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- NuSet Dental Implants & Oral Surgery
Dr. Corey Ryan
Multiple Locations
$3.75M
in Revenue on $273K Ad Spend
HEAR IT DIRECTLY
Dr. Doshi on Building New York's Largest Full-Arch Practice
“Of all the marketing companies that I’ve worked with, when it comes to the full arch business, I don’t think there is anybody better than you guys.”
— Dr. Nitin Dosh
Revenue Generated
$4.34M
Engagement
16 Mo.
Total Ad Spend
$607K
ROI
7.15x
Industry avg: 3-5x
Consults Booked
1,046
THE CHALLENGE
A multi-location New York practice ready to go all-in on full arch. $4.34M later, it's TIE's biggest result ever.
Dr. Nitin Doshi has been a licensed dentist in New York for 50 years. Before returning to dentistry in 2015 to build National Dental, he built a radiology DSO from one center to 38 centers across three states — with 1,400 employees — and sold it to private equity. He didn’t come back to dentistry to play small.
When Dr. Doshi set out to convert one of his New York locations into a dedicated full-arch specialty center, the practice was running as a general dentistry office. He had capable clinical staff and a seasoned restorative team. What he needed was a system that could generate, screen, and book high-intent full-arch patients at volume — without requiring his front office to manage a new flood of inbound calls on top of their existing workload.
He had worked with implant marketing companies before — several of them, over many years. Every engagement left him with the same frustration: cookie-cutter campaigns, diminishing customization, and no real relationship behind the account. He needed something different.
Of all the marketing companies that I’ve worked with, when it comes to the full arch business, I don’t think there is anybody better than you guys. You understand this business really well
— Dr. Nitin Doshi
The clinical infrastructure was already in place. Dr. Doshi had the team, the space, and the ambition to build New York’s most productive full-arch specialty center. He just needed a partner who understood the business deeply enough to build the pipeline to match it.
Before-State Pills:
Multiple prior implant marketing companies — all cookie-cutter results
Practice converting from general dentistry — full-arch volume still unproven at this location
Front office not equipped to handle full-arch inbound at scale
New York market — high volume, high cost, demanding patients
THE SYSTEM WE BUILT
How We Built Dr. Doshi's Full-Arch Growth System
Every element was designed around the core challenge: replace a scattered multi-vendor approach with a single integrated system — ads, call center, lead screening, and account management — built specifically for full-arch production in New York
TIE Full Marketing
1: Ads Built for a High-Stakes New York Market
New York is one of the most competitive dental markets in the country. TIE built Meta and Google campaigns custom-designed for Dr. Doshi’s patient population — attracting people who were actually missing teeth, had the intent to proceed, and were pre-qualified before they ever reached the front desk. As the engagement grew, the budget scaled with the results — starting at $25K per month and building to $50K — with TIE proactively pushing creative refreshes to prevent ad fatigue.
The campaigns ran without the one-size-fits-all approach Dr. Doshi had experienced at every prior agency. TIE’s team customized the creative, monitored performance weekly, and adjusted in real time — turning what had been a frustrating, transactional vendor relationship into a live operating system.
“I think you are very proactively saying to me that, hey, if you don’t change the content, the Facebook media, the meta campaign, and all that does not work. People get bored of looking at the same ads.”
— Dr. Nitin Doshi
Step Result: 1,046 — Total consults booked in 16 months
Treatment Setters™
2: Treatment Setters™ Handling Every Inbound Lead
Dr. Doshi’s front office was not built to handle the volume of inbound calls a full-arch campaign at this scale generates. Rather than strain his existing team, TIE’s Treatment Setters™ took over all inbound lead management — screening patients, collecting history, verifying credit, documenting notes, and booking consults with a deposit collected before the appointment.
At one point, Dr. Doshi tried pulling the call center back in-house to reduce costs. It lasted two weeks.
He returned full inbound management to TIE’s Treatment Setters™ and never looked back. The call center didn’t just book appointments — it built the lead quality infrastructure that made every consult a serious one.
“Very frankly, I took it away because I thought it was a little expensive and I had a call center and I thought my staff would be able to handle the calls. And in a couple of weeks, I realized that they did not have the skill set that your team had.”
— Dr. Nitin Doshi
Step Result: ~65.4/mo — Avg. consults per month over 16 months
3: The $50 Deposit That Changed Show Quality
One of the structural differences between TIE and every prior agency Dr. Doshi had worked with was the $50 deposit. No other company he had partnered with had implemented a deposit requirement at the booking stage. TIE did — and it changed the quality of every consult that came through the door.
The deposit served two functions: it filtered out low-intent leads before they reached the schedule, and it demonstrated patient commitment to the process. For a practice seeing 65+ consults per month, tightening show quality at that scale had a compounding effect on conversion and revenue.
With our program where you are taking the $50 deposit, the show rate has improved dramatically because of that. We never did that before. So there was no question that asking for that $50 deposit — only your company has done that. Nobody else had done that before for me
— Dr. Nitin Doshi
Step Result: 78% — TIE average show rate (industry: below 50%)
TIE Full Marketing
4: A Weekly Relationship — Not a Monthly Report
Dr. Doshi had worked with implant marketing companies that sent a report once a month and called it account management. TIE operates differently. Weekly calls, 45 minutes to an hour, with both teams on the line — Dr. Doshi’s staff and TIE’s team — reviewing performance, surfacing challenges, and implementing changes in real time.
The result of a weekly operating cadence with a senior account contact is that problems don’t compound. Challenges get addressed in days, not quarters. Over 16 months, that responsiveness compounded into $4.34M in full-arch revenue
“Probably that is the biggest reason we are still here and we are talking and doing that — because you’ve been very responsive. It’s marketing, it’s nuances, but it’s how you react to what our challenges are, and trying to work around it, is what really has made the difference in our relationship with you guys.”
— Dr. Nitin Doshi
Step Result: $4.34M — Revenue in 16 months
THE RESULTS
$4.34M Collected. 1,046 Consults Booked. TIE's Largest Result to Date.
$4.34M
on $59K ad spend
REVENUE GENERATED
7.15x
verified ROI
ROI
1,046
over 16 months
Consults Booked
6 Mo.
6-month engagement
ENGAGEMENT LENGTH
Before TIE
Consult Volume
Organic only — limited full-arch flow
Practice Model
Multi-service general dentistry
Lead Quality
Unscreened — front office managing all calls
Show Rate
Variable — no deposit system in place
Account Management
Cookie-cutter monthly reports — no real relationship
Revenue (16 months)
General dentistry baseline
ROI
N/A — prior agencies, inconsistent performance
After TIE
Consult Volume
~65.4 consults/month avg (1,046 over 16 months)
Practice Model
Converted to full-arch specialty center
Lead Quality
Pre-screened, credit-verified, deposit-collected before consult
Show Rate
Improved dramatically with $50 deposit at booking
Account Management
Weekly 45–60 min calls — both full teams, live adjustmen
Revenue (16 months)
$4.34M in full-arch revenue — TIE's largest client resul
ROI
7.15x verified — on $607K total ad spend
- $4.34M in full-arch revenue on $607K total ad spend — a 7.15x return. 1,046 consults booked over 16 months. This is TIE's largest single-practice result to date — built on a converted full-arch specialty center in one of the most competitive dental markets in the country. Dr. Doshi's team ran the system TIE built: ads custom-designed for the New York market, Treatment Setters™ handling all inbound lead management, the $50 deposit requirement improving show quality at every consult, and a weekly account relationship that allowed real-time course-correction throughout the engagement. The practice converted from a multi-service general dentistry model to a dedicated full-arch specialty center — and never looked back
You're really the only one who actually says, I can market for you, I can screen for you, and I can book the patient for you, and ask them for a deposit also. I don't think there's anybody else who really does that other than you guys.
Dr. Nitin Doshi
National Dental — New York — Implant Center / Multi-Location — 16-month engagement
Dr. Doshi's Advice for Doctors on the Fence
He had worked with multiple implant marketing companies before TIE. Every one of them left him with a cookie-cutter result and a fading relationship. Here’s what he says now.
Of all the marketing companies that I’ve worked with, when it comes to the full arch business, I don’t think there is anybody better than you guys. You understand this business really well.
On the quality of leads TIE delivers — and why no one else comes close:
You actually have the advantage that not too many other companies do — when you are offering them a patient that can be booked, who’s been screened, have really nice notes about the history of the patient, their credit scores, been to another dentist or not, what the challenges are, what are they looking for.
And on what made the relationship last:
Probably that is the biggest reason we are still here and we are talking and doing that — because you’ve been very responsive. It’s marketing, it’s nuances, but it’s how you react to what our challenges are, and trying to work around it, is what really has made the difference in our relationship with you guys.
— Dr. Nitin Doshi
THE FULL-ARCH GROWTH ENGINE
The System Behind Dr. Doshi's Results
Every TIE engagement is built from five integrated services. Dr. Doshi used two of them — and produced $4.34M in full-arch revenue from a converted New York specialty center in 16 months. 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.
7.15x
ROI for Dr. Doshi
Treatment Setters™ (USED)
Dental-trained call center. Financial pre-screening, credit verification, and $50 deposit before booking.
1,046
Consults Booked in 16 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
