Revenue Cycle · #12 (tied) of 24

Pearly🇺🇸

Pearly automates patient billing and A/R follow-up for dental practices using rules-based, text-first outreach tied to the PMS ledger.

Editorial score
Automated patient billing and AR follow-up for dental.
Category rank
#12 (tied) of 24 in Revenue Cycle
Confidence
Developing (55%)
Last reviewed
October 15, 2026

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Pricing

Contact vendor

Not published by the vendor. We only list prices vendors publish.

Works with

  • Dentrix AscendListed partner source
  • Open DentalListed partner source

From Pearly's own integration pages and docs, checked by our team. Integrated means two-way sync or write-back; listed partner means named without stated depth. Confirm your exact version with the vendor.

Our review

Pearly focuses on one job: collecting what patients owe. It ingests every transaction on the patient's ledger from the PMS, works out which balances qualify, and then runs rules-based billing workflows across text, email and other channels. For DSOs and groups, it connects to multiple systems across offices.

Customer quotes on Pearly's site describe the results. One office says half its payments come in after a single text. An 11-location group says it collected more than $90,000 in patient balances during a 30-day pilot. Others say the automation replaces a lot of manual monthly billing work. These are vendor-published testimonials, not independent data.

Pearly also helps practices see why their A/R is aging, for example what share is past 90 days.

Who it's for: practices and groups with rising patient A/R and no time to chase statements.

Watch-outs: pricing isn't published. Check that payments post back to your ledger correctly, how the tool handles disputed balances, and how it fits with payment tools you already use.

Our take: listed at 7.4. Our draft criteria put it at about 7.6, slightly outside our tolerance, so we've flagged it for review.

Sources (1)

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