2026 Comparison

AI Receptionist vs Hiring Staff

For UK dental practices · Updated July 2026

TL;DR

An AI receptionist and a human receptionist solve different problems. SmadiDesk (from £149/month) provides 24/7 call coverage, Dentally coming soon on eligible plans, and lead capture at a direct subscription cost shown below. But AI can’t greet patients in person, process insurance claims, or handle complex admin. Practices can keep existing staff on in-person duties and use AI for forwarded calls outside hours, during lunch, or when lines are busy.

True Cost Comparison

AI Receptionist

Monthly subscription£149–£649/mo
Setup fee£0
Holiday coverIncluded in subscription
Employer NI£0
Pension£0
Annual Total£1,788–£7,788/year (12 months at monthly pricing)

Additional Receptionist

Salary£24,678 (ONS median, full-time)
Employer NIVaries by salary and applicable thresholds
Workplace pensionVaries by qualifying earnings and scheme
RecruitmentVaries by hiring route
TrainingPractice-led onboarding
Annual TotalSalary + employer NI + pension

Salary source: ONS Annual Survey of Hours and Earnings 2025 (provisional), Table 14.7a, SOC 4216. Employer National Insurance and pension costs vary by salary, applicable thresholds, qualifying earnings, and scheme.

Side-by-Side Comparison

CriteriaAI ReceptionistHired Staff
Annual Cost£1,788–£7,788/year (12 months at monthly pricing) (SmadiDesk)£24,678/yr median full-time salary + variable employer costs (ONS ASHE 2025)
Coverage Hours24/7/365 including bank holidaysWorking hours only (37.5–40 hrs/week)
Holiday / Sick CoverIncluded in 24/7 service coverage28 days holiday + sick days (need cover or voicemail)
Peak-call handlingStays available during busy periods without relying on one receptionistOne call at a time per person
Dentally statusComing soon on eligible plansManual — receptionist uses Dentally directly
Setup / OnboardingSelf-serve configurationRecruitment and training required
ConsistencyUses configured call-handling instructionsVaries with mood, experience, workload
In-Person TasksCannot do — phone onlyCan greet patients, manage front desk, filing
Patient RapportNatural conversation, but no personal relationshipBuilds long-term relationships with regular patients
Complex AdminHandles calls, booking, lead captureFull admin: insurance, referrals, records, payments
ScalabilityPlan-based concurrent-call capacityNeed to hire more people as you grow
TrainingConfigured around practice information and call handlingPractice-led training and handover

AI + Your Existing Team

Practices can use AI as overflow support alongside existing staff:

  • During hours: AI catches calls when your receptionist is busy with patients, on another call, or at lunch
  • Outside hours: AI can handle calls forwarded during evenings, weekends, and bank holidays
  • Peak times: AI provides overflow capacity when the receptionist is busy

This “AI + human” model supports overflow and after-hours call handling without replacing in-person duties or complex admin.

Which Should You Choose?

Choose AI receptionist if: You need after-hours coverage, are missing calls during busy periods, or want to improve lead capture without hiring. Compare the subscription with your own call volume and staffing costs.
Hire additional staff if: You need someone physically at the front desk to greet patients, process payments, manage insurance, and handle admin. Note: this still doesn’t solve after-hours or overflow call coverage.

Add 24/7 coverage without hiring

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