The full-stack AI
for specialty dental.
Every feature below is shipping code, not a roadmap. Some — like real-time Availity eligibility — ship with a demo fallback until each pilot's carrier integrations finish approval (1-2 weeks). Each feature's proof line below says exactly where it stands today vs. where it lands at pilot day 1. Research-cited revenue math backs the whole stack.
Run-Your-Office full service
We handle the repetitive work. Your team focuses on patients. Flat monthly fee — priced per practice.
Every call 24/7, every insurance claim, every statement, every collection, every case follow-up — off your team's plate. Your receptionist and treatment coordinator shift to case closing, new-patient hospitality, and VIP touchpoints (the work that actually grows the practice). Nobody has to lose their job — we back-fill part-time if you want to keep a seat. One vendor, one bill. Typical practice reallocates ~$100K/yr into higher-leverage roles or captures it as margin. 30-day parallel pilot with walk-away clause — your current team keeps running while we prove it side-by-side.
Full Revenue Cycle Management
Eligibility, claims, appeals, collections — automated.
Real-time insurance eligibility 48 hours before every appointment. Claims scrubbed, submitted, appealed. Patient statements sent. Aging AR tracked. Same-day patient payments processed. Replaces eAssist / Revele / Dental RCM at half their price (they charge 3-5% of collections — we charge 1.5-2.5%). For a $2M/yr practice, that's $40K/yr saved on billing alone.
Provider Productivity Scorecard
See who's making you money. In real time.
Per-provider case acceptance rate, $/chair-hour, utilization, no-show rate, collection accuracy. Red flags automatically surface when a metric drops below practice median. Coaching advice surfaces below each red flag. A typical weak associate costs owners $50-100K/yr in unrealized production — spot it week 1 instead of year 1. Bundled free into any paid tier.
24/7 voice receptionist
Riley picks up every call on the first ring.
Real conversation, real booking, real confirmation — in your clinic's voice. She reads every booking back to the patient for verbal confirmation before it's saved. Sub-2% error rate in production.
Live chat on your website
A widget that answers what voicemail can't.
One script tag. Your visitors type questions, Riley replies with your clinic's specific knowledge — hours, insurance, services, directions. Every conversation becomes a booking funnel.
Your PMS, connected
Bookings land directly in your schedule.
Open Dental via native API — fully bi-directional from day 1. Dentrix, Eaglesoft, Curve, Denticon, Ascend via NexHealth — 4-day setup per location. During a 30-day parallel pilot, Riley's bookings land in our secure database AND we daily-sync to your PMS for you (zero work on your staff). Native real-time PMS integration activates at pilot conversion. Transparent about the workflow so you can plan for it.
Confirmations and reviews
Every patient gets a text and an email.
Automatic confirmation with YES/NO reply. 24-hour reminder. Post-visit rating request that funnels 5-star feedback to your Google profile. No-show rate drops 30–60% in the first 60 days.
Live ROI dashboard
See every dollar recovered in real time.
Calls answered, bookings made, no-shows avoided, revenue captured. Your office manager watches it daily. Your accountant exports it monthly.
Healthcare-grade security
HIPAA-ready infrastructure. BAA-signable.
Row-level security on every database table. HMAC-signed webhooks on every vendor integration. Encrypted credentials, audit-logged decisions. Your compliance officer asks good questions and we have answers.
Case acceptance coaching
Every call auto-scored against the 7 patterns that close cases.
Riley scores every conversation in real time against a research-weighted rubric: condition-consequence framing (25%), two-option close (15%), emotional-first sequencing (15%), proactive financing (15%), open-ended discovery (10%), visual-aid cue (10%), benefit-calendar urgency (10%). Low-scoring calls come with specific rewrites. Rolling practice average, 'rewrite this call first' highlight, pattern-by-pattern trends. Treatment-coordinator training workshops cost $2,500-$7,500/year per seat; our automated scoring runs on every call — included in Founder 10.
Real-time insurance eligibility
Riley quotes the patient's out-of-pocket live on the call.
When a caller says 'does my insurance cover this?', Riley hits the X12 270/271 gateway (Availity) and speaks the answer in under 2 seconds: active/inactive, in-network status, remaining annual benefit, deductible progress, coinsurance percent, coverage by procedure category. If Riley has the CDT code and fee, she computes patient-pays on the fly. Converts 'let me check and call you back' into booked appointments. Cached 7 days to keep per-call costs near zero.
Ambient clinical documentation
Dentist dictates — AI writes the SOAP note + perio chart.
Riley in operatory mode listens through the whole procedure. Out comes a draft chart entry: chief complaint, S/O/A/P sections, perio findings (6 probing depths per tooth, bleeding sites, mobility, recession), procedures performed, phased treatment plan, homecare instructions, CDT codes for billing. Dentist reviews at /clinical-notes/[id], edits inline, clicks Sign & Lock. SHA-256 hash captures the content snapshot for amendment trail. Bola AI charges $99-199/mo for less coverage.
Linked Evidence on pilot scoreboard
Every stat with a receipt — click to hear the call.
Same move Abridge pioneered for hospital clinical notes: every claim on the pilot scoreboard links to the exact second of the recording that produced it. 'Riley quoted a $4,500 implant case at 7:42pm Sunday' — click, hear it. No hallucinations, no vibes. Claim types: appointment booked, after-hours catch, case value estimate, financing offered, insurance verified, emergency triage, language switched, recall reactivated. Prospects stop asking 'is this real?'
Riley Ghostwriter (self-serve setup)
Describe your practice in 3 sentences. Get a Riley.
Sierra-style agent builder for dental. Type a paragraph about your practice + a few comma-separated facts (providers, hours, insurance, services, tone). The classifier identifies specialty (endo / cosmetic / implant / ortho / pedo / oral surgery / perio / general) and picks the matching research-backed template. Output is a production-ready Vapi system prompt, first message, tool bindings, metadata, and downloadable vapi.json. Cuts pilot onboarding from 15 minutes of founder-time to 2 minutes of practice-time. Unlocks 10x pilot throughput.
Shift handoff notes
Sticky notes finally die.
Categorized handoff notes (callback, insurance-pending, doctor-note, VIP-alert) auto-surface on the next shift's morning dashboard. Acknowledge with one click. VIP-alerts ping via Slack in real-time.
Quiet Mode
One click. Riley takes everything.
Receptionist needs 30 min to work insurance denials? Click Quiet Mode. Riley handles every call for the duration. VIP patients still escalate. Summary emailed when time's up.
Today's Priorities
Action queue, not chart porn.
Open the dashboard. See exactly what to do next — not KPIs to interpret. Unacknowledged handoff notes, today's at-risk appointments, tomorrow's unconfirmed. Severity-ranked.
Patient ROI Microsites
The cost-of-delay link patients open in the parking lot.
After every consult, TC sends the patient a personalized page: cost today vs cost in 3-5 years (with bone loss + sinus lift math), insurance benefit reset countdown, financing options in $/mo. Closes 25%+ of price-hesitant patients.
Negative review auto-escalation
Catch 1-star reviews BEFORE they hit Google.
Review-gate intercepts 1-3 star ratings, fires a Slack alert to the office manager, and creates a VIP-alert handoff note for 24hr callback. Each intercepted 1-star = $3-5K LTV saved.
Referral letter auto-drafting
Every GP who refers you gets a thank-you.
Riley drafts a Stark-compliant thank-you + outcome letter the moment a referred patient completes their consult. TC reviews, signs, sends. GPs who feel appreciated send 30% more referrals next quarter.
VIP concierge mode
The top 20% of your patients drive 60% of revenue.
Auto-score every patient on lifetime value, referrals sent, tenure, case acceptance, activity. Tag them gold / platinum / diamond. Riley greets VIPs by name, fast-tracks to TC, birthday + anniversary touchpoints, Stark-compliant annual gratitude.
TC screening (hot/warm/cold)
Your TC calendar fills with ONLY hot leads.
Riley asks 5-7 screening questions per procedure type before booking. Hot leads fast-track to a TC slot. Warm leads get a standard consult. Cold leads get an info email + low-pressure booking link. Close rate on booked consults jumps.
Cancellation backfill
Empty chairs are theft. We stop the theft.
Patient cancels their 2pm. Riley queries the waitlist for patients who match procedure, provider, and preferred time — then blasts an SMS. First YES wins the slot. 60% backfill rate recovers $38K-$376K/yr depending on procedure mix.
Not a video. A real conversation.
This chat connects to the same AI brain that powers Riley on the phone. The demo clinic is Bright Smile Dental — a fictional practice we use to test. When a real clinic signs, Riley learns their specifics, not these.
One flow. Every practice.
The same pipeline runs whether your clinic uses Open Dental on a basement server or Denticon in the cloud. Riley doesn't know or care. Your patients never feel the seams.