Case study · Dental
How a Portland family practice filled Monday morning chairs in the first 90 days
First 90 days: 14 emergency procedures booked before Monday opens, a 9-second median first reply, on the $850 setup · $275/mo Operate tier.
Replies within one business day. No deck, no discovery call tax.
Engagement
Family dental practice · Portland, ME
The same playbook we ship for dental in any town — the outcome-priced engagement, the wiring list, the price per recovered booking, and the 30-day review clause.
- Engagement: $850 setup · $275/mo Operate
- Outcome-priced against recovered bookings
- 30-day review, in writing
- See the pricing bands
Before
What after-hours used to look like
The dental engagement started from the same baseline — a missed-call problem that compounds after 6 p.m.
- ✕A Saturday-night swelling / abscess / crown-off call lands on voicemail — the patient dials the practice down the street that picks up first.
- ✕A sixty-second triage gap after the emergency inquiry means the front desk opens Monday to a queue that already routed itself to a competitor.
- ✕Empty chairs: no recall call goes out because no one was on shift to make it, and the hygiene slot sits unfilled all week.
- ✕Unanswered texts — the Sunday SMS inquiry goes silent because nobody is logged into the practice line, and the patient moves on.
- ✕Operatories sit empty Mon–Tue while emergency patients who would have booked are already across town with the practice that answered first.
After
The AI workflow Plumbline installed
Three connected steps, one onboarding — wired into the dental integration stack the business already pays for.
- 01
Chat triage
A 9 p.m. swelling / abscess / crown-off call lands. The AI greets with TCPA consent and AI-voice disclosure in the first utterance, captures the patient and the complaint, and stays on the line long enough to qualify intent before the patient hangs up.
TCPA-clean handover - 02
Appointment setter
The qualified lead routes into the appointment setter — it offers the soonest slot your practice management / scheduling system can absorb, confirms by SMS, and writes the chair card with the procedure code attached.
PMS-native - 03
Lead qualifier
Branches emergency vs. hygiene vs. elective, captures insurance status (PPO / HMO / no-insurance / cash-pay), and routes by urgency: emergencies into today's cancellations list, hygiene and elective into next-business-day slots.
60-second response
Outcome
What the first 90 days look like
The numbers the Operate-tier engagement is sized against — each one tied to a writable artefact in the dental integration stack.
Emergency procedures booked before Monday opens
14
across the first 90 days, vs. ~3 baseline
Median first-response time
9 seconds
down from ~4 hours on after-hours inquiries
Maintenance tier
$275 / month
Operate tier, sized to a single-location family practice
Start the conversation
Want this on your practice's chair board next quarter?
Send the PMS you're on, the dispatch hours your front desk covers, and how many after-hours inquiries your team saw last month. We come back with a one-page quote — the workflow, the wiring list, the price per booked emergency slot, and the 30-day review clause. Reply within one business day. The audit is free.