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RevolutionEHR vs Open Dental: Which is Better in 2026?

Choosing between RevolutionEHR and Open Dental comes down to understanding what each tool does best. This comparison breaks down the key differences so you can make an informed decision based on your specific needs, not marketing claims.

Bottom line: RevolutionEHR is our overall pick for EHR/EMR workflows. Pick Open Dental if you need practice management.

··Methodology
Editor reviewed0 verified reviews comparedPricing checked Jun 2026

Short on time? Here's the quick answer

We've tested both tools. Here's who should pick what:

RevolutionEHR

The all-in-one cloud-based EHR and practice management software built exclusively for optometry.

Best for you if:

  • • You need EHR/EMR features specifically
  • All-in-one cloud-based EHR and practice management system for optometry.
  • Highly customizable workflows and dedicated tools for eye care, including optical and inventory management.

Open Dental

Comprehensive, customizable, and affordable practice management software for dental offices of any size.

Best for you if:

  • • You need practice management features specifically
  • Comprehensive dental practice management software.
  • Highly customizable with extensive features for clinical and administrative tasks.
At a Glance
RevolutionEHRRevolutionEHR
Open DentalOpen Dental
Starts at
$455/moRevolutionEHR Core
Custom
Best For
EHR/EMRPractice Management
Rating
4.4/54.4/5

Choose RevolutionEHR or Open Dental?

RevolutionEHR

Choose RevolutionEHR if

The all-in-one cloud-based EHR and practice management software built exclusively for optometry.

  • Specifically designed for optometry, not generic medical use
  • Cloud-based accessibility enhances flexibility for multi-location practices and remote access
  • High degree of customization for exams, encounters, and workflows
  • Your work is EHR/EMR-shaped, not practice management-shaped
Open Dental

Choose Open Dental if

Comprehensive, customizable, and affordable practice management software for dental offices of any size.

  • Comprehensive feature set for all aspects of dental practice management.
  • Highly customizable to fit specific practice needs.
  • Affordable pricing for practices of any size.
  • Your work is practice management-shaped, not EHR/EMR-shaped
FeatureRevolutionEHROpen Dental
Pricing ModelPaidPaid
User Rating
4.4/5
231 reviews
4.4/5
189 reviews
Categories
EHR/EMRPractice Management
Practice ManagementEHR/EMR

In-Depth Analysis

RevolutionEHRRevolutionEHR

The all-in-one cloud-based EHR and practice management software built exclusively for optometry.

Strengths

  • +Specifically designed for optometry, not generic medical use
  • +Cloud-based accessibility enhances flexibility for multi-location practices and remote access
  • +High degree of customization for exams, encounters, and workflows
  • +Comprehensive suite of integrated solutions covers most practice needs
  • +Strong customer support and commitment to continuous improvement

Weaknesses

  • -Requires a one-time service fee and database conversion fee in addition to monthly subscription
  • -Pricing is based on the number of doctors, which may be a factor for very large practices

Key features

Unified patient care, documentation, billing, and scheduling platformCloud-based access from any device, anywhere, anytimeCustomizable EHR features and highly configurable workflowsBuilt-in billing and claims processing with integrated clearinghouse (RevClear)Optical and inventory management tools with integrated point-of-saleAutomated patient engagement tools including online portal and self-service scheduling (RevEngage)
Starts at $455/mo

Open DentalOpen Dental

Comprehensive, customizable, and affordable practice management software for dental offices of any size.

Strengths

  • +Comprehensive feature set for all aspects of dental practice management.
  • +Highly customizable to fit specific practice needs.
  • +Affordable pricing for practices of any size.
  • +Extensive third-party integrations and interoperability.
  • +Active community forums and rapid release cycle for new features.

Weaknesses

  • -Requires integration with third-party vendors for some advanced functionalities (e.g., AI for insurance verification).
  • -Open Dental does not endorse or provide technical support for all third-party products.
  • -Some features like 'Appointment Mirroring' are in beta.

Key features

Graphical Tooth Chart (2D and 3D)Electronic PrescriptionsDiscount Plan Management (in-house membership/savings plans)Patient PortalPayment PortalWeb Forms
Starts at Custom

Pricing: RevolutionEHR vs Open Dental

PlanRevolutionEHROpen Dental
Tier 1
$455
RevolutionEHR Core
N/A
Tier 2
Starting at $660
RevolutionEHR Advanced
N/A
Tier 3
Starting at $830
RevolutionEHR Premium
N/A

Pricing verified from each vendor's public pricing page. Compare in detail on RevolutionEHR pricing and Open Dental pricing.

Who Should Use What?

On a budget?

Both are paid. Compare plans on their websites.

Go with: RevolutionEHR

Want the highest-rated option?

RevolutionEHR: 4.4/5 (231 reviews). Open Dental: 4.4/5 (189 reviews).

Go with: RevolutionEHR

Value user reviews?

RevolutionEHR: 231 reviews (4.4/5). Open Dental: 189 reviews (4.4/5).

Go with: RevolutionEHR

3 Questions to Help You Decide

1

What's your budget?

Both are paid. Pricing won't help you decide here.

2

What's your use case?

RevolutionEHR is a EHR/EMR tool. Open Dental is in practice management. Pick the category that matches your needs.

3

How important are ratings?

Both are rated 4.4/5.

Key Takeaways

RevolutionEHR

  • Larger review base (231 reviews)
  • Our pick for this comparison

Open Dental

  • Better fit for practice management

The Bottom Line

RevolutionEHR is our pick.

Frequently Asked Questions

Is RevolutionEHR or Open Dental better?

RevolutionEHR is rated in our evaluation. Both are paid.

What are RevolutionEHR and Open Dental used for?

RevolutionEHR: The all-in-one cloud-based EHR and practice management software built exclusively for optometry.. Open Dental: Comprehensive, customizable, and affordable practice management software for dental offices of any size..

What does RevolutionEHR cost vs Open Dental?

RevolutionEHR is a paid tool. Open Dental is a paid tool. Visit their websites for detailed pricing.

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