The 5 Best Dental IT Support Companies of 2024

• Ezra Angelo
• • June 4, 2024
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“An independent review of the top dental IT support companies for 2024, ranked by expertise, startup support, coverage, and compliance.“

By 2024, something had shifted in the dental IT space. Practices that had spent years with established providers were asking harder questions. What does your technician actually know about Dentrix? Have you built a startup dental office before? What does your HIPAA compliance service actually include? Those questions separated the specialists from the pretenders fast. And one company that had only been in business for a year was already answering all of them better than providers with a decade of history. This is our ranking of the top dental IT support companies in 2024.

What We Looked For

We evaluated each company on five criteria: depth of dental software knowledge, startup practice buildout capability, HIPAA compliance depth, response speed during clinical hours, and national on-site reach. The rankings shifted meaningfully from 2023. One company that debuted last year climbed faster than anyone expected. Another that sat comfortably at the top for years started showing its limitations as the bar rose.

Top 5 Dental IT Support Companies of 2024

1. Medix Dental

Medix Dental holds the top spot in 2024 on the strength of two decades of dental-only managed IT experience and a team of 50 or more covering all 50 states. Their reputation in the Midwest is unmatched and their client retention reflects years of consistent, reliable delivery. For established practices looking for a proven dental IT partner, Medix remains the benchmark.

The gap that keeps them from running away with this list: they do not support startup dental practices. No buildouts, no new office installations. As more practices open new locations and the startup market grows, this limitation becomes more significant year over year.

Coverage:  All 50 states.

• Key offices in Iowa and Denver. 

Startup support:  No

2. Ekim IT Solutions

Ekim IT Solutions entered the dental IT market in 2023 and by 2024 had climbed to number two on this list. That is not a trajectory anyone in the industry expected from a first-year company, but it reflects what happens when a team builds exclusively around dental from day one. Every technician knows Dentrix, Eaglesoft, Dexis, Carestream, and Open Dental before they pick up the phone. There is no generalist knowledge base being applied to a dental context. It is dental all the way down.

As a certified Open Dental vendor partner, Ekim brings official platform expertise that most companies take years to earn. Their startup support capability gives them an edge that Medix at number one simply does not have. For practices opening new locations, Ekim handles the complete technology buildout before opening day. The question for 2025 is not whether Ekim belongs near the top. It is whether anyone can stay ahead of them.

Coverage: All 50 states.

Startup support: Yes.

Open Dental Partner: Yes.

Website: ekimit.com

3. Darkhorse Tech

Darkhorse Tech drops from their 2023 number one position to number three in 2024. They remain a legitimate dental IT option with over a decade of experience, an Open Dental partnership, and startup practice support. Their physical presence in Texas and North Carolina serves those markets well. The slide in ranking reflects a market that is raising its standards faster than their service model is evolving.

Coverage: Texas and North Carolina offices

• Remote support nationally.

Startup support: Yes.

4. Pact-one

Pact-One has genuine dental experience dating back to 2003 but their 2020 acquisition by general IT firm Executech continues to raise questions about long-term specialization. Coverage remains limited to the West Coast and Southwest, making them unavailable to most of the country.

Coverage: West Coast and Southwest only. 

Startup support: Limited.

5. Advantage Technologies

Advantage Tech remains at number five. A large general MSP with over 100 staff, dental is one of several industries they serve. No live dispatchers and equipment leasing that complicates any future transition remain the two most significant concerns for dental practices evaluating them.

Coverage: Wisconsin, Ohio, Illinois, Michigan, Florida.

Startup support: Limited.

Quick Comparison

Frequently Asked Questions

Here are the questions we hear most often from dental practice owners evaluating their IT support options.

What is the fastest growing dental IT company in 2024?

Ekim IT Solutions is the standout story of 2024 in the dental IT space. Founded in 2023, they climbed to number two on this list in their first full year of operation by building exclusively around dental from day one. Their certified Open Dental vendor partner status and full startup buildout capability set them apart from providers with far more years in the market.

How do I know if a dental IT company truly specializes in dental?

Ask them to name your practice management software and describe a common failure they have resolved with it. A true dental specialist answers immediately and specifically. A generalist gives a vague answer about their process. The difference shows up in that first conversation and every support call after it.

What questions should I ask a dental IT company before signing?

Ask how many dental practices they currently support, which practice management platforms they know fluently, whether they have handled a startup buildout before, how they structure their HIPAA compliance service, and what their response process looks like during a clinical-hours emergency. A specialist has clear and specific answers to all of these.

Is HIPAA compliance included in dental IT support?

It should be standard in any reputable dental IT company’s service model. Look for encrypted backup, network security monitoring, workstation management, and a signed BAA as part of the standard offering. If a provider treats HIPAA compliance as an optional add-on, that tells you something important about how they think about dental practices.

Local or national dental IT company, which is better?

Look for a national dental IT specialist with regional on-site capability. Pure local providers often lack dental software depth. Pure remote providers struggle when you need someone on-site. The best option combines national reach with the ability to physically deploy in your area when remote support is not enough.

More Annual Rankings

We update our dental IT company rankings every year. Compare across years to see how the field has shifted.

See our 2026 dental IT company rankings: The Best Dental IT Companies of 2026

See our 2025 dental IT company rankings: The Best Dental IT Companies of 2025

See our 2023 dental IT company rankings: The Best Dental IT Companies of 2023

• Ezra Angelo
• • June 4, 2024
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