Six AI agents · running live in pilot practices

Your practice, on autopilot.

Juno's six AI agents work in parallel — answering the phone, filing claims, fixing denials, filling cancellations, drafting clinical notes, and chasing eligibility. Each agent is approval-gated, each one observable. You stop running a software stack. You start running a practice.

Time-to-value 14 days
Target clean claim rate 98.4%
Specialties shipping GP · Perio · OMS
Built to connect Every imaging system, clearinghouse, and lab that matters in dental — out of the box
Imaging
Clearinghouses
Lab + scanning
Live

AI in action. Not in a deck.

Four agents handling four real workflows. Recorded from internal alpha builds — these are the actual interactions our partner practices see in production.

Ambient clinical note · Op 2 · Dr. Rhee
Listening · 04:32
Audio · 16-bit · 44.1kHz
Speaker A · Provider Speaker B · Patient
Live transcript
Dr. Rhee Patient reports cold sensitivity on tooth number three, started about two weeks ago.
Patient Hurts every time I drink anything cold. No spontaneous pain though.
Dr. Rhee Looking at the DO amalgam — I see marginal breakdown. Cold test is positive, percussion negative. Reversible pulpitis from a failing restoration.
SOAP note · auto-structured
S Cold sensitivity, UR1, 2-week duration. No spontaneous pain.
O DO amalgam #3, marginal breakdown. Cold (+), percussion (−).
A Reversible pulpitis #3 due to failing restoration.
P Replace #3 DO. Porcelain inlay.
D0150 D2740 · $1,284
Scheduling agent · Inbound SMS
+1 (973) ··· 8472
9:41 Meridian Family Dental
Hi, can I get on the schedule for a cleaning sometime next week?
Juno · auto-replying for Meridian
Hi Maria — pulling our calendar for next week now.
I have Tuesday Apr 28 at 3:00pm or Thursday Apr 30 at 10:00am. Reply with your choice and I'll lock it.
Thursday at 10 works great
✓ Booked! Thursday Apr 30 at 10:00am with Dr. Rhee. Confirmation + intake form sent to your email.
Thursday · April 30
Chair 1 · Dr. Rhee
9:00
M. Harding · D2740
9:30
L. Chen · D8080
10:00
Maria S. · D1110 AI booked
10:30
11:00
A. Reyes · D4341
Claims agent · Pre-submit scrubbing
837D · processing
D2740 $1,284
Margaret Harding
Tooth #3 · DO porcelain inlay
CarrierAetna PPO
Service date2026-04-26
ProviderDr. J. Rhee · NPI 1689···
Pre-submit score
98% clean
AI scrub · sequential checks
Eligibility verified — Aetna PPO active · deductible met
CDT D2740 valid for date of service
Tooth #3, surface DO specified
! Missing periapical radiograph (PA #3) — Aetna requires for D2740
Auto-attaching PA #3 from imaging library...
PA #3 attached · 23 KB · captured 2026-04-26
Narrative AI generated · marginal breakdown documented
Submitted via Stedi · 277CA expected in 2–3 days
Eligibility agent · X12 270/271
Verifying
MH
Margaret Harding
DOB 03/14/1978 · Member ID 985··4291
270 sent +0.2s
271 received +1.4s
Parsed +1.6s
Carrier · Plan
Aetna PPO · Dental Plan 2000
Effective
01/01/2024 · Active
Annual deductible
$50 · met
Annual maximum
$1,500 · $312 used (21%)
Coinsurance
Preventive 100% · Basic 80% · Major 50%
Estimate for D2740
$642 patient · $642 insurance
Verified · ready to schedule
Demos representative of internal alpha workflows. Each agent has full observability, human-in-the-loop approval, and runs against real X12, FHIR, and DICOM data.
Where Juno is today

Transparent about the build.

Most dental software pretends it's further along than it is. We'd rather tell you exactly where we stand — so you can choose whether to build this with us.
Platform state
In active build
Core platform and agentic stack in private alpha. X12 EDI pipeline, voice perio charting, and the scheduling agent are working in internal testing.
Design partners
3 of 10 signed
Applications open through Q2 2026. Solo practitioners, multi-location groups, and DSOs all welcome to apply.
First release
Q2 2026
GP + Perio module ships first. Oral Surgery, Endodontics, and Orthodontics follow on the published roadmap through 2027.
HIPAA-ready architecture SOC 2 on roadmap Human-in-the-loop by design Open APIs U.S.-based team
How we build

Five principles that shape every release.

01

Human in the loop, always

Every clinical or financial action an agent takes is reviewable, reversible, and approved before it touches a patient or a payer.

02

Observability first

Every agent action is logged with full context. Every output is evaluated. Drift detection alerts you the moment quality slips.

03

Open, not locked-in

Open APIs from day one. Your data is yours. Free export, free migration, no contractual handcuffs that hold practices hostage.

04

Boring infrastructure

PostgreSQL, RLS, signed audit logs, soft deletes. The exciting part is the AI — the foundation should be unremarkable and bulletproof.

05

Ship at production quality

No demos that don't represent shipping product. If you see it on the site, it works in code. We'd rather show you less and have it be true.

The Juno platform

One platform. Every job in the practice.

Juno folds the jobs of four or five vendors into a single AI-native system. No more swivel-chair workflows between chart, claim, imaging, and scheduling.

Clinical AI

Voice-driven perio charting, ambient clinical notes, and FDA-listed radiograph analysis for caries, bone loss, and pathology.

Revenue Cycle AI

X12 EDI pipeline with denial prediction, CDT↔ICD-10 cross-coding, and attachment intelligence before submit.

Front Office

AI phone agent, smart scheduling, instant eligibility, recall campaigns, and patient-facing treatment presentation.

Practice Intelligence

Cross-location dashboards, clinician performance, AR aging, and opportunity alerts for every operator.

Agentic AI platform

Meet your AI staff.
It doesn't call in sick.

6 specialized agents working in parallel, every operatory, all day
Human-in-the-loop approval for anything clinical or financial
Full observability — every action logged, evaluated, and reviewable
Drift detection alerts you the moment quality degrades
Build custom agents for your practice's unique workflows
Meridian Family Dental · 3 chairs · live
All systems go · 6/6 online
Live
Clinical Notes
Ambient transcriber · Op 2 · 142 actions today
Live
Billing
3 claims in flight · $4,280
Live
Eligibility
Insurance verifier · 8 verified · 0 errors
Review
Collections
AR follow-up · 12 outreach · 2 need review
Live
Scheduling
Gap filler · 3 gaps filled · +$840 recovered
Review
Referral
Specialist broker · 2 awaiting endo response
Clinical intelligence

Charts that write themselves. Correctly.

Say "eighteen mesial four bleeding, eighteen buccal five no bleeding" — and the periodontal chart updates. Juno remembers last visit's findings, flags trend changes, and classifies the ADA perio case in real time, before the patient leaves the chair.

  • 6-point probing, BOP, CAL, furcation, mobility, recession
  • Historical comparison with per-tooth trend arrows
  • Automatic ADA perio classification (Stage I–IV, Grade A–C)
  • Works with CBCT, pano, periapical, and intraoral cameras
See clinical modules
MH
Margaret Harding
Perio exam · Hygienist: J. Alvarez
Listening
Upper arch · #1 → #16
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Lower arch · #17 → #32
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
"Tooth #46 distal depth seven, bleeding on probing..."
AI
Pattern detected: generalized Stage III Grade B periodontitis. Auto-suggesting D4341 SRP for UR + LR quadrants.
Imaging Bridge

The first PMS that talks to every imaging system natively.

Most cloud PMS vendors gave up on imaging. They told you to keep your sensors on Eaglesoft, then built a "view in PMS" iframe and called it integration. We built a signed desktop agent (Tauri v2, ~12 MB) with first-class adapters for the six imaging systems that 95% of US practices run. AI radiograph analysis triggers the moment you take an X-ray.
0
Native adapters
0%
US practice coverage
0MB
Signed desktop agent
0s
Avg time to AI annotation
Carestream Dental
CS Imaging v7 & v8 · Pano Module

Direct TW.exe launch with auto chart-number resolution. Full intraoral, panoramic, and CBCT support. Annotation layers persist back to Juno — annotate once, see everywhere.

Native adapter v329 · production
DEXIS
DEXIS Imaging Suite · IS ScanFlow

DICOM-conformant bridge with full canvas annotation. FDA-listed image AI runs on-device — no PHI leaves the operatory until you accept a finding. Cross-vendor sensor compatibility preserved.

Native adapter v329 · production
Planmeca
Romexis · Romexis Cloud

Romexis Open Interface (ROI) integration. CBCT volume rendering, real-time intraoral capture, and Cloud sync support. Pano-to-FMX extraction with provider attribution preserved.

Native adapter v329 · production
Dentsply Sirona
Sidexis 4 · Schick · Schick AE

Full sensor compatibility across the Schick line — the most-installed sensor family in the US. Sidexis 4 launch with patient context handoff. Galileos / Orthophos CBCT viewer integration.

Native adapter v329 · production
Vatech
EzDent-i 4.x · EzSensor · Green CT

EzDent-i launch with patient and exam pre-population. Green CT volumes mount as referenceable studies. Full panoramic timeline capture for legacy chart digitization workflows.

Native adapter v329 · production
Apteryx
XVWeb · XVision · Cloud

Cloud-first integration via XVWeb's REST surface — the only one of the six that doesn't require a desktop agent. Multi-location DSO image sharing, shared-vendor scenarios handled cleanly.

Cloud adapter v329 · production
01 · Desktop agent

Tauri v2 · signed installers

Single ~12 MB installer for Windows (MSI & NSIS) and macOS (DMG). Code-signed with EV cert, auto-update via signed tarball. Runs as a local user service — no admin install, no domain controller drama.

02 · Adapter isolation

Sandboxed per-vendor

Each imaging adapter runs in an isolated subprocess with allowlisted file-system and network access. A bug in the Sidexis adapter cannot touch DEXIS data. Async tokio::mpsc channels for upload coordination.

03 · AI radiograph analysis

FDA-listed · on-device

Caries, periapical, calculus, and bone-loss detection. The model runs locally — no PHI leaves the operatory until your provider accepts a finding. Confidence-scored, evidence-cited annotations that auto-attach to claims.

04 · HIPAA + audit

Retention & chain-of-custody

Immutable audit log of every image launch, annotation, and export. Configurable retention (default: image refs forever, AI inference 7 years). BAA in place with every imaging vendor partner.

Revenue cycle AI

Denials predicted before your payer sees them.

Our X12 pipeline scores every line against the payer's last 90 days of behavior, rewrites narratives with the right CDT-ICD-10 linkage, and attaches the right radiograph automatically. The result: 98.4% clean claim rate and AR that actually shrinks.

  • 837D, 837P, 837I from day one — GP, perio, OMS, ortho
  • 270/271 real-time eligibility with deductibles, maximums, YTD
  • 277CA acknowledgments, 835 ERA with CARC auto-triage
  • Dual clearinghouse router: Stedi primary, DentalXChange failover
Explore billing workflows
juno.dental/billing v2.4.1
Live · 14 processing
Outstanding AR
$0
↓ 18% MoM
Clean claim rate
0%
↑ 2.1pp
Denials (30d)
0
↓ 67%
CDT Patient AI action Amount Status
D2740 Harding, M. Narrative AI $1,284 Paid
D4341 Reyes, A. Auto-corrected $612 Fixed
D0150 Nakamura, T. Eligibility AI $158 Paid
D7240 Okafor, J. 837I · OMS $2,940 Review
D8080 Patel, R. Ortho contract $480/mo Paid
Specialty modules

One platform. Four specialties.

Juno ships with switchable clinical modules for every specialty — plus a cross-coding engine that translates CDT to CPT and ICD-10 whenever a case crosses into medical billing.
Phase 1 · Q2 2026
Shipping next

General & Perio

The foundation. Voice charting, perio maintenance, and full restorative workflow with attachment intelligence.

  • 6-point probing + BOP + CAL
  • ADA perio classification
  • Implant registry
  • Restorative + endodontic base
Phase 2 · Q3 2026

Oral Surgery

Built to displace WinOMS and DSN. 837I facility billing, narrative + pano attachments, hospital credentialing.

  • Anesthesia module with auto-code
  • Third molar + implant workflows
  • CPT + ICD-10 bridge
  • Hospital-side credentialing
Phase 3 · Q1 2027

Endodontics

Tooth-centric records with referring dentist portal. Working length, apex locator integration, microscope capture.

  • Tooth-level treatment graph
  • Referring dentist portal
  • Microscope + CBCT capture
  • Retreatment workflows
Phase 4 · Q3 2027

Orthodontics

Contract-based billing with installments, family grouping, aligner tracking, and consult funnel analytics.

  • Contract billing with auto-debit
  • Initial + continued treatment
  • Lifetime ortho benefit tracking
  • Consult-to-start funnel
Our targets

What Juno is building toward.

Benchmarks grounded in published dental RCM data — what we're committed to hitting with our first design partners.
0%+
Target clean claim rate. Industry average sits around 82%.
0%
Target reduction in denials within the first 90 days.
0s
Target perio exam time with voice charting.
+$0K
Target added monthly production per practice.
Migration

Native connectors for every system you'd leave.

One-click data migration from the five PMS platforms running 90% of US dental practices today. Free for design partners. Lossless. Live in 14 days.
Native connector
Native connector
Native connector
Native connector
Native connector
Timeline
14 days to go-live.
Cost
Free for design partners.
Data fidelity
100% — schema-mapped, no loss.
What migrates Patient records Treatment history Ledger + payments Schedule Insurance + eligibility Perio charts Imaging references Recall lists Documents + forms
Design partner program

We're looking for 10 practices to build this with.

Instead of paying for our marketing, we're paying our first partners. In exchange for honest feedback, you get the platform at pilot pricing — locked for the life of your account — plus direct access to our build team.
01 / What you give

Real feedback on real workflows

Weekly 30-minute calls with our product team. Access to your (anonymized) data to help us tune the AI agents. Willingness to be an early adopter who helps shape the product.

02 / What you get

Pilot pricing, locked for life

All six AI agents. Free data migration from your current PMS. A direct Slack channel with our build team. Input on the product roadmap — including which specialty ships next.

03 / Who fits

GP and Perio practices, 1 to 20 locations

Currently on Dentrix, Eaglesoft, Open Dental, or similar. Comfortable with modern software. Ready to move in Q2 or Q3 2026. Solo DDS welcome. DSOs welcome.

Only 7 design partner spots remaining

Stop losing money to software designed in 1997.

You signed up to take care of patients. Not to fight your PMS. Join the Juno design partner program — free migration, pilot pricing locked for life, and a direct line to the team building this.

  • 7 of 10 spots remaining
  • Free 14-day migration
  • Pilot pricing locked for life
  • Direct Slack with build team
Apply to the program
We read every application. Reply within 24 hours.