What Percentage of Private Practice Dentists Use an Electronic Health Record? Unlock Profits with EHR + Memberships

September 28, 2025
Topics: Dental
Written by: Lisa Rasmussen

You walk into a dental practice in 2025. Are they still fumbling through paper charts

— sticky, crumpled, smudged — or are they tapping into digital records, images, notes in a slick interface? If it’s the latter, good chance they’re in the majority.

But what percentage of private practice dentists actually use electronic health (or dental) records right now? And — more importantly — does having an EHR/EDR actually help you earn more, not just work easier?

Let’s dig in — and flip the lens toward how you monetize that digital backbone with membership strategies, so your software adoption pays off.


What the Research Says: Adoption Rates & Gaps

First — I want to be upfront: there’s no single perfect number in public data that cleanly says “X% of private dentists use EHR/EDR.” The data is patchy, dentistry often overlaps with “health IT / medical EHR” studies, and terms (EHR, EDR, dental software) differ. But we can triangulate.

Some useful data points:

  • The American Dental Association (ADA) has run surveys to gauge dental offices’ use of electronic health/dental record systems. They call them “electronic dental records / electronic health and dental systems.” ADA described it as “not just a wave of the future but the wave of the present.” ADA News

  • In Maryland, one state‑level study found around 50‑70 % of dentists had adopted some form of dental EHR / electronic dental record by mid‑2010s. Maryland Health Care Commission

  • That same Maryland report noted that among larger practices (4+ dentists), the adoption was ~83 %. Maryland Health Care Commission

  • A systematic review on “Electronic Health Records in Dentistry” points out that adoption lags medical EHR adoption, citing interoperability challenges, cost, resistance, etc. Contemporary Clinical Practice

So putting together those clues, a reasonable estimate — as of recent years — is that roughly 50% to 70% of private practices (especially medium to large ones) use some form of EHR / electronic dental record. Smaller solo practices and older dentists may lag behind.

To be conservative, many private dental practices have at least partial digital record capabilities (charting, imaging, digital notes) even if not full medical‑grade EHR interoperability.

In shorter summary: a majority, but not universal. The early adopters, multi‑doctor practices, digitally minded ones lead; the rest are catching up.


Why Adoption Matters — Not Just for Efficiency, but for Growth

Putting data aside, the real question is: does using an EHR / EDR / digital record system actually help your bottom line? The answer: absolutely — especially when you use it as a foundation for membership and recurring revenue.

Here’s what digital adoption unlocks:

  • Better data capture & tracking → you can segment patients, track history, upsell intelligently

  • Interoperability & sharing → connects to labs, imaging, specialists, referrals

  • Fewer errors / redundancies → less waste, fewer misbilling or lost notes

  • Foundational digital infrastructure needed to support membership systems, billing logic, automations

  • Analytics → you can compare member vs non‑member cohorts, treatment acceptance trends, churn, etc.

If your practice still uses paper or semi‑digital charts, you can’t reliably overlay membership analytics or subscription logic. The digital record is your baseline asset.


Story: From Paper to EHR to Recurring Revenue

Dr. Angela Reed ran a small 2‑chair practice in a mid‑sized city. She was proud — had great patients, nice reputation — but revenue was volatile. One year she’d hit a high, the next year she’d scramble because some big cases fell through.

She was reluctant to digitize — worried about cost, staff disruption, tech headaches. But she gradually switched to a full EDR (electronic dental record) system: charting, imaging, notes, digital records across all patients. Suddenly she had data, control, less paper chaos.

But the real shift came when she realized: That system is not just for recordkeeping — it can become your recurring revenue backbone. She added a membership engine (BoomCloud™) on top of her EDR.

In 12 months post‑membership launch:

  • ~420 active members

  • MRR: ~$14,500

  • ARR: ~$174,000

  • Membership patients accepted ~80% of recommended treatment

  • Their per‑patient spend (membership + treatment) ~3× what she used to get from non-members

Looking back, Angela realized — the digital record system was necessary but not sufficient. The membership layer turned it from a cost to a profit generator.


Membership + Digital Record = The Growth Multiplier

Once you have the digital foundation (EHR / EDR), adding membership logic on top gives you asymmetric returns.

Here’s how:

Feature / Capability Without EHR / EDR With EHR + Membership Layer
Patient segmentation & history Hard, paper-bound Easy digital filtering (inactive, high value, upgrade potential)
Automated billing / renewal Manual, error-prone Subscription logic, auto renewals, failed payment retry
Analytics & reporting Basic reports Cohorts, RPP (Revenue per Patient), churn, LTV
Treatment acceptance insight Hard to correlate You can see membership patients vs non, acceptance lift
Growth strategy Reactive marketing Proactive membership offers to target segments
Cashflow predictability Volatile Recurring revenue baseline (MRR, ARR)

The membership gains multiply because digital records let membership logic see and act on your patient data.


Case Study: Clinic That Leveraged Digital Records + Membership

Here’s an example (inspired by real BoomCloud stories, adapted) of how a clinic used digital records + membership to scale:

Clinic: BrightSmile Family Dentistry

  • Already had an EDR/digital record system (charting, imaging, digital notes)

  • Adopted BoomCloud™ membership engine overlay

  • Launched 3 membership tiers: Basic Preventive, Premium, VIP

  • Within 10 months:

Metric Value
Members ~610
MRR ~$19,800
ARR ~$237,600
Treatment acceptance in member group ~85%
Member spend (membership + treatment) ratio vs non-member ~3.1×

They also used their digital record data to identify “inactive for 18+ months” patients and launched membership offers to them — reactivating dozens. Because they had historical data, they could personalize offers (“Hey, you skipped last cleaning — here’s your membership path back”).

They didn’t need to overhaul their record system — they just enhanced strategy and monetization.


MRR, ARR & Metrics You Must Master

If you implement membership + digital record, these metrics become your north stars:

  • MRR (Monthly Recurring Revenue): total dues from active memberships per month

  • ARR (Annual Recurring Revenue): MRR × 12, after adjusting for churn and upgrades

  • Churn / Retention Rate: how many members cancel vs stay

  • Revenue per Member / Patient (RPM / RPP): (membership revenue + treatment revenue) ÷ number of members

  • Lifetime Value (LTV): RPM ÷ churn (or via cohort analysis)

When membership patients spend 2× to 4× more (as many BoomCloud clients observe), your LTV and revenue curves shift upward dramatically. It’s not theoretical — it’s real money.


Objections, Pushbacks & Rebuttals

“EHR systems are too expensive / complex to adopt.”
True, cost and training are real barriers. But adoption is rising. Many practices offset digital costs quickly by increasing efficiency and enabling membership revenue.

“My practice is small; there’s no return on digitizing.”
Even small practices benefit. You don’t need tens of thousands of members — even hundreds of members with upsells and retention shift your baseline revenue.

“Churn will kill recurring revenue.”
True churn is a factor. But with good onboarding, value delivery, reactivation flows, and analytics, many practices keep churn manageable and net MRR growth strong.

“Just having digital records doesn’t guarantee growth.”
Correct. The trick is what you do with the records. If you layer membership, automations, analytics — that’s where growth lies.


Action Steps

If you’re wondering what percentage of private practice dentists use an electronic health record — the answer is: a solid majority (50–70 % or more in many areas), especially larger or multi-doctor practices — but plenty of practices lag behind. And those lagging are often leaving money on the table.

If you want to be in the leading group, here’s how to make your digital adoption meaningful:

  1. Implement / upgrade to a full EHR / EDR system if you haven’t already.

  2. Overlay a membership engine (e.g. BoomCloud™) so you monetize your digital backbone.

  3. Segment your patient base using your digital records and offer targeted membership to lapsing or inactive patients.

  4. Track metrics (MRR, ARR, churn, revenue per patient) and optimize.

  5. Iterate offers / tiers and scale as you gain confidence and data.

Don’t just digitize for the sake of it. Digitize to enable growth, loyalty, recurring revenue. Use your EHR / EDR as the foundation — membership turns it into your profit engine.

When you’re ready to see digital + membership in action, schedule a Demo of BoomCloud™. Watch your monthly recurring revenue light up, track your cohorts, and make your digital adoption work for you.


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Jordon Comstock

Author Bio

Jordon Comstock is the Founder & CEO of BoomCloud™, a software that allows practice, clinic & spa owners to build, manage and scale a membership program. This helps practice & clinic owners to create recurring revenue & improve loyalty via membership programs. Jordon is passionate about Music, Hawaii, Healthcare businesses like: dentistry, optometry, med spas and massage spas. Schedule a demo of BoomCloud™ and learn how membership programs can improve your business. Here are more dental books to improve your practice

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