The best dental cloud backup keeps immutable, off-site copies that ransomware cannot delete,
signs a HIPAA Business Associate Agreement, and supports your practice-management software.
Below, we compare the main options — including our own, DDSArk — on those criteria.
Updated
Key takeaways
Prioritize immutable, off-site backups — local-only backups are the most common cause of unrecoverable ransomware loss.
Your backup vendor handles PHI, so it must sign a HIPAA BAA.
Fit to your practice-management software (Dentrix, Eaglesoft, Open Dental) matters more than raw storage features.
DDSArk is purpose-built for dental; general BCDR tools can work but need dental-specific verification.
At a glance
Solution
Best for
Immutable
HIPAA BAA
Pricing
DDSArk OURS
Multi-site dental groups & their MSPs
Yes
Yes
$199/mo per location (unlimited data) + $75/mo per CBCT/PAN imaging unit + $25/mo per workstation — billed annually, 12-month term
Datto
MSPs serving SMB fleets
Yes (Datto Cloud, per Datto)
Confirm in writing via your MSP
No published list price; quote through Datto or Kaseya partners, and MSPs set the price a practice pays
Acronis Cyber Protect
IT teams wanting backup + security
Yes (cloud storage only)
BAA offered; ask your reseller or MSP
Cyber Protect Cloud is licensed per workload or per GB through service providers; the customer edition is per device or seat on 1-, 3- or 5-year subscriptions; no dental-specific plan
Veeam
Enterprises and IT-managed environments
Yes
BAA for hosted Veeam Data Cloud; self-run software is the customer's responsibility
Per-workload subscription (Veeam Universal License) through resellers and Veeam's online store; free Community Edition limited to 10 workloads, without support
Local / built-in backup only
Single practices with minimal budget
No
No
Low / included
Competitor details reflect verified public information as of 2026-10-06. Where a vendor does
not publish pricing, we describe its pricing model rather than estimate a figure — DDSArk does
not publish unverified competitor claims.
DDSArk
Best for: Multi-site dental groups & their MSPs
DDSArk is a cloud backup and ransomware-recovery platform built specifically for dental practices. It captures immutable, encrypted, off-site backups of practice-management systems (Dentrix, Eaglesoft, Open Dental) and imaging, signs a HIPAA Business Associate Agreement with every customer, and gives groups and MSPs one console to monitor and recover every location. Backups are immutable so ransomware cannot encrypt or delete them, and recovery restores a clean copy to new or wiped hardware.
Pros
Immutable backups that survive ransomware
Signed BAA included for every customer
Purpose-built for dental practice-management software
Multi-site fleet console for monitoring and recovery
Cons
Sales-assisted signup — no self-serve checkout
Built for dental; not a general-purpose backup tool
Billed annually, 12-month term — no month-to-month option
Pricing: $199/mo per location (unlimited data) + $75/mo per CBCT/PAN imaging unit + $25/mo per workstation — billed annually, 12-month term
Datto
Best for: MSPs serving SMB fleets
Datto (owned by Kaseya, which completed its acquisition in June 2022) is a business-continuity and disaster-recovery vendor. Its SIRIS platform delivers image-based backup on a Datto appliance, or as software on your own hardware or a VM, paired with the Datto Cloud. It is sold through Datto and Kaseya partners, mainly MSPs. Datto describes its backups as supporting HIPAA requirements, and the platform is general-purpose rather than dental-specific.
Pros
Appliance, software and private cloud from one vendor
Instant virtualization and bare-metal recovery
Datto describes its cloud backups as immutable (write-once)
Cons
Bought through MSPs and partners rather than direct
No public pricing; quote-only
Pricing: No published list price; quote through Datto or Kaseya partners, and MSPs set the price a practice pays
Acronis Cyber Protect
Best for: IT teams wanting backup + security
Acronis Cyber Protect combines backup with integrated cyber protection (anti-malware and endpoint security) in a single agent, supporting physical, virtual, cloud and mobile workloads, with Microsoft 365 backup in its Advanced edition. The customer edition is sold directly online and through resellers; the cloud edition is sold through MSPs and resellers. It is general-purpose, with no dental-specific product.
Pros
Backup and cyber protection in one agent
Broad workload support across physical, virtual, cloud and mobile
Backup targets include Acronis Cloud, local or network storage, and S3-compatible cloud
Cons
Immutable storage is supported only on cloud storage, not local targets
General-purpose — no dental or practice-management tailoring
Pricing: Cyber Protect Cloud is licensed per workload or per GB through service providers; the customer edition is per device or seat on 1-, 3- or 5-year subscriptions; no dental-specific plan
Veeam
Best for: Enterprises and IT-managed environments
Veeam Data Platform is Veeam's enterprise data-protection suite, with Veeam Backup & Replication at its core, covering virtual, physical and cloud workloads. It is built for IT teams and MSPs to deploy and manage, not a turnkey dental product; the hosted Veeam Data Cloud removes the infrastructure for Microsoft 365, Entra ID, Salesforce and Azure.
Pros
Broad platform support: VMware, Hyper-V, cloud, Microsoft 365, NAS
Built-in immutability and instant recovery
Large partner ecosystem (Veeam cited 35,000 technology partners in January 2024)
Cons
Self-run software needs a backup server, database and repositories
General-purpose — no dental practice-management tailoring
Pricing: Per-workload subscription (Veeam Universal License) through resellers and Veeam's online store; free Community Edition limited to 10 workloads, without support
Local / built-in backup only
Best for: Single practices with minimal budget
Relying only on a local external drive or the backup tool bundled with practice-management software is the most common setup — and the most exposed. Local-only backups sit on the same network as the systems they protect, so ransomware that reaches the practice can usually encrypt or delete them too, and a fire, theft, or hardware failure can take both the original and the backup at once.
Pros
No additional subscription cost
Simple to set up for one machine
Cons
Not off-site — one event can destroy data and backup together
Typically not immutable — ransomware can encrypt it
No BAA, monitoring, or tested recovery
Pricing: Low / included
Frequently asked questions
What is the best cloud backup for dental practices in 2026?
The best dental cloud backup is one that keeps immutable, off-site copies ransomware cannot delete, signs a HIPAA Business Associate Agreement, and supports your practice-management software. DDSArk is built specifically for this; general BCDR tools like Datto, Acronis, and Veeam can also be configured for dental use — verify their immutability and BAA terms for your setup.
Does dental backup software need to be HIPAA compliant?
Yes. Backups of dental systems contain protected health information, so your backup vendor acts as a HIPAA business associate and should sign a Business Associate Agreement (BAA) and apply safeguards such as encryption and access controls.
Is local backup enough for a dental office?
No. Local-only backups share the practice network, so ransomware can encrypt them, and a single fire, theft, or hardware failure can destroy the original and the backup together. A dental office should also keep immutable, off-site copies.