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Cost Breakdown 2026-03-08 · 10 min read

We Replaced $2,000/Month in Software With AI We Built Ourselves

A real cost breakdown: what we were paying for off-the-shelf tools vs what our custom AI actually costs to run. Named products, real pay rates, real savings.

Before we built our own AI tools, our dental practice was paying for a stack of software subscriptions. Each one seemed reasonable on its own — $30 here, $99 there. But when we added them up, we were spending over $2,000 a month on tools that still left gaps in our workflow.

Then we started building custom AI to replace them. Our practice in Darwin has 4 staff, but a typical Australian dental practice has around 10 — so we've used the larger number for these calculations. Here's the real maths — named products, actual prices, and what it really costs in staff time when your tools don't quite fit.

The subscription stack we were paying for

Here's what a typical software stack looks like for a dental practice with around 10 staff, with real products and real Australian prices:

Tool Product examples Monthly cost
After-hours phone answering Call centre service, Smith.ai, Ruby Receptionist $200–400
Voice dictation Dragon Medical, Heidi Health, Whisperflow $30–99/user × 3 clinicians = $90–300
Staff rostering Deputy, RosterElf, Tanda $88–263 (Deputy alone is $8.75–$26.25/user/month × 10 staff)
No-code database / workflow Airtable, Monday.com, Notion $20–50/user × 5 staff = $100–250
Email management Front, Hiver, Mailchimp (transactional) $50–150
Call recording & transcription Otter.ai, Fireflies, Rev $80–150
Document scanning / OCR Adobe Scan Pro, ABBYY FineReader $30–80
Automation / integration glue Zapier, Make (Integromat) $50–100
Website hosting Squarespace, Wix, WordPress hosting $25–50
Total $713–1,743/month

That's $8,500–$21,000 per year in subscriptions alone. And most of these tools have per-user pricing, so the cost climbs every time you hire someone.

But the subscription cost is the easy number. The expensive part is what these tools don't do.

The real cost: staff time

This is what most practices never calculate. Under the Health Professionals and Support Services Award (MA000027), from 1 April 2026, dental assistant minimum rates are:

Classification Who this covers Base rate True cost*
Level 3 Unqualified, <12 months $27.79/hr ~$35.50/hr
Level 5 Unqualified, 1–4 years $27.83/hr ~$35.55/hr
Level 6 Cert III or 4+ years experience $29.24/hr ~$37.35/hr
Level 7 Cert IV or equivalent $30.23/hr ~$38.60/hr

*True cost includes 11.5% superannuation, annual leave loading (~17.5% on 4 weeks), personal leave, and workers compensation insurance. These are the minimum award rates — many practices pay above award, especially in regional areas.

A receptionist or practice manager (Support Services Level 8–9) is $32–37/hr base, $41–48/hr fully loaded.

Most experienced dental assistants in a practice are Level 6 or 7. That means every hour they spend on admin instead of clinical work costs you $37–39. Now look at how much time these "time-saving" tools still leave on the table:

Here's every AI tool we built, the manual task it replaced, who was doing it, and exactly what it costs in staff time per week. We've used the loaded cost (base rate + 11.5% super + leave + insurance) for each role:

AI tool Manual task it replaces Who did it Time saved/day Weekly saving
AI Phone Receptionist Answering routine calls — bookings, hours, directions, after-hours messages Receptionist (~$41/hr) 45 min $154
Call Recording & Summaries Listening to voicemails, writing up phone call notes, logging into patient records Receptionist (~$41/hr) 20 min $68
Smart Inbox Reading every email, sorting into folders, flagging urgent ones, unsubscribing from junk Office manager (~$45/hr) 20 min $75
Email Autoresponder Drafting replies to patient enquiries, appointment confirmations, routine questions Office manager (~$45/hr) 15 min $56
Voice Dictation (VoxInk) Typing clinical notes, referral letters, treatment plans by hand Clinicians (×3) 15 min each $188+
Voice Assistant (Spark) Looking up patient info, checking the schedule, logging comms — all hands-free instead of clicking through screens DA Level 6 ($37.35/hr) 10 min $31
X-ray Auto-Upload Opening each X-ray, identifying the patient, uploading to the correct record DA Level 6 ($37.35/hr) 15 min $47
Document Scanner Reading scanned documents, figuring out what they are, renaming, filing in the right folder DA Level 6 ($37.35/hr) 15 min $47
Staff Rostering Collecting availability, checking visa hours, ensuring coverage rules, building the roster in a spreadsheet Practice manager (~$48/hr) 25 min (avg) $100
Daily Briefing Pulling up each patient's history before the morning huddle — last visit, notes, outstanding treatment Practice manager (~$48/hr) 15 min $60
Records Requests Finding the old practice, writing the request letter, posting/faxing it, following up Receptionist (~$41/hr) 10 min (avg) $34
Patient Registration Processing online registration forms, creating the patient record, mapping medical history Receptionist (~$41/hr) 10 min (avg) $34
Lab Case Tracking Generating lab references, emailing the lab, tracking where each case is up to DA Level 6 ($37.35/hr) 10 min (avg) $31
Branded Voice Notes Writing things down on paper, typing them up later, trying to remember what was said All staff 10 min (avg) $35
AI Memory System Searching for past decisions, conversations, and institutional knowledge across disconnected tools Practice manager (~$48/hr) 10 min (avg) $40
Custom Website Paying $30–50/month for Squarespace/Wix that loads slowly and you can't fully customise $8–12 saved
~4.5 hrs/day $1,000+/week

That's over $4,000 per month in staff wages spent on tasks that AI now handles automatically. Not complex clinical work — admin. Sorting, filing, typing, answering the same questions over and over.

And that's based on minimum award rates. If you pay above award — as most practices in regional areas do — the real number is higher.

The point isn't fewer staff — it's better work

We're not talking about replacing people. We're talking about freeing them up to do the work they were actually hired for.

When AI handles the admin, your dental assistant isn't stuck at a computer filing X-rays — she's chairside assisting. Your receptionist isn't racing to answer the phone while a patient stands at the desk — she's giving that patient her full attention. Your practice manager isn't buried in rosters and email — she's actually managing the practice.

You can do more with the same team. The staff you already have become more effective, more focused, and less burned out on repetitive tasks that a computer should be doing.

And here's the other thing: missed calls cost real money. Every call that goes to voicemail is a potential patient who books with the practice down the road instead. In dentistry, one new patient is worth $2,000–5,000 in lifetime revenue. Miss three calls a week and you're leaving serious money on the table.

What we replaced it all with

What it replaces Our custom solution Monthly cost
Call centre / Smith.ai / Ruby AI phone receptionist (books into our real schedule) ~$30–50 (telephony only)
Dragon / Heidi / Whisperflow VoxInk — push-to-talk dictation, runs locally $0
Deputy / RosterElf / Tanda Custom rostering that knows our visa hours + coverage rules $0
Airtable / Monday / Notion Custom dashboards built into our existing systems $0
Front / Hiver + Zapier Smart inbox + AI autoresponder (sorts, drafts, flags) $0
Otter / Fireflies Call recording + AI summaries logged to patient records $0
Adobe Scan / ABBYY Auto document scanner + X-ray patient matching $0
Squarespace / Wix Custom website on Cloudflare Pages $0 (free tier)
Private AI server (powers all of the above) ~$30–40 (electricity)
VPS for public-facing services ~$15
Total ~$75–105/month

No per-user fees. No "you've exceeded your plan limits" emails. No annual price increases. And every tool is built for exactly how our practice works — not how some SaaS product manager in San Francisco thinks a dental practice should work.

Side by side: the full picture

SaaS stack Custom AI
Software subscriptions $713–1,743/month ~$75–105/month
Staff time on admin $4,000+/month Near zero
Total monthly cost $4,713–5,743+ ~$75–105
Annual cost $56,556–68,916+ ~$900–1,260
You own it? No — stop paying, it stops working Yes — the code is yours forever
Fits your workflow? Sort of, with workarounds and Zapier glue Exactly — it was built for your business

Annual savings: $55,000–68,000+. That's not a typo. And it gets better every year because custom AI doesn't send you a "we've updated our pricing" email every January.

The website alone saves $300/year

This one's small but it's easy. We moved our practice website from a paid hosting platform to Cloudflare Pages — a free, fast, global CDN with automatic SSL. The site loads faster, ranks better, and costs nothing to host.

Squarespace charges $192–384/year. Wix is $204–396/year. WordPress hosting is $120–360/year depending on the plan. We pay $0. The site is custom-built, loads in under a second, and we have full control over every line of code.

It's not the biggest saving on this list, but it's the easiest one. And it adds up — that's $300+ back in your pocket every year for a better result.

"But the upfront cost..."

Yes, building custom AI costs more upfront than signing up for a free trial. A custom solution might cost anywhere from $5,000 to $30,000 depending on how many tools you need and how complex your workflow is.

But look at the maths. If you're spending $4,700–5,700+ per month on subscriptions plus wasted staff time, a $15,000 custom build pays for itself in 3 months. After that, you're saving $55,000+ every single year. Year after year.

And unlike subscriptions, you own it. No vendor can raise your prices, change their API, discontinue a feature you depend on, or get acquired and pivot to enterprise-only.

The real win: a better practice, not fewer staff

The question isn't "how many staff can I cut?" It's "what could my team achieve if they weren't buried in admin?"

A Level 6 dental assistant at $29.24/hr is spending 40 minutes a day on X-ray filing, document scanning, and lab tracking. That's 40 minutes they're not assisting chairside. Your practice manager at $48/hr loaded is building rosters and preparing briefings instead of growing the business. Your receptionist is juggling phone calls instead of giving the patient in front of her their full attention.

AI doesn't replace your team — it gives them their time back. Same headcount, more done, less burnout, better patient experience. That's not just a cost saving. That's a better practice.

Is this realistic for your business?

We built all of these tools for our own dental practice in Darwin — a small clinic with 4 staff. But a typical Australian dental practice has around 10, so we've scaled the calculations to that size. Your numbers will vary — but the pattern is the same in almost every small business we talk to:

  1. You're paying for multiple tools that each do part of what you need
  2. Staff spend real hours every day on repetitive admin that those tools don't fully handle
  3. The true cost (subscriptions + staff time) is much higher than you think
  4. A custom solution that actually fits your workflow pays for itself within months

If you want to run the numbers for your business, we'll do it with you for free. No obligation — we'll map out what you're currently spending, where the time is going, and what a custom solution would actually cost. Then you decide if it makes sense.

Want to build something like this?

We build custom AI tools for businesses. Tell us what you're dealing with — we'll tell you what's possible.

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