Dentrix Review (2025)
The most widely used dental practice management system
Our Verdict
Valid choice for practices acquiring an existing setup or hiring experienced staff. Not recommended for new practice builds.
Rating Breakdown
Quick Specs
- Deployment
- Server
- Starting Price
- $500+/mo
- Pricing Note
- Per-operatory licensing + support contract. Pricing varies significantly.
✓ Pros
- ✓Largest user base — easiest to hire trained front desk staff
- ✓Extensive third-party integration library (400+ integrations)
- ✓Deep Medicaid and government dental program support
- ✓Comprehensive reporting and business analytics
- ✓Dentrix Enterprise available for DSO-scale operations
✕ Cons
- ✕Requires dedicated server hardware ($5,000–$15,000 investment)
- ✕Highest total cost of ownership in the comparison
- ✕UI feels dated compared to cloud alternatives
- ✕Per-operatory pricing model punishes growth
- ✕Support quality has declined according to long-term users
Best For
- →Established multi-doctor practices
- →Offices hiring staff who already know Dentrix
- →Practices requiring deep Medicaid/state program support
In-Depth Analysis
Dentrix has been the category leader in dental practice management software for decades, and that position has real benefits. When you hire a dental front desk coordinator, there's a 60%+ chance they've used Dentrix before. That's not nothing.
But the pricing math is rough for small practices. The per-operatory licensing model means a 3-chair office pays substantially more than a solo dentist — and unlike cloud competitors, costs scale with your facility, not your revenue. Add a server refresh, annual support contracts, and required hardware, and total cost of ownership can easily exceed $1,500/mo for a small practice.
Where Dentrix earns its keep: Insurance billing. The claims module and ERA handling are genuinely mature. If you participate in a complex Medicaid or government dental program with state-specific billing requirements, Dentrix's depth here is hard to match.
The integration library: With 400+ third-party integrations, almost any dental imaging, CT, or specialty software connects to Dentrix. If you're running a complex multi-technology practice, this matters.
Our take on longevity: Henry Schein has invested in cloud (Dentrix Ascend) as their future, but the core on-prem product has been in maintenance mode. If you're locking in a 5-year decision, consider whether you want to be on the platform that's being sunset.
Ready to See Dentrix in Action?
Visit the Dentrix website to learn more and request pricing.
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