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Cost & ROI Guide

What Smile Simulation Really Costs (And What It Costs to Go Without)

This guide will equip you with everything you need to know before investing in smile simulation technology. Understand true costs, calculate your ROI, and see why the "cheapest" option often costs practices the most.

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Patient smile before dental simulation

BEFORE

Patient photo

Patient smile after dental simulation preview

AFTER

Xadia simulation in 30 seconds

Actual Xadia smile simulation result

Every Practice Owner is Obsessing Over
Monthly Software Costs-But They're Asking The Wrong Question Entirely.-The Real Cost Isn't What You Think...

Most practice owners are shopping around asking "What's the cheapest price?" - But here's the brutal truth.

According to dental industry research, 67% of dental practices fall short of recommended case acceptance benchmarks — and most end up losing far more revenue than they save because they focused on the wrong number.

The smart minorityarmed with the insider knowledge in this guide— ask a completely different question that helps them capture significantly more revenue in case acceptance while their competitors struggle to explain treatment outcomes.

What if I told you the "cheapest" option could actually cost you $300,000 or more over the next 5 years?

(That's what the data shows about practices that rely only on verbal descriptions for cosmetic consultations...)

Skip this guide and you'll likely make the same expensive mistake that keeps practices trapped in a cycle of:

  • Lost cases that go to competitors who DO show simulations
  • Patients who say "I need to think about it" and never return
  • Hours wasted trying to verbally explain treatment outcomes
  • Declining case acceptance as patient expectations rise

But there's a different way...

Before we get to that, let's address the elephant in the room:

Isn't it strange that so many smile simulation tools are NOT transparent about their actual costs and what's included?

Without this information it's impossible to make an informed decision.

This guide pulls back the curtain-sharing real pricing, how ROI actually works, and what separates tools that pay for themselves from those that just drain your budget-so you're fully informed and confident when choosing the right solution.

The Question That Changes Everything

Here's what top-performing practices ask instead (and why it saves them a fortune)...

The WRONG Question (Asked by Most Practices):

"What's the cheapest smile simulation software I can find?"

The RIGHT Question (Asked by Top Performers):

"What's the total cost of declined cases over the next 5 years if I don't show patients their potential results RIGHT NOW?"

Here's why this question changes everything...

Industry data shows treatment acceptance sits at just 47% across the industry — meaning more than half of recommended care is declined. But here's what most practice owners don't calculate:

  • Lost revenue when patients can't visualize outcomes
  • Referrals that never happen from patients who didn't say yes
  • Lifetime value evaporated when they go to a competitor
  • Time wasted on consultations that don't convert
  • Marketing spend to acquire patients you then lose

But what if there was a way to...

  • Show patients their future smile in 30 seconds (not verbal descriptions)
  • Transparent, all-inclusive pricing with ZERO hidden fees
  • Increase case acceptance by up to 24% based on published industry research
  • Achieve positive ROI with just one additional accepted case per month

The Hidden Cost of Doing Nothing

Why this section could save your practice hundreds of thousands...

You simply can't skip this part and here's why...

What happens to practices that rely on verbal descriptions isn't unusual. Every day, potential revenue walks out the door because patients can't see what you're describing.

But most practice owners don't realize they're in a race against time.

The Case Acceptance Gap

Published research reveals a stark gap in how patients respond to visual vs. verbal communication:

47%
Overall treatment acceptance rate
Industry report, 2025
+24%
Higher case acceptance
with visual tools
Industry data, 2024
72%
Of patients more likely
to accept with visuals
Patient survey, 2025

A 2024 clinical trial also found visual aids improved patient comprehension by 28 percentage points vs. verbal-only explanations. See sources below.

The Math That Matters

For a practice doing 20 cosmetic consultations per month:

(Illustrative example using industry-average case value and conservative acceptance improvement)

At 40% acceptance (8 cases x $4,000 avg)$32,000/month
At 55% acceptance (11 cases x $4,000 avg)$44,000/month
Monthly revenue difference+$12,000
Annual impact+$144,000

Your Competitors Are Moving Now

Every month you wait, more practices in your area adopt visualization technology. Patients increasingly expect to see their results before committing-thanks to experiences in other industries (home renovation apps, hair color previews, even eyeglass try-ons).

The window to differentiate is closing. Soon, showing simulations won't be a competitive advantage-it will be table stakes.

Find Your Revenue Leak — Free Calculator

See exactly how much additional revenue smile simulations could generate for your practice.

* Illustrative scenario based on industry averages. Not a specific customer testimonial.

Meet Dr. Martinez, a cosmetic dentist who was losing $18,000 every month...

She thought she was being smart. While other practices were paying for "expensive software," Dr. Martinez relied on her expertise and verbal descriptions.

"I'm a great communicator," she told her team. "Patients trust me. I don't need gimmicks."

Her case acceptance rate hovered around 32%. She assumed that was normal-after all, "not everyone is ready to commit."

Then she attended a dental conference and saw a colleague's presentation. His practice was smaller, in a less affluent area, yet his cosmetic case acceptance rate was 74%.

"What's your secret?" she asked.

He showed her: a 30-second smile simulation created during the consultation. The patient could see their future smile before deciding.

Patient smile before dental simulation

BEFORE

Patient consultation

Patient smile after dental simulation preview

AFTER

Simulation shown in 30 seconds

"I realized I wasn't saving money by avoiding technology-I was leaving hundreds of thousands on the table. Patients weren't saying no to treatment. They were saying no to uncertainty."

Three months after implementing Xadia, Dr. Martinez's case acceptance jumped to 68%. Her monthly cosmetic revenue increased by $21,000.

"My only regret is that I didn't do this three years ago," she says. "I calculated what I lost by waiting-it was over $400,000."

Different Types of Smile Visualization

Understanding your options is the first step to making the right choice...

No Visualization

(Verbal Descriptions Only)

$0/month

Pros:

  • No software cost
  • No training required

Cons:

  • Patients can't visualize outcomes
  • Highest decline rates
  • Losing to competitors who show simulations
Stock Before/Afters

(Generic Photos)

$0-50/month

Pros:

  • Low cost
  • Better than nothing

Cons:

  • Not personalized ("that's not MY smile")
  • Limited impact on decisions
  • Can feel misleading
Manual Editing

(Photoshop, etc.)

$20-100/month + labor

Pros:

  • Personalized results
  • Creative control

Cons:

  • Requires design skills
  • Some practices report 15-30 min per simulation
  • Inconsistent quality
  • Staff time = hidden cost
Traditional Dental Software

(Legacy Systems)

$300-800/month

Pros:

  • Dental-specific
  • Some integrations

Cons:

  • Complex to learn
  • Slow turnaround
  • Often requires desktop
  • Dated interfaces
Automated Smile Simulation

(Xadia)

From $299/month

Pros:

  • 30-second simulations
  • No design skills needed
  • Consistent quality
  • Shareable patient links
  • Remote photo capture
  • Built-in analytics

Cons:

  • Requires monthly plan

Xadia vs. Traditional Methods

A side-by-side comparison

FeatureTraditional MethodsXadia
Simulation TimeTypically 15-30 minutes30 seconds
Skill RequiredHigh (design skills needed)None (automated)
ConsistencyVaries by operatorConsistent quality
Patient SharingEmail attachmentsShareable web links
Remote Photo CaptureNot availableBuilt-in feature
Results TrackingManualBuilt-in analytics
Training TimeDays to weeksMinutes
Hidden Labor CostsEstimated $200+ per simulationIncluded in plan
HIPAA ComplianceVariesBuilt-in

Why Xadia Actually Costs Less

Despite superior results

Here's what doesn't make sense to most practice owners:

We deliver instant simulations in 30 seconds, include shareable patient links, provide remote photo capture, and maintain HIPAA-compliant infrastructure.

Logic says this should cost MORE, right?

What practice owners assume: "Xadia MUST cost more than doing it manually because it's faster and better."

The reality: Xadia often costs LESS than the hidden labor costs of manual methods.

The Hidden Economics

Traditional Methods' Hidden Costs:
  • Estimated 15-30 min staff time per simulation
  • Training and skill development
  • Software licenses (Photoshop, etc.)
  • Inconsistent quality = remakes
  • No sharing = missed family decisions

Estimated true cost: up to $200+ per simulation (staff time + materials)

Xadia's Efficiency Advantage:
  • Automated in 30 seconds
  • Zero training required
  • All-inclusive pricing
  • Consistent quality every time
  • Shareable links for family buy-in

Xadia: From $299/month (78+ simulation cores)

The math is simple: One additional accepted case (average $4,000) pays for 350-430 simulations.

One additional accepted case can cover months of Xadia.

Full Pricing Breakdown

Transparent pricing with no hidden fees

PlanMonthlyCores
Foundation

Solo practitioners and small practices

$29926 cores/mo
Momentum

Growing practices ready to scale

$69065 cores/mo
EstablishedPopular

Established practices

$1,490147 cores/mo
Multi-Clinic

Multi-location practices

$4,390449 cores/mo

Enterprise

For DSOs and multi-clinic groups with 1,000+ monthly simulation cores

Custom pricing - 1,000+ cores/month with volume discounts

See Xadia In Action — Book a 15-Min Demo

Premier Network

True enterprise floor pricing for 2,000+ monthly simulation cores

Custom pricing - 2,500+ cores/month with maximum volume discounts

See Xadia In Action — Book a 15-Min Demo

HIPAA Compliant

All plans include enterprise-grade security

Team Access

Multiple seats included in every plan

No Contracts

Cancel anytime, no long-term commitment

Key Points

Patient smile before dental simulation

BEFORE

Starting point

Patient smile after dental simulation preview

AFTER

Xadia smile simulation

Show patients their potential results instantly

  • Xadia delivers smile simulations in 30 seconds
  • All-inclusive pricing with no hidden fees
  • Visual tools shown to increase case acceptance by up to 24% (see sources)
  • One additional accepted case per month covers the cost of Xadia
  • Plans start at $299/month with bonus cores at higher tiers
  • HIPAA compliant with team access included

Find Your Revenue Leak — Free Calculator

See exactly how much additional revenue smile simulations could generate for your practice.

Disclaimer: Projections and estimates are based on industry averages and self-reported data. Individual results may vary based on practice-specific factors. See our disclosure for details.

Ready to Stop Losing Cases to
"I Need to Think About It"?

Join the practices that show patients their future smile instead of just describing it.

Sources & References

1. Dental Case Acceptance Benchmarks: Levin, R. P. (2015). "Research Report: Case Acceptance." Dental Economics. Finding: 67.3% of dentists fall short of the recommended 90% case acceptance rate. https://www.dentaleconomics.com/practice/article/16391557/research-report-case-acceptance
2. Treatment Acceptance Rate: Henry Schein One (2025). Catalyst Index. Finding: Overall treatment acceptance sits at 47%. Nearly 60% of patients decline care due to ineffective education and lack of pricing clarity. https://www.henryscheinone.com/about-us/press-release/henry-schein-one-unveils-catalyst-index/
3. Visual Aids Improve Patient Comprehension: PMC Randomized Clinical Trial (2024). "Improving the Communication of Dental Findings in Pediatric Dentistry by Using Intraoral Scans as a Visual Aid." Finding: Visual aids improved comprehension by 28.3 percentage points vs. verbal-only (85.5% vs. 57.2%, p < 0.001). https://pmc.ncbi.nlm.nih.gov/articles/PMC10814675/
4. AI Visual Aids and Treatment Follow-Through: Slashcheva, L. D. et al. (2025). "Artificial intelligence-produced radiographic enhancements in dental clinical care." Frontiers in Oral Health. Finding: 92% of patients who reviewed AI-produced visual annotations planned to follow through on treatment. https://www.frontiersin.org/journals/oral-health/articles/10.3389/froh.2025.1473877/full
5. Visual Tools and Case Acceptance: Pearl AI (2023-2024). Customer data analysis. Finding: Practices using visual AI tools saw 24% higher case acceptance. Real-world example: Rand Center for Dentistry saw acceptance jump from 37% to 44%. https://hellopearl.com/blog/topic/ai-and-case-acceptance-building-bridges-between-you-and-your-patients
6. Patient Preferences for Visual Communication: Overjet (2025). Patient Survey (n=1,000 adults). Findings: 72% more likely to accept treatment with visual findings; 85% would feel more confident seeing the problem themselves; only 55% say they "fully understand" their diagnosis. https://www.overjet.com/blog/the-overjet-patient-survey-what-do-we-really-think-about-the-dentist-
7. ROI of Dental Technology: Forrester Consulting / CareStack (2023). Total Economic Impact Study (123 practices, 137 business owners). Finding: 307% ROI over 3 years with payback within 6 months. Note: This study evaluated dental practice management software (CareStack), not smile simulation specifically. Cited as an industry benchmark for dental technology ROI — individual results vary by technology type. https://carestack.com/support/resources/articles/forrester-casestudy-maximizing-roi-on-carestack-in-dental-practices

* Industry statistics referenced in this guide are based on published research and vendor data. Individual practice results depend on implementation, patient demographics, and practice-specific factors. The illustrative calculations use conservative assumptions and are not guarantees of specific outcomes.