FirstOps vs Zentist: dental payment posting compared (2026)
Zentist sells AI revenue cycle software, mostly to DSOs; FirstOps posts insurance payments for practices. Compare scope, pricing and setup.
Zentist builds AI software for the dental revenue cycle, and most of its customers are dental service organizations (DSOs). Its products include Remit AI for EOB parsing and payment posting, Cavi AR for accounts receivable, AutoPosting AI for Open Dental, Zentist Verify for eligibility, and Vault for insurance checks and lockbox. FirstOps posts insurance payments and checks eligibility for single practices and groups, as a service your team doesn't have to run.
At a glance#
| FirstOps | Zentist | |
|---|---|---|
| What it is | Payment posting with eligibility checks, run by software agents and the FirstOps team | AI revenue cycle software modules your team or central billing office uses |
| Built for | Single practices and growing groups | Mainly DSOs and multi-location groups |
| Price | $750/mo under 250 claims; $249/mo + $2 per claim from 250 to 1,000; custom above | Not published |
| Setup | $500 one-time | Not published |
| Contract | Month to month, 2-week free trial | Not published |
| Practice management systems | Any; most customers run Dentrix Ascend, Open Dental or Curve | Open Dental, Dentrix, Eaglesoft, Denticon and others, per Zentist |
Zentist's details are from zentist.io, October 2026.
When Zentist is the better fit#
- You run a DSO with a central billing office that wants software modules across AR, posting, verification and lockbox.
- You need enterprise reporting across many locations today.
When FirstOps is the better fit#
- You don't have a billing team to run new software. FirstOps does the posting; you get the results and a weekly report.
- You want the price up front: $750 a month under 250 claims, with a calculator for the rest.
- You want to start with one location, month to month, with a 2-week free trial, then roll out.
Frequently asked questions
How much does Zentist cost?
Zentist does not publish pricing. FirstOps publishes its price: $750 a month under 250 claims, or $249 a month plus $2 per claim from 250 to 1,000 claims, with custom pricing for larger groups.
Does FirstOps work for DSOs?
Yes. Above 1,000 claims a month, FirstOps builds a custom plan around your locations, payers and systems. Most groups start with one location and roll out.
What is the difference between FirstOps and Zentist?
Zentist sells software that your billing team uses. FirstOps does the posting work for you, inside your practice management system, and reports what needs a person.