Oryx Dental is a cloud-based practice management software that’s trusted by over 2,500+ dentists on five different continents. Inc. 5000 ranked Oryx as a top 100 software company in 2025, and they’ve also been recognized as one of the fastest-growing dental practice management solutions in the industry.
Many of Oryx’s customers also leverage the platform’s integrated payment processing capabilities to accept credit cards directly within the software, and that will be the primary focus of this review.
So whether you’re currently using Oryx or considering it for your dental practice, this review will give you an insider take on your payment processing options — so you know exactly what to expect and how to avoid overpaying by thousands.
MCC Quick Take on Oryx Dental Practice Management Software
We work with several dental practices using Oryx. And while our clients are generally satisfied with the software itself, there’s definitely room for improvement on the payment processing side.
Here’s what you need to know:
- Oryx integrates with Global Payments and Worldpay for payment processing.
- Your rates are 100% negotiable with either provider.
- Both options are secure, reliable, and offer the same core processing capabilities.
- But Global Payments recently acquired Worldpay, and the merger is expected to be completed in 2026.
- This means that the same company will control both processing options.
- Our team has identified cost-saving opportunities on every Oryx statement we’ve audited (from both providers).
Overall, Oryx is a solid dental practice management solution that’s modern and packed with powerful features. But having limited payment processing options (especially owned by the same parent company) puts you at a disadvantage when it comes to negotiating competitive rates.
Oryx Dental Overview and Key Features
Oryx was founded in 2016 by Dr. Rania Saleh, who brought her experience as a dentist to the software development process. I’m always a big fan of companies that were founded this way, as first-hand industry knowledge results in a solution that actually addresses common pain points by dentists.
The software is built on Google Cloud infrastructure, which provides enterprise-grade security and reliability. This is another win for Oryx over legacy dental solutions that require on-premise hosting.
Another unique standout of Oryx Dental is its evidence-based approach to dentistry. The software incorporates principles from the Kois Center to help standardize patient care across different providers, which is really cool and definitely something that all competitors can’t say.
Key Features
Top features of Oryx Dental include:
- Clinical charting with AI-powered imaging
- Online scheduling and automated reminders
- Secure patient portals
- Evidence-based risk assessment and treatment planning
- Insurance claims management with real-time eligibility verification
- Practice analytics and KPI dashboards
- Native imaging software included
- Revenue cycle management
Based on my experience researching and reviewing other Dental practice management solutions for my clients, Oryx definitely has one of the more sophisticated feature lists that gives you more out-of-the-box without requiring tons of integrations.
While Oryx markets itself as saving practices about 70% compared to other dental software with transparent pricing and no add-ons, those savings don’t factor in the payment processing fees.
Integrated Payment Processing With Oryx Dental
Like most dental practice management tools on the market, Oryx doesn’t handle payment processing in-house. Instead, you’ll need to use one of two third-party processors that integrate with the software:
- Global Payments
- Worldpay
Let me break down each option so you understand the differences and what you’re dealing with.
Global Payments Integrated
Global Payments is one of the largest payment processors in the world. But unfortunately, their size doesn’t translate to better rates or ethical practices.
We’ve caught Global Payments padding assessment fees, charging outrageous bogus fees, and using deceptive billing tactics across hundreds of merchant accounts we’ve audited.
So if you’re currently using Global to process your Oryx Dental customer payments, then I can almost guarantee you’re being overcharged and have junk fees on your account. I honestly can’t remember the last time I’ve audited a Global statement that didn’t have some type of overcharge on it.
And that’s just for standard payment processing.
With integrated processing through Oryx, Global will likely charge you even higher rates than the standard markup because they likely need to pay a commission to Oryx for the referral. So you’re indirectly paying for that kickback.
While Global does offer interchange-plus pricing (which is the contract structure you want to have), many Oryx users are stuck on inflated flat-rate contracts or paying markups well over 100 basis points. That’s far too high.
Read our Global Payments review for a complete breakdown of their fees and practices.
Worldpay
Worldpay is another major player in the processing industry with a massive presence in basically every industry. And while they don’t have quite the same reputation for unethical practices as Global, they’re far from perfect.
Historically, Worldpay was always solid. But they’ve become worse in the past few years from a rate perspective.
While they always had occasional rate increases, inflated fees, and the occasional junk fee (like all processors), recently they’ve had even more extra charges and more frequent rate increases whenever they can get away with it.
You can also get interchange-plus pricing from Worldpay, which is a positive. And we’ve had lots of success negotiating better rates with Worldpay over the years.
For integrated processing with Worldpay and Oryx, you’ll probably see slightly higher than average markups due to the integration setup. But anything above 40-50 basis points still has room for negotiation.
Check out our Worldpay review for additional insights.
What the Global-Worldpay Merger Means for Oryx Users
Here’s the biggest problem with integrated processing from Oryx Dental. Global Payments acquired Worldpay, and the merger is expected to be completed in 2026.
This means that both of the integrated processors supported by Oryx will soon be owned by the same company.
That’s not good news for dentists using Oryx.
When you only have two processors to choose from and they’re both owned by Global, you lose some leverage when it comes to negotiating the best rate. Global knows you can’t easily switch processors without disrupting your entire practice management system. So it gives them more leeway to charge higher rates, add bogus fees, and increase their prices.
We fully expect Global to be aggressive with pricing changes on Worldpay using Oryx (as we’ve seen this in the past with other Global acquisitions).
Now is the time to audit your statements and negotiate better terms before Global takes full control.
Payment Processing Fees to Look Out For
Regardless of whether you’re using Global Payments or Worldpay with Oryx, you need to watch out for the two main cost components:
Per Transaction Markup
For integrated processing with Global or Worldpay with Oryx, a 50 basis point (0.50%) markup over interchange is pretty standard. High-volume practices may be able to get that closer to 30 basis points, but that’s the range most of you will fall into.
Anything above 50 basis points indicates you’re being overcharged and there’s room to save money.
If you’re paying a flat rate (like 2.9% + $0.30 per transaction), you are almost certainly overpaying. Flat-rate processing absolutely crushes your profits, and it’s something you need to address ASAP if that’s your current structure.
Other Miscellaneous Fees
This is where processors sneak extra charges that can add up to tens of thousands of dollars in overages per year. Aside from what you’re paying per transaction, it’s common for Global and Worldpay accounts to have additional charges for things like:
- Settlement Funding Fees
- Risk Assessment Fees
- PCI Non-Compliance Fees
- Infrastructure Upgrade Fees
- Annual Reporting Fees
- Transaction Risk Fees
- Analytics Reputation Management Fees
- Network and Compliance Fees
Most of these fees are junk and can be removed entirely. If you see any of them in your statement, it’s a red flag that deserves a closer look.
How to Lower Your Payment Processing Rates With Oryx Dental
Even though your integrated processing options are limited with Oryx (and about to become even more limited when Global completes the Worldpay acquisition), you can still negotiate better rates without switching processors or disrupting your Oryx setup.
Here’s what you need to do:
- Start by auditing your last 3-6 months of statements to calculate your effective rate.
- Look for rate increases, bogus fees, and any charge that seems suspicious.
- Then contact your processor directly (not Oryx) and ask for a rate reduction.
- Continue to push back after the agent tells you that you’re getting the “best rate” (you’re not).
- Don’t take no for an answer, and be specific about the fees you want removed.
- Mention you’re exploring other software options that offer more competitive rates (even if you’re not actually planning to switch).
You have more leverage than you realize here because neither provider wants to lose your account. Processing volume from dental practices is valuable to them, and they’d rather reduce your rates than lose your account altogether.
Our team at MCC can help you with this process. We’ll audit your statements for free, identify any overages, and negotiate better terms directly with Global or Worldpay.
No switching processors and no need to change your practice management software either.
Final Thoughts
Oryx Dental is a solid practice management solution with impressive features, particularly for practices looking to use an evidence-based approach for patient care. The cloud-based setup is another plus and becomes the new standard for modern practice management in the dental space.
But when it comes to integrated payment processing, Oryx users are honestly in a tough spot.
Your options are already limited, and the fact that Global Payments is acquiring Worldpay means you effectively have one option. This gives Global total control over what you pay to accept payments via Oryx.
If you’re already using Oryx, don’t panic. You can still get lower rates without changing your setup. You just need to be proactive and more aggressive about negotiating and monitoring your statements.
And for those of you considering Oryx, just don’t go into it blindly. The software is good, but you’ll need to fight harder to keep your payment processing costs under control.