On this page
Most pages that rank for “dental billing companies” are top-10 lists written by one of the companies on the list. This page is published by one too: Clear is a dental billing company, and we appear below on the same terms as everyone else. What we do differently is source every figure from the vendor’s own website, checked in September 2026, and list what each vendor does not publish. Check anything that matters to your decision against the source before you sign.
If you want the general checklist for evaluating any vendor, start with how to choose a dental billing company. This page is the specific version: who the named players are, what they charge, and how they differ.
The short list at a glance
Five billing services that publish enough about themselves to compare. “Not published” means we could not find it on the vendor’s own site; it does not mean the answer is bad.
| Vendor | What it sells | Published pricing | Contract terms (as published) | Team location (as published) |
|---|---|---|---|---|
| eAssist | Billing service | Yes: $1,400/mo floor, then % of collections | No long-term contract | US-based |
| Wisdom | Billing service with its own tools | Yes: $1,397/mo floor, then % of collections | Not published | US-based |
| Dental Claim Support | Billing service | Yes: $1,400/mo floor, then %, plus a one-time setup fee | Not published | Not published |
| Daydream | Billing service plus software | No, quoted per practice | Not published | US-based account managers |
| Clear | Billing service | Yes: $1,400/mo floor, then %, no onboarding fee | Month-to-month, 30 days’ notice | US-based |
All five show DSOs or multi-location groups among the practices they serve, not just single offices. eAssist and Dental Claim Support say multi-location pricing is quoted separately, and Clear prices each location on its own collections.
First decision: service or software
“Dental billing company” covers two different products, and mixing them up wastes demo time.
| You have | You want | Look at |
|---|---|---|
| In-house billers who are slow on posting, attachments, or aging | Tools that make your own team faster | Software: Vyne Dental, Zentist (DSO-focused), and similar |
| No dedicated biller, or a front desk doing billing between patients | People who take the billing work off your team | A billing service: any of the five above, or a regional billing company |
Software licenses automation; your team still owns the outcome. A service owns the outcome: claims out, payments posted, denials worked, aging chased. Zentist in particular is built for multi-location DSOs with internal revenue cycle teams. If you run one to five locations without internal billers, it is not aimed at you.
The rest of this page is about services.
The pricing shape is now standard, so compare the edges
The established services have converged on the same graduated structure: a flat monthly fee below a collections floor, then a percentage of insurance collections that steps down as volume grows. Published tiers, checked September 2026:
| Vendor | Under $40k/mo collections | $40k–$100k | $100k–$150k | Over $150k | Source |
|---|---|---|---|---|---|
| eAssist | $1,400 flat | 3.5% | 3.0% | 2.5% | Their pricing page |
| Wisdom | $1,397 flat | 3.5% | 3.25% | 2.75% | Their pricing page |
| Dental Claim Support | $1,400 flat | 3.5% | 3.0% | 2.5% | Their pricing page |
| Clear | $1,400 flat | 3.5% | 3.0% | 2.5% | Our pricing page |
At the headline-rate level these are close to interchangeable, and for Clear that is deliberate. A practice collecting $70,000 a month in insurance pays $2,450 a month on the eAssist, Dental Claim Support, or Clear tiers. The real differences are in the edges:
- Setup and onboarding fees. Dental Claim Support publishes a one-time setup fee for each service it sells. Clear charges no onboarding fee. eAssist and Wisdom do not list one on their pricing pages, so ask.
- Pass-through and add-on fees. eAssist adds a clearinghouse charge (published at $79–89 a month) and a per-statement fee for patient statements. Ask every vendor what lands on the invoice besides the percentage.
- Verification pricing. Wisdom charges a $99 monthly base plus $8.95 per full coverage breakdown. Dental Claim Support prices verification per breakdown with no monthly base, behind its setup fee. Clear charges $8.00 per full breakdown with no monthly base. If your schedule is light, a monthly base changes the math. For vendors that sell verification on its own, see dental insurance verification companies compared.
- What the percentage is charged on. The percentage should apply to insurance collections rather than production, and never to money the vendor didn’t collect. The four vendors in the table charge on collections; confirm it in writing with anyone else.
- Old AR. Aged AR is usually quoted separately. Clear scopes AR cleanup as a one-time project from $2,500 with no percentage of what’s recovered; many vendors take a contingency cut of recovered AR instead. Neither model is wrong, so run the math on your actual aging bucket.
Daydream does not publish pricing tiers in this format; they quote per practice. A vendor declining to publish pricing is not disqualifying, but it moves the burden to the demo: get last month’s real numbers quoted before you compare.
How to choose on the terms that matter to you
Most buyers arrive with one or two hard requirements. Here is how the vendors above answer the common ones, from what they publish.
You want flat-rate pricing
Nobody in the established group sells a flat fee at every size. The flat fee applies below about $40,000 a month in insurance collections, and above that you pay a percentage. That floor matters more than it looks: at $30,000 a month in collections, a $1,400 floor works out to a bit under 5% of what you collect. If a vendor pitches a flat rate at any volume, divide it by your average monthly insurance collections and compare the effective percentage to the tiers above.
You want month-to-month with no long-term contract
eAssist publishes “no long-term contract.” Clear is month-to-month with no minimum commitment, 30 days’ notice, and no termination fee. Wisdom, Dental Claim Support, and Daydream do not publish terms. Ask for the notice period, any exit fee, and what happens to claims in flight when you leave, in writing, before you sign.
You want a US-based team
eAssist, Wisdom, and Clear state that their billers are US-based, and Daydream says its account managers are. Dental Claim Support’s site does not say either way. “US-based account manager” and “US-based biller” are different claims, so ask where the person who actually submits and follows up on your claims sits.
You want to know what the fee includes
At minimum, the percentage should cover claim submission, attachments and narratives, payment posting, denial work, and follow-up on unpaid claims. Verification and patient statements are usually separate line items at every vendor on this page, and clearinghouse fees sometimes are too. Ask for a sample invoice from a practice your size.
You run several locations or a DSO
Every vendor here prices per location or quotes groups separately, so the published single-location tiers are a floor for comparison, not your final number. Ask how reporting rolls up across locations and whether one team works all of them.
The five services, one at a time
eAssist. One of the longest-running outsourced dental billing services, founded in 2011 and majority-owned by Henry Schein since 2021. It publishes full pricing, states a US-based team and no long-term contract, and adds clearinghouse and patient statement fees on top of the percentage. The trade-off is the one that comes with any large network: established process, and less say over who works your account.
Wisdom. A venture-backed billing service that pairs its billers with its own software. It publishes billing, verification, and patient billing prices, with slightly different upper tiers from the rest of the group and a monthly base on verification. Contract terms are not published.
Dental Claim Support. Publishes the same insurance billing tiers as eAssist and Clear, separate (higher) pricing for oral surgery billing, and a one-time setup fee. It says it serves private practices, oral surgery groups, and DSOs. Contract terms and team location are not stated on its site.
Daydream. A billing service built on its own software layer, with a large public library of CDT code content. It does not publish pricing and quotes per practice. It states US-based account managers and serves practices, office managers, and DSOs.
Clear. That’s us. We publish every rate on our pricing page: the same insurance billing tiers as eAssist, no onboarding fee, month-to-month with no minimum commitment, insurance verification per patient with no monthly base, and AR cleanup as a fixed project fee. We are a newer company than everyone else on this list, founded in 2026, and each account is run by named, experienced US-based billers. We work with individual practices and DSOs.
Platform vs a named team
Size is the other axis, and it is a genuine trade-off rather than a quality ranking.
The larger platforms, eAssist, Wisdom, and Daydream, bring mature onboarding, documented process, coverage when a biller is out, and in two of three cases published pricing. The cost of that scale is distance: your account is one of many, and the person working your claims can change without your say.
Vendors built around named billers, including Clear and many regional companies, sell the opposite: the same people on your account every week and direct access to them. The risk to check is depth: what happens when your biller is on vacation, and is the process documented or in one person’s head.
Questions that cut through either pitch:
- Who works our account, by name, and where are they located?
- What is the denial-working cadence? “We work denials” is not a cadence; “denials are touched within five business days” is.
- Can we see our own AR aging on demand, without scheduling a call?
- What did practices our size actually pay last month, all fees included?
- What does leaving look like: notice period, data handoff, claims in flight?
Where the top-10 lists fit
The lists that dominate this search result are mostly vendor content: eAssist’s compares five companies and is written by eAssist; Capline’s, MediBill’s, and AnnexMed’s each feature their author. Use them as directories of who exists rather than as rankings. The useful signal in 2026 is simpler: the serious vendors publish their pricing. If you can put two pricing pages side by side, as in the tables above, you don’t need anyone’s top-10 order.
Whichever direction you go, get the quote on your own numbers. Every vendor on this page, including us, will look different at $30,000 a month in collections than at $200,000.
Sources
Checked September 2026. Vendors change their pages, so confirm before you sign.
- eAssist pricing: dentalbilling.com/pricing
- eAssist ownership: Henry Schein investor release, June 2021
- Wisdom pricing: withwisdom.com/pricing
- Dental Claim Support pricing: dentalclaimsupport.com/pricing
- Daydream: daydream.dental
- Clear pricing: cleardentalbilling.com/pricing
Common questions
- How much do dental billing companies charge?
- The market has converged on a graduated percentage of collections: a flat fee (around $1,400 a month) for practices collecting under about $40,000 in monthly insurance collections, then roughly 3.5% up to $100,000, stepping down to 2.5–3% above that. eAssist, Wisdom, Dental Claim Support, and Clear all publish tiers in that shape. The differences show up in the extras: setup fees, clearinghouse charges, contract terms, and what verification and patient billing cost as add-ons.
- Which dental billing companies offer month-to-month contracts?
- Of the vendors on this page, eAssist states it has no long-term contract, and Clear is month-to-month with 30 days' notice and no termination fee. Wisdom, Dental Claim Support, and Daydream do not publish contract terms, so ask each for the notice period and any exit fee in writing.
- Is there a dental billing company with flat-rate pricing?
- Among the established services, the flat fee only applies below about $40,000 a month in insurance collections. Above that, pricing is a percentage of collections. If a vendor offers a flat fee at every size, convert it to an effective percentage of your collections and compare that against the published tiers.
- Which dental billing companies use US-based billers?
- eAssist, Wisdom, and Clear state on their own sites that their billers are US-based, and Daydream says its account managers are. Dental Claim Support does not say on its site. Ask any vendor where the person working your claims sits, because it affects response times and how denials get handled.
- What is the difference between a dental billing company and dental billing software?
- A billing company puts people on your account: they submit claims, post payments, work denials, and follow up on aging. Software (Vyne, Zentist, and similar) automates parts of that work but assumes your own team still does it. If you have in-house billers and want them faster, look at software. If you don't want billing on your team's plate at all, you want a service.
- Are the 'top 10 dental billing companies' lists trustworthy?
- Most are written by billing companies and rank the author first, and this page is published by one too. Treat them as directories rather than rankings. A more reliable filter: does the vendor publish pricing, do they name the people who would work your account, and will they quote what you'd have paid last month on your real numbers.
Comparing vendors
Put your own numbers through this comparison.
Our rates are published, so you can check them against every figure on this page before you talk to anyone. A percentage of collections, no onboarding fee, month-to-month with no minimum commitment, a named US-based team, and per-patient verification with no monthly base. Book a call and we'll quote what last month would have cost you. For individual practices and DSOs.