Category rankings

Best dental practice management tools

CareStack is the top-rated dental practice management tool in our rankings (8.5/10). We rank 17 practice management tools, each reviewed by a person before it goes live.

The practice management system (PMS) your whole office runs on: scheduling, charting, billing and insurance.

#1CareStack

All-in-one cloud PMS for single practices through large DSOs, with an AI suite on top.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Clinical & front-office depth Scheduling, charting, billing, patient engagement and specialty support (ortho, perio, endo, pediatric, OS) in one cloud system. Our owner's hands-on use confirms deep day-to-day clinical and front-office workflows.	25%	8.8
Integrations & openness Published developer API and integration marketplace; a DSO customer cites 27M+ API calls. Partnership brings Pearl AI into CareStack.	25%	8.0
Deployment & multi-location Cloud-native and built for multi-location groups; available in the US, UK and Australia. Our owner's hands-on experience is that the cloud setup runs smoothly across locations.	15%	8.7
Built-in AI & automation AI suite includes VoiceStack (AI calls, a CareStack product), Aeka imaging and schedule-filling automation. Our owner's hands-on use found the automation genuinely useful in practice.	15%	8.3
Support & onboarding Structured onboarding program; vendor claims a Forrester-modeled payback within 6 months, which is vendor-commissioned.	20%	8.5

Weighted result 8.4. Last reviewed Oct 17, 2026. How we score · Request a score review

#2Open Dental

Open-source, highly configurable PMS with a large integration ecosystem.

Pricing: $199/mo per location first 12 months, then $149/mo (up to 3 providers)

How we scored it

Criterion	Weight	Score
Clinical & front-office depth Full PMS with eServices (texting, confirmations, forms) available as add-ons.	25%	8.5
Integrations & openness Open-source with a large integration ecosystem; integrations are a core reason practices choose it.	25%	9.5
Deployment & multi-location Self-hosted by default; Open Dental Cloud is a paid add-on. Volume pricing for 4-9 offices.	15%	7.0
Built-in AI & automation We found little native AI in the sources we reviewed; AI typically comes from integrated partners.	15%	6.5
Support & onboarding Phone, chat and email support included in the published monthly fee; 90-day money-back guarantee.	20%	8.5

Weighted result 8.2. Last reviewed Oct 17, 2026. How we score · Request a score review

#3Denticon

Cloud PMS from Planet DDS built for groups and DSOs.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Clinical & front-office depth Front office, clinical (voice perio and restorative charting), ortho, multi-specialty and RCM in one cloud PMS.	25%	8.5
Integrations & openness Vendor lists 25+ integrations, a smaller ecosystem than the on-premises leaders.	25%	7.0
Deployment & multi-location Cloud PMS built for DSOs and groups; vendor reports 13,000+ practices and SOC 2 Type 2 compliance.	15%	9.5
Built-in AI & automation DentalOS AI agents place confirmation and recall calls; AI-enabled x-ray analysis is integrated.	15%	8.0
Support & onboarding In-house implementation team with conversions from 60+ systems, per the vendor.	20%	8.0

Weighted result 8.1. Last reviewed Oct 17, 2026. How we score · Request a score review

#4Curve Dental

Cloud-native PMS aimed at independent practices.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Clinical & front-office depth All-in-one cloud platform: scheduling, charting, imaging, perio, billing, Curve Pay and membership plans.	25%	8.5
Integrations & openness Built as one connected system; a third-party integration catalog wasn't published in our sources.	25%	6.5
Deployment & multi-location Cloud-native since 2004, runs in the browser on Mac or PC, multi-location on one record.	15%	9.0
Built-in AI & automation Ambient AI notes, AI x-ray analysis and AI help with scheduling and insurance verification.	15%	8.0
Support & onboarding 24/7 US-based support staffed by Curve employees, per the vendor.	20%	8.5

Weighted result 8.0. Last reviewed Oct 17, 2026. How we score · Request a score review

#4Bola AI

Voice AI for hands-free perio and restorative charting plus an AI scribe for clinical notes.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Note & charting quality AI Scribe turns dictated notes into structured clinical notes; Voice Restorative charting.	30%	8.0
PMS write-back Native integrations with Dentrix, Dentrix Ascend, Eaglesoft, Open Dental, Curve and Fuse; powers built-in voice features in Open Dental and Curve.	25%	8.5
Voice perio & restorative charting Hands-free voice perio is the core product; sold by Patterson as an Eaglesoft add-on.	15%	8.5
Privacy, consent & BAA Designed to meet HIPAA and offers BAAs.	15%	7.5
Setup & support Onboarding includes PMS setup and training; works with recommended microphones.	15%	6.5

Weighted result 7.9. Last reviewed Oct 17, 2026. How we score · Request a score review

#6Dentrix

Industry-standard on-prem PMS from Henry Schein One.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Clinical & front-office depth The most widely adopted PMS per Henry Schein One, covering clinical, financial and admin workflows.	25%	9.0
Integrations & openness Dentrix API Exchange gives a large partner ecosystem.	25%	8.5
Deployment & multi-location Installed locally; remote access and backups need IT setup.	15%	6.0
Built-in AI & automation Built-in Dentrix Imaging with AI detection and hands-free documentation.	15%	7.0
Support & onboarding On-site, online and self-paced training; priority support via Connected Care Essentials.	20%	8.0

Weighted result 7.9. Last reviewed Oct 17, 2026. How we score · Request a score review

#7Dentrix Ascend

Cloud version of Dentrix for multi-location groups.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Clinical & front-office depth Cloud PMS with integrated eligibility, claims, patient billing and an ortho module.	25%	8.0
Integrations & openness Ascend API Exchange plus an agent layer (Ascend MCP).	25%	8.0
Deployment & multi-location Cloud-native, built for multi-location groups; SOC 2 Type II per Henry Schein One.	15%	9.0
Built-in AI & automation AI across imaging, notes, eligibility (agents calling payers) and review responses.	15%	8.5
Support & onboarding Guided onboarding and migration services from Henry Schein One.	20%	7.5

Weighted result 8.1. Last reviewed Oct 17, 2026. How we score · Request a score review

#7Oryx

Cloud PMS with built-in imaging, AI notes and voice perio, plus an optional billing team.

Pricing: From $650/mo per location (Oryx Pro)

How we scored it

Criterion	Weight	Score
Clinical & front-office depth Practice management, guided exams, charting, imaging, patient engagement and revenue automation in one cloud platform.	25%	8.0
Integrations & openness Bundles imaging and engagement; third-party integration list is shorter than legacy PMSs.	25%	7.5
Deployment & multi-location Cloud-based; vendor cites about 2,000 practices across five continents.	15%	7.5
Built-in AI & automation Oryx AI writes clinical notes and supports voice perio charting; FDA-cleared imaging built in.	15%	8.0
Support & onboarding Optional RevGen dedicated billing team; Inc. fastest-growing recognition. Published tiered pricing.	20%	7.5

Weighted result 7.7. Last reviewed Oct 17, 2026. How we score · Request a score review

#7Archy

AI-first cloud PMS for independent practices, with imaging, payments and AI agents built in.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Clinical & front-office depth Scheduling, charting, imaging, treatment planning, insurance verification, claims, payments and team tools in one login.	25%	8.0
Integrations & openness Replaces many tools rather than integrating with them; fewer third-party integrations than established PMSs.	25%	7.0
Deployment & multi-location Fully cloud with a mobile app; serves practices in 45 states, including groups.	15%	8.0
Built-in AI & automation AI agents for scheduling, insurance, payments, charting and reporting; Archy Scribe drafts clinical notes.	15%	8.5
Support & onboarding Guided conversion from Dentrix, Eaglesoft, Open Dental and others; strong funding behind the product.	20%	7.5

Weighted result 7.7. Last reviewed Oct 17, 2026. How we score · Request a score review

#10Eaglesoft

Patterson's widely used on-prem PMS.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Clinical & front-office depth Mature PMS (30+ years) covering scheduling, charting, imaging and billing.	25%	8.5
Integrations & openness 55+ authorized integrated solutions, per Patterson.	25%	8.5
Deployment & multi-location Positioned for private practices; our sources describe no cloud-native option.	15%	5.5
Built-in AI & automation AI arrives through integrations (for example Pearl) rather than natively.	15%	6.5
Support & onboarding Service Club includes unlimited US-based support and free upgrades.	20%	8.5

Weighted result 7.8. Last reviewed Oct 17, 2026. How we score · Request a score review

#11Isaac PracticeOS (Trust AI)

AI-native practice management system: drafts claims and narratives from treatment plans, verifies coverage, fills cancellations from the waitlist, answers practice questions in plain English, with an after-hours AI receptionist.

Pricing: From $299/mo

7.3

#12tab32

Cloud PMS with built-in imaging and patient engagement.

Pricing: $125/mo year 1, $225/mo year 2+ (up to 3 providers)

How we scored it

Criterion	Weight	Score
Clinical & front-office depth Scheduling, charting, imaging, claims with e-attachments, and ortho in one cloud system.	25%	8.0
Integrations & openness All-in-one by design; few third-party integrations documented.	25%	6.0
Deployment & multi-location Cloud with standardized workflows across locations.	15%	8.5
Built-in AI & automation AI eligibility, AI voice documentation, AI claims and AI payments listed natively.	15%	7.5
Support & onboarding Published pricing and a free trial; support is chat-first with standard support included.	20%	6.5

Weighted result 7.2. Last reviewed Oct 17, 2026. How we score · Request a score review

#13XLDent

Dental PMS and EHR suite popular with group practices and public health clinics.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Clinical & front-office depth Suite covers PMS, XLChart EHR, imaging, check-in, notifications and timeclock.	25%	7.5
Integrations & openness Integrated eSolutions partners; imaging from any digital device.	25%	7.0
Deployment & multi-location XLDent Cloud option alongside on-premise.	15%	7.0
Built-in AI & automation Little built-in AI.	15%	5.5
Support & onboarding Long-standing vendor serving groups and community health.	20%	8.0

Weighted result 7.1. Last reviewed Oct 17, 2026. How we score · Request a score review

#13DentScribe

AI scribe that writes dental SOAP notes chairside and flags treatment follow-ups.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Note & charting quality Listens chairside and writes complete SOAP notes; publishes sample notes.	30%	7.5
PMS write-back Integrates with Dentrix, Eaglesoft and Open Dental.	25%	7.0
Voice perio & restorative charting Focused on notes; voice perio charting isn't its core product.	15%	6.0
Privacy, consent & BAA HIPAA-aligned PHI handling, encryption, role-based access, trust portal and BAA for qualifying clients.	15%	7.5
Setup & support iOS and Android apps; younger company with fewer public references.	15%	7.0

Weighted result 7.1. Last reviewed Oct 17, 2026. How we score · Request a score review

#15Practice-Web

Affordable all-in-one dental PMS with published low monthly pricing.

Pricing: $149/mo for 12 months, then $99/mo

How we scored it

Criterion	Weight	Score
Clinical & front-office depth Practice management, patient portals, online registration and analytics.	25%	7.0
Integrations & openness Fewer third-party integrations than larger PMSs.	25%	6.5
Deployment & multi-location Traditional deployment; multi-office use reported by customers.	15%	6.5
Built-in AI & automation Little built-in AI.	15%	5.5
Support & onboarding Nearly three decades in market; low published price.	20%	8.5

Weighted result 6.9. Last reviewed Oct 17, 2026. How we score · Request a score review

#15DSN Atlas

Browser-based specialty PMS for oral surgery, perio and endo with Ask Atlas, a voice and text AI assistant connected to live patient data for charts, reports and hands-free notes.

Pricing: Contact vendor

6.9

#17ToothNote.ai

AI documentation for dental specialists: drafts clinical notes, referral letters, clearances, patient take-homes and insurance appeals from the exam plus structured specialty findings, with clinician approval of every document.

Pricing: From $79/doctor/mo (Solo, billed annually)

6.6

Best dental practice management tools

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