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- NuSet Dental Implants & Oral Surgery
Dr. Corey Ryan
Multiple Locations
$3.75M
in Revenue on $273K Ad Spend
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Dr. Ross on Growing Full-Arch Cases in Rural Maine
” After 8 months of working with The Implant Engine, I can tell you my only regret is that I didn’t start sooner. “
– Dr. Spencer Ross – Thomaston Family Dentistry – Thomaston, ME— GP Office
Revenue Generated
$787K
Industry avg: 3-5x
ROAs
13.21x
Total Ad Spend
$59.5K
Engagement
15 Mo.
THE CHALLENGE
A rural Maine town most agencies overlooked. Now doing $787K in implant revenue with The Implant Engine
Thomaston, Maine is a small coastal town. Dr. Spencer Ross is 33 years old — six years out of dental school — and he bought a practice there during COVID. His older brother, also a dentist, bought a nearby practice. Both went all-in on rural Maine at exactly the moment most people were leaving.
Spencer didn’t just practice general dentistry. He took the Maxi Course — 300 credit hours of implant training. Only 1% of dentists ever complete it. He placed his first implant as a sophomore in dental school, before most of his classmates had done their first extraction. He was built to do this work. What he needed was a way to get the right patients through the door.
But rural Maine presented a real problem. Would people in a small town even respond to implant advertising? And there was something else: a competitor in the same area had already started advertising with a different company — a full year ahead of Dr. Ross.
Before-State Pills:
Rural Maine market — skeptical advertising would work
Competitor already advertising with a different company
Busy sole GP — limited availability
Had to build the schedule before the cases could scale
THE SYSTEM WE BUILT
How We Built Dr. Ross's Full-Arch Growth System
Every element was designed around the core challenge: prove that rural Maine could produce serious full-arch volume, starting with a doctor who had the clinical skills but needed the pipeline.
TIE Full Marketing
Step 1: Ads That Spoke to Rural Maine
The first creative challenge was the market itself. TIE didn’t try to make Thomaston feel like a big city. Instead, the strategy leaned into it. The first ad was direct: don’t go to the city for your treatment. You can stay in a small town. Dr. Ross gave TIE the context — and TIE turned it into the message.
“The first ad was, don’t go to the city for your treatment. You can stay in a small town… I think you guys have been able to take the information I gave you and made it relevant for our ads.”
— Dr. Spencer Ross
Step Result: 195 — Total consults booked in 15 months
Treatment Setters™
Step 2: Call Center That Freed Up the Front Office
Dr. Ross was running a full general practice with a lean team. Adding a marketing campaign on top of that — with all the incoming calls it generates — would have overwhelmed his front office. TIE’s Treatment Setters™ handled the entire inbound lead flow so his team could stay focused on existing patients.
“Working with their call center allows my front office to operate normally with our everyday patient base, while emails are sent by the Implant Engine whenever the call center team books a new consult.”
— Dr. Spencer Ross
Every time a consult was booked, his team got an email notification. No friction, no dropped balls. The front office ran the practice; Treatment Setters ran the pipeline.
Step Result: 13/mo — Avg. consults per month over 15 months
TIE Full Marketing
Step 3: Consistent Growth — Not a Flash in the Pan
Dr. Ross went from skeptical to a consistent consult cadence that scaled over 15 months. And the months that were “slow” were still performing — the worst month of the engagement still produced a 4x ROAs floor. The engagement ran 15 months and never fell off the rails the way most agency relationships do.
“They have helped significantly boost the amount of full arch cases we do and exceeded any expectations I had for advertising.”
— Dr. Spencer Ross (VOC Callout — verbatim)
What changed wasn’t just the numbers — it was the trajectory. He went from booking 4–5 weeks out to booking 2.5–3 months out. At least one full-arch case per week became the norm.
Step Result 13.21x — Verified ROAs over 15 months
Full Arch Academy™
Step 4: A GP Who Made the Commitment
The system only worked because Dr. Ross did his part. He blocked his schedule — starting with Fridays off to accommodate full-arch cases before integrating them into normal clinic days. He trained his assistants on the digital workflow. He built his team around the process.
He’s 33 years old, has taken 300 credit hours of implant training, and placed his first implant as a dental school sophomore. The clinical infrastructure was already there. TIE gave him the patient pipeline to match it.
“We are now booking 13+ consults a month and I’m sure there could be more if I had the availability as a busy, sole general dentist practice.”
— Dr. Spencer Ross
Step Result: $787K — Revenue in 15 months
THE RESULTS
$787K Collected. 195 Consults Booked. And He's Just Getting Started
$787K
on $59.5K ad spend
REVENUE GENERATED
13.21x
verified ROAs
ROAs
15 Mo.
consistent – still growing
ENGAGEMENT LENGTH
Before TIE
Consult Volume
Organic only — limited flow
Full-Arch Cases / Week
Sporadic
Schedule Booked Out
4–5 weeks
Revenue (14 months)
Minimal implant-specific revenue
ROAs
N/A — no paid advertising
Front Office Load
Would handle all inbound
After TIE
Consult Volume
~13 consults/month avg (195 over 15 months)
Full-Arch Cases / Week
At least 1 per week
Schedule Booked Out
2.5–3 months
Revenue (15 months)
$787K — exceeded prior fullyear total
ROAs
13.21xverified
Front Office Load
Normal operations — TIE call center manages pipeline
- $787,099 in full-arch revenue on $59,583 total ad spend — a 13.21x return. A rural Maine GP office in a small coastal town, outperforming markets three times its size. Dr. Ross put it plainly: the revenue TIE generated over the engagement was more than what the entire practice had done in the prior full year. He went from booking 4–5 weeks out to 2.5–3 months out. The system ran on TIE Full Marketing (Meta + Google) paired with Treatment Setters™ managing all lead intake so his front office could focus on existing patients.
That revenue that we've generated, just by working with you guys - we were only doing a little bit better than that total. So to be able to boost that amount of revenue is, it's huge.
Dr. Spencer Ross
Thomaston Family Dentistry – Thomaston, ME – GP Office – 14-month engagement
Dr. Ross's Advice for Doctors on the Fence
He was skeptical. Rural Maine. A competitor already in market. He almost didn’t start. Here’s what he says now.
“Trust your gut, I can tell you from experience, just go for it. You know, it’s going to work out.”
On the impact beyond revenue — a patient who hadn’t had teeth for two years and was in deep depression:
“After the surgery she started a diet, started working out — looks like a completely different person. That’s kind of the rewarding side of things that goes beyond the revenue.”
And on the account management relationship that made it work:
“My account manager, Colson, has gone above and beyond with availability to answer any questions or make any changes along the way — he’s gone back to me within minutes every single time.”
— Dr. Spencer Ross
THE FULL-ARCH GROWTH ENGINE
The System Behind Dr. Ross's Results
Every TIE engagement is built from five integrated services. Dr. Ross used two of them — and generated $787K in revenue from a rural Maine GP practice. Here’s the full engine
Full-Arch Lead Generation(USED)
Meta + Google campaigns custom-built for your market. Authority- positioning creative that attracts serious full-arch patients.— even in rural markets.
13.21x
ROAs for Dr. Ross
Treatment Setters™(USED)
Dental-trained call center handles all inbound leads so your front office stays focused on existing patients while the pipeline keeps building.
$787K
Revenue in 15 months
Full Arch Academy™
TC sales training to close 35–45% of full-arch consults. Structured process for presenting $50K cases.
35-45%
AVG. CLOSE RATE
Implant Elevate ™
Custom video production featuring your doctors and real patient stories. A year of ad content from two shoot days.
60+
VIDEO CUTS PER SHOOT
Revenue Dashboard
Real-time visibility into ad spend, calls, consults, arches closed, and revenue. No vanity metrics.
Real-time
FULL PIPELINE VISIBILITY
YOUR NEXT STEP
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Free Resource
Download The Full Arch Growth Formula
The same framework that generated $70M in full-arch revenue for our practices — in a free guide.
- The exact 4-system architecture TIE installs in every practice
- How to pre-vet leads for credit, income, and readiness before they hit your schedule
- Why the $50 deposit is the highest-leverage change most practices can make today
- The TC training framework that drives 30–40% close rates from consults
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