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Dr. Corey Ryan
Multiple Locations
$3.75M
in Revenue on $273K Ad Spend
HEAR IT DIRECTLY
Dr. Winterholler on Why TIE Broke. The Pattern of 5 Failed Agencies
Our worst three months in the last five years were the three months before we hired you guys or brought you guys in. And the best four months I’ve had in five years, just with All-in-X, case generation, has been since we brought Implant Engine into play in our practice.
Dr. Will Winterholler
Revenue Generated
$1.02M
Engagement
7 Mo.
Total Ad Spend
$59K
Industry avg: 3-5x
ROAs
17.23x
THE CHALLENGE
6,000 Implants. 5 Failed Agencies. Montana's Top Full-Arch Practice Was Stuck.
His Billings, MT practice is a 10,000 sq ft flagship: onsite dental lab, fully digital workflow (intraoral scanners, CBCT, photogrammetry, 3D printing, milling), 25 team members, a Nobel Biocare All-on- Four Center of Excellence designation, and a beautiful facility that most major metro practices would envy. He started it all 20 years ago with a $600K loan from a banker who believed in him.
By any measure – volume, skill, facility, team culture — this was one of the most capable full-arch practices in the country. But marketing was the weak link. Dr. Winterholler had been through five different agencies. Each one got stale. Each one delivered the same cookie-cutter playbook.
— Dr. Will Winterholler
Then came the tipping point. The three months immediately before bringing TIE on were the worst three-month stretch Dr. Winterholler had experienced in five years of running a serious All-on-X program. A practice that “thrives on” full-arch cases — one he describes as a “hungry hippo for eating up All-on-Four cases” — was starving for good leads.
What really matters is getting good leads. And that’s where the previous marketing companies have lacked.
Before-State Pills:
5 prior marketing companies - all went stale
Cookie-cutter generic campaigns
Leads were low quality
Worst 3 months in 5 years right before TIE
THE SYSTEM WE BUILT
How TIE Turned Montana's Best Full- Arch Practice Into Its Best-Marketed One
Every element was designed to solve the core failure of the previous five agencies: generic leads, cookie-cutter creative, and zero accountability.
TREATMENT SETTERS™
1. Finally - Leads Worth Closing
A practice that has placed 6,000+ implants and holds a Nobel Biocare All-on-Four Center of Excellence designation cannot afford to waste consultation slots on unqualified leads. The previous agencies kept delivering just that. TIE’s Treatment Setters™ changed the equation entirely: dental-trained call center staff, financial pre-screening, and pre-consult vetting that matched the quality bar Dr. Winterholler operates at.
“The lead quality has been awesome.”
– Dr. Will Winterholler
196 CONSULTS BOOKED IN 7 MONTHS
TIE FULL MARKETING
2. Marketing That Actually Listened
Every prior agency had delivered the same playbook with a different logo on it. TIE did the opposite. They listened. They learned what made Winterholler Dentistry different – the digital workflow, the onsite lab, the 6,000-implant track record, the Nobel Biocare distinction – and built campaigns that presented the practice the way the doctor wanted it presented.
“You listen, which is very important. I feel like you have presented our practice in the way that we would want it presented.”
– Dr. Will Winterholler
17.23x VERIFIED ROAS IN 7 MONTHS
TIE FULL MARKETING
3. Regular Check-ins That Actually Matter
One of the things that had frustrated Jason Patch and Dr. Winterholler most about past agencies was the absence of accountability. Nobody checked in. Nobody asked if it was working. Nobody cared enough to course-correct. TlE built regular check-ins into the engagement from day one – constant evaluation, a real feedback loop, and a genuine desire to improve.
“The regular check-ins most people don’t do. And I think that’s crucial and vital.”
– Dr. Will Winterholler
$302 COST PER CONSULT
TREATMENT SETTERS™
4. So Good They Expanded to Helena
The ultimate proof of a system’s value isn’t just the first-location results — it’s what a practice does next. When Billings delivered the best four months Dr. Winterholler had seen in five years, the decision to expand TIE to his newer Helena, MT location was easy. Helena completed a 4-month engagement with TIE — generating $80K in revenue at a 4.79x ROAs on $16,692 in ad spend, booking 59 consults at a ~$283 cost per consult.
“I would say it’s been the best business decision I’ve made in the last year, for sure.”
– Dr. Will Winterholler
$80K Helena Revenue Generated
THE RESULTS
From the Worst 3 Months in 5 Years to the Best 7 Months in 5 Years
$1.02M
on $59K ad spend
REVENUE GENERATED
17.23x
verified ROAs
ROAs
7 Mo.
7-month engagement
ENGAGEMENT LENGTH
Before TIE
3-Month Stretch
Worst 3 months in 5 years of All-on-X
Revenue (Billings, 6 months)
Minimal - starving for cases
ROAs
0 (5 prior agencies all failed)
Lead Quality
Generic, unvetted, low quality
Agency Relationship
5 agencies - all became cookie-cutter
Geographic Expansion
Billings only
After TIE
3-Month Stretch
Best 7 months in 5 years
Revenue (Billings, 7 months)
$1.02M
ROAs
17.23x
Lead Quality
"Lead quality has been awesome"
Agency Relationship
Best business decision of the year
Geographic Expansion
Expanded TIE to Helena location
-
$1,021,100 in full-arch revenue on $59,259 total ad spend — a 17.23x return — over a 7-month engagement. Montana's premier implant center, with a Nobel Biocare All-on-Four Center of Excellence designation, went from its worst 3-month stretch in five years to its best 4-month stretch in five years the moment TIE was brought on board.
Dr. Winterholler notes that the actual numbers are likely higher than reported his team wasn't fully dialed in on logging during the early months of the engagement. What's reported is almost certainly a floor, not a ceiling. 196 consults booked at a ~$302 cost per consult, across a practice where 75–80% of All-on-X cases come through marketing rather than referral.
The system ran on TIE Full Marketing (Meta + Google) paired with Treatment Setters™ call center. The Billings results were strong enough to prompt immediate expansion of TIE to the Helena, MT location — which generated $80K in revenue at a 4.79x ROAs on $16,692 in ad spend, booking 59 consults at a ~$283 cost per consult over 4 months.
It's been the best business decision l've made in the last year, for sure.
Dr. Will Winterholler
Winterholler Dentistry & Implant Surgery – Billings, MT – Implant Center – Nobel Biocare All-on-Four Center of Excellence – 6,000+ implants placed
Dr. Winterholler's Advice for Other Practices
He’s been through five agencies. He knows exactly what hesitation feels like – and
exactly why it costs you.
I would tell them you guys are terrible because I don’t want the competition.
That’s the joke. Here’s the real answer:
You listen, which is very important. I feel like you have presented our practice
in the way that we would want it presented. The regular check-ins most
people don’t do. And I think that’s crucial and vital.
And on the lesson he wishes he’d learned sooner:
I was also a little slow to adopt the marketing, which I know you like to hear
that. I definitely would have done more marketing sooner than I did.
– Dr. Will Winterholler
THE FULL-ARCH GROWTH ENGINE
The System Behind Dr. Winterholler's Results
Every TIE engagement is built from five integrated services. Dr. Winterholler used two of them — and generated $1.02M in revenue over 7 months. Here’s the full engine.
Full-Arch Lead Generation
Meta + Google campaigns custom-built for your market. Authority-positioning creative that attracts serious full-arch patients — even in rural markets.
17.23x
ROAs for Dr. Winterholler
Treatment Setters™ (USED)
Dental-trained call center. Financial pre-screening, credit verification, and $50 deposit before booking.
196
Consults booked in 7 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
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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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Right column: Book image — The Full Arch Growth Formula guide cover
