Open Dental vs TheraNest Pricing (2026)
How do these two stack up on price? Here's what each one costs, what you get, and where the value sits.
| Open Dental | TheraNest | |
|---|---|---|
| Starts at | $199/mo | $29/mo |
| Number of plans | 1 | 3 |
| Free plan | — | — |
| Free trial | — | |
| Pricing model | flat-rate | per-seat |
United States
- The software.
- Updates as they are released.
- Phone, chat, and email technical support with our experienced techs (up to two specific issues per call).
Essentials
- Scheduling management
- Secure client portal
- Calendar sync
- Basic intake forms and notes
- Ensai notes enhancement
- Hassle-free credit card payments*
- Optional Telehealth add-on*
Advanced
- Online booking & secure messaging
- Custom intake forms & notes
- Group practice reports
- Get 30 free each per practice per month*: Claims processing
- Get 30 free each per practice per month*: Eligibility checks
- Get 30 free each per practice per month*: Text & phone reminders
Premier
- Insurance billing automation
- Wiley Practice Planner included
- Unlimited Telehealth (Individual + Group)†
- Unlimited claims processing†
- Unlimited eligibility checks†
- Unlimited text & phone reminders†
Open Dental vs TheraNest FAQ
- Which one is cheaper?
- TheraNest is the cheaper option, starting at $29/mo vs $199/mo for Open Dental.
- Can I use either one for free?
- Neither has a free plan. But TheraNest offers a free trial.
- How do they charge?
- Different approach here. Open Dental uses flat-rate pricing, while TheraNest goes with per-seat. That changes the math depending on your team size and usage.
- Which one is a better deal?
- Depends on what you need. Open Dental: At $199/mo flat, this lands mid-pack against dental PMS competitors that often charge per-provider or bundle in hardware/support fees — it's priced for practices that want predictable costs without a per-seat penalty as they add staff (within the 3-provider cap). They're clearly courting small-to-mid practices wary of usage creep, not enterprise DSOs with 10+ locations. TheraNest: At $29-89 per therapist, TheraNest sits in the mid-market lane — not the rock-bottom option, but well under the premium EHR platforms that charge more for similar clinical/billing depth. They're clearly courting small-to-mid group practices that have outgrown spreadsheets but aren't ready for enterprise-grade behavioral health software.
Still deciding? See the best Open Dental alternatives or the best TheraNest alternatives, ranked with verified pricing.
Keep tabs on both.
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