Open Dental vs Practice Fusion Comparison: Reviews, Features, Pricing & Alternatives in 2026

Detailed side-by-side comparison to help you choose the right solution for your team

Updated Apr 2026 8 min read

Open Dental

0.0 (0 reviews)

Open Dental is a highly customizable practice management software providing dental offices with open-source database access to manage clinical charting, electronic prescriptions, and patient billing efficiently.

Starting at $175/mo
Free Trial 0 days
VS

Practice Fusion

0.0 (0 reviews)

Practice Fusion is a cloud-based electronic health record platform that helps independent medical practices streamline charting, scheduling, and billing to improve patient care and office efficiency.

Starting at $149/mo
Free Trial 14 days

Quick Comparison

Feature Open Dental Practice Fusion
Website opendental.com practicefusion.com
Pricing Model Subscription Subscription
Starting Price $175/month $149/month
FREE Trial ✓ 0 days free trial ✓ 14 days free trial
Free Plan ✘ No free plan ✘ No free plan
Product Demo ✓ Request demo here ✓ Request demo here
Deployment on-premise desktop mobile saas mobile
Integrations CareCredit Change Healthcare DoseSpot Global Payments Mango Voice Modento Podium Weave Quest Diagnostics LabCorp Kareo AdvancedMD Veradigm Surescripts Healthwise Updox
Target Users small-business mid-market enterprise small-business mid-market
Target Industries healthcare healthcare
Customer Count 0 0
Founded Year 2003 2005
Headquarters Salem, USA San Francisco, USA

Overview

O

Open Dental

Open Dental gives you full control over your practice management with its unique open-source database structure. You can customize the software to fit your specific clinical workflows, whether you run a solo general practice or a large multi-specialty mobile clinic. It handles everything from complex treatment planning and 3D charting to appointment scheduling and automated text reminders, ensuring your front and back office stay synchronized.

You own your data completely, allowing you to run custom queries and reports that most locked-down platforms don't permit. The software is designed to reduce your overhead costs by offering a scalable monthly subscription that includes comprehensive technical support and regular updates. It solves the common frustration of rigid software by letting you choose your own hardware and third-party integrations.

strtoupper($product2['name'][0])

Practice Fusion

Practice Fusion provides you with a comprehensive, cloud-based electronic health record (EHR) system designed specifically for independent medical practices. You can manage your entire clinical workflow from a single dashboard, including patient scheduling, charting, and e-prescribing. The platform simplifies complex tasks like tracking lab results and managing referrals, allowing you to spend more time with patients and less time on paperwork.

You can also enhance patient engagement through a dedicated portal where patients view their health records and message your office securely. The software supports various specialties and helps you stay compliant with healthcare regulations through automated reporting tools. Whether you are a solo practitioner or part of a small group, you can access your practice data securely from any device with an internet connection.

Overview

O

Open Dental Features

  • Graphical Tooth Charting Visualize patient oral health with 3D charting that tracks restorative work, periodontal measurements, and existing conditions.
  • Treatment Planning Create multi-phased treatment plans for your patients and present clear cost estimates to improve case acceptance rates.
  • e-Prescribing Send prescriptions electronically to pharmacies directly from the patient's chart to save time and improve clinical accuracy.
  • Appointment Module Manage your daily schedule with color-coded blocks, drag-and-drop rescheduling, and real-time views of provider availability.
  • Custom Reporting Run deep-dive queries on your practice data to track production, collections, and patient demographics without technical restrictions.
  • Mobile Web Tools Access your schedule and patient contact information from your smartphone or tablet when you are away from the office.
strtoupper($product2['name'][0])

Practice Fusion Features

  • Smart Charting. Create patient charts faster using customizable templates that adapt to your specific specialty and clinical workflow preferences.
  • E-Prescribing. Send prescriptions instantly to over 98,000 pharmacies and manage medication orders directly within the patient's digital record.
  • Lab and Imaging. Connect with over 600 partners to receive lab results and imaging reports automatically inside your patient charts.
  • Patient Portal. Give your patients secure access to their health information, lab results, and appointment history to improve engagement.
  • Integrated Billing. Connect your clinical data to preferred billing partners to reduce coding errors and accelerate your reimbursement cycle.
  • Appointment Scheduling. Manage your office calendar and send automated appointment reminders to patients to reduce no-shows and empty slots.

Pricing Comparison

O

Open Dental Pricing

First 6 Months
$175
  • Full software access
  • Unlimited technical support
  • Software updates
  • Initial setup assistance
  • Conversion support available
P

Practice Fusion Pricing

Provider Subscription
$149
  • Full EHR access
  • E-prescribing capabilities
  • Unlimited charting and scheduling
  • Patient portal access
  • Lab and imaging integrations
  • Standard customer support

Pros & Cons

M

Open Dental

Pros

  • Unmatched customization options for clinical workflows
  • Direct access to your own database
  • Affordable flat-rate pricing for the entire office
  • Highly responsive and knowledgeable technical support

Cons

  • Initial setup requires a steeper learning curve
  • Interface looks dated compared to modern web apps
  • Requires manual server management for on-premise installs
A

Practice Fusion

Pros

  • Cloud-based access allows working from any location
  • Intuitive interface is easy for new staff to learn
  • Extensive library of templates for various specialties
  • Reliable e-prescribing and lab integration network

Cons

  • No longer offers a free version for small practices
  • Customer support response times can be slow
  • Limited customization for highly complex workflows
×

Please claim profile in order to edit product details and view analytics. Provide your work email @productdomain to receive a verification link.