This is what $1,500 gets you.

The leaks, ranked

1 · Phones: where new-patient calls went

How we got $21,600: 19 new-patient calls a month reached voicemail or hung up and were never returned. At this practice's own booking rate on answered calls (32%), about 6 of them would have booked. 6 × 12 months × $300 first-visit value = $21,600. Check it yourself: phone system → call log → filter “missed”, last 90 days.

2 · Treatment planned and never scheduled

$132,300 of treatment presented in the last 12 months has no appointment. We count only what one in seven of it would bring if followed up: $18,900. Crowns and implant restorations make up most of the list. No one owns it today.

Check it yourself: practice software → unscheduled treatment report, last 12 months.

3 · Recall

212 patients were due for hygiene in the last 90 days and got one reminder or none, because the recall sequence stops after the first text. Over a year that is about 848 patients. If one in ten books because recall keeps going, at this practice's average hygiene visit of $110, that is $9,330 a year.

4 · Software: paid against used

Downgrade plus cancel saves $430 a month: $5,160 a year. Check it yourself: twelve months of software invoices.

5 · Insurance

The uninsured discount (20%) is deeper than what three insurance plans actually pay against the practice's fee. Not counted in the total above: this one needs a decision, not a fix. On Open Dental, the Insurance decision kit turns it into a carrier-by-carrier table.

Fix first

1. Return every new-patient call within the hour

   Phone recovery kit · 2 weeks · $1,500
   $21,600/yr
2. Give the unscheduled list an owner and a script

   Case acceptance kit · 3 weeks · $2,500
   $18,900/yr
3. Restart recall and cancel the duplicate tools

   Systems & software kit · 2 weeks · $1,500
   $14,490/yr

What we could not measure

After-hours calls forward to a personal cell phone that keeps no log. We report this as unmeasured, not as zero.