Head to head · updated 2026-08-01
Dentrix vs Eaglesoft
The two on-premise giants, head to head. Both are on-premise, so the hosting decision is not what separates them.
Dentrix
Henry Schein One
The on-premise incumbent — the software most US practices already run.
- Deployment
- On-premise
- Entry price
- Not published
- Built for
- Solo, 2–4 locations, Group
Eaglesoft
Patterson Dental
Patterson’s long-established on-premise practice management system.
- Deployment
- On-premise
- Entry price
- Not published
- Built for
- Solo, 2–4 locations, Group
The short answer
Neither Dentrix nor Eaglesoft publishes a price, so any cost comparison between them depends entirely on the quotes you negotiate.
Choose Dentrix if…
Established practices that value ecosystem breadth and staff familiarity over price transparency.
It is ahead on teledentistry, ai features, orthodontics .
Choose Eaglesoft if…
Practices already committed to Patterson hardware and support.
It is ahead on native imaging, analytics & kpis .
Where they actually differ
Of 19 modules we track, these 5 differ. The rest match, so they are not what should decide it.
| Module | Dentrix | Eaglesoft |
|---|---|---|
| Native imaging | Paid add-on | Built in |
| Analytics & KPIs | Paid add-on | Built in |
| Teledentistry | Paid add-on | Not stated |
| AI features | Paid add-on | Via integration |
| Orthodontics | Paid add-on | Not stated |
Show all 19 modules, including where they match
| Module | Dentrix | Eaglesoft |
|---|---|---|
| Scheduling | Built in | Built in |
| Clinical charting | Built in | Built in |
| Perio charting | Built in | Built in |
| Native imaging | Paid add-on | Built in |
| Billing | Built in | Built in |
| Claims | Built in | Built in |
| Insurance eligibility | Paid add-on | Paid add-on |
| Payments | Paid add-on | Paid add-on |
| Patient messaging | Paid add-on | Paid add-on |
| Online booking | Paid add-on | Paid add-on |
| Digital forms | Paid add-on | Paid add-on |
| Recall / reactivation | Built in | Built in |
| Analytics & KPIs | Paid add-on | Built in |
| ePrescribing | Paid add-on | Paid add-on |
| Teledentistry | Paid add-on | Not stated |
| AI features | Paid add-on | Via integration |
| Open API | Via integration | Via integration |
| Multi-location | Paid add-on | Paid add-on |
| Orthodontics | Paid add-on | Not stated |
Pricing, side by side
Dentrix
Dentrix does not publish a price. You have to request a quote, which means you cannot budget or compare before speaking to a salesperson. No figure is published anywhere on the product site. Pricing is quoted per practice and typically bundled with a Henry Schein One support plan.
We do not repeat third-party price estimates for quote-only vendors. Several widely republished figures in this category turned out to belong to a different product — see how we compare.
Eaglesoft
Eaglesoft does not publish a price. You have to request a quote, which means you cannot budget or compare before speaking to a salesperson. Quote-only, generally sold alongside Patterson hardware and imaging.
We do not repeat third-party price estimates for quote-only vendors. Several widely republished figures in this category turned out to belong to a different product — see how we compare.
Strengths and trade-offs
Dentrix
Strengths
- The largest installed base in US dentistry, so hiring staff who already know it is easy.
- Almost every third-party dental product integrates with it.
- Deep, mature clinical and financial reporting refined over decades.
Trade-offs
- No published pricing at all — you cannot budget without going through sales.
- On-premise, with the server, backup and security burden that implies.
- Heavily modular: the base product is a starting point and the useful extras are priced separately.
- Long-standing user complaints about support cost and quality relative to price.
Eaglesoft
Strengths
- Tight integration with Patterson imaging hardware, which many practices already own.
- Large installed base and a well-understood, stable product.
- Native imaging rather than a separately licensed module.
Trade-offs
- No published pricing.
- On-premise only, with the usual server and backup obligations.
- Closely tied to the Patterson ecosystem, which narrows hardware choice.
- Slower feature cadence than the cloud-native competition.
Other comparisons
- Open Dental vs Dentrix — The cost-control choice against the incumbent
- Dentrix vs Dentrix Ascend — Same brand, different product — and a real migration
- Open Dental vs Eaglesoft — Open pricing against Patterson’s ecosystem
- Practice-Web vs Dentrix — The cheapest published price vs the market leader
- Adit vs Dentrix — Front-office layer vs full practice management