SGA Growth — Marketing Performance Audit ← Portfolio Index · Q1 2026 · Confidential · noindex

Alpharetta Periodontics & Dental Implants

https://alpharettaperio.com/

Production grew +37.9% YoY ($479,484 → $661,365). During the same window, new patient intake increased by 86 and appointment leakage worsened. The practice scorecard shows 6 of 19 metrics passing, with 4 fails concentrated in patient retention and schedule management. The analysis below frames where collaborative opportunities exist rather than assigning root cause — the team can use these numbers as a shared starting point for the next operating rhythm review.

1. Practice Marketing Scorecard

6Passing
4Failing
9Data Gaps
60%Pass Rate (of measurable)
CategoryMetricCurrent ValueBenchmarkResult
Patient AcquisitionAvg New Patients / Month (last 90d)71.7≥ 30Pass
NP Call Conversion %N/A — Not on PeerLogic≥ 55%N/A
Missed Call %N/A — Not on PeerLogic≤ 18%N/A
3rd Next Available NP ApptN/A — Modento link not provided≤ 7 daysN/A
Patient RetentionUnscheduled Active Patients (YoY)637 vs 537Decrease YOYFail
Unscheduled $$ Opportunity (YoY)$886,048 vs $801,435Decrease YOYFail
NP Hygiene Re-Appointment %17.7%≥ 40%Fail
Hygiene Re-Appointment %88.1%≥ 85%Pass
Pre-Appointment %62%≥ 60%Pass
Schedule ManagementAppointments Completed (YoY)1,249 vs 976Increase YOYPass
No-Shows %1.0%≤ 5%Pass
Cancellations %7.2%≤ 5%Fail
Online ReputationGoogle Reviews (Total)N/A — Not in GBP scan≥ 300N/A
Google Reviews (Last 30 Days)N/A — requires Swell/GBP API≥ 10N/A
Google Star RatingN/A≥ 4.5N/A
Google 5-Star %N/A — requires Swell≥ 90%N/A
Yelp Reviews (Total)N/A — not in current scan≥ 20N/A
Yelp Star RatingN/A — not in current scan≥ 4.0N/A
Referral ProgramTracking Referral Source (Missing %)16% missing< 20% missingPass

2. Production & Revenue Overview

Production Gross
$661,365
▲ +$181,881 (+37.9%)
New Patients
215
▲ +86 (+66.7%)
Case $ Accepted %
53.6%
▼ -11.2pp (-17.3%)
Visits / Working Day
20.07
▲ +2 (+8.7%)
MetricQ1 2025Q1 2026YoY Δ
Production Gross$479,484$661,365▲ +$181,881 (+37.9%)
Production Scheduled$425,836$596,178▲ +$170,342 (+40.0%)
Annual Patient Value$1,492$1,391▼ $-101 (-6.8%)
Visits Per Working Day18.4620.07▲ +2 (+8.7%)

3. New Patient Acquisition & Case Acceptance

MetricQ1 2025Q1 2026YoY Δ
New Patients129215▲ +86 (+66.7%)
New Patients / Working Day2.483.52▲ +1 (+41.9%)
Case Acceptance %80.8%96.1%▲ +15.3pp (+18.9%)
NP Case Acceptance %83.8%75.6%▼ -8.2pp (-9.8%)
Case $ Presented$419,139$837,044▲ +$417,905 (+99.7%)
Case $ Accepted$271,550$448,344▲ +$176,794 (+65.1%)
Case $ Accepted %64.8%53.6%▼ -11.2pp (-17.3%)

4. Same-Day Treatment & Clinical Performance

MetricQ1 2025Q1 2026YoY Δ
Same-Day Hygiene $$37,369$31,537▼ $-5,832 (-15.6%)
Same-Day Restorative $$198,463$322,516▲ +$124,053 (+62.5%)
Case Diagnosed % — Hygiene2.0%1.0%▼ -1.0pp (-50.0%)
Case Diagnosed % — Restorative31.7%43.9%▲ +12.2pp (+38.5%)

5. Patient Volume & Appointment Health

MetricQ1 2025Q1 2026YoY Δ
Active Hygiene Patients9271,014▲ +87 (+9.4%)
Unscheduled Active Patients537637▲ +100 (+18.6%)
Unscheduled $ Opportunity$801,435$886,048▲ +$84,613 (+10.6%)
Appointments Completed9761,249▲ +273 (+28.0%)
Cancellations %2.6%7.2%▲ +4.6pp (+176.9%)
No-Shows %1.4%1.0%▼ -0.4pp (-28.6%)
Pre-Appointment %61.0%62.0%▲ +1.0pp (+1.6%)

6. Appointment Confirmation & Patient Recapture

MetricQ1 2025Q1 2026YoY Δ
DI Confirmed %0.0%0.0%▲ +0.0pp (+0.0%)
NP Hygiene Re-Appt %31.0%17.7%▼ -13.3pp (-42.9%)
Hygiene Re-Appt %86.9%88.1%▲ +1.2pp (+1.4%)
Recaptured Patients1625▲ +9 (+56.3%)
Patients Net Growth90

7. Operational Efficiency

Online Scheduling Adoption0.0%
Hygiene→Restorative Handoff Ratio0.44
NP Close Rate (Cases)75.6%
Avg Production / Visit$530
Patient Attrition150 (62.5%)

Call Conversion (PeerLogic Q1 2026)

NP Call Conversion
Existing Patient Conversion
Missed Call %
Top Reason Not Booked
NotesNot using PL

Not in current GBP priority scan.

Data Hygiene & Tracking Gaps

Referral Source Attribution: 16% of new patients (34 of 215) are missing referral source. Tracking discipline is in healthy range — keep daily check-in audit in place.

Production Waterfall Analysis (Q1 2025 → Q1 2026)

Bridges prior-period production to current-period production by attributing the change to specific drivers. Green = gained production; Red = lost production.

$479,484 +$119,580 $-93,749 +$118,221 $-27,777 +$42,626 +$22,980 $661,365PriorProdNewPatientVolumeCaseAcceptanceSame-DayTreatmentAppointmentLeakageScheduleUtilizationOther/UnattributedCurrentProd
DriverImpactNote
New Patient Volume+$119,580+86 NP × $1,390 avg restorative/exam
Case Acceptance$-93,749Δ -11.2% × $837,044 presented
Same-Day Treatment+$118,221Current $354,053 − prior $235,832
Appointment Leakage$-27,777Prior 4.0% → current 8.2% (worsened)
Schedule Utilization+$42,626VPWD Δ +1.61 × 50 days × $530/visit
Other / Unattributed+$22,980Residual: fee schedule, payer mix, seasonality, provider changes
Net Change+$181,881Q1 2025 → Q1 2026

Action Plan — Organized by Support Team

Marketing

  1. Reactivation campaign for unscheduled active patients — Pull the 6+ month overdue list from Dental Intel Analytics (not Engagement — Engagement only reaches patients with future appointments). This practice shows 637 unscheduled active patients representing $886,048 in opportunity.
    Owner: Growth team + Office Manager  •  DI Workflow: Analytics → Unscheduled Active Patients → export → manual outreach assignment  •  Impact: Recovering even 10% of dollar opportunity = $88,605
  2. Online scheduling adoption lift — Only 0.0% of NPs booked online. Audit Modento integration + website CTA visibility. Patients who can't find a "Book Now" button often don't call either.
    Owner: Marketing + Web  •  DI Workflow: N/A — web analytics + Modento config  •  Impact: Captures after-hours + call-shy prospects

Office Manager

  1. NP follow-up: confirm 2nd hygiene appointment within 24h — Only 18% of new patients re-appoint into hygiene (benchmark ≥40%). Manual checklist at checkout — do not rely on DI Engagement for NPs.
    Owner: Office Manager + Hygienist  •  DI Workflow: N/A — manual checkout protocol  •  Impact: Each 5pp lift ≈ 11 additional reappointed NPs per quarter

Executive

  1. PeerLogic onboarding — This practice is not on PeerLogic, so we have no call-conversion data. Per Matt/Nathan strategy, get all practices onto PeerLogic — without it we cannot diagnose the front-desk funnel.
    Owner: ROD + IT  •  DI Workflow: N/A — vendor onboarding  •  Impact: Unblocks call-funnel diagnosis
AI Analysis Disclaimer: This report was generated by an AI system combining Dental Intel benchmarks, PeerLogic call data, and Google Business Profile signals. AI systems in dentistry are estimated at ~40% raw accuracy for clinical interpretation — every finding should be validated by the Market Manager, ROD, and Doctor before action is taken. Numbers are correct per the source CSVs; interpretations and recommended actions are directional, not prescriptive.