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Healthcare · head to head

Open Dental vs TherapyNotes

Open Dental logo

Open Dental

Healthcare

Powerful, Affordable Practice Management

From
$169/month
Rated
-
Full reviewWebsite
TherapyNotes logo

TherapyNotes

Healthcare

EHR and practice management for therapists

From
$39/month
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; TherapyNotes no API access, preventing integration with external systems
  • They diverge on capability: Open Dental covers Patient scheduling, TherapyNotes covers Electronic Health Records.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

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

Attributes where Open Dental and TherapyNotes differ
AttributeOpen DentalTherapyNotes
Starting price$169/month$39/month
PlatformsWindows, Web, ApiWeb
Founded20032010

Identical on both: pricing model (subscription), 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 TherapyNotes

  • Electronic Health Records
  • Scheduling
  • Billing
  • Patient Portal
  • Telehealth
  • Outcome Tracking
  • Clearinghouses
  • Insurance

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

TherapyNotes

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

TherapyNotes

  • No API access, preventing integration with external systems
  • Outdated interface compared to AI-driven competitors
  • No native mobile app for iOS or Android
  • No bulk actions to update multiple sessions at once

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

TherapyNotes

$39/month
  • Solo$39/month
    • Full EHR
    • Scheduling
    • Patient portal

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 TherapyNotes if

  • You need electronic health records.
  • You also want scheduling.
TherapyNotes review

Questions people ask

Is Open Dental or TherapyNotes better?
Neither clearly leads. Open Dental starts at $169/month and TherapyNotes at $39/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Open Dental or TherapyNotes?
Open Dental starts at $169/month and TherapyNotes at $39/month.
Does Open Dental or TherapyNotes run on more platforms?
Open Dental runs on Windows, Web, Api. TherapyNotes 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 TherapyNotes is typically brought in for.
What can Open Dental do that TherapyNotes cannot?
Open Dental covers Patient scheduling, Clinical charting, Insurance claim processing, Treatment planning. TherapyNotes covers Electronic Health Records, Scheduling, Billing, Patient Portal.

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
TherapyNotes: Does TherapyNotes integrate with other applications?

TherapyNotes has zero API availability and cannot connect to external systems including marketing platforms, CRMs, or data dashboards. Unlike competitors, it lacks integration capabilities.

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
TherapyNotes: What are TherapyNotes pricing plans?

TherapyNotes charges $69/month for a solo practitioner plan and $79/month for the first clinician in a group with $50/month per additional clinician. A 30-day free trial is included with every plan.

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

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

Source
TherapyNotes: Does TherapyNotes include telehealth?

Yes. TherapyNotes includes Basic Telehealth at no extra cost on every plan, with standard-definition video for up to 2 participants. Premium Telehealth with full HD, screen sharing, and closed captions costs $15 per clinician per month.

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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