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Dental · head to head

DentalXChange vs Open Dental

DentalXChange logo

DentalXChange

Dental

Streamlined Dental Claims & Revenue Cycle Management

From
$0.35/per-claim
Rated
-
Full reviewWebsite
Open Dental logo

Open Dental

Healthcare

Powerful, Affordable Practice Management

From
$169/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: DentalXChange no pricing information published on website; Open Dental uS support is $199 per month per location on an initial 12 month contract, dropping to $149 per month only after that year
  • They diverge on capability: DentalXChange covers Electronic claims submission, Open Dental covers Patient scheduling.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which DentalXChange and Open Dental actually diverge.

Attributes where DentalXChange and Open Dental differ
AttributeDentalXChangeOpen Dental
Starting price$0.35/per-claim$169/month
Pricing modelusage-basedsubscription
PlatformsWeb, ApiWindows, Web, Api
CategoryDentalHealthcare
Founded19982003

Identical on both: free tier (No), user rating (Not yet rated).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in DentalXChange

  • Electronic claims submission
  • Real-time eligibility verification
  • ERA/EOB processing
  • Claims tracking
  • Attachment management
  • Denial management
  • Analytics dashboard
  • Compliance reporting

Only in Open Dental

  • Patient scheduling
  • Clinical charting
  • Insurance claim processing
  • Treatment planning
  • Digital imaging integration
  • Patient communication
  • Reporting and analytics
  • eServices integration

Both cover

  • HIPAA Compliant

What people use each for

The jobs each tool is most often brought in to do.

DentalXChange

  • Submitting dental claims electronically to payersnot Open Dental
  • Real-time patient eligibility verificationnot Open Dental
  • Electronic remittance advice and payment reconciliationnot Open Dental
  • Patient statements and payment collectionnot Open Dental
  • Provider credentialing with payersnot Open Dental

Open Dental

  • Practice management, charting and scheduling for dental officesnot DentalXChange
  • Dental insurance claims, billing and treatment planningnot DentalXChange
  • Running an open source dental system with direct database accessnot DentalXChange

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

DentalXChange

  • No pricing information published on website
  • Vendor requires sign-up or direct sales contact to view pricing
  • No public tiers or feature comparisons available

Open Dental

  • US support is $199 per month per location on an initial 12 month contract, dropping to $149 per month only after that year
  • The monthly fee covers up to 3 providers per location; each additional provider is $20 per month
  • Fees are charged per location, so a multi site practice pays for every office
  • eServices are charged separately per location, including eClipboard at $45 a month, ODMobile at $35 a month and eConfirmations at $25 a month
  • Electronic prescribing through DoseSpot costs $57 per month per prescribing provider
  • Conversion and implementation fees are not published and require consultation

Pricing, plan by plan

DentalXChange

$0.35/per-claim
  • Pay Per Claim$0.35/per-claim
    • Electronic claims submission
    • Real-time eligibility
    • Claims tracking
  • Unlimited$99/month
    • Unlimited claims
    • Real-time eligibility
    • Advanced analytics

Open Dental

$169/month
  • Standard$169/month
    • Full software access
    • Unlimited workstations
    • Technical support
  • Cloud$249/month
    • Everything in Standard
    • Cloud hosting
    • Automatic backups

Which should you pick?

Choose DentalXChange if

  • You need electronic claims submission.
  • You work on Web, Api.
  • You also want real-time eligibility verification.
DentalXChange review

Choose Open Dental if

  • You need patient scheduling.
  • You work on Windows, Web, Api.
  • You also want clinical charting.
Open Dental review

Questions people ask

Is DentalXChange or Open Dental better?
Neither clearly leads. DentalXChange starts at $0.35/per-claim and Open Dental at $169/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, DentalXChange or Open Dental?
DentalXChange starts at $0.35/per-claim and Open Dental at $169/month.
Does DentalXChange or Open Dental run on more platforms?
DentalXChange runs on Web, Api. Open Dental runs on Windows, Web, Api.
What is DentalXChange best used for?
DentalXChange is most often used for submitting dental claims electronically to payers, real-time patient eligibility verification, electronic remittance advice and payment reconciliation, patient statements and payment collection. Of those, submitting dental claims electronically to payers and real-time patient eligibility verification are not what Open Dental is typically brought in for.
What can DentalXChange do that Open Dental cannot?
DentalXChange covers Electronic claims submission, Real-time eligibility verification, ERA/EOB processing, Claims tracking. Open Dental covers Patient scheduling, Clinical charting, Insurance claim processing, Treatment planning. Both handle HIPAA Compliant.

Answered from the vendors’ own pages

DentalXChange: How does DentalXChange determine pricing?

DentalXChange does not publish pricing on their website. Prospective customers must contact their sales team or sign up to view pricing details specific to their practice size and needs.

Source
Open Dental: How much does Open Dental cost?

Open Dental costs $199/month per location or office with a 12-month contract minimum. After the initial 12-month term, pricing continues on a month-to-month basis at a reduced rate.

Source
DentalXChange: Does DentalXChange offer different pricing for independent practices versus DSOs?

DentalXChange serves independent practices, Dental Service Organizations (DSOs), payers, and partners, but pricing structures for each customer segment are not publicly disclosed.

Source
Open Dental: What does the $199/month fee include?

The monthly fee includes software access, full telephone support, all software releases, imaging and video capture, patient portal and web forms, and automated reminder features for up to 3 dentists per location.

Source
DentalXChange: What is the process to request DentalXChange pricing?

Interested parties can use the Sign Up or Contact Sales options on DentalXChange's website to initiate conversations with their sales team about pricing and implementation.

Source
Open Dental: Does Open Dental offer a money-back guarantee?

Open Dental includes a 90-day money-back guarantee on subscription fees.

Source
DentalXChange: Are there any published feature tiers or plan details for DentalXChange?

DentalXChange does not publicly list pricing tiers, feature comparisons, or plan details on their website. Customized proposals are provided after direct sales engagement.

Source
Open Dental: What additional costs are there?

Data conversions from other dental software systems incur additional fees. Customized training with an Open Dental trainer is also available at extra cost.

Source
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