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

Dr. Jeffrey Dent & Dr. Brian Mears (Parkway Periodontics)

https://parkway-perio.com/

Production grew +6.8% YoY ($497,099 → $530,970). During the same window, new patient intake declined by 50 and appointment leakage improved (a bright spot). The practice scorecard shows 5 of 19 metrics passing, with 7 fails concentrated in patient retention and patient acquisition 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

5Passing
7Failing
7Data Gaps
42%Pass Rate (of measurable)
CategoryMetricCurrent ValueBenchmarkResult
Patient AcquisitionAvg New Patients / Month (last 90d)65.0≥ 30Pass
NP Call Conversion %54%≥ 55%Fail
Missed Call %29%≤ 18%Fail
3rd Next Available NP ApptN/A — Modento link not provided≤ 7 daysN/A
Patient RetentionUnscheduled Active Patients (YoY)1,467 vs 1,526Decrease YOYPass
Unscheduled $$ Opportunity (YoY)$1,110,328 vs $968,934Decrease YOYFail
NP Hygiene Re-Appointment %23.1%≥ 40%Fail
Hygiene Re-Appointment %88.1%≥ 85%Pass
Pre-Appointment %50%≥ 60%Fail
Schedule ManagementAppointments Completed (YoY)1,404 vs 1,497Increase YOYFail
No-Shows %2.5%≤ 5%Pass
Cancellations %6.4%≤ 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 %)3% missing< 20% missingPass

2. Production & Revenue Overview

Production Gross
$530,970
▲ +$33,871 (+6.8%)
New Patients
195
▼ -50 (-20.4%)
Case $ Accepted %
56.0%
▲ +14.1pp (+33.7%)
Visits / Working Day
22.79
▼ -5 (-17.5%)
MetricQ1 2025Q1 2026YoY Δ
Production Gross$497,099$530,970▲ +$33,871 (+6.8%)
Production Scheduled$533,887$531,242▼ $-2,645 (-0.5%)
Annual Patient Value$635$757▲ +$122 (+19.2%)
Visits Per Working Day27.6122.79▼ -5 (-17.5%)

3. New Patient Acquisition & Case Acceptance

MetricQ1 2025Q1 2026YoY Δ
New Patients245195▼ -50 (-20.4%)
New Patients / Working Day4.543.20▼ -1 (-29.5%)
Case Acceptance %67.0%96.8%▲ +29.8pp (+44.5%)
NP Case Acceptance %67.3%74.6%▲ +7.3pp (+10.8%)
Case $ Presented$658,618$539,114▼ $-119,504 (-18.1%)
Case $ Accepted$276,000$301,762▲ +$25,762 (+9.3%)
Case $ Accepted %41.9%56.0%▲ +14.1pp (+33.7%)

4. Same-Day Treatment & Clinical Performance

MetricQ1 2025Q1 2026YoY Δ
Same-Day Hygiene $$42,333$57,883▲ +$15,550 (+36.7%)
Same-Day Restorative $$177,550$193,268▲ +$15,718 (+8.9%)
Case Diagnosed % — Hygiene0.7%1.5%▲ +0.8pp (+114.3%)
Case Diagnosed % — Restorative23.0%23.0%▲ +0.0pp (+0.0%)

5. Patient Volume & Appointment Health

MetricQ1 2025Q1 2026YoY Δ
Active Hygiene Patients1,7501,753▲ +3 (+0.2%)
Unscheduled Active Patients1,5261,467▼ -59 (-3.9%)
Unscheduled $ Opportunity$968,934$1,110,328▲ +$141,395 (+14.6%)
Appointments Completed1,4971,404▼ -93 (-6.2%)
Cancellations %5.7%6.4%▲ +0.7pp (+12.3%)
No-Shows %5.1%2.5%▼ -2.6pp (-51.0%)
Pre-Appointment %49.0%50.0%▲ +1.0pp (+2.0%)

6. Appointment Confirmation & Patient Recapture

MetricQ1 2025Q1 2026YoY Δ
DI Confirmed %70.0%57.0%▼ -13.0pp (-18.6%)
NP Hygiene Re-Appt %23.3%23.1%▼ -0.2pp (-0.9%)
Hygiene Re-Appt %84.6%88.1%▲ +3.5pp (+4.1%)
Recaptured Patients3431▼ -3 (-8.8%)
Patients Net Growth58

7. Operational Efficiency

Online Scheduling Adoption0.0%
Hygiene→Restorative Handoff Ratio0.96
NP Close Rate (Cases)74.6%
Avg Production / Visit$378
Patient Attrition— (—)

Call Conversion (PeerLogic Q1 2026)

NP Call Conversion54%
Existing Patient Conversion63%
Missed Call %29%
Top Reason Not Booked
Notes

Not in current GBP priority scan.

Data Hygiene & Tracking Gaps

Referral Source Attribution: 3% of new patients (5 of 195) 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.

$497,099 $-20,845 +$76,015 +$31,268 +$10,088 $-91,142 +$28,487 $530,970PriorProdNewPatientVolumeCaseAcceptanceSame-DayTreatmentAppointmentLeakageScheduleUtilizationOther/UnattributedCurrentProd
DriverImpactNote
New Patient Volume$-20,845-50 NP × $417 avg restorative/exam
Case Acceptance+$76,015Δ 14.1% × $539,114 presented
Same-Day Treatment+$31,268Current $251,151 − prior $219,883
Appointment Leakage+$10,088Prior 10.8% → current 8.9% (improved)
Schedule Utilization$-91,142VPWD Δ -4.82 × 50 days × $378/visit
Other / Unattributed+$28,487Residual: fee schedule, payer mix, seasonality, provider changes
Net Change+$33,871Q1 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 1,467 unscheduled active patients representing $1,110,328 in opportunity.
    Owner: Growth team + Office Manager  •  DI Workflow: Analytics → Unscheduled Active Patients → export → manual outreach assignment  •  Impact: Recovering even 10% of dollar opportunity = $111,033
  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

Operations

  1. NP call conversion coaching + insurance verification workflow — NP call conversion is 54% (benchmark ≥55%). Top reason: see PeerLogic. Build an insurance-check cheat sheet + scheduling script at the front desk.
    Owner: Office Manager + RCM  •  DI Workflow: PeerLogic call transcripts → weekly 1-on-1 coaching  •  Impact: Moving to 55% lifts NP intake proportionally
  2. Missed-call recovery — Missed call rate is 29% (benchmark ≤18%). Every missed call is a potential NP. Options: add overflow line, hire answering service, or cross-train hygiene coordinator to pick up during peaks.
    Owner: Office Manager  •  DI Workflow: PeerLogic missed-call log → daily callback queue  •  Impact: Protects top-of-funnel lead volume

Office Manager

  1. NP follow-up: confirm 2nd hygiene appointment within 24h — Only 23% 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 ≈ 10 additional reappointed NPs per quarter
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.