Dr. Corey Ryan
Multiple Locations

$3.75M

in Revenue on $273K Ad Spend

HEAR IT DIRECTLY

Dr. Sanjabi on Competing Solo in One of the Toughest Implant Markets in the Country

I think consistency has been one of the major part of it. You guys have been consistent in delivering what I expect and what I wanted out of this relationship.” — Dr. Amir Sanjabi — Amir Sanjabi Dental — Downey, CA

Dr. Amir Sanjabi — Amir Sanjabi Dental — Downey, CA — GP / Implant

Revenue Generated

$515K

Industry avg: 3-5x

ROAs

10.55x

Total Ad Spend

$59K

Engagement

8 Mo.

THE CHALLENGE

A lean solo GP in a DSO-saturated market. Now doing $515K in full-arch revenue with The Implant Engine.

Downey, California is not a small town. It is a densely competitive market — DSOs and corporate implant centers within a stone’s throw of nearly every independent practice. Dr. Amir Sanjabi runs a small, lean private practice there, with two part-time hygienists and a deliberately streamlined staff. He trained in Sweden, has placed over 7,000 implants, and has been in practice for 14+ years. He is not a newcomer. He is someone who had already done the work.

But patient acquisition had been the persistent challenge. Getting patients in the door — especially full-arch patients who could convert at the case values that justified his clinical expertise — had required working with multiple marketing agencies over the years. None of them delivered what he needed. The leads were unvetted. The communication broke down. Problems surfaced and went unaddressed.

Getting everything to match up, that’s been the hardest part of it. Everything else has been, I mean, even that part has been fun in terms of like learning process, because I mean, we’ve been doing it for a while, so we’ve been with many agencies before

— Dr. Amir Sanjabi

He knew what a good partnership was supposed to look like — because he had been looking for one for years. He wanted a company that communicated, followed through, and treated him like more than a number in a client roster. He had not found that yet.

You want to have an agency that is going to be there for you. First of all, it’s very important that you have a good communication. That’s number one. Communication is number one. And then the factor that if you do communicate some problems that it gets dealt with and not put on hold — because you’re just a number in that cogwheel that they have.

— Dr. Amir Sanjabi

Before-State Pills:

Competitive Downey, CA market — DSOs and corporate chains on every corner

Patient inflow unreliable — unvetted leads, low conversion

Worked with multiple agencies before TIE — results fell short each time

Lean solo operation — no bandwidth to absorb wasted effort

THE SYSTEM WE BUILT

How We Built Dr. Sanjabi's Full-Arch Growth System

Every element was designed around the core challenge: cut through a saturated competitive market, deliver qualified full-arch patients to a solo provider who had the clinical skill to close them, and build a support structure that could actually sustain the partnership.

TIE Full Marketing

Step 1: Ads Built for a Competitive Market

Downey is one of the most competitive implant markets in the country. Meta and Google campaigns for this market had to be sharper, the creative had to work harder, and the targeting had to be precise enough to surface serious buyers rather than price shoppers. TIE’s paid ad strategy was calibrated for that environment from day one

“I understand that, for example, me in my market, I need to spend more on ad spend and I listen to you guys because I can’t just go off of some of my friends that are in Nebraska or other states and say like, well, he’s doing great because he’s only spending this much.”

— Dr. Amir Sanjabi

Step Result: 92 — Total consults booked in 8 months

Treatment Setters™

Step 2: A Call Center That Delivered Quality, Not Just Volume

Dr. Sanjabi had used call centers before — with prior agencies. The difference with TIE’s Treatment Setters™ was not the volume of calls handled. It was how the callers engaged with patients. Trained specifically for the full-arch lead conversation, the call center pre-qualified patients and set them up with accurate expectations before they ever walked through his door.

I’ve tried call centers with other companies, but I think the way that you have trained the call center makes a big difference because they’re in tuned of how to approach these potential leads that can become potential patients of yours in a very efficient and good way. There’s no hidden agendas. The patients actually come in now, they’re quality leads versus previously. You might get more leads that come into your office, but it was pretty much a waste of time because they weren’t vetted and they had not been given the right kind of information

— Dr. Amir Sanjabi

After-hours coverage sealed the loop. His practice closes at five or six. Full-arch patients shop at night, on weekends, whenever they finally get the time to make the call. Treatment Setters™ were there when his team was not

Step Result: ~12/mo — Avg. consults per month over 8 months

Dental SEO

Step 3: SEO Integration and a Bot Attack Blocked

TIE’s SEO team identified a threat Dr. Sanjabi had not known existed. His website traffic was being flooded by clicks from foreign sources — what appeared to be a coordinated effort by larger competitors to suppress his site’s Google ranking by driving up bounce rates from low-quality traffic. Eighty to ninety percent of his site traffic was coming from outside the country. TIE’s SEO team caught it, blocked it, and rebuilt the site’s organic standing.

“He analyzed my website and one thing that he caught on was that there had been some outside sources — bigger DSOs, et cetera — that see if smaller practices are successful in their field and they try to target in order to kind of decline your efficiency in acquiring leads. The way that he figured that out and he blocked that part and changed that around — that’s had a tremendous impact on our practice.”

— Dr. Amir Sanjabi (VOC Callout — verbatim)

Step Result: Organic traffic restored — bot suppression threat neutralized

TIE Full Marketing

Step 4: Everything Under One Roof

What Dr. Sanjabi had been missing with prior agencies was cohesion. Paid ads, SEO, call center, content production, account management — fragmented across different vendors, these functions underperform. Under TIE, they ran together. An account manager coordinating in real time. Problems that actually got resolved. A video production partnership in the works to keep ad creative fresh for the year ahead

“One thing that’s stood out with you guys is that you also do provide everything on the one roof. It’s like feeling that you’re in your family in a sense. The account manager that you have for us, it’s also of very importance in sense of like measuring the data and being there for us so that we can communicate. We communicate constantly over text messages, emails and so on. And whenever we do have a problem where we see like, okay, here’s a problem, we need to get it fixed. It actually gets dealt with.”

— Dr. Amir Sanjabi

Step Result: $515K — Revenue Generated in 8 months

THE RESULTS

$515K Collected. 92 Consults Booked. In One of the Most Competitive Markets in the Country

$515K

on $59K ad spend

REVENUE GENERATED

10.55x

verified ROAs

ROAs

8 Mo.

consistent – still growing

ENGAGEMENT LENGTH

Before TIE

Consult Volume

Multiple agencies — unvetted leads, low conversion

Lead Quality

High volume, low readiness — patients not properly pre-qualified

After-Hours Coverage

No one available — leads lost outside business hours

Organic Traffic

Suppressed by bot traffic — 80–90% foreign click-flooding

Revenue (10 months)

Fragmented — no coordinated pipeline

ROAs

N/A — prior agencies did not produce accountable returns

After TIE

Consult Volume

~12 consults/month avg (92 over 8 months)

Lead Quality

Vetted, credit- and income-informed patients arriving ready

After-Hours Coverage

Treatment Setters™ capturing leads nights and weekends

Organic Traffic

Threat identified, blocked, and reversed by TIE SEO

Revenue (8 months)

$515K from integrated ads, call center, and SEO

ROAs

10.55x verified

$515K in full-arch revenue on $59K total ad spend — a 10.55x return — from a lean solo GP practice in Downey, California, surrounded by DSOs and corporate implant chains competing for the same patients. The result is built on three integrated systems running in parallel: Meta and Google campaigns built for a high-competition market, Treatment Setters™ converting leads around the clock, and TIE SEO restoring organic visibility after a coordinated bot-traffic attack from larger competitors had been quietly suppressing the site. 92 consults booked in 8 months. The pipeline keeps building.

I think consistency has been one of the major part of it. You guys have been consistent in delivering what I expect and what I wanted out of this relationship. You've been able to give me further growth and come with suggestions which has led to further growth of my practice and my business.

Dr. Amir Sanjabi

Amir Sanjabi Dental — Downey, CA — GP / Implant — 8-month engagement

Dr. Sanjabi's Advice for Doctors on the Fence

He had been through multiple marketing agencies. He knew what disappointment looked like. Here is what he says now.

“It’s very important to find somebody that you trust and you can communicate with.”

On the mindset shift required to let the system work

“The important factor of like hiring help is to actually be able to trust their judgment and be able to go along with the recommendations. I know it’s hard. A lot of the times we’re talking about, well, there’s X amount of money that we have to like now push out for this, but you have to see the whole big picture and not think narrow minded. If you think of the big picture, the long term outcome of it, the ROAs on it is definitely going to pay out.”

On what sets a good partner apart:

“You have to listen to the professionals that have the solution for your problem. Every market is different. And so you have to listen to the professionals that have the solution for your problem.”

— Dr. Amir Sanjabi

THE FULL-ARCH GROWTH ENGINE

The System Behind Dr. Sanjabi's Results

Every TIE engagement is built from five integrated services. Dr. Sanjabi used three of them — and generated $551K in revenue from a solo GP in one of the most competitive implant markets in the country. Here’s the full engin

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.

10.55x

ROAs for Dr. Sanjabi

Treatment Setters™(USED)

Dental-trained call center handles all inbound leads — qualifying patients before they arrive and covering nights and weekends when your front office is closed.

Revenue in 8 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

Dental SEO (USED)

Organic search strategy built for competitive local markets. Identifies technical threats, rebuilds site authority, and layers SEO performance under your paid campaigns.

Bot attack blocked

organic traffic restored

YOUR NEXT STEP

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We work with only one practice per market. You just saw what a fully built system does for a practice like yours. Check if your area is still available.

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Free Resource

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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
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Why the $50 deposit is the highest-leverage change most practices can make today
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CASE STUDIES

Before TIE: 5 prior marketing companies — all went stale. Cookie-cutter, generic campaigns. Worst 3 months in 5 years right before TIE. 6,000+ implants placed but marketing was the weak link.