Most dental practices encounter IT support in one of two ways: call someone when something breaks, or pay a fixed monthly fee for everything handled proactively.
The second model is called a managed service plan, or MSP agreement. For dental practices, it is usually the better model. Dental software is too specialized and the compliance requirements are too specific for a break-fix approach to work well.
Here is what a managed service plan actually includes and what to look for before signing one.
2-3xMore costly per year
Break-fix IT support costs dental practices two to three times more annually than a comparable managed service plan.
Emergency service calls, after-hours rates, and the cost of downtime while waiting for a technician add up quickly. A managed service plan provides predictable costs and faster response because the provider already knows your environment.
What a Managed Service Plan Covers
Five things a dental-specific managed service plan should include. Check each one your current plan actively covers.
Items covered by your current plan0 / 5
Your plan covers all five areas.
Full coverage confirmed. Make sure response times are defined in writing and that your BAA is signed and on file. Verbal commitments do not hold up during an audit or incident.
Your plan has gaps worth addressing.
The unchecked items represent real coverage gaps. Missing backup verification or HIPAA support from your IT plan creates compliance exposure your practice is responsible for regardless of what your provider does or does not do.
Your current plan is missing most of what a dental practice needs.
A general IT plan not built for dental practices typically misses HIPAA support, dental software expertise, and verified backup testing. These are not extras: they are the baseline for a practice handling patient health information.
Want to see exactly what a dental-specific managed service plan looks like? Ekim IT Solutions works exclusively with dental practices. Find out in 15 minutes if we are the right fit.
Best-effort language is not acceptable. The contract should specify maximum response times for different severity levels. Vague commitments cannot be enforced.
2
Dental software expertise confirmed
Ask how many practices they support on your specific platform: Dentrix, Open Dental, Eaglesoft, or Curve. General IT providers often learn dental software at your practice's expense.
3
Backup details specified
The contract should state what is backed up, how often, and when it was last tested. If backup testing is not explicitly included, assume it is not happening.
4
BAA included as standard
A Business Associate Agreement is a HIPAA requirement, not an optional add-on. Any IT provider handling systems that touch patient data must sign one before work begins.
What a Managed Service Plan Does Not Cover
Most managed service plans cover labor for maintenance, monitoring, and support. Understanding what is excluded before you sign prevents disputes when something major happens. A good managed service provider explains these boundaries clearly during the sales process.
Confirm Before Signing
These items are typically excluded from standard MSP agreements
Hardware replacement costs: the plan covers labor, not the cost of new equipment when hardware fails
Major software licensing fees: practice management software renewals are typically separate
One-time project costs such as server migrations, office moves, or new operatory builds
Hardware replacement labor: confirm whether the plan covers the labor to replace failed hardware or only the monitoring that detected the failure
Per-Device vs All-Inclusive Pricing
Per-Device Pricing
More transparent, harder to predict
A monthly fee per workstation, server, or network device. Feels transparent because you can see exactly what is covered. Becomes harder to budget as the practice grows, adds imaging workstations, or changes devices mid-contract.
All-Inclusive Pricing
Easier to budget, confirm scope carefully
A flat monthly fee for the entire practice. Easier to plan around because the number never changes with headcount or device count. Before signing, confirm the scope explicitly covers all workstations, the server, network equipment, and imaging workstations under one fee.
Ask before signing: does the plan cover all workstations, the server, network equipment, and imaging workstations under one fee? Some plans charge separately for server coverage or network device management, which eliminates the predictability advantage of flat pricing.
Frequently Asked Questions
Not required, but a managed service plan from a dental-specific provider is one of the most reliable ways to maintain the technical safeguards HIPAA demands. The consistent monitoring, update management, and compliance documentation that comes with a managed plan is difficult to replicate with break-fix support.
Break-fix IT charges you each time something goes wrong. Managed IT charges a fixed fee to keep things from going wrong in the first place. Break-fix has no financial incentive to prevent problems. Managed IT does. For a dental practice where downtime during patient hours is costly, the proactive model is almost always more appropriate.
Ask for the last 90 days of monitoring alerts, backup reports, and support tickets. A provider delivering managed services has this documentation ready. If they cannot produce it, they are billing for managed services but delivering break-fix support.
Yes.Ekim IT Solutions provides dental-specific managed service plans for practices across all 50 states. We serve New England and New York with on-site support and all other practices remotely. Every plan includes a signed BAA, monitoring, backup verification, and HIPAA compliance support as standard.
Does your current managed IT plan actually cover everything a dental practice needs?
Ekim IT Solutions works exclusively with dental practices. We serve New England and New York with on-site support and dental practices nationwide with remote support. Our managed service plans are built around dental software, HIPAA compliance, and the day-to-day reality of running a practice, not a generic IT checklist.
If your plan does not include dental software support and HIPAA documentation, it is not a dental IT plan.