Dentrix Alternatives: Cost, Contract and Fit

PickMyPMS Editorial · Last reviewed Oct 9, 2026

Start with why you are leaving

If you want to stay on a server in your own office, the candidates are Open Dental, Eaglesoft and Practice-Web. If you want to stop running a server, they are the browser-based products: Dentrix Ascend, Curve Dental, Denticon, CareStack, Archy, Oryx and tab32. If the issue is the price or a contract you cannot read, the first filter is which vendors publish either one.

This page covers what we have recorded for each. Every figure comes from the product’s profile on this site, with the page it came from and the date we checked it.

What Dentrix is, for comparison

Dentrix is Windows software from Henry Schein One, installed on an office server. It publishes no price. Support, updates and Dentrix Imaging come through the Connected Care Essentials plan, an annual plan billed monthly. Its eServices, such as eClaims, run on 12-month terms that renew automatically unless you give written notice at least 60 days before the term ends.

Review sites list figures for it, and we show them as estimates because the vendor does not confirm them: $5,000 for the software license, $100 a month for a support plan and a $500 a month starting price. Use them as questions for your rep.

Alternatives that stay on a server

Open Dental

Open Dental is Windows software with a published fee schedule. Support is $199 a month for the first 12 months and $149 after, covering up to 3 dentists, with $20 a month for each additional dentist. The data sits in an open MySQL database that you control, so exporting is not a request to a vendor. Conversion is $1,450 per database, with X-rays at $900, documents at $850 and $400 for each extra clinic. The initial term is 12 months and then it goes month-to-month. Open Dental Cloud, a hosted version, is listed at $430 a month for one provider.

We have a Dentrix vs Open Dental comparison and a switching guide.

Eaglesoft

Eaglesoft comes from Patterson Dental. It is Windows server software with imaging built in at no added fee. It is sold through five Service Club plans that include the license and require a 24-month enrollment, the longest commitment we found. Patterson publishes no plan prices. A third-party estimate puts Service Club support at $300 a month, but its source cites unnamed documentation. See Dentrix vs Eaglesoft.

Practice-Web

Practice-Web is Windows server software with a published price list. The first office pays $199 a month for 12 months and $149 after, covering up to 3 dentists, and each dentist beyond 3 is $20. Texting, online scheduling, e-claims and eligibility checks cost extra. Practice-Web lists Dentrix among the systems it converts from, at $1,295 for a database, with a free test conversion first. It wants 90 days’ notice to cancel.

Alternatives in a browser

Dentrix Ascend

Dentrix Ascend is the same vendor’s cloud product. It runs in a browser on Windows or macOS, or on an iPad, in three packages (Essentials, Pro and Accelerate), with imaging built in. No package has a published price. A third-party estimate is $500 a month, or $4,788 a year for one user. The initial term is 12 months, and notice of non-renewal is due at least 60 days before it ends. Read Dentrix vs Dentrix Ascend and the switching guide.

Curve Dental (Curve Hero)

Curve Dental (Curve Hero) is browser-based and sells by quote. An aggregator lists $99 per user per month with no source or method, and Curve does not confirm it. The term is 12 months and renews yearly, with 90 days’ written notice to cancel, tied with Practice-Web for the longest notice period we recorded. Leaving early means paying the rest of the term. See Curve Dental vs Dentrix.

Denticon

Denticon comes from Planet DDS and starts at $795 a month. It runs in a browser on Windows only. Contracts run one year and renew yearly unless you cancel 30 days before the term ends. Exporting XVWeb imaging data can cost $995 per extract. See Denticon vs Dentrix.

CareStack

CareStack starts at $829 a month for Essentials and $1,299 for Intelligence, which adds AI notes, voice perio charting and X-ray analysis. Licenses are set by locations and providers, so adding staff users does not add a license fee. Its standard terms let either side end the agreement on 30 days’ notice. It says it has converted data from more than 60 practice management systems and may charge an implementation fee with no published amount.

Archy

Archy charges $899 a month per location for unlimited users, providers, claims, eligibility checks and texting. New practices pay $400 a month until 400 patients or one year. After you terminate, one data export is free if you request it in writing by the termination date. Continued access is $200 a month. Archy is a newer company with only 6 Capterra reviews, and reviewers there report trouble moving X-rays during conversion.

Oryx

Oryx publishes Pro at $650 a month, Automate at $899 and AI at $1,399, each with 2 providers. A new practice pays $0 a month on Pro or Automate until 200 patients or 12 months. The contract is 12 months, then month-to-month, and export comes as CSV plus images in their original formats, with no export fee stated. Switching practices pay setup, data-conversion and image-conversion fees that are not published.

tab32

tab32 is browser-based. The Start-Up package is $125 a month in year one and $225 after, for up to 3 providers, and the Established package is $225 for up to 5. Claims cost $0.20 each. Migration brings over the last 2 years of appointments and linked records, so check what that leaves behind before you rely on it.

Which to pick

Pick Open Dental if you want to keep a server, want published fees and want to own the database. Pick Practice-Web if you want the same shape and want a vendor that names Dentrix as a source system.

Pick Dentrix Ascend if the priority is staying with Henry Schein One and moving off the server. You get the same 60-day notice rule, and you still have to ask for a price.

Pick Oryx, Archy or CareStack if you want a published price in a browser. Oryx has the lowest published starting price of the three at $650, Archy is flat per location, and CareStack’s standard terms allow termination on 30 days’ notice. Pick tab32 if you are a small practice and the first-year price matters most.

Pick Curve Dental or Denticon if you already know you want what they sell, and plan for the contract terms above. Pick Eaglesoft only if Patterson is already your supplier, because the 24-month enrollment and unpublished price make it the hardest to evaluate from outside.

Before you sign anything

1. Ask the new vendor in writing whether it converts from Dentrix, what that costs and whether X-ray images and documents move too.
2. Find your Dentrix eServices renewal dates. Notice is due at least 60 days before a term ends.
3. Ask what a full export costs and how long you have to request it after you leave.
4. Ask which features sit outside the monthly fee, such as texting, claims and eligibility.
5. Total five years in the cost calculator using a written quote.

The contracts and exit fees guide explains the notice and renewal terms in more detail, and the pricing guide covers what each monthly fee leaves out.