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Healthcare · head to head

eClinicalWorks vs Open Dental

eClinicalWorks logo

eClinicalWorks

Healthcare

Comprehensive EHR and practice management platform

From
On request
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: eClinicalWorks pricing details not disclosed on website; requires sales consultation or demo; 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: eClinicalWorks covers Electronic Health Records, Open Dental covers Patient scheduling.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

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

Attributes where eClinicalWorks and Open Dental differ
AttributeeClinicalWorksOpen Dental
Starting priceOn request$169/month
Pricing modelUnknownsubscription
PlatformsWeb, Cloud-basedWindows, Web, Api
Founded19992003

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

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 eClinicalWorks

  • Electronic Health Records
  • Practice Management
  • Revenue Cycle
  • Patient Portal
  • ePrescribing
  • Telehealth
  • HL7
  • FHIR

Only in Open Dental

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

What people use each for

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

eClinicalWorks

  • EHR and practice management for multi-specialty medical practicesnot Open Dental
  • Patient engagement through telehealth (healow) and secure messagingnot Open Dental
  • Revenue cycle management with 98%+ first-pass acceptance ratenot Open Dental
  • AI-powered clinical documentation with Sunoh.ai medical scribenot Open Dental

Open Dental

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

Where each one falls short

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

eClinicalWorks

  • Pricing details not disclosed on website; requires sales consultation or demo
  • No published technical system requirements specified
  • Cloud-based solution requires reliable internet connectivity for clinics

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

eClinicalWorks

On request

No published plan breakdown. See the eClinicalWorks review.

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 eClinicalWorks if

  • You need electronic health records.
  • You work on Web, Cloud-based.
  • You also want practice management.
eClinicalWorks 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 eClinicalWorks or Open Dental better?
Neither clearly leads. eClinicalWorks starts at On request and Open Dental at $169/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks or Open Dental?
eClinicalWorks starts at On request and Open Dental at $169/month.
Does eClinicalWorks or Open Dental run on more platforms?
eClinicalWorks runs on Web, Cloud-based. Open Dental runs on Windows, Web, Api.
What is eClinicalWorks best used for?
eClinicalWorks is most often used for ehr and practice management for multi-specialty medical practices, patient engagement through telehealth (healow) and secure messaging, revenue cycle management with 98%+ first-pass acceptance rate, ai-powered clinical documentation with sunoh.ai medical scribe. Of those, ehr and practice management for multi-specialty medical practices and patient engagement through telehealth (healow) and secure messaging are not what Open Dental is typically brought in for.
What can eClinicalWorks do that Open Dental cannot?
eClinicalWorks covers Electronic Health Records, Practice Management, Revenue Cycle, Patient Portal. Open Dental covers Patient scheduling, Clinical charting, Insurance claim processing, Treatment planning.

Answered from the vendors’ own pages

eClinicalWorks: What does eClinicalWorks EHR cost per provider?

eClinicalWorks EHR costs $449/month per provider with no startup costs. This includes the electronic medical record system, mobile access, patient portal, messaging, document management, prescribing, reporting, and 24/7 support with cloud hosting.

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
eClinicalWorks: What is the cost of eClinicalWorks with Practice Management?

eClinicalWorks EHR with Practice Management costs $599/month per provider with no startup costs. This adds practice management functionality and billing implementation services.

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
eClinicalWorks: What is eClinicalWorks' Revenue Cycle Management pricing?

eClinicalWorks RCM as a Service costs 2.9% of practice collections with no startup costs. It covers claim processing, denial management, appeals, and accounts receivable visibility.

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

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

Source
eClinicalWorks: Is there a cost for data migration to eClinicalWorks?

No, eClinicalWorks offers free data migration for practices switching from other EHR systems.

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
eClinicalWorks: Are training costs included with eClinicalWorks?

Initial training is included for practices with 1-9 providers. Additional fees apply for larger practices.

Source
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