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Pearly works with your practice software.

We integrate with over 80 dental practice management systems, including all major on-premise and cloud-based platforms. Please book a demo to learn more.

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Dental PMS Integrations

Deep ledger-level integration

Set-up in less than 15 minutes

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Featured Integrations

Pearly integrates at the ledger-level to provide high-resolution patient data

HS1 Pearly integration for Dentrix AscendAscend Integration
INTEGRATIONS

What ledger-level integration actually means

Most billing software connects to a practice management system at the surface. This means pulling patient agregate data, but not the financial ledger itself. That shallow connection is why so many billing tools require manual double-entry or produce statements that don't match what's actually in the PMS.

Pearly integrates at the ledger level, meaning it works directly with the same financial data your practice management system uses as its source of truth: procedure codes, adjustments, write-offs, insurance payments, and patient balances. In practice, that means:

  • Patient balances are always accurate. A payment posted in Pearly reflects in the PMS ledger, and vice versa. This limits reconciliation gaps, and no statements are sent for balances that were already paid.
  • Automation can actually run unattended. Balance qualification, payment plan creation, and billing sequences only work reliably if the underlying data is current. This is only possible with a deep ledger-level connection.

Practice management systems Pearly works with

Pearly connects to 80+ dental practice management systems, spanning both the cloud-based platforms many DSOs are migrating to and the on-premise systems still widely used by independent practices.

Setup that doesn't stall your team

Because the integration is pre-built rather than custom-coded per practice, onboarding is hassle-free. Most of that time is simply confirming credentials and data-sync permissions; there's no data migration required since Pearly reads directly from your existing PMS.

Does Pearly integrate with Dentrix Ascend?
Yes — Pearly is an Authorized Vendor for Dentrix Ascend, with a ledger-level integration built specifically for it.
Does Pearly work with on-premise practice management systems, or only cloud-based ones?
Both. Pearly's 80+ integrations span cloud-based and on-premise dental practice management systems, so the connection works whether your PMS runs in the browser or on local servers.
How long does setting up a Pearly integration take?
Typically under 15 minutes of active setup, since the integration is pre-built rather than custom-configured for each practice. No data migration is required.
Is patient financial data secure during the sync?
Pearly is HIPAA and PCI compliant, and the ledger-level connection is built to keep patient financial data secure in transit and at rest between your PMS and Pearly.
What happens if my practice management system isn't listed?
With 80+ integrations already live, most systems are already supported. If you don't see yours mentioned, a quick conversation with a Pearly product expert will confirm compatibility.
What's the difference between a surface-level integration and Pearly's ledger-level integration?
A surface-level integration typically syncs patient and appointment data one-way and requires manual entry for financial updates. Pearly's ledger-level integration reads and writes directly against the PMS's financial ledger in real time, so balances, payments, and adjustments stay in sync automatically in both directions.