Target: all 27 practices live on the platform by the end of September 2026. Onboarding is compressed into a four-month window (Jun-Sep 2026) and starts now; ramp continues through 2027. Grouped so multi-site brands move together, across two tracks and four monthly onboarding cohorts plus a standing cosmetic group, 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) | 10 | $65.9M | $3.5M | Innovative, Troy Family, Ressler, Riverside, Peak (3 AZ), New Horizons, PCCD (2 CA) |
| Cohort 2 · July 2026 | July 2026 | 3 | $16.8M | $1.3M | Allure Dental, Wagner Dental, Pryor Family Dentistry |
| Cohort 3 · August 2026 | Aug 2026 | 6 | $12.8M | $1.0M | Pony Express (4 UT), Dakota Dental & Wellness, Smile Gulf Coast |
| Cohort 4 · September 2026 | Sep 2026 | 5 | $14.6M | $959k | Southern Oak - Conway, Artistry in Dentistry, Beaumont (2), Dental Center of Florence |
| Cosmetic · standing | Optimize (ongoing) | 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; the confirmed vertical accounts (New Horizons, Peak, PCCD) sit in the active-now cohort. Every site carries its bucket, primary objective, current mix, and conservative lift.
The practices already in motion plus the confirmed Advanced Care vertical accounts. Innovative is the proven model; Troy is a clean-base build; Ressler and Riverside are efficiency fixes before any growth ask; New Horizons, Peak (3 AZ) and PCCD (2 CA) are the vertical’s primary accounts onboarding now.
The big-base implant converts. Allure and Wagner are roughly $7–8M general practices at a 7% implant mix; Pryor runs a 22% implant base ready to grow full-arch.
Pony Express (4-site Utah cluster) onboards as one group, alongside Dakota Dental & Wellness and Smile Gulf Coast.
The final wave. Southern Oak and Artistry build fundamentals; Beaumont (2 sites) and Dental Center of Florence fold in so every practice is live by the end of Q3.
The cosmetic group, managed for marketing optimization and incremental growth, not a full-arch ramp. PCCD (now in Cohort 1) runs on the same cosmetic playbook.
Every group onboards between now and the end of September 2026 (navy line). The red line marks today; the navy line marks the end of Q3, 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.
Beyond the 27 practices in the pilot, these are the practices to vet and qualify as the next wave of Advanced Care additions. Each already shows a real implant base and surgical headroom on a mid-size general or cosmetic book. Confirm surgical capability, doctor buy-in and local demand before onboarding. Figures are annualized from YTD production; the two highlighted rows are the top priorities.
Sourced from the Advanced Care Scale Model (hidden-gem general practices). The Scale Model also flags 18 specialty surgical hubs (for example Jacksonville Dental Specialists at $5.8M implant, and Sandhills at 54% implant) as build-or-partner targets.
| Practice | Brand | Total prod (ann) | Implant % | AC mix % | Implant prod (ann) | Single implants / yr | Why it makes the list |
|---|---|---|---|---|---|---|---|
| WDG Murray Priority Nelson & Tillmann Family Dentistry | Gen4 | $4,018,670 | 18% | 22% | $710,638 | 178 | Nelson & Tillmann: a $4M general practice already running an 18% implant mix. |
| RHD Rock Hotel Dental Priority Rock Hotel Dental | Gen4 | $5,170,534 | 13% | 17% | $655,469 | 164 | The largest hidden gem: a $5.2M base at 13% implant, with real headroom to grow the mix. |
| Rogers Family Dental | SGA | $3,140,450 | 19% | 24% | $581,496 | 145 | 19% implant on a $3.1M base and surgical capability already present. Note: middle of nowhere. |
| SGC Douglas SGC - Douglas (South Georgia Cosmetic) | SGA | $3,494,784 | 16% | 24% | $561,982 | 140 | South Georgia Cosmetic is a cosmetic brand already, running a 16% implant mix. Note: dead center of SGA. |
| Total Care Dental | MODIS | $3,938,357 | 14% | 18% | $553,577 | 138 | A $3.9M MODIS-brand general practice at a 14% implant mix. |
| Bright Dental - Matthews | SGA | $1,930,879 | 22% | 26% | $430,670 | 108 | A 22% implant mix, punching above its $1.9M size. Note: patient base to confirm. |
| 6 candidates | $21.7M | $3.5M | 873 |
Est. single implants per year is modeled from implant-category production divided by a ~$4,000 blended single-implant case value; it is a sizing estimate, not a procedure-code count.
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. |
| 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. |
| 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. |
| PCCD Mid-Peninsula | GEN4 · Mid-Peninsula, CA | Evaluate | – | All-on-X | TBD | Pending | Upside | New PCCD implant and All-on-X practice flagged as an investment opportunity. Baseline pending diligence; shown for visibility, not counted in cohort totals. |
| Practice | Brand · Location | Bucket | AC mix | Impl | Arch/mo | Net prod | Cons. lift | Primary objective |
|---|---|---|---|---|---|---|---|---|
| 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. |
| Pryor Family Dentistry | SGA · Lebanon, TN | Ramp | 32% | 22% | 2.4 | $2.5M | $200k | Ramp. 22% implant base; grow full-arch volume. |
| 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. |
| 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 Cohort 1, active onboarding now; 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 | Active now | 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 | Active now | 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 |
Two numbers matter: the conservative plan ($8.1M/yr, what the roadmap commits to) and the opportunity ceiling ($26.5M/yr, the theoretical max). Everything below shows how both are derived, and the unit economics that make the percentages credible.
A general practice running a 7% implant mix has the same chairs and patients as one running 40%. The gap is the growth, and it is captured by changing the service mix, not by adding locations.
| Bucket | Rate | Why this rate |
|---|---|---|
| Perform | 4% | mature, optimize only |
| Ramp | 8% | real build, conservative vs 2x stories |
| Cut cost | 4% | efficiency / contribution, not new demand |
| Optimize | 5% | tune active marketing, incremental |
| Develop | 7% | smaller base building up |
Applied across the cohort: $135.1M net base → $8.1M/yr lift (6.0% blended). Deliberately modest; most practices are a maintain-or-incremental play.
| Worked example | Bucket | Net prod | Rate | Lift |
|---|---|---|---|---|
| Innovative Dental | Perform | $19.4M | 4% | $777k |
| Allure Dental | Ramp | $6.8M | 8% | $541k |
| Ressler Dental | Cut cost | $1.7M | 4% | $66k |
The percentages are not a guess. Each category's dollars are decomposed into service lines by average order value, so the lift can be read as real cases.
| Service line | AOV |
|---|---|
| Single implant (surgical placement) | $2,400 |
| Full-arch surgical component (per arch) | $9,000 |
| Implant crown / abutment | $2,800 |
| Veneer (per unit) | $1,800 |
| Single crown / bridge unit | $1,400 |
| Implant overdenture / hybrid (per arch) | $16,000 |
| Conventional denture / partial | $1,700 |
| Cosmetic restorative (per unit) | $1,800 |
All-in full-arch (All-on-X) ≈ $25,000 per arch: ~$9k surgical (Implant Services) + ~$16k prosthetic (Prosthodontics removable). The model splits it across two categories so each half ties to where the dollars actually book.
| Category | Service line | Share |
|---|---|---|
| Implant Services | Single implant (surgical placement) | 60% |
| Full-arch surgical component (per arch) | 40% | |
| Prosthodontics, fixed | Implant crown / abutment | 35% |
| Veneer (per unit) | 25% | |
| Single crown / bridge unit | 40% | |
| Prosthodontics, removable | Implant overdenture / hybrid (per arch) | 45% |
| Conventional denture / partial | 55% | |
| Restorative | Cosmetic restorative (per unit) | 8% |
If every short-list practice reached a best-in-class 40% AC mix, the ceiling is $26.5M/yr (on the gross $152.3M base). The $8.1M roadmap number is the conservative slice we plan to capture in the first ramp; the rest is upside as practices mature.
Every Advanced Care deliverable and tool, current as of 2026-07-08. All links open in a new tab.
Deliverables tied to a single practice.
| Practice | Resource | Link |
|---|---|---|
| Troy Family Dental | Arch Economics Calculator (TFD): per-arch margin model with three pricing and supply scenarios (leadership pw sga2026) | tfd-arch-calculator.pages.dev ↗ |
| PCCD Los Altos | June Marketing Memo: all-channel paid media review (Google plus Facebook) and the February conversion break | sga-pccd-lal-june-memo.pages.dev ↗ |