PracticeWorks Alternative — Upgrade to
Cloud-Based Dental Software
Looking for a PracticeWorks alternative? PracticeWorks is no longer sold to new customers, development has stalled, and single-user chart access limits your team’s efficiency. tab32 is the modern cloud replacement — starting at $125/mo with AI-powered tools and no server required.
How Does tab32 Compare to PracticeWorks?
tab32 is a cloud-based dental PMS starting at $225/mo that includes imaging, scheduling, charting, payments, and multi-user chart access with no server required. PracticeWorks is a legacy server-based system that is no longer sold to new customers, with dormant development and single-user chart access.
A side-by-side look at what you get with each platform across 30+ features in 5 categories.
| Feature | tab32 | PracticeWorks |
|---|---|---|
| Clinical Tools | ||
| Odontogram & Perio Charting | ✓ | ✓Basic, dated interface |
| Treatment Planning | ✓ | ✓Basic |
| Integrated ImagingBuilt-in, no separate software | ✓ | Separate module |
| AI Voice ChartingDictate clinical notes hands-free | ✓ | ✗ |
| AI Voice PerioChart perio exams by voice | ✓ | ✗ |
| ePrescription (eRx) | ✓ | ✗ |
| Multi-User Chart AccessMultiple team members in one chart simultaneously | ✓ | ✗ Single-user only |
| Practice Management | ||
| Scheduling | ✓ | ✓Basic |
| Reporting & Analytics | ✓ | Limited, no updates |
| Intra-Office Chat | ✓ | ✗ |
| Insurance Claims Processingtab32 includes claims; PW needs third-party | ✓ | Third-party required |
| ERA/EOB Auto-PostingAI-powered scan and post with tab32 | ✓ | ✗ |
| Real-Time Insurance VerificationInstant eligibility checks | ✓ | ✗ |
| Patient Engagement | ||
| Automated Appointment Reminders | Add-on | ✗ |
| Two-Way Texting | Add-on | ✗ |
| Online Self-Scheduling | Add-on | ✗ |
| Patient Portal | Add-on | ✗ |
| Online Forms / Digital Intake | Add-on | ✗ |
| Email Marketing | ✓ | ✗ |
| Payments & Revenue | ||
| Online Payments | ✓ | ✗ |
| In-Person Card Payments | ✓ | Third-party required |
| Store Cards on File | ✓ | ✗ |
| Billing & Collections Tools | ✓ | ✓Basic |
| Infrastructure & Support | ||
| Cloud-BasedAccess from anywhere, no server needed | ✓ | ✗ Server required |
| Automatic Updates | ✓ | ✗ Manual / discontinued |
| HIPAA-Compliant Hosting | ✓ | Your responsibility |
| Automatic Backups | ✓ | Your responsibility |
| Active Development | ✓ | ✗ Dormant |
| Available for New Customers | ✓ | ✗ Discontinued sales |
| Data Migration from PracticeWorksWe handle the switch for you | ✓ | — |
How Much Does PracticeWorks Really Cost per Month?
A typical PracticeWorks practice pays $500–800+/mo when you add server hardware, managed IT support ($300–500/mo), separate imaging software, and third-party clearinghouse fees to the ~$200–300/mo support and maintenance fees. tab32 starts at $225/mo with everything included and no server costs.
Here's what each platform actually costs when you add up every line item.
Simple, Predictable Pricing
- Cloud PMS LicenseIncluded
- Imaging (built-in)Included
- Scheduling & ChartingIncluded
- Payments & BillingIncluded
- Server & IT$0 (cloud)
- Backups & Disaster RecoveryIncluded
- ClearinghousePay-per-use
Legacy Costs Keep Growing
- PMS Support/Maintenance~$200–300/mo
- Imaging SoftwareSeparate
- Scheduling & ChartingIncluded
- Payments & BillingThird-party
- Server + IT Support$300–500/mo
- Backups & Disaster RecoveryYour responsibility
- ClearinghouseThird-party (~$50/mo)
Estimates based on a typical single-location practice. Server + IT estimate ($300–500/mo) includes hardware amortization, managed IT services, and maintenance based on industry data from Pact-One Solutions and StimulusTech. PracticeWorks maintenance fees vary by contract. Actual costs vary by practice size and location.
Why Is It Time to Move to the Cloud?
PracticeWorks is a legacy server system with no cloud option, no active development, and single-user chart access. Moving to tab32's cloud platform eliminates server costs, unlocks multi-user access, and gives you modern AI tools that PracticeWorks will never have.
Here's why going cloud-native matters for your practice.
Access from Anywhere
No more being tied to one workstation. Check schedules and patient records from any device with an internet connection — at the office, at home, or on the go.
Multi-User Chart Access
Multiple team members can view and work in the same patient chart simultaneously — impossible on PracticeWorks, where only one person can access a chart at a time.
No Server Costs
Eliminate $3,600+/yr in server hardware, maintenance, and IT support. tab32 handles hosting, security, and uptime for you.
Modern AI Tools
Voice charting, voice perio, automated insurance processing — none of these are available on PracticeWorks and never will be. tab32 ships AI features continuously.
Automatic Everything
Updates, backups, security patches — all handled for you. No more scheduling downtime, no waiting for your IT person, no version conflicts.
Future-Proof Your Practice
PracticeWorks development has stopped. Every day you stay is a day closer to forced migration. tab32 ships new features continuously so your practice stays modern.
We Handle the Migration from PracticeWorks
Moving from PracticeWorks to tab32 doesn't mean starting over. PracticeWorks data formats are well-understood by our migration team — we've done this many times. Your practice doesn't need to close for a single extra day.
Frequently Asked Questions
Everything you need to know about switching from PracticeWorks to tab32.
How much does tab32 cost compared to PracticeWorks?
Can I migrate all my PracticeWorks data to tab32?
Why should I switch from PracticeWorks now?
Does tab32 support multi-user chart access?
What happens to my PracticeWorks data if Sensei discontinues support?
Does tab32 have AI features?
Is there a free trial?
Ready to Leave PracticeWorks Behind?
Start your free 14-day trial or talk to our team about migrating from PracticeWorks.

