Open Dental Software

Open Dental clinical charting / dental practice-management system (local/self-hosted version and Open Dental Cloud)

Open Dental Software, Inc. · Review dated 2026-10-13

United States self-hosted license and support: current initial rate is $199 USD per month per location/office, 12-month contract, covering all computers at that location for up to 3 providers; after 12 consecutive months it reduces to the currently published $149/month/location, month-to-month. Support fee includes the software, updates, telephone/chat/email technical support, and access to specified included features (including imaging-module features, Web Forms, Patient Portal, emailed eReminders, Automated Thank-You Messages, and General Messages). Mobile treatment units count as physical locations. Open Dental Cloud (US only; limited release): $430/month/location or office including one provider, 15 concurrent sessions, and 50GB OpenDentImages storage; additional provider $150/month/provider (10 sessions and 50GB); additional session $18/month/session; extra OpenDentImages storage $0.40/GB over allotment per billing cycle; migration $400 one-time per signup. Cloud has a 12-month contract, with switch to self-hosted allowed without penalty. Prices are USD; listed fees exclude applicable sales tax. The official fees page notes offices that began before February 2, 2026 may retain the prior $179 initial rate for that initial 12-month period, but the current published initial rate is $199.

Billing model

Subscription/support-led pricing, billed monthly by physical location/office for the core self-hosted product, with provider/location/session/storage units for Cloud and add-ons. Initial core term is 12 months, then month-to-month at the reduced published rate. Core coverage is up to 3 providers per location; more than 3 providers (excluding hygienists) are $20/month/provider (all except developing countries). Enterprise uses the same basic pricing with volume discounts. Six-month, one-year, and 2–3-year prepayment discounts are 5%, 10%, and 15%, respectively. The product has a 90-day money-back guarantee subject to stopping use; fees for performed services and billed third-party services are non-refundable.

Fees and add-ons

Officially published add-ons and services (USD): eServices Bundle $165/month/location, month-to-month; includes eClipboard, eConfirmations, Secure Email, ODMobile, Web Sched Recall/New/Existing/ASAP and Integrated Texting access, but outgoing texts still cost extra. eClipboard $45/month/location; OCR for eClipboard $20/month/location. eConfirmations $25/month/location or $40/month/location with landline texting. Integrated Texting access $5/month/location for assigned number in USA/Puerto Rico/Canada, or $20/month/location for landline in USA/Canada, plus outgoing messages $0.04/message USA ($0.09 Puerto Rico; $0.05 Canada); messages over 160 characters incur additional fees and incoming messages are free. ODTouch $85/month/location including 4 devices plus $20/month/additional device (US only, not in bundle). Mass Email access $8/month/location; campaign charges billed by Mailchimp. Secure Email $30/month/location; ODMobile $35/month/location; Web Sched Recall $75/month/location; Web Sched New/Existing $75/month/location; Web Sched ASAP $20/month/location (free with Web Sched Recall). eReminders, General Messages, Automated Thank-Yous, Patient Portal, Payment Portal, Message-to-Pay, and Web Forms are free for customers on support. eRx: DoseSpot $57/month/prescribing provider with EPCS and identity proofing (estimated $684/year), or $49/month/provider with identity proofing; Ensora Basic estimated $503/year/provider and Comprehensive $695/year/provider with EPCS, with charges per provider per database; exact component breakdown is not rendered in the fee table. Training/setup: webinars free; online training $80/hour; on-site training average estimate $4,325/day/trainer plus $1,325 per additional consecutive day/trainer; blank database setup $100/session; post-conversion setup normally included, otherwise $160 for 2 hours if scheduled over 30 days after final conversion. Conversion: typical US final data conversion $1,450/database (written quote; varies by data), additional $400/clinic/physical location in same database; scanned-document/image conversion typically $850/conversion; X-ray image conversion typically $900/conversion; final database merge/split ranges $500–$1,100 based on database size; OpenDentImages folder split $500/database; patient ID renumbering $200; special conversion request $100 minimum. Open Dental Cloud migration is separately $400/signup. AI Image Analysis $149/month/location. Custom queries $110/hour or $220/hour expedited; sheet design $55/hour; replication support $100/hour; after-hours support $100/hour; incident support off-contract $150 first half-hour plus $50 each subsequent half-hour. Clearinghouses are integrated/listed, but Open Dental does not publish their transaction/claim fees; those are third-party charges and must be obtained from the selected clearinghouse. No public Open Dental amount was found for telehealth or an RCM service; do not infer one. Data conversion is not included in core support.

Availability and public pricing

Currently active and sold/served in the United States. Open Dental's current official ordering page accepts US orders and states $199/month/location, and the official fees page lists current 2026 US pricing. The official product site describes active dental practice-management software, while the official Chart Module documentation confirms clinical records, treatment/procedure charting, periodontal and orthodontic charts, prescriptions/eRx, CCD export, and tooth charting. Open Dental Cloud is explicitly US-only and in limited release. Official current pages also provide support, ordering, training, conversions, and eServices information.

Qualifications

The directory label is not a general-purpose medical EHR: Open Dental is a dental practice-management product with substantial clinical charting/record functionality, so it should be classified as dental clinical-record/practice-management software. It is not evidence of a vendor-provided telehealth or RCM product. Clearinghouse integrations are listed by Open Dental, but the official pages do not publish the clearinghouses' transaction prices. eRx amounts are explicitly estimated annual charges and are third-party integrated services; Ensora's table formatting does not expose every component amount, so no missing component rate was inferred. Core pricing varies by location, provider count, and functionality; conversion fees vary by source software/data and final quotes. The source pages were opened/read directly; no third-party price aggregators were used.