Dentrix alternative

A Dentrix alternative for independently reviewed staff hours.

Dentrix runs day-to-day dental practice operations: scheduling, insurance eligibility and claims, patient billing, imaging, charting, patient communication, and analytics. Its Time Clock module lets staff punch in and out from the Dentrix Quick Launch bar, and a user with the “Time Clock, Edit Punches/Notes” password right can open an employee’s punch history and change an In or Out time directly. Dentrix automatically adds a note when a manual change is made, and that note can be edited or supplemented — but Dentrix’s own documentation does not describe a required reason for the change, or an approval status distinct from the same person who edited it, before the Payroll Report is printed. Keito is the layer in between: AI-drafted time entries a staff member confirms, reviewed and approved by someone else, with any change reasoned and recorded, before the hours become a paycheck.

AI-drafted
Entries drafted per shift worked, confirmed by the staff member
Reviewed, not just edited
A distinct-approval step Dentrix’s Time Clock module is not documented to require
Days to start
Runs alongside Dentrix — no replacement for scheduling, billing, imaging, or charting
app.keito.ai / dental-practice-payroll

Illustrative review queue

Example dental practice

Illustrative pay period

Hours reviewed

Entries confirmed

48

Staff reviewed

9

Shifts covered

112

Hours tied to each shift

Staff member, role, and shift on every entry

Example

Reviewed before payroll runs

A separate reviewer confirms hours before the batch closes

Example

Evidence behind payroll

Reviewed hours back the payroll run

Example
01

Built around the work before the invoice

Dentrix staff clock in and out through Time Clock > Employee Clock In/Out from the Dentrix Quick Launch bar, and can add an optional note with the punch. Dentrix’s own documentation confirms that a user holding the “Time Clock, Edit Punches/Notes” password right can open an employee’s Time Clock history and manually add or change an In or Out time, and that Dentrix automatically adds a note whenever a manual change is made — a note the editor can then edit or supplement. Dentrix recommends limiting that editing right to an office manager or payroll specialist, but its documentation does not describe a required reason for the edit, or an approval status distinct from the same person who made the change, before Dentrix generates the Time Punch Report and Payroll Report. Keito answers the question that leaves open: did a reviewer distinct from whoever can edit the punch history actually confirm each staff member’s hours before they became a paycheck.

Stand up reviewed hours without replacing Dentrix

Set up staff, office managers, and reviewers in Keito in days — Dentrix keeps running scheduling, insurance billing, imaging, and charting exactly as it does today.

Let AI draft the hours for each shift

Keito drafts a time entry from the shift a staff member worked, so they confirm hours instead of routing a correction through a Time Clock module where the same permissioned user can both edit the punch and print the payroll report.

Review each entry, then hand evidence to payroll

A separate reviewer approves payroll status before the period closes, then hands the approved hours to payroll as evidence.

02

A permissioned edit inside dental practice software, not an independent payroll gate

Dentrix logs the punch. Keito adds a second, independent reviewer for payroll.

Dentrix is published as dental practice management software: scheduling, insurance eligibility and claims, patient billing, imaging with AI detection, charting and clinical documentation, patient communication, and analytics, sold as an all-in-one platform for the practice — separate from Dentrix Ascend, Henry Schein One’s cloud-based product. Dentrix’s Time Clock module lets staff punch in and out from the Quick Launch bar, and a user holding the “Time Clock, Edit Punches/Notes” password right can open an employee’s punch history and change an In or Out time directly, before generating a Time Punch Report and a Payroll Report that calculates regular and overtime hours and pay. Dentrix’s own documentation confirms that a manual change automatically adds a note, which the editor can then edit or supplement, and recommends limiting editing rights to an office manager or payroll specialist. What it does not describe is a required reason for the edit, or a review step performed by someone other than the person who made the change, before those hours are printed on the Payroll Report. Keito’s argument is not that dental practices need a new scheduling, billing, imaging, or charting platform — Dentrix already publishes all of that, and Keito makes no claim to patient scheduling, insurance billing, imaging, or clinical charting. It is that the hours behind a paycheck deserve a reviewer distinct from whoever can edit them, not a permissioned edit with an automatic note and no documented second approver. Keito drafts a time entry from the shift worked, the staff member confirms it, and a separate reviewer settles payroll status before the hours become evidence. The boundary is deliberate: Keito has no scheduling, billing, imaging, or charting tools, and it claims no native Dentrix integration, automatic import, or synchronisation. Dentrix keeps running the practice; Keito is where the hours behind it get an independent, second review.

Choose Dentrix when the practice needs scheduling, insurance billing, imaging, charting, patient communication, and analytics running from one platform

Choose Keito when the problem is that Dentrix’s Time Clock module logs edits with an automatic note but no documented required reason or second approver

Prove it in one pay period: Keito runs alongside Dentrix, reviewing hours without touching scheduling, billing, imaging, or charting

Workflow fit

Product shape

Keito keeps Dentrix alternative connected to client, project, billable status, approval, and invoice context before the work reaches finance.

Choose Dentrix when the practice needs scheduling, insurance billing, imaging, charting, patient communication, and analytics running from one platform

Choose Keito when the problem is that Dentrix’s Time Clock module logs edits with an automatic note but no documented required reason or second approver

Prove it in one pay period: Keito runs alongside Dentrix, reviewing hours without touching scheduling, billing, imaging, or charting

03

What Keito adds to Dentrix alternative

Hours drafted per shift, confirmed by staff

Keito drafts a time entry from the shift a staff member worked; they confirm and correct it instead of routing a change through a Time Clock module with no documented second reviewer.

  • AI-drafted entries with mandatory review
  • Typed, timed, and manually entered capture
  • Staff member, role, shift, and payroll status on every record

A second reviewer Dentrix’s Time Clock module does not document

Dentrix lets a permissioned user edit an employee’s punch history directly and adds an automatic note when it does — but reviewed documentation does not describe a required reason or a reviewer distinct from whoever completes it; Keito’s reviewer settles payroll status for every entry before the period closes.

  • Independent reviewer approval before payroll
  • A reviewer distinct from whoever edited the punch
  • Payroll status settled before evidence goes out

Payroll evidence without replacing Dentrix

Reviewers approve staff hours and hand the evidence to payroll for labor-cost review, through exports the team designs and tests itself.

  • Runs alongside Dentrix’s scheduling, billing, and charting
  • No native Dentrix import assumed
  • Team-controlled handoff to payroll
04

Compare the workflow

The difference is not just recording time. It is whether the record can support billing, project decisions, and client conversations.

AreaKeitoTypical setup

Product shape

A standalone workspace for reviewed, payroll-ready hours and labor-cost evidence.

Dentrix publishes dental practice management software — scheduling, insurance billing, imaging, charting, patient communication, and analytics, all in one platform.

How time is captured

AI drafts a shift-specific entry from the time worked; the staff member confirms it, and a separate reviewer approves before it becomes a paycheck.

Dentrix’s Time Clock module records punches from the Quick Launch bar, and a permissioned user can open an employee’s history and change an In or Out time directly.

Correction and review

Every reviewed hour carries a reviewer, an approval state, and a reasoned record of any change, tracked from the first draft.

Dentrix automatically adds a note when a punch is manually changed, and the editor can edit or supplement that note — but reviewed documentation does not describe a required reason or a reviewer distinct from whoever completes the change.

Review before payroll

A reviewer distinct from the staff member settles payroll status per entry before the period closes.

Reviewed Dentrix documentation covers the Time Punch Report and Payroll Report, which calculate hours and pay, but does not describe a required second reviewer before an edited punch reaches the payroll report.

Pricing and adoption

Published flat team pricing and a setup measured in days, run alongside Dentrix.

Dentrix pricing is quote-based through a requested demo, with scheduling, billing, imaging, charting, and the Time Clock module included in the platform.

Data movement

Team-designed, tested exports and API handoffs moved in deliberate stages.

Dentrix’s own documentation describes generating a Payroll Report exportable to a tab-delimited file; connecting reviewed-hours data to outside payroll tools is not an assumed automatic sync with Keito.

05

Related solution pages

06

Useful reading

Frequently asked questions

What is a Dentrix alternative?

It is software a dental practice adopts instead of, or alongside, Dentrix, which runs scheduling, insurance billing, imaging, charting, and patient communication. Because Dentrix already covers that much of running a practice, an alternative rarely replaces all of it at once. Keito is the alternative for the review gap in Dentrix’s Time Clock module: AI-drafted entries a staff member confirms, approved by a separate reviewer before those hours become a paycheck.

Does Dentrix track employee time, or only patient scheduling?

It does both. Dentrix includes a Time Clock module where staff punch in and out from the Quick Launch bar, and a user with Time Clock edit rights can open an employee’s punch history and manually add or change an In or Out time. Dentrix’s own documentation confirms a manual change automatically adds a note, but does not describe who reviews or approves that change before the Payroll Report is generated.

How is Keito different from Dentrix for a practice paying staff by reviewed hours worked?

The gap is a reviewer for edited punches, not time capture itself. Dentrix already lets a permissioned user edit an employee’s Time Clock history and logs the change with an automatic note, but its own documentation does not describe a reviewer distinct from whoever completes that edit. Keito adds that layer: it drafts a time entry from the shift worked, the staff member confirms it, and a separate reviewer settles payroll status before the hours become evidence. Dentrix still owns scheduling, insurance billing, imaging, and charting; Keito owns the independently reviewed hours record.

When should a dental practice choose Dentrix instead of Keito?

Choose Dentrix when the practice needs scheduling, insurance eligibility and claims, patient billing, imaging, charting, patient communication, and analytics running from one platform, distinct from Dentrix Ascend, Henry Schein One’s separate cloud-based product. Keito does not reproduce any of it: no scheduling, no insurance billing, no imaging, no charting. It is the wrong choice if the immediate need is dental practice management software rather than an independently reviewed record of staff hours.

What payroll evidence does Keito keep when scheduling and billing stay in Dentrix?

Each reviewed record keeps the staff member, role, shift, duration, description, payroll status, reviewer, approval state, and pay period, tied to the specific shift worked rather than a Time Clock punch with no documented second reviewer. That package backs the payroll run and gives an office manager a reviewed answer when a staff member’s hours are questioned.

Does Keito integrate natively with Dentrix, or import its Time Clock data automatically?

No. Keito claims no native Dentrix integration, automatic import, or two-way synchronisation — Dentrix’s own scheduling, insurance billing, imaging, charting, and Time Clock workflow belong to its platform, not Keito’s. Capture in Keito is its own workflow: AI-drafted, typed, timed, and manually entered records that pass review before becoming payroll evidence. A practice can keep Dentrix for scheduling, billing, imaging, and charting and run Keito alongside it as the independent review layer for staff hours, with any transfer between them designed and tested by the team.

03

Start solo.Add people when you need them.

Solo includes 1 licensed user, unlimited AI agents, Mac, Windows, and iOS apps, Stripe payments, and standard CSV and Excel exports. Pro adds your team. Business adds integrations, planning, advanced reporting, and stronger controls.

Solo

1 licensed user

For independent consultants, freelancers, and small studios running work with AI agents.

$19USD /mo

Flat workspace price for 1 licensed user

Start Solo
1 licensed user
Unlimited AI agents
Mac, Windows, iOS, and Chrome extension
Time and expense tracking, including Slack
Projects, tasks, clients, and budgets
Estimates and professional invoices
Recurring invoices and retainers
Stripe invoice payments
Google and Outlook Calendar imports
API, CLI, and Jira worklog sync
CSV and Excel data export
Most popular

Pro

Team collaboration

For teams that need shared workspaces, approvals, and team-level project visibility.

$49USD /mo

Flat workspace price with no per-user fees

Start Pro
Unlimited licensed users
Everything in Solo
Team management and invites
Member, Manager, and Admin access
Timesheet and expense approvals
Project-scoped approval workflows
Team capacity and utilization
Per-member billing rates
Task-level member restrictions
Granular manager permissions

Business

Advanced operations

For organizations that need integrations, planning, advanced reporting, and stronger controls.

$199USD /mo

Flat workspace price with no per-user fees

Start Business
Everything in Pro
Staff planning & scheduling
Xero and QuickBooks Online
Airtable one-way imports
Zendesk ticket time tracking
Asana time tracking and project sync
Basecamp to-do time tracking
monday.com item reference linking
Detailed time and expense reports
Saved, contractor, and audit reports
Audit exports with before/after values
Advanced report exports
Custom roles and expense markup
Priority support

Optional Business add-on: Microsoft Entra SSO.

View add-on and pricing
Agents are included

AI agents do not require licenses on any plan.

API on every paid plan

Solo, Pro, and Business can use API keys for agent workflows.

Exports on every plan

Solo, Pro, and Business include standard CSV and Excel data export.

Build a cleaner billing record for dental practices running dentrix that need a payroll reviewer distinct from whoever holds time clock edit rights, before the payroll report is used to run payroll.

Start with Solo, add people on Pro when you need reviewers or collaborators, and see how Keito turns tracked effort into clearer reports.

Review staff hours, keep Dentrix