FirstOps vs Wisdom: dental billing and payment posting compared (2026)
Wisdom is full-service outsourced dental billing; FirstOps posts insurance payments. Compare published prices, scope and terms for your practice.
Wisdom outsources your dental insurance billing to its team of billing experts, from claim submission through payment posting and aging, with insurance verification and patient billing as separate services. FirstOps focuses on posting insurance payments and checking eligibility, while your team keeps submitting claims.
At a glance#
| FirstOps | Wisdom | |
|---|---|---|
| What it is | Payment posting with eligibility checks, run by software agents and the FirstOps team | Full-service outsourced dental billing by remote billing experts |
| Claim submission | Stays with your office | Done by Wisdom |
| Price | $750/mo under 250 claims; $249/mo + $2 per claim from 250 to 1,000; custom above | $1,397/mo under $40K insurance collections; then 3.5%, 3.25% and 2.75% of collections |
| Insurance verification | Eligibility checks; quoted separately | Add-on: $99/mo plus $8.95 per full breakdown or $2.95 per eligibility check |
| Setup | $500 one-time | See Wisdom |
| Contract | Month to month, 2-week free trial | See Wisdom |
Wisdom prices are from withwisdom.com/pricing, October 2026.
What it costs#
| Practice | FirstOps | Wisdom (billing only) |
|---|---|---|
| 150 claims, $30,000 insurance collections a month | $750 | $1,397 |
| 400 claims, $80,000 a month | $1,049 | $2,800 |
The scope is different, so compare Wisdom's fee with FirstOps plus the time your team spends submitting claims and working denials.
When Wisdom is the better fit#
- You want to hand off the whole billing function to a team of billers, claim submission included.
When FirstOps is the better fit#
- Your team submits claims well, but posting is behind.
- You are under $40,000 a month in insurance collections, where Wisdom's flat $1,397 is about 4.7% of collections at $30,000 a month; FirstOps is $750.
- You want month to month with a free trial, and a weekly report of every write-off and every denial worth fighting.
Frequently asked questions
How much does Wisdom dental billing cost?
Wisdom publishes $1,397 a month for practices under $40,000 in monthly insurance collections, then 3.5% of collections, stepping down to 3.25% and 2.75% at higher volumes. Insurance verification is an add-on at $99 a month plus a per-patient fee.
Is FirstOps a Wisdom alternative?
For payment posting, yes, from $750 a month. If you want claim submission handled too, a full-service company like Wisdom covers more.