Best dental billing companies for DSOs and groups

Multi-location groups and DSOs need throughput, cross-location reporting, and a vendor that can absorb a large claim volume. Automation at scale and a broad service menu matter more than boutique hand-holding. These are our top picks for groups.

As of July 6, 2026 · scored on our published methodology

1
82/100
eAssist Dental Solutions
U.S.-based · ≈3.5% → 2.5% of collections (tiered)

Why it fits: The broadest service menu and enterprise scale, backed by Henry Schein, with a fully U.S.-based workforce.

Read the eAssist review →
2
70/100
Medusind
Hybrid U.S. + offshore · Quote only (not published)

Why it fits: Built for volume across dental and 50-plus medical specialties, with proprietary verification and analytics tooling.

Read the Medusind review →
3
66/100
Zentist
Hybrid U.S. + offshore · ~3.5% of collections (reported)

Why it fits: AI posting and ERA reconciliation at DSO scale, with cross-location analytics, if you have staff to work exceptions.

Read the Zentist review →