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Healthcare · head to head

NextGen Enterprise EHR vs Open Dental

NextGen Enterprise EHR logo

NextGen Enterprise EHR

Healthcare

Enterprise-grade EHR and RCM for large healthcare organizations

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: NextGen Enterprise EHR no pricing 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: NextGen Enterprise EHR 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 NextGen Enterprise EHR and Open Dental actually diverge.

Attributes where NextGen Enterprise EHR and Open Dental differ
AttributeNextGen Enterprise EHROpen Dental
Starting priceOn request$169/month
Pricing modelquotesubscription
PlatformsWeb, DesktopWindows, Web, Api
Founded19972003

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 NextGen Enterprise EHR

  • Electronic Health Records
  • Clinical Documentation
  • Revenue Cycle Management
  • Patient Management
  • Analytics
  • Interoperability
  • Reporting
  • HL7

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

  • On-premise deployment

What people use each for

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

NextGen Enterprise EHR

  • Patient Carenot Open Dental
  • Medical Recordsnot Open Dental
  • Practice Managementnot Open Dental
  • Telehealthnot Open Dental

Open Dental

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

Where each one falls short

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

NextGen Enterprise EHR

  • No pricing 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
  • 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

NextGen Enterprise EHR

On request

No published plan breakdown. See the NextGen Enterprise EHR 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 NextGen Enterprise EHR if

  • You need electronic health records.
  • You work on Web, Desktop.
  • You also want clinical documentation.
NextGen Enterprise EHR 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 NextGen Enterprise EHR or Open Dental better?
Neither clearly leads. NextGen Enterprise EHR 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, NextGen Enterprise EHR or Open Dental?
NextGen Enterprise EHR starts at On request and Open Dental at $169/month.
Does NextGen Enterprise EHR or Open Dental run on more platforms?
NextGen Enterprise EHR runs on Web, Desktop. Open Dental runs on Windows, Web, Api.
What is NextGen Enterprise EHR best used for?
NextGen Enterprise EHR is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what Open Dental is typically brought in for.
What can NextGen Enterprise EHR do that Open Dental cannot?
NextGen Enterprise EHR covers Electronic Health Records, Clinical Documentation, Revenue Cycle Management, Patient Management. Open Dental covers Patient scheduling, Clinical charting, Insurance claim processing, Treatment planning. Both handle On-premise deployment.

Answered from the vendors’ own pages

NextGen Enterprise EHR: What is NextGen Enterprise EHR pricing?

NextGen Healthcare does not publish pricing for its Enterprise solutions on their website. The company uses a consultative sales model where pricing is determined after understanding specific practice requirements and needed features.

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

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

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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