Top 10 Best Dental Accounting Software of 2026

Open Dental is a comprehensive dental practice management software with robust accounting features tailored for dental offices, handling everything from patient billing and insurance claims to accounts receivable/payable, payroll, and general ledger management. It provides detailed financial reporting, profit/loss statements, and tax-ready tools, all integrated seamlessly with clinical workflows for accurate dental-specific accounting. As an on-premises solution with optional hosting, it emphasizes data ownership and customization for long-term financial control.

Dentrix is a leading dental practice management software with integrated accounting capabilities, handling billing, insurance claims processing, accounts receivable, payroll, and financial reporting for dental practices. It streamlines financial workflows by linking clinical procedures directly to accounting entries, reducing manual data entry. As a full-suite solution, it provides detailed ledger management and customizable reports to support practice profitability analysis.

Eaglesoft, by Patterson Dental, is a comprehensive dental practice management software with robust built-in accounting features tailored for dental offices. It handles patient billing, insurance claims processing, accounts receivable/payable, payroll, general ledger, and detailed financial reporting. The system integrates seamlessly with clinical workflows, ensuring accurate tracking of dental-specific transactions like procedure codes and production goals.

Curve Dental is a cloud-based practice management software with integrated accounting tools designed specifically for dental practices. It streamlines patient billing, insurance claims processing, accounts receivable management, and financial reporting, providing real-time insights into practice finances. The system automates payment posting, collections, and ledger reconciliation, reducing manual errors and improving cash flow efficiency.

Denticon is a cloud-based dental practice management software with a comprehensive accounting module designed for dental offices and multi-location groups. It streamlines financial operations including accounts receivable, billing, insurance claims processing, payroll, and general ledger management. The platform provides real-time financial reporting and business intelligence tools to help practices optimize revenue cycles and track performance across locations.

Ace Dental Software is a comprehensive dental practice management platform with integrated accounting tools designed specifically for dental offices. It handles essential accounting functions like billing, accounts receivable, payroll processing, general ledger management, and dental-specific financial reporting such as production by provider and collection ratios. While not a standalone accounting solution, its seamless integration with practice management makes it efficient for tracking finances alongside patient care and operations.

QuickBooks Online is a versatile cloud-based accounting software that handles core financial tasks like invoicing, expense tracking, payroll, and reporting, making it adaptable for dental practices. It supports bank reconciliations, customizable reports, and inventory management for supplies, but requires integrations for dental-specific workflows. While not purpose-built for dentistry, it provides scalable tools for practices managing patient billing and insurance reimbursements.

Xero is a cloud-based accounting platform primarily designed for small to medium-sized businesses, offering invoicing, bank reconciliation, expense tracking, payroll, and financial reporting. For dental practices, it excels in general bookkeeping tasks like managing overheads, supplier payments, and tax compliance but lacks native features for patient billing, insurance claims, or procedure-specific ledgers. It supports integrations with dental practice management software such as Dentrix or Open Dental via its extensive app marketplace, making it adaptable for non-specialized accounting needs.

FreshBooks is a user-friendly cloud-based accounting software primarily designed for small businesses, freelancers, and service providers, excelling in invoicing, expense tracking, time tracking, and basic bookkeeping. For dental practices, it handles general tasks like patient billing, supply expense management, and financial reporting but lacks specialized features such as insurance claim processing or integration with dental practice management systems. Its mobile app and automated reminders make it suitable for busy dental offices seeking simplicity over comprehensive healthcare accounting.

Wave is a free cloud-based accounting software designed for small businesses, offering invoicing, expense tracking, receipt scanning, and basic financial reporting. For dental practices, it handles general bookkeeping like tracking patient payments and vendor expenses but lacks industry-specific tools. It's a budget-friendly starter option but requires integrations or manual workarounds for dental workflows.