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Healthcare · head to head

Epic Systems vs Open Dental

Epic Systems logo

Epic Systems

Healthcare

Leading electronic health records system for 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: Epic Systems no free version or trial; enterprise pricing only with custom negotiation required; 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: Epic Systems 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 Epic Systems and Open Dental actually diverge.

Attributes where Epic Systems and Open Dental differ
AttributeEpic SystemsOpen Dental
Starting priceOn request$169/month
Pricing modelquotesubscription
PlatformsWeb, Desktop, MobileWindows, Web, Api
Founded19792003

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 Epic Systems

  • Electronic Health Records
  • Revenue Cycle Management
  • Patient Portal
  • Clinical Decision Support
  • Population Health
  • Lab Systems
  • Imaging Systems
  • Pharmacy Systems

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.

Epic Systems

  • 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 Epic Systems
  • Dental insurance claims, billing and treatment planningnot Epic Systems
  • Running an open source dental system with direct database accessnot Epic Systems

Where each one falls short

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

Epic Systems

  • No free version or trial; enterprise pricing only with custom negotiation required
  • Lengthy implementation timeline: 12-24 months for single hospitals, 3-5 years for multi-system rollouts
  • Customization and workflow adaptation requires extensive consulting services
  • Very high licensing costs ranging from 100,000 to 30 million USD depending on organization size

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

Epic Systems

On request

No published plan breakdown. See the Epic Systems 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 Epic Systems if

  • You need electronic health records.
  • You work on Web, Desktop, Mobile.
  • You also want revenue cycle management.
Epic Systems 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 Epic Systems or Open Dental better?
Neither clearly leads. Epic Systems 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, Epic Systems or Open Dental?
Epic Systems starts at On request and Open Dental at $169/month.
Does Epic Systems or Open Dental run on more platforms?
Epic Systems runs on Web, Desktop, Mobile. Open Dental runs on Windows, Web, Api.
What is Epic Systems best used for?
Epic Systems 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 Epic Systems do that Open Dental cannot?
Epic Systems covers Electronic Health Records, Revenue Cycle Management, Patient Portal, Clinical Decision Support. Open Dental covers Patient scheduling, Clinical charting, Insurance claim processing, Treatment planning. Both handle On-premise deployment.

Answered from the vendors’ own pages

Epic Systems: What is Epic's market position?

Epic holds 36 percent of the U.S. EHR market and manages over 280 million patient records across 1,200+ healthcare organizations. Among hospitals with over 300 beds, Epic has 52 percent market share, and 71 percent market share in major academic medical centers as of 2026.

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
Epic Systems: Is there a free trial or demo available?

Epic does not offer a free version or trial. The software is enterprise-only with custom pricing negotiated directly with organizations. Typical implementation timelines for single hospitals range from 12 to 24 months, and multi-hospital systems can take 3 to 5 years for phased rollouts.

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
Epic Systems: How does Epic integrate with third-party systems?

Epic provides multiple integration pathways: FHIR R4 APIs, HL7 v2 messaging, CCDA document exchange, and proprietary APIs through Epic Showroom (formerly App Orchard). Over 1,000 certified apps are available in the marketplace, enabling real-time data synchronization and interoperability.

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

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

Source
Epic Systems: What is included in Epic's unified platform?

Epic provides a truly unified system spanning inpatient, outpatient, emergency department, surgical, pharmacy, laboratory, radiology, billing, and population health on a single database. It includes appointment scheduling, medical billing, clinical decision support, patient portal (MyChart), telehealth capabilities, and analytics.

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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