Ayla vs Adit.
All-in-one PMS vs communication add-on. One platform vs two subscriptions.
Adit adds features your PMS should already have.
Adit is a solid communication and engagement platform — VoIP phones, texting, reminders, reviews, payments, and an AI front desk agent. But it's not a PMS. You still need Dentrix, Eaglesoft, or Open Dental underneath, which means two subscriptions, two vendors, and two systems that need to stay in sync. Ayla covers Adit's core patient communication — texting, reminders, forms, reviews, and text-to-pay — and adds full clinical charting, scheduling, and insurance in one platform, with the AI suite on Complete.
Feature comparison
| Feature | Adit | Ayla |
|---|---|---|
| Type | Communication & engagement add-on | All-in-one PMS |
| Requires Separate PMS | Yes — additional cost | No — Ayla is the PMS |
| Clinical Charting | ||
| Scheduling | Via PMS integration | |
| Insurance Claims | Outsourced billing service | Built in |
| ERA Auto-Posting | Outsourced billing service | Built in |
| Analytics | Practice Analytics dashboards | |
| Patient Texting | ||
| VoIP Phone System | Not offered | |
| Automated Reminders | ||
| Online Scheduling | ||
| Digital Forms | ||
| Review Management | ||
| AI Front Desk | Complete plan | |
| Mobile App | iOS | |
| Membership Plans | Via Adit Pay | |
| Pricing | From ~$399/mo (third-party listed) + PMS cost | Core $499 / Complete $799, flat per location |
Key differences
Add-on vs all-in-one
Adit is a communication and engagement layer that runs on top of a separate PMS such as Dentrix, Eaglesoft, or Open Dental. Appointments, forms, and contact data sync between two systems through an integration — two vendors to manage, two bills to pay, and two points of failure when the sync breaks. Ayla includes patient communication, engagement, and practice management in one platform on one patient record.
The real cost
Adit doesn't publish pricing; third-party sites list it from about $399/mo. Add a PMS at an estimated $500-800/mo and the total is roughly $899-1,199/mo. Ayla is Core $499 or Complete $799, flat per location and month-to-month — PMS, communication, insurance, charting, and analytics in one, with the AI suite on Complete.
Adit starting price as listed on Capterra (Adit does not publish pricing); PMS pricing estimated
AI inside the clinical workflow
Adit's AI Front Desk handles after-hours and missed calls, and its Call Intelligence analyzes calls. On Ayla Complete, AI also works inside the chart and the claim: AI Voice Charting, AI Perio Scribe, and an AI Insurance Agent, alongside an AI Receptionist with 250 minutes a month.
What Adit users report.
Paraphrased from verified reviews on Capterra, G2, GetApp, and Software Advice.
One Capterra reviewer (November 2025) reports delays in the connection between Open Dental and Adit, and an initial setup with "a lot of issues" to work through with tech staff.
One Capterra reviewer (October 2025) reports cancelling after five months and more than 30 support tickets, saying recurring issues were never resolved and that the integration had partially failed.
Pricing comparison
Adit + PMS
Adit: from ~$399/month (third-party listed)
+ PMS (Dentrix/Eaglesoft/Open Dental): $500-800/mo (estimated)
+ Integration to keep in sync
+ Two vendor relationships
Estimated all-in: $899-$1,199+/mo
Ayla
Core $499 / Complete $799, flat per location
No separate PMS needed
No integration to maintain
AI suite included on Complete
Month-to-month, no contract
Core $499 / Complete $799 per month
Estimated savings: $100-$700/month vs Adit + PMS, depending on your Ayla plan and current PMS cost
Choose Adit if...
- You are locked into a long-term PMS contract and need communication tools on top
- You want Adit's VoIP phones and eFax alongside your current PMS
- Your team is already trained on Adit's interface and your PMS integration is working well
Choose Ayla if...
- You want communication and PMS in one platform
- You want to stop paying for two systems that need to stay in sync
- You want AI inside charting and insurance work, not only the front desk (Ayla Complete)
- You want clinical charting, insurance, and analytics included
Last updated: October 2026
Competitor information on this page is based on publicly available user reviews from Capterra, G2, GetApp, and Software Advice, and from each company's public pricing and feature pages. All user sentiments are paraphrased from verified reviews — no direct quotes are used. Pricing estimates are based on publicly available information and industry research and may not reflect current vendor pricing. Features and pricing change frequently — verify directly with each vendor before making a purchasing decision. Ayla is not affiliated with any competitor mentioned on this page.
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