Riley vs Viva AI

AI receptionist, or AI growth coworker?

audit the outcome · verify activation · prove it every Friday

Viva replaces your front-desk receptionist on the phone. Riley grows your practice: reputation, AI search visibility, lead discovery, and an outcome ledger that proves what shipped. Different jobs.

R

Riley

Free $0 · Starter $99 · Growth $249 · Studio $499/mo

AI coworker for dental practices. Drafts review replies, runs recall, recovers missed calls, and ships a weekly digest in Slack.

V

Viva AI

$200 to $500/mo (per practice)

End-to-end AI front office for dental practices. Inbound calls, multilingual booking, outbound recall, payments, forms, DSO multi-location.

Short version

Four bullets, the whole comparison.

  • If your #1 problem is missed calls, Viva is the more specialized answer: 24/7 inbound, 100+ languages, fully end-to-end booking.
  • If your front desk is already covered and you want to grow (reviews, AI search, new patients, recall, outcome proof), Riley does what Viva doesn't.
  • Both are HIPAA-aware. Riley adds per-tenant data routing (default / BAA-only / on-premise) for higher-compliance practices.
  • Riley costs more because the job is bigger. A single recovered recall or new patient pays for the month, and Riley logs every one to your ledger.

Feature by feature

What's actually different.

Feature
Riley
Viva AI

Inbound phone receptionist (24/7)

Viva is more specialized here; Riley's inbound voice ships Q3 2026

Outbound phone + missed-call SMS recovery (inbound Q3 2026)
Full inbound, 100+ languages

Outbound recall + missed-call recovery

Outbound phone + SMS recovery
Outbound calls

Multilingual

English + Spanish-language support
100+ languages

Dental PMS integration

PMS bridge: Open Dental, Eaglesoft, Denticon (setup required)
Open Dental, Eaglesoft, Denticon

Review monitoring + reply drafting

AI-drafted, approval-first
Basic

AI Search Visibility (AEO)

Riley tracks the 6 signals AI search engines use; ships content drafts to close gaps

Yes
No

New-patient lead discovery

Find + score + export
No

Outcome ledger (per-tenant ROI proof)

Riley logs recovered patients, posted replies, booked appointments to your ledger; cancel anytime, take the data

Yes
No

Brand-voice cloning

Voice + tone tuned per practice
Generic brand voice

Approval-first posting

Riley default is draft → owner approves in Slack → posts

Yes
Optional

Data routing controls

Default / BAA-only / on-premise inference
SOC 2 + HIPAA blanket

DSO / multi-location architecture

Up to 3 locations (Scale tier), concierge for larger
Native multi-location

Slack delivery surface

Yes
Dashboard-first

Setup time

Outcome audit, then activation-gated setup
Hours

Pricing transparency

From $99 / $249 / $499 /mo
$200 to $500/mo per practice

Why practices switch

The difference that shows up in your week.

Different job, not a worse receptionist

Viva is the best in-class AI receptionist. If your front-desk is the bottleneck, hire Viva. Riley does a different job. Once the phones are covered (by Viva, by a human, or both), Riley grows the practice: reputation, AI search visibility, new-patient leads, recall reactivation, outcome proof.

AI search visibility: only Riley does this

When a patient asks ChatGPT or Google AI Overview 'best dentist near me', who gets named? Riley tracks the 6 signals AI search engines use to pick recommendations and ships the content drafts that close the gaps. Viva does not do this. Neither does anyone else in the dental AI category.

Outcome ledger as moat

Riley writes every recovered patient, posted reply, and booked appointment to a per-tenant ledger you own. Cancel anytime, export the data: it's yours. Viva reports call logs. Different artifact, different ownership story.

Data routing for higher-compliance practices

Riley's data routing isn't binary HIPAA / not-HIPAA. Three modes per practice: default, BAA-covered AI only, or on-premise inference (zero external traffic). Useful for practices with stricter compliance postures than the average HIPAA SaaS provides.

Approval queue, not autopilot

Every public-facing action (review reply, ad post, outbound email) drafts in Slack and waits for owner approval before going out. Viva ships with optional approval. Riley defaults to it because a wrong reply costs more than a slow one.

When to choose which

Not a fit for everyone. Honest take.

Choose Riley if

Your front desk is covered (by Viva, a human, or both) and you want to grow: AI-search visibility, reviews drafted in your voice, recall reactivation, new-patient lead discovery, and a proof ledger you own. You'll pay more because the job is bigger.

Choose Viva AI if

Your #1 bleeding wound is missed inbound calls, you serve a multilingual patient base, or you run a DSO with native multi-location needs. Viva is the more specialized answer for that job and the cheaper way in.

See it in your own practice.

Start with an outcome audit, activation checks, and a proof path before anything goes out live.