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

Smile Center of Orlando

https://smilecenteroforlando.com/

Production held roughly flat -0.5% YoY ($543,227 → $540,320). During the same window, new patient intake declined by 18 and appointment leakage improved (a bright spot). The practice scorecard shows 8 of 19 metrics passing, with 4 fails concentrated in schedule management and patient acquisition and referral program. 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

8Passing
4Failing
7Data Gaps
67%Pass Rate (of measurable)
CategoryMetricCurrent ValueBenchmarkResult
Patient AcquisitionAvg New Patients / Month (last 90d)27.0≥ 30Fail
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)1,091 vs 1,375Decrease YOYPass
Unscheduled $$ Opportunity (YoY)$767,955 vs $913,646Decrease YOYPass
NP Hygiene Re-Appointment %49.4%≥ 40%Pass
Hygiene Re-Appointment %97.1%≥ 85%Pass
Pre-Appointment %64%≥ 60%Pass
Schedule ManagementAppointments Completed (YoY)2,079 vs 2,198Increase YOYFail
No-Shows %2.9%≤ 5%Pass
Cancellations %8.3%≤ 5%Fail
Online ReputationGoogle Reviews (Total)407≥ 300Pass
Google Reviews (Last 30 Days)N/A — requires Swell/GBP API≥ 10N/A
Google Star Rating4.8≥ 4.5Pass
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 %)89% missing< 20% missingFail

2. Production & Revenue Overview

Production Gross
$540,320
▼ $-2,907 (-0.5%)
New Patients
81
▼ -18 (-18.2%)
Case $ Accepted %
44.3%
▲ +10.8pp (+32.2%)
Visits / Working Day
31.77
▼ -3 (-9.4%)
MetricQ1 2025Q1 2026YoY Δ
Production Gross$543,227$540,320▼ $-2,907 (-0.5%)
Production Scheduled$577,604$528,343▼ $-49,261 (-8.5%)
Annual Patient Value$664$704▲ +$39 (+5.9%)
Visits Per Working Day35.0731.77▼ -3 (-9.4%)

3. New Patient Acquisition & Case Acceptance

MetricQ1 2025Q1 2026YoY Δ
New Patients9981▼ -18 (-18.2%)
New Patients / Working Day1.651.31▼ -0 (-20.6%)
Case Acceptance %73.9%78.8%▲ +4.9pp (+6.6%)
NP Case Acceptance %68.6%67.8%▼ -0.8pp (-1.2%)
Case $ Presented$938,090$723,433▼ $-214,657 (-22.9%)
Case $ Accepted$313,963$320,231▲ +$6,268 (+2.0%)
Case $ Accepted %33.5%44.3%▲ +10.8pp (+32.2%)

4. Same-Day Treatment & Clinical Performance

MetricQ1 2025Q1 2026YoY Δ
Same-Day Hygiene $$15,643$18,476▲ +$2,833 (+18.1%)
Same-Day Restorative $$224,127$219,318▼ $-4,810 (-2.1%)
Case Diagnosed % — Hygiene5.1%4.2%▼ -0.9pp (-17.6%)
Case Diagnosed % — Restorative39.5%34.6%▼ -4.9pp (-12.4%)

5. Patient Volume & Appointment Health

MetricQ1 2025Q1 2026YoY Δ
Active Hygiene Patients2,7812,585▼ -196 (-7.0%)
Unscheduled Active Patients1,3751,091▼ -284 (-20.7%)
Unscheduled $ Opportunity$913,646$767,955▼ $-145,691 (-15.9%)
Appointments Completed2,1982,079▼ -119 (-5.4%)
Cancellations %10.8%8.3%▼ -2.5pp (-23.1%)
No-Shows %3.4%2.9%▼ -0.5pp (-14.7%)
Pre-Appointment %57.0%64.0%▲ +7.0pp (+12.3%)

6. Appointment Confirmation & Patient Recapture

MetricQ1 2025Q1 2026YoY Δ
DI Confirmed %59.0%57.1%▼ -1.9pp (-3.2%)
NP Hygiene Re-Appt %42.4%49.4%▲ +7.0pp (+16.5%)
Hygiene Re-Appt %95.0%97.1%▲ +2.1pp (+2.2%)
Recaptured Patients5766▲ +9 (+15.8%)
Patients Net Growth12-38▼ -50 (-416.7%)

7. Operational Efficiency

Online Scheduling Adoption0.0%
Hygiene→Restorative Handoff Ratio0.51
NP Close Rate (Cases)67.8%
Avg Production / Visit$260
Patient Attrition185 (125.9%)

Call Conversion (PeerLogic Q1 2026)

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

Online Reputation (Google Business Profile)

Rating4.8 ★
Review Count407
Address3710 Aloma Ave, Winter Park, FL 32792, USA
Phone(407) 678-8848
Primary Categorydentist

Data Hygiene & Tracking Gaps

Referral Source Attribution: 89% of new patients (72 of 81) are missing referral source. This exceeds the 20% threshold and blocks reliable marketing ROI attribution. Without this data, we cannot tell which channels are producing new patients.

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.

$543,227 $-8,012 +$78,131 $-1,977 +$16,210 $-42,883 $-44,376 $540,320PriorProdNewPatientVolumeCaseAcceptanceSame-DayTreatmentAppointmentLeakageScheduleUtilizationOther/UnattributedCurrentProd
DriverImpactNote
New Patient Volume$-8,012-18 NP × $445 avg restorative/exam
Case Acceptance+$78,131Δ 10.8% × $723,433 presented
Same-Day Treatment$-1,977Current $237,794 − prior $239,770
Appointment Leakage+$16,210Prior 14.2% → current 11.2% (improved)
Schedule Utilization$-42,883VPWD Δ -3.30 × 50 days × $260/visit
Other / Unattributed$-44,376Residual: fee schedule, payer mix, seasonality, provider changes
Net Change$-2,907Q1 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 1,091 unscheduled active patients representing $767,955 in opportunity.
    Owner: Growth team + Office Manager  •  DI Workflow: Analytics → Unscheduled Active Patients → export → manual outreach assignment  •  Impact: Recovering even 10% of dollar opportunity = $76,795
  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. 48-hour appointment confirmation protocol — Combined cancel + no-show rate is 11.2% (benchmark ≤10%). Use Engagement TouchPoint + manual phone backup + Park Column for unconfirmed slots.
    Owner: Office Manager  •  DI Workflow: Engagement → TouchPoint rules + daily morning-huddle confirmation report  •  Impact: Moving to 8% leakage recovers ~$17,290

Clinical

  1. Standardized treatment plan presentation — Case $ Accepted % is 44.3% (benchmark: 50%+). Moving the needle 5pp on $723,433 presented = $36,172 in accepted treatment.
    Owner: Clinical Director + Doctor  •  DI Workflow: N/A — peer-learning / coaching sprint  •  Impact: $36,172 at 5pp lift

Office Manager

  1. Referral source entry compliance — 89% of new patients are missing referral source attribution. This blocks all marketing ROI analysis — we can't tell what is working. Mandate entry at check-in + daily audit.
    Owner: Office Manager  •  DI Workflow: DI PMS integration check + front desk training  •  Impact: Unblocks marketing spend attribution

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
  2. Strategic context (from Priority List review) — Competitive market, likely needs increased spend to compete. Deferred from last priority review.
    Owner: ROD + Growth  •  DI Workflow: N/A  •  Impact: Alignment on sequencing
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.