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Independent. No vendor sponsorships.Editorial policyCorrectionsUpdated Oct 21, 2026
AI Dental ToolsThe independent reference for AI in dental practice
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Open Dental

Open-source practice management software with fully published pricing from $199 per location per month

By Open Dental Software · Salem, ORLast verified Oct 21, 2026How we evaluate
Open Dental homepage
Open Dental homepage, captured Oct 21, 2026.
At a glance
  • What it does: Open Dental is an open-source practice management system and the only major PMS that publishes its full price list. One monthly fee per location covers the software, updates and phone, chat and email support for up to 3 providers. Practices host it on their own server, or pay extra for Open Dental Cloud, which is in limited release. Add-ons such as eServices, texting and eClipboard are priced individually.
  • Regulatory: Not a diagnostic device; no clearance needed
  • Pricing: From $199 (Per location / month)
  • Best fit: solo, group

Capabilities

  • Scheduling, charting, perio, treatment planning, billing and insurance
  • Open database and API with a long list of program bridges
  • eServices: online scheduling, eReminders, eConfirmations, patient and payment portals
  • eClipboard tablet check-in with optional insurance-card OCR
  • Native AI radiograph analysis (Better Diagnostics) in the Imaging Module, $149/month/location
  • Optional Open Dental Cloud hosting
Strengths
  • Lowest published cost of any full-featured PMS
  • Every add-on has a published price
  • Open database and API make integrations and custom reporting easy
  • FDA-cleared AI x-ray analysis available natively for $149/month/location
  • Large user community and detailed documentation
Limitations
  • Self-hosted by default: you manage the server unless you pay for Cloud
  • Open Dental Cloud is in limited release with some third-party integration limits
  • Dense interface that takes training

Where it fits

  1. Cost-conscious practices with IT help
  2. Practices that want direct database access for reporting
Our assessment

Open Dental is the value pick. At $149 to $199 per location per month, with every add-on priced publicly, it costs less than any comparable system, and its open API makes AI integrations simple. Budget for IT support or Open Dental Cloud hosting.

Common questions

Is Open Dental FDA cleared?

Open Dental is not a diagnostic medical device, so it does not need FDA clearance.

How much does Open Dental cost?

Open Dental pricing starts at about $199 (Per location / month). US: $199/month/location for the first 12 months (12-month contract), then $149/month month to month. Covers up to 3 providers; $20/month per additional provider. Open Dental Cloud hosting is extra (from $250/month plus a $400 migration fee). Data conversion is extra.

What does Open Dental integrate with?

Open Dental lists integrations with Pearl, Overjet, VideaHealth, Better Diagnostics, Most imaging software via program bridges. Confirm compatibility with your exact practice management and imaging versions before signing.

Compare Open Dental

Sources

  1. Open Dental: fees for support and services
  2. Open Dental Cloud