Software Review

OpenEdge Review (2026)

OpenEdge (now officially Global Payments Integrated) is the payment processor that comes pre-installed in your dental software whether you asked for it or not. The company processes over 1.1 billion transactions annually across 400,000+ merchants and integrates directly with Dentrix, Eaglesoft, Open Dental, and dozens of other practice management systems. The integration is genuinely seamless. The pricing is genuinely opaque. And the customer service is genuinely terrible. OpenEdge is the definition of a payment processor that wins on distribution rather than merit.
By The Molar Report|Updated April 5, 2026|6 min read
Our Take

OpenEdge is deep, seamless integration with every major dental PMS (Dentrix, Eaglesoft, Open Dental) that automatically posts payments to patient ledgers with tokenized security.. OpenEdge (now officially Global Payments Integrated) is the payment processor that comes pre-installed in your dental software whether you asked for it or not. The company processes over 1.1 billion transactions annually across 400,000+ merchants and integrates directly with Dentrix, Eaglesoft, Open Dental, and dozens of other practice management systems. The integration is genuinely seamless. The pricing is genuinely opaque. And the customer service is genuinely terrible. OpenEdge is the definition of a payment processor that wins on distribution rather than merit.

Best ForPractices locked into a PMS that requires or strongly recommends OpenEdge integration. The payment-to-ledger automation is genuinely useful -- the pricing model is not.
Key StrengthDeep, seamless integration with every major dental PMS (Dentrix, Eaglesoft, Open Dental) that automatically posts payments to patient ledgers with tokenized security.
Biggest DrawbackDeliberately opaque pricing with numerous hidden fees

What Is OpenEdge?

OpenEdge is an integrated payment processing solution that embeds credit card, debit card, check, and ACH payment acceptance directly inside your dental practice management software. Rather than using a separate payment terminal or portal, your front desk processes payments within Dentrix, Eaglesoft, Open Dental, or whatever PMS you run. Payments automatically post to patient accounts, eliminating manual data entry and reconciliation.

The company was formed in 2014 when Global Payments merged two acquisitions -- Accelerated Payment Technologies ($413 million) and PayPros ($420 million) -- into a single integrated payments division. In 2019, Global Payments merged with TSYS in a $21.5 billion deal, and the combined integrated payments division was rebranded Global Payments Integrated in 2020. Most dental practices still know it as OpenEdge.

The platform supports card-present transactions (swipe/chip/tap), card-not-present transactions (phone/mail orders), mobile payments (Apple Pay, Google Pay), ACH/electronic checks, and tokenized card-on-file for recurring payments. All payment data is encrypted end-to-end with tokenization, so actual card numbers never touch your practice's local systems.


Who Is It For?

OpenEdge targets dental practices that use integrated practice management software and want payment processing built into their existing workflow. The integration is the entire value proposition -- if your PMS supports OpenEdge, payments automatically post to patient ledgers without manual entry.

The company integrates with a long list of dental PMS platforms including Open Dental, Dentrix, Eaglesoft, AdvancedMD, Provision, and ChiroTouch. For many of these platforms, OpenEdge is the default or recommended payment processor, which gives the company a captive customer base.

This captive dynamic is both the product's greatest strength and its most concerning feature. Many practices feel they have no choice but to use OpenEdge because their PMS vendor recommends or requires it. As one user put it: "My firm had no choice but to use OpenEdge due to required software integration."


Key Features

PMS Integration: Payments flow directly into patient accounts within your practice management system. No duplicate data entry, no end-of-day reconciliation, no separate payment portal. This is genuinely the best feature and it works well.

Tokenization and Card-on-File: Patient credit card data is tokenized and stored in OpenEdge's cloud vault rather than on your local servers. This dramatically reduces PCI-DSS compliance scope and enables one-click payments for recurring charges and payment plans.

Decline Minimizer: A proprietary system that automatically updates expired or lost card information through the card networks, reducing declined recurring transactions. Useful for practices with patients on payment plans.

OpenEdge View Portal: Administrative dashboard for transaction management, reporting, virtual terminal access, and multi-location oversight. Supports PDF, Excel, CSV, and HTML exports. User permissions and hierarchies for staff access control.

Split Payments: Divide a single payment across multiple accounts or locations -- useful for multi-provider group practices.


Pros

  • Seamless integration with every major dental PMS
  • Automatic payment posting eliminates manual data entry
  • Tokenization and encryption reduce PCI compliance burden
  • Decline Minimizer reduces failed recurring payments
  • Comprehensive reporting through OpenEdge View portal
  • Supports all payment types including Apple Pay and Google Pay

Cons

  • Pricing is deliberately opaque with numerous hidden fees
  • Users report effective rates reported by users on Trustpilot and BBB of 7-13% vs advertised 2-3%
  • Rate increases applied mid-contract without adequate notice
  • Customer support is consistently described as unresponsive and hostile
  • Captive customer base due to PMS integration lock-in
  • Cancellation process is reportedly difficult and unpleasant
  • Billing irregularities reported including unexplained overcharges

What We Like and What We Don't

What Works
  • Seamless integration with every major dental PMS
  • Automatic payment posting eliminates manual data entry
  • Tokenization reduces PCI compliance burden
  • Decline Minimizer reduces failed recurring payments
  • Comprehensive reporting and admin portal
  • Supports all payment types including mobile wallets
What Doesn't
  • Deliberately opaque pricing with numerous hidden fees
  • Users report effective rates of 7-13% vs advertised rates
  • Rate increases applied mid-contract without notice
  • Customer support described as unresponsive and hostile
  • Captive customer base due to PMS lock-in
  • Cancellation process reportedly difficult
  • Billing irregularities including unexplained overcharges

Who This Is For (and Who Should Look Elsewhere)

OpenEdge Is a Strong Fit If You...

  • Seamless integration with every major dental PMS
  • Want payment posting eliminates manual data entry
  • Tokenization reduces PCI compliance burden
  • Decline Minimizer reduces failed recurring payments
  • Comprehensive reporting and admin portal

You Should Look Elsewhere If You...

  • Deliberately opaque pricing with numerous hidden fees
  • Users report effective rates of 7-13% vs advertised rates
  • Rate increases applied mid-contract without notice
  • Customer support described as unresponsive and hostile
  • Captive customer base due to PMS lock-in

How It Compares

OpenEdge vs. Top AlternativesSee full comparisons →
OpenEdgePearlDentalMonitoring
TMR Score4.09.09.0
ArchitectureCloud-basedCloud-basedcloud-native
Starting PriceCustomPer locationCustom
Best ForPractices locked into a PMS that requires or strongly recommends OpenEdge integration. The payment-to-ledger automation is genuinely useful -- the pricing model is not.Any practice that wants AI-assisted radiograph analysis to catch missed pathology and improve case acceptance. Especially valuable for DSOs standardizing clinical quality across locations.Orthodontic practices and DSOs looking to reduce in-office visits by 45% while maintaining clinical control through AI-powered remote monitoring of aligner and braces treatments across all brands.

The Bottom Line

OpenEdge (now officially Global Payments Integrated) is the payment processor that comes pre-installed in your dental software whether you asked for it or not. The company processes over 1.1 billion transactions annually across 400,000+ merchants and integrates directly with Dentrix, Eaglesoft, Open Dental, and dozens of other practice management systems. The integration is genuinely seamless. The pricing is genuinely opaque. And the customer service is genuinely terrible. OpenEdge is the definition of a payment processor that wins on distribution rather than merit.

Our recommendation: If OpenEdge matches your practice profile, put it on your shortlist. Visit their site and make your decision based on the numbers and the fit.

This review is based on independent research. Read our methodology. Something look off? Let us know.