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Malmquist Oral Surgery
Dr. Michael Malmquist
Portland, OR
$133K
in Revenue on $40K Ad Spend
Revenue Generated
$133K
Industry avg: 3-5x
ROI
3.32x
Total Ad Spend
$40K
Engagement
8 Mo.
HEAR IT DIRECTLY
Dr. Malmquist on Building a Full-Arch Pipeline as an Oral Surgeon
“give you a chance. Honestly, I mean, just said in those numbers right there, I mean, listen to the numbers. I mean, those are just numbers over the last couple of months. I mean, it’s been nothing but significant gain.”
— Dr. Michael Malmquist
Dr. Michael Malmquist — Malmquist Oral Surgery — Portland, OR — Oral Surgery
Dr. Michael Malmquist — Malmquist Oral Surgery — Portland, OR — Oral Surgery
THE CHALLENGE
A board-certified OMS in a crowded market who'd tried implant marketing before — and had nothing to show for it.
Dr. Michael Malmquist is a board-certified Oral and Maxillofacial Surgeon practicing alongside his father, Dr. Jay Malmquist — one of the most recognized pioneers in the history of implant dentistry in Oregon. The clinical reputation was there. The practice was established. What wasn’t working was the pipeline.
Before TIE, Dr. Malmquist had worked with another implant marketing agency. The results never materialized. The team was unresponsive. His staff grew frustrated and stopped believing in the system — which meant the system was never going to gain traction. He walked away with no ROI and a team that had lost confidence in paid marketing entirely.
On top of that, Portland presented its own set of pressures. Implant centers were proliferating. Low-cost competitors were advertising aggressively. As a premium oral surgery practice that doesn’t cut corners on treatment planning, doesn’t rush patients through finance approvals, and doesn’t treat everyone as an all-on-four candidate, Dr. Malmquist needed a marketing partner that understood how to position a boutique specialist — not a commodity.
the one thing I noticed with regards to the previous group I worked with to your group is you definitely have your stuff together. You have an excellent team that is responsive. And so that motivates the staff to know that we’re working with a company that has their back. And that was not the case with the previous.
— Dr. Michael Malmquist
The referral question was also real. As a specialist, referrals had long been the primary patient source for a practice like his. Starting direct-to-consumer advertising meant navigating those relationships carefully — and having a frank conversation with referring partners about how this would work.
I haven’t seen a significant drop in my referrals at all. Only thing I’ve seen is with your company is increasing my overall patient pool and I’m getting a significant increase in new patients
— Dr. Michael Malmquist
Before-State Pills:
Prior agency — no results, unresponsive team
Competitive Portland market with low-cost implant centers
Staff had lost confidence in paid marketing
Specialist referral model — needed to protect those relationships
THE SYSTEM WE BUILT
How We Built Dr. Malmquist's Full-Arch Growth System
Every element was designed around the core challenge: give a board-certified OMS with a strong clinical reputation — but a failed marketing history — a pipeline that actually works and a team that believes in it.
TIE Full Marketing
1: Ads Positioned for a Premium Specialist
The first creative challenge was differentiation. Portland had no shortage of implant marketing — but most of it was commodity pricing and turnstile volume. Dr. Malmquist’s practice is the opposite: boutique, thorough, specialist-led. The campaign creative was built to reflect that. Second-opinion advertising became a core strategy, pulling patients who had already been to lower-cost centers and were looking for a different experience.
The positioning worked because of how Dr. Malmquist actually practices. He spends real time with patients. He gives them questions to bring to other consults. He doesn’t see the doctor until finance approves — that’s not how his practice runs. TIE built ads that attracted patients who could tell the difference.
Step Result: 47 — Total consults booked in 8 months
Implant Elevate™
2: Video Production That Patients Actually Noticed
That feedback loop — patients bringing up the videos unprompted in the chair — is exactly what video production at this level is supposed to do. It builds trust before the patient ever walks in the door.
Dr. Malmquist had done videos with other companies before working with TIE. Nothing had moved the needle. TIE’s production was different — and the results were measurable not in a dashboard but in direct patient conversations.
I have really enjoyed working with Chelsea and her team. They’re fantastic. You guys have been fantastic. I mean, just the videos we did, I’ve done videos with others before and I’ve never gotten the feedback I’ve gotten from your videos. They were the best done videos I’ve ever seen. So I’ll just say that. Hands down. And I can’t tell you how many patients have brought up those videos. Probably 15. Seriously.
— Dr. Michael Malmquist
Step Result: 15+ — Patients who brought up TIE’s videos unprompted
Treatment Setters™
3: A Call Center That Gave the Staff Confidence Back
The prior agency had broken staff confidence in marketing. Every time a lead came in poorly prepped, or didn’t show up, or wasn’t a real candidate, it reinforced the belief that paid advertising didn’t work. Treatment Setters™ changed that narrative.
The call center also provided a secondary validation: some of the patients coming through TIE’s pipeline were patients Dr. Malmquist already received from referrals. They were finding him from two directions. That told him the targeting was right.
“everything you’ve done has just been dialed in from the videos to the online presence to just the quality of patients coming in. Let’s just talk about that. It’s a completely different quality of patients. The way that your call center does the preparation, the pre-work. It’s night and day difference. These are real leads.”
— Dr. Michael Malmquist (VOC Callout — verbatim)
Step Result: ~5.9/mo — Avg. consults per month over 8 months
TIE Full Marketing
4: A System That's Still Building
Eight months in, this engagement is still ramping. The 90-day window that Chelsea reviewed on the podcast showed a trajectory significantly ahead of the all-time average — by month three, the campaign was producing a 7x return on a rolling basis. That kind of acceleration is what a properly built system looks like as it matures.
“I think that the direct to consumer marketing is an absolute must. Having a good strong presence online and SEO and AI — it’s huge. I love asking ChatGPT who’s the top implant person or oral surgeon in town, kind of see where you fall in line on the algorithms. And that all has to do with just — you’ve got to stay busy. If you’re sleeping, someone else is going to be working. Someone else is out there trying to one-up you. And that’s why I would say stick with the marketing, stick with it, stick with it, stick with it, because it will help.”
— Dr. Michael Malmquist
Step Result: $133K — Revenue in 8 months, still accelerating
THE RESULTS
$133K Collected. 47 Consults Booked. And the System Is Still Ramping.
$133K
on $40K ad spend
REVENUE GENERATED
3.32x
positive ROI in year one
ROI
8 Mo
still growing — trajectory accelerating
ENGAGEMENT LENGTH
Before TIE
Marketing Infrastructure
Prior agency — no results, unresponsive
Staff Confidence
Broken — staff did not believe in paid marketing
Lead Quality
Described as poor and unprepared
Patient Pool
Referral-dependent — no direct consumer growth
Video Impact
Prior videos produced no measurable response
Revenue (8 months)
No paid marketing contribution
ROI
N/A — no meaningful paid channel
After TIE
Marketing Infrastructure
Full TIE system — responsive team, real pipeline
Staff Confidence
Restored — team believes in and supports the system
Lead Quality
"Completely different quality of patients — these are real leads"
Patient Pool
Direct consumer pipeline layered on top of referrals
Video Impact
15+ patients brought up TIE videos unprompted in-ch
Revenue (8 months)
$133K — positive ROI in first engagement year
ROI
3.32x verified, accelerating in months 6–8
- $133K in full-arch revenue on $40K total ad spend — a 3.32x return in 8 months. This is an honest number from an engagement that is still in its early growth phase. The more telling signal is the trajectory: by month three the campaign was running at a 7x rolling return, and the 90-day window reviewed live on the podcast showed the system clearly accelerating. For a board-certified OMS who came in with a prior failed agency relationship, rebuilt staff confidence from scratch, and navigated the specialist referral dynamic at the same time — this is a strong oral-surgery start. The system Dr. Malmquist is running — TIE Full Marketing plus Treatment Setters plus Implant Elevate video production — is not yet at cruising altitude. That is what makes this engagement worth watching.
You definitely have your stuff together. You have an excellent team that is responsive. And so that motivates the staff to know that we're working with a company that has their back. And that was not the case with the previous. So there was a lot of frustration from the staff dealing with the company. And so therefore they didn't really believe in it. And so if your staff doesn't believe in it, it's never going to really take of
Dr. Michael Malmquist
Malmquist Oral Surgery — Portland, OR — Oral Surgery — 8-month engagement
Dr. Malmquist's Advice for Doctors on the Fence
He’d worked with another agency. Spent the money. Got nothing. He almost wrote off direct-to-consumer marketing entirely. Here’s what he says now.
“give you a chance. Honestly, I mean, just said in those numbers right there, I mean, listen to the numbers. I mean, those are just numbers over the last couple of months. I mean, it’s been nothing but significant gain. And it’s just helped my staff be more educated. It’s helped me be more educated. It’s helped me learn a lot more with regards to being at the forefront with some of the marketing and digital marketing.
On what happens when you don’t commit to marketing:
“you can go out and take $40,000 and throw it into a 50 mile an hour headwind and it’s gone. You know, got to get some return on your investment. And that’s what we’ve been seeing. But you just can’t get discouraged right away. I say that because I used to in the past — you turn it on, you want to see results right away, you see money going out the door, but where is it coming back — and it will.”
And on what separates a company that moves the needle from one that doesn’t
“I would tell all OMS, don’t be afraid to go to direct to consumer marketing. It’s everybody else, it’s the world we live in. And if you just sit back and rely on the old school model, majority of the dental schools are teaching the dentist to come out and do everything themselves. But I would tell the OMS absolutely, if you’re not getting out there and direct to consumer marketing, then you’re just gonna be falling behind.”
— Dr. Michael Malmquist
THE FULL-ARCH GROWTH ENGINE
The System Behind Dr. Malmquist's Results
Every TIE engagement is built from five integrated services. Dr. Malmquist ran three of them — and generated $133K in full-arch revenue in 8 months from a Portland oral surgery 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.
3.32x
ROI for Dr. Malmquist
Treatment Setters™ (USED)
Dental-trained call center handles all inbound leads — pre-qualifies patients before they reach your schedule, so your team shows up to consults that are already primed.
"Completely different quality of patients"
— Dr. Malmquist
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.
15+
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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