Target: all 27 practices live on the platform by December 2026. Onboarding is compressed into Jun-Dec 2026 and starts now; ramp continues through 2027. Grouped so multi-site brands move together, across two tracks and four onboarding buckets, with a conservative expected lift for each.
Advanced Care runs two tracks: an Implant / Full-Arch group and a Cosmetic group. Cosmetic practices are run for marketing optimization and incremental growth, not a full-arch ramp. Most plays are maintain or incremental small growth, sequenced behind the practices already in motion.
Five sequencing buckets. Full detail on the Onboarding Cohorts and Timeline tabs.
| Cohort | Timing | Practices | Net prod | Cons. lift | Groups |
|---|---|---|---|---|---|
| Cohort 1 · Active now | Jun 2026 (live) | 3 | $30.1M | $1.6M | Innovative Dental, Troy Family Dental, Ressler Dental |
| Cohort 2 · Onboarding now | Jul-Aug 2026 | 8 | $42.2M | $2.8M | New Horizons Implant Center, Peak Family Dental, PCCD, Allure Dental, Wagner Dental |
| Monitor · stabilize first | On platform by Nov 2026 | 1 | $8.0M | $321k | Riverside Dental |
| Cohort 3-4 · Later waves | Sep-Dec 2026 | 12 | $29.8M | $2.2M | Pony Express Dental, Dakota Dental & Wellness, Pryor Family Dentistry, Smile Gulf Coast, Southern Oak - Conway, Artistry in Dentistry, Beaumont Family Dentistry, Dental Center of Florence |
| Cosmetic · standing | Onboard by Sep, then optimize | 3 | $25.0M | $1.3M | Harris Dental, Nashville Aesthetic Dentistry, Century City Aesthetic Dentistry |
| TOTAL | 27 | $135.1M | $8.1M | ||
Each card is a practice or a multi-site brand. Multi-site groups (Peak, PCCD, Pony Express, Beaumont) onboard as one unit. Every site carries its bucket, primary objective, current mix, and conservative lift.
Innovative is the proven model; Troy is a clean-base build; Ressler is an efficiency fix before any growth ask.
Peak (3 AZ) and PCCD (2 CA) onboard as full groups. Allure and Wagner are the big-base implant converts added to this cohort.
Riverside produces a high AC mix but has operational red flags. It still comes onto the platform by year-end; stabilize before any growth ask.
Pony Express (UT cluster) and Beaumont onboard as groups. The remaining sites fold in across Q3-Q4 so every practice is live by December.
The cosmetic group, managed for marketing optimization and incremental growth. PCCD is the cosmetic site in active onboarding above.
Every group onboards between now and December 2026 (navy line). The red line marks today; the navy line marks year-end, when all 27 are on the platform. Navy blocks are the onboarding window; the tinted bar is the ramp / run period, colored by bucket, continuing through 2027.
The full implant and full-arch group, organized by onboarding cohort. Arches/mo and mix are modeled from production; cut-cost and monitor sites carry the smallest near-term lift by design.
| Practice | Brand · Location | Bucket | AC mix | Impl | Arch/mo | Net prod | Cons. lift | Primary objective |
|---|---|---|---|---|---|---|---|---|
| Innovative Dental | MODIS · Springfield, MO | Perform | 43% | 42% | 34.0 | $19.4M | $777k | Hold and optimize. Mature full-arch engine at ~30 arches/mo. Protect the model and tune efficiency, do not chase top-line. |
| Troy Family Dental | MODIS · Troy, IL | Ramp | 50% | 42% | 15.1 | $9.0M | $724k | Build from a clean base. Scratch-start P&L reset; install the full-arch demand engine off proven Innovative mechanics. |
| Ressler Dental | SGA · Delray Beach, FL | Cut cost | 27% | 23% | 1.5 | $1.7M | $66k | Fix efficiency first. ~20% of revenue on marketing and the doctor is not bought into full-arch. Right-size spend before any growth ask. |
| Practice | Brand · Location | Bucket | AC mix | Impl | Arch/mo | Net prod | Cons. lift | Primary objective |
|---|---|---|---|---|---|---|---|---|
| New Horizons Implant Center | GEN4 · Salina, KS | Perform | 32% | 26% | 6.5 | $5.0M | $201k | Hold to budget while the audit runs. Re-bucket to ramp or optimize once findings land. |
| Peak Family Dental Flagstaff | GEN4 · Flagstaff, AZ | Ramp | 23% | 17% | 3.5 | $4.6M | $368k | Multi-site ramp once the audit confirms the base. Three AZ locations onboard together. |
| Peak Family Dental Cottonwood | GEN4 · Cottonwood, AZ | Ramp | 19% | 12% | 1.4 | $2.6M | $211k | Multi-site ramp. Onboards with the Peak cluster. |
| Peak Family Dental Sedona | GEN4 · Sedona, AZ | Ramp | 14% | 11% | 0.9 | $1.9M | $152k | Multi-site ramp. Onboards with the Peak cluster. |
| Allure Dental | GEN4 · Lafayette, IN | Ramp | 17% | 7% | 2.1 | $6.8M | $541k | Big-base convert. ~$8M general base at a 7% implant mix; build the full-arch and implant mix. |
| Wagner Dental | GEN4 · Las Vegas, NV | Ramp | 14% | 7% | 2.1 | $7.5M | $602k | Big-base convert. ~$8M base at a 7% implant mix; build implant volume. |
| Practice | Brand · Location | Bucket | AC mix | Impl | Arch/mo | Net prod | Cons. lift | Primary objective |
|---|---|---|---|---|---|---|---|---|
| Riverside Dental | SGA · Jacksonville, FL | Cut cost | 53% | 45% | 14.5 | $8.0M | $321k | Stabilize before any growth ask. High AC mix but operational red flags; monitor on the backburner until the base is clean. |
| Practice | Brand · Location | Bucket | AC mix | Impl | Arch/mo | Net prod | Cons. lift | Primary objective |
|---|---|---|---|---|---|---|---|---|
| Pony Express Saratoga Springs | GEN4 · Saratoga Springs, UT | Ramp | 12% | 9% | 1.2 | $2.6M | $209k | Multi-site ramp. UT cluster onboards together once a baseline is set. |
| Pony Express Eagle Mountain | GEN4 · Eagle Mountain, UT | Ramp | 5% | 4% | 0.5 | $2.7M | $214k | Multi-site ramp. Onboards with the Pony Express cluster. |
| Pony Express Daybreak | GEN4 · Daybreak, UT | Ramp | 7% | 4% | 0.4 | $2.0M | $158k | Multi-site ramp. Onboards with the Pony Express cluster. |
| Pony Express Ortho | GEN4 · UT | Develop | 0% | 0% | 0.0 | $1k | n/a | Ortho P&L inside PEX; not an AC ramp on its own. |
| Dakota Dental & Wellness | GEN4 · Apple Valley, MN | Ramp | 23% | 19% | 4.1 | $4.1M | $325k | Ramp candidate pending baseline. Already 19% implant; push full-arch. |
| Pryor Family Dentistry | SGA · Lebanon, TN | Ramp | 32% | 22% | 2.4 | $2.5M | $200k | Ramp. 22% implant base; grow full-arch volume. |
| Smile Gulf Coast | SGA · Gulf Coast, MS | Ramp | 25% | 23% | 1.3 | $1.4M | $111k | Ramp. 23% implant on a small base; grow volume. |
| Practice | Brand · Location | Bucket | AC mix | Impl | Arch/mo | Net prod | Cons. lift | Primary objective |
|---|---|---|---|---|---|---|---|---|
| Southern Oak - Conway | SGA · Conway, SC | Develop | 22% | 0% | 0.0 | $2.2M | $155k | Restorative ramp. 22% AC but near-zero implants; add implant and full-arch capability. |
| Artistry in Dentistry | GEN4 · Gilbert, AZ | Develop | 14% | 9% | 0.7 | $1.7M | $118k | Develop. Small base; build the fundamentals before pouring demand. |
| Beaumont Family Dentistry Hamburg | GEN4 · Lexington, KY | Ramp | 18% | 11% | 1.4 | $3.3M | $261k | Ramp. Mid-base at 11% implant; build mix. (Lexington KY main has no production data yet.) |
| Beaumont Family Dentistry Leestown | GEN4 · Lexington, KY | Develop | 14% | 7% | 0.8 | $2.8M | $195k | Develop. 7% implant; build implant mix. |
| Dental Center of Florence | GEN4 · Florence, KY | Optimize | 42% | 4% | 0.7 | $4.6M | $230k | Restorative-cosmetic optimize. 42% AC mix on only 4% implants; a crown, fixed-pros and veneer engine. Optimize what is already there. |
Objective across this group is the same: find optimization in active marketing and capture incremental small growth. PCCD is in active onboarding (Cohort 2); Harris, Nashville and Century City are standing optimization.
| Practice | Brand · Location | Cohort | Bucket | AC mix | Net prod | Cons. lift | Objective |
|---|---|---|---|---|---|---|---|
| Harris Dental | GEN4 · Mesa, AZ | Standing | Optimize | 7% | $10.4M | $521k | Optimize active marketing. ~$11M base; efficiency in existing spend and incremental cosmetic growth. |
| PCCD Los Altos | GEN4 · Los Altos, CA | C2 next | Optimize | 9% | $9.6M | $481k | Optimize active marketing. Cosmetic engine; find efficiency in existing spend and incremental growth, not a full-arch ramp. |
| Century City Aesthetic Dentistry | GEN4 · Los Angeles, CA | Standing | Optimize | 14% | $7.7M | $387k | Optimize active marketing. Aesthetic brand; efficiency plus incremental growth. |
| Nashville Aesthetic Dentistry | GEN4 · Nashville, TN | Standing | Optimize | 6% | $6.9M | $344k | Optimize active marketing. Aesthetic brand; tune spend, incremental growth. |
| PCCD Mountain View | GEN4 · Mountain View, CA | C2 next | Optimize | 12% | $4.1M | $205k | Optimize active marketing. Cosmetic; efficiency in spend, incremental growth. |
| COSMETIC GROUP TOTAL (5) | $38.8M | $1.9M | |||||
The same drivers apply across the cohort, sequenced: build the engine and prove it, pour demand and convert, then scale and systematize.
| Service mix | Baseline AC mix per site; lock a per-practice AC-mix and case-mix target. | AC-mix target set, all active sites |
| Clinical | Capability audit (place/restore in-house vs refer); build the hub-and-spoke map. | Capability matrix + hub per site |
| Marketing | Stand up the DTC funnel template: AC landing pages, call tracking, lead forms, financing. | Funnel live across Cohort 1-2 |
| Sales / TC | Install a Treatment Coordinator + consult-to-close script; same-day financing decisions. | TC named at every active site |
| Finance | Wire the AC service-line dashboard (mix, case count, AOV, lead-to-case). Reuse the Innovative model. | Dashboard live, weekly cadence |
| Marketing | Turn on paid media behind full-arch and implants; geo-target by catchment; cut waste at cut-cost sites. | Cost-per-AC-lead + booked-consult targets |
| Service mix | Push ramp sites toward target mix; add full-arch days; optimize the cosmetic group's active spend. | +6-10 pts AC mix at ramp sites |
| Sales / TC | Roll consult-to-close to Cohort 2; weekly pipeline reviews; recapture unscheduled treatment. | Consult-to-case close-rate target |
| Supply chain | Activate in-network referral rails for surgical full-arch; restore back at the GP. | In-network full-arch capture rate |
| People | AC clinical + sales cohort training; certify TCs; CE for implant and veneer workflows. | Certified TC + clinician per site |
| Service mix | Bring Cohort 3-4 ramp sites onto the model; convert the big-base generals; hold perform sites. | Cohort AC mix to plan |
| Finance | Lock AC P&L per site; tie ramp to the growth bridge; standardize AOV reporting. | AC contribution vs plan |
| Marketing | Scale spend to the ROAS ceiling; extend DTC to the next wave; centralize creative + landing pages. | ROAS-positive scale across cohort |
| Supply chain | Formalize hub capacity + SLAs; add surgical days where demand outruns supply. | Hub utilization + lead-time SLA |
| Portfolio | Re-run the stack rank quarterly; promote the repeatable AC operating model into onboarding. | Next-wave cohort named |