com/faqs/
- https://www.planetdds.com/cloud-based-dental-software/
- https://www.planetdds.com/denticon-plans/
- https://carestack.com/
- https://carestack.com/pricing
- https://www.curvedental.com/
- https://www.curvedental.com/dental-billing-software
- https://www.dentrix.com/
- https://www.dentrix.com/products/eservices/eclaims
- https://vynedental.com/
- https://vynedental.com/vyne-trellis-solutions/
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.