Head to head · updated 2026-08-01
DentiMax vs Open Dental
Imaging-led vs integration-led. DentiMax is cloud or on-premise and Open Dental is on-premise — usually the single biggest difference between them.
DentiMax
DentiMax
Practice management with unusually strong, hardware-agnostic imaging.
- Deployment
- Cloud or on-premise
- Entry price
- Not published
- Built for
- Solo, 2–4 locations
Open Dental
Open Dental Software, Inc.
Source-available practice management with the most transparent pricing in the category.
- Deployment
- On-premise
- Entry price
- $199/month per location, up to 3 providers
- Built for
- Solo, 2–4 locations, Group, DSO / enterprise
The short answer
Open Dental publishes a price ($199/month); DentiMax does not, so a like-for-like cost comparison is not possible without a quote.
Choose DentiMax if…
Imaging-led practices, especially those running mixed or non-standard sensor hardware.
Choose Open Dental if…
Practices that want maximum control and the lowest predictable running cost, and either have IT support or are willing to buy it.
It is ahead on insurance eligibility, teledentistry, ai features, open api, multi-location and 1 more.
Where they actually differ
Of 19 modules we track, these 6 differ. The rest match, so they are not what should decide it.
| Module | DentiMax | Open Dental |
|---|---|---|
| Insurance eligibility | Not stated | Paid add-on |
| Teledentistry | Not stated | Via integration |
| AI features | Not stated | Via integration |
| Open API | Not stated | Built in |
| Multi-location | Not stated | Built in |
| Orthodontics | Not stated | Built in |
Show all 19 modules, including where they match
| Module | DentiMax | Open Dental |
|---|---|---|
| Scheduling | Built in | Built in |
| Clinical charting | Built in | Built in |
| Perio charting | Built in | Built in |
| Native imaging | Built in | Built in |
| Billing | Built in | Built in |
| Claims | Built in | Built in |
| Insurance eligibility | Not stated | Paid add-on |
| Payments | Via integration | Via integration |
| Patient messaging | Paid add-on | Paid add-on |
| Online booking | Paid add-on | Paid add-on |
| Digital forms | Paid add-on | Paid add-on |
| Recall / reactivation | Built in | Built in |
| Analytics & KPIs | Built in | Built in |
| ePrescribing | Via integration | Via integration |
| Teledentistry | Not stated | Via integration |
| AI features | Not stated | Via integration |
| Open API | Not stated | Built in |
| Multi-location | Not stated | Built in |
| Orthodontics | Not stated | Built in |
Pricing, side by side
DentiMax
DentiMax does not publish a price. You have to request a quote, which means you cannot budget or compare before speaking to a salesperson. No figure published on the pricing page at the time of checking.
We do not repeat third-party price estimates for quote-only vendors. Several widely republished figures in this category turned out to belong to a different product — see how we compare.
Open Dental
| Plan | Price | Basis |
|---|---|---|
| Support — first 12 months 12-month contract | $199/month | per location, up to 3 providers |
| Support — after 12 months | $149/month | per location, up to 3 providers |
| Additional providers | $20/month | per provider beyond 3 |
| Volume — 4 to 9 offices $149/office after 12 months | $169/month | per office |
Add-ons you will probably also buy
The base price above is not the bill. These are priced separately.
| Add-on | Price | Basis |
|---|---|---|
| eClipboard | $45/month | per location |
| eConfirmations $40 with landline texting | $25/month | per location |
| Integrated texting | $5/month + $0.04/message | per location |
| ODMobile | $35/month | per location |
| Web Sched (new/existing patient) | $75/month | per location |
Priced per location rather than per provider, so adding associates barely moves the bill. You supply and maintain the server.
Source: opendental.com, read 2026-08-01.
Strengths and trade-offs
DentiMax
Strengths
- Imaging software drives sensors from many different manufacturers, which is rare.
- Sells its own sensors, so imaging and practice management come from one supplier.
- Available both cloud and on-premise.
Trade-offs
- No published pricing.
- Smaller ecosystem and fewer integrations than the incumbents.
- Practice management side is less deep than the imaging side.
Open Dental
Strengths
- Publishes a complete fee schedule, including every add-on — almost unique in this category.
- Per-location pricing means a three-dentist practice pays the same base rate as a solo one.
- A genuinely open API and direct database access, so third-party tools integrate without vendor permission.
- Source-available code and an unusually large independent developer ecosystem.
Trade-offs
- Not natively cloud. Remote access means self-hosting, a third-party host, or a remote-desktop setup — an extra cost and an extra thing to secure.
- You own the server, the backups and the HIPAA exposure that comes with them.
- The interface is dense and dated; onboarding a new front-desk hire takes longer than on a modern cloud product.
Other comparisons
- Open Dental vs Dentrix — The cost-control choice against the incumbent
- Open Dental vs Eaglesoft — Open pricing against Patterson’s ecosystem
- Open Dental vs Practice-Web — Shared lineage, near-identical pricing — what differs
- Open Dental vs Curve Dental — Own the server, or let someone else run it
- tab32 vs Open Dental — Cheapest cloud against cheapest on-premise