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Healthcare · head to head

Open Dental vs Therapixel

Open Dental logo

Open Dental

Healthcare

Powerful, Affordable Practice Management

From
$169/month
Rated
-
Full reviewWebsite
Therapixel logo

Therapixel

Healthcare

French mammography AI with FDA clearances for 2D and tomosynthesis breast screening

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: 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; Therapixel european and American regulatory positions were established under different regimes, and under the EU Medical Device Regulation this class of diagnostic AI faces a higher classification and notified body scrutiny, so European buyers must verify the current MDR certificate and expiry rather than relying on a legacy CE reference.
  • They diverge on capability: Open Dental covers Patient scheduling, Therapixel covers MammoScreen 2D.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

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

Attributes where Open Dental and Therapixel differ
AttributeOpen DentalTherapixel
Starting price$169/monthOn request
Pricing modelsubscriptionquote
PlatformsWindows, Web, ApiWeb
Founded2003Unknown

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 Open Dental

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

Only in Therapixel

  • MammoScreen 2D
  • MammoScreen DBT
  • One to ten suspicion score
  • Summary report
  • Workstation and PACS delivery
  • Reading workflow configurations

What people use each for

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

Open Dental

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

Therapixel

  • A European breast screening programme running mandatory double reading that wants to evaluate AI as a concurrent or second reader within what national guidance permitsnot Open Dental
  • An American breast centre that has moved to tomosynthesis and needs reading support on DBT specifically, which Therapixel holds a clearance fornot Open Dental
  • A screening service wanting a graded suspicion score rather than a binary flag so readers can calibrate their own thresholdnot Open Dental
  • A radiology group evaluating multiple mammography AI vendors head to head on their own historic case set before committingnot Open Dental

Where each one falls short

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

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

Therapixel

  • European and American regulatory positions were established under different regimes, and under the EU Medical Device Regulation this class of diagnostic AI faces a higher classification and notified body scrutiny, so European buyers must verify the current MDR certificate and expiry rather than relying on a legacy CE reference.
  • MammoScreen does mammography only, so a hospital wanting AI across head CT, chest and breast needs several vendors and several PACS integrations, or an orchestration layer bought from someone else.
  • Therapixel is a small French company competing against Hologic and iCAD, which have incumbency inside the mammography reading workstation, so integration into an American breast centre is more work than it is for the workstation vendor own AI.
  • Detection performance is sensitive to the mammography unit vendor and acquisition protocol, so published results do not transfer between estates and each site needs local validation it must fund itself.
  • Whether AI can substitute for one of two human readers is a national workforce and liability question, not a product capability, so the labour saving that justifies the purchase in one country is not permitted in another.

Pricing, plan by plan

Open Dental

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

Therapixel

On request
  • MammoScreen$undefined/year
    • Priced per examination or by annual screening volume
    • 2D and tomosynthesis licensed by the versions cleared for each
    • Cloud or on premises deployment quoted differently

Which should you pick?

Choose Open Dental if

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

Choose Therapixel if

  • You need mammoscreen 2d.
  • You also want mammoscreen dbt.
Therapixel review

Questions people ask

Is Open Dental or Therapixel better?
Neither clearly leads. Open Dental starts at $169/month and Therapixel at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Open Dental or Therapixel?
Open Dental starts at $169/month and Therapixel at On request.
Does Open Dental or Therapixel run on more platforms?
Open Dental runs on Windows, Web, Api. Therapixel runs on Web.
What is Open Dental best used for?
Open Dental is most often used for practice management, charting and scheduling for dental offices, dental insurance claims, billing and treatment planning, running an open source dental system with direct database access. Of those, practice management, charting and scheduling for dental offices and dental insurance claims, billing and treatment planning are not what Therapixel is typically brought in for.
What can Open Dental do that Therapixel cannot?
Open Dental covers Patient scheduling, Clinical charting, Insurance claim processing, Treatment planning. Therapixel covers MammoScreen 2D, MammoScreen DBT, One to ten suspicion score, Summary report.

Answered from the vendors’ own pages

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
Therapixel: Is MammoScreen FDA cleared?

Yes. It holds 510(k) clearance K192854 for two dimensional mammography from July 2020, a November 2021 clearance for digital breast tomosynthesis, and two further clearances in October 2024 for later versions.

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
Therapixel: Is it CE marked?

Yes, but European buyers should ask specifically for the current certificate under the Medical Device Regulation and its expiry date, because this class of diagnostic AI moved to a higher classification under MDR.

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

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

Source
Therapixel: What does the one to ten score mean?

It is a graded suspicion score per finding and per study, designed to be integrated alongside a radiologist BI-RADS assessment rather than treated as a positive or negative result.

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
Therapixel: Does it cover anything besides mammography?

No. It is a mammography product only, including tomosynthesis. Other body regions need a different vendor.

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