HIPAA-compliant texting for dental offices

Weave is built for dental and names the most dental PMS integrations (Dentrix, Dentrix Ascend, Eaglesoft, Fuse, Dolphin Management), starting at $199/month; 6 of the 7 texting platforms we checked state both appointment reminders and two-way texting.

Last verified · Ranked by our published rules: BAA clarity first, then estimated monthly cost from the vendor's own price. Commission never changes the order. How we verify

Quick picks

Help me choose, for dental offices

1. What do you need?
2. Who will use it?
3. What matters most?

  1. Weave BAA plan: Pro · $199/mo per account

    Nearest match: signs a BAA on a self-serve plan; $199/mo for 1 user.

    Visit Weave (opens in a new tab)

  2. OhMD BAA plan: Core · $300/mo

    Nearest match: signs a BAA on a self-serve plan; $300/mo for 1 user.

    Visit OhMD (opens in a new tab)

  3. Textline BAA plan: HIPAA Essentials · See vendor

    Nearest match: signs a BAA on a self-serve plan; price not published for 1 user.

    Visit Textline (opens in a new tab)

No vendor meets that must-have, so these are the nearest matches.

Ranked by our published rules: BAA clarity first, then estimated monthly cost from the vendor's own price. Commission never changes the order. Estimates multiply per-user prices by team size (just me = 1, 2–10 = 5, 10+ = 10). Flat account prices count once, and only when the vendor states the plan covers that many users. How we verify.

Dental offices text patients for appointment reminders, confirmations and recalls, usually from a shared front-desk number, so the deciding questions are the BAA, whether the tool works with your practice-management system, and two-way replies your whole team can see.

Feature by feature: 7 texting platforms

Checked on the vendors' own sites on . "Not stated by vendor" means the vendor's site doesn't say, not that the feature is missing. Each fact links to its source.

What vendors don't publish

We couldn't confirm these on the vendors' sites, so we leave them unresolved rather than guess.

BAA and price at a glance

Vendors compared. Ordered by BAA clarity, then price.
VendorSigns a BAA?Cheapest plan with BAAFromCertificationsVerifiedActions
WeaveYes, self-servePro$199/mo per accountNone statedVisit Weave (opens in a new tab)
OhMDYes, self-serveCore$300/moNone statedVisit OhMD (opens in a new tab)
TextlineHIPAA EssentialsSee vendorSOC 2 (type not stated)Visit Textline (opens in a new tab)
TigerConnectYes, through salesNot statedSee vendorHITRUST CSFVisit TigerConnect (opens in a new tab)
UpdoxYes, through salesNot statedSee vendorNone statedVisit Updox (opens in a new tab)
TwilioEnterprise onlySecurity EditionSee vendorNone statedVisit Twilio (opens in a new tab)
SlickTextNot statedNot statedFree tierSOC 2 (type not stated)Visit SlickText (opens in a new tab)

Ordered by BAA clarity, then price. Every other texting vendor is on the full texting comparison.

What to check before you choose

Questions

Which texting platforms integrate with dental practice-management software?

Weave names Dentrix, Dentrix Ascend, Eaglesoft, Fuse, Dolphin Management. The other 6 platforms we checked name no dental PMS integration.

What should dental offices check before choosing texting?

Get a signed BAA before any patient information goes over text, and confirm which plan or add-on includes it. Confirm it integrates directly with your practice-management system (e.g. Dentrix, Eaglesoft, Open Dental) and whether it writes confirmations and appointments back, or only reads them. Check how patient consent to texting is captured and stored, and that STOP opt-outs are handled automatically (TCPA and 10DLC registration). Ask whether staff share one practice inbox with per-user logins, an audit trail and automatic logout, rather than texting from personal phones. Look at the full cost: base fee, message-credit and overage rates, 10DLC or carrier fees, number porting and contract length. Test what patients actually see: whether reminders and replies arrive as plain SMS or need a secure link or app, and keep reminder content to the minimum PHI needed.

Do I need a BAA for texting?

Yes, if the service will create, receive, store or transmit protected health information for you. HHS treats such a vendor as a business associate. A BAA alone doesn't make you compliant: configuration and use matter too. General information, not legal advice. Source: HHS: Business associates.

General information, not legal advice. Confirm BAA terms with the vendor before sending protected health information.

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