Overjet Review (2026): The Most Clinically Rigorous Dental AI — With a Payer-Side Catch
Overjet is the clinical heavyweight of dental AI: an MIT/Harvard-origin company that is, as of 2026, the only dental AI cleared by the FDA to detect, outline, and quantify disease — millimeter-level bone measurements, not just bounding boxes. Seven 510(k) clearances from 2021 through 2025, including the category’s first bone-level measurement clearance (K210187) and a December 2025 CBCT clearance. The ADA itself invested in Overjet’s Series C. On engineering rigor, nobody in the category outranks them.
What it actually does
For practices: Vision AI detects and outlines caries and quantifies periodontal bone levels on radiographs, with annotated visuals for patient education and claim substantiation. Around it sit IRIS (Overjet’s own AI-native imaging software), a Voice AI documentation suite, automated Insurance Verification, and DSO Analytics. In a 7,000-surface clinical analysis, dentists using Caries Assist detected 32% more carious surfaces.
The catch — and it’s a structural one, not a bug: Overjet also sells to insurers. Its payer platform reviews claims against medical-necessity guidelines across 350+ procedure codes for most of the 10 largest US dental insurers, advertising a 90% reduction in manual claim review.
The two-sided-market problem
You should understand what that means before buying. The same class of technology reading your x-rays chairside is reading them again at the payer — and providers report AI-driven denials with logic that’s hard to appeal, bone-level measurements that disagree with the treating provider, and administrative burden shifting onto practices. None of that makes the chairside product worse. It does mean your subscription fees co-fund the utilization-review machine on the other side of the table. Some dentists are fine with that; some find it disqualifying. You should at least decide consciously.
Pricing
Quote-only, nothing published, no free trial. Third-party reported ranges as of mid-2026: $250–$500/month for typical practices (ai.dentist), with claims of $300–$1,500/month and aggregator estimates up to $3,000/month for larger deployments, plus possible implementation fees. Treat every figure as unconfirmed.
Strengths
- Deepest regulatory moat in the category: detect + outline + quantify, cleared fast (~98 days vs a 172-day industry median).
- Users praise reliability and polish — “never glitchy”; one reviewer switched from Pearl citing glitchiness.
- Quantified bone levels are genuinely useful for perio staging and for substantiating claims.
- Broad prebuilt integrations across Dentrix, Eaglesoft, Open Dental, and virtually every major imaging system.
Weaknesses
- Quote-only pricing with the widest reported spread in the category.
- The payer-side conflict described above.
- Enterprise/DSO center of gravity — solo practices report fit and cost friction.
- Almost no independent review footprint (1 Capterra review as of 2026); public praise is mostly company-curated.
Verdict
For DSOs, perio-heavy practices, and anyone who wants defensible quantified measurements, Overjet is the most technically credible product in dental AI. For a small practice choosing on price, or a dentist who objects to funding insurer-side claim automation, Pearl or Denti.AI are the alternatives to quote. See our Pearl vs Overjet comparison for the head-to-head.
Sources: Innolitics 510(k) analysis, PRNewswire clearance and Series C releases, PPO Advisors on payer AI, Capterra, Overjet.
Frequently asked questions
How much does Overjet cost?
Overjet publishes no pricing. Third-party reports as of 2026 range from $250–$500/month for typical practices up to $1,000–$3,000/month for larger feature sets, plus possible implementation fees. All figures are unofficial — you'll need a sales quote.
Is Overjet FDA cleared?
Yes — 7 510(k) clearances between 2021 and 2025, including Dental Assist (K210187, first clearance for radiographic bone-level measurement), Caries Assist (K222746), Charting Assist, and CBCT Assist (December 2025). It's the only dental AI cleared to detect, outline, and quantify disease.
Why do some dentists dislike Overjet?
Overjet sells to both sides of the market. The same core technology powers claim review for most of the 10 largest US dental insurers, and providers report AI-driven claim denials with opaque logic that's hard to appeal. Clinically the product is well-reviewed; the payer business is the controversy.
What does Overjet integrate with?
Dentrix, Eaglesoft, Open Dental, Practice-Web, and most major imaging systems (DEXIS, Apteryx/XVWeb, Carestream, Schick, Sidexis, VixWin, XDR and more), plus its own IRIS imaging software.