Not a full arch candidate
A patient with four failing teeth is not an arch case. They are frequently a single implant case, or two, or a partial. Same ad, same lead, different treatment plan.
01The guessing game is over
Implant and All-on-X marketing for dental practices. Measured to the seated arch.
We market one treatment category. We build the website and the funnel, run Meta, Google and Local Services Ads, answer the phone when a lead arrives at 9pm, and coach the coordinator who presents the fee.
Then we report on arches actually seated and money actually collected, not form fills. Across 103 offices over six months, that has meant a blended average of $800 per seated arch, against a published benchmark of $1,500 to $3,500.
90 day money back guarantee
Excludes ad spend, which goes to the platforms and not to us.
What it requiresLaunch in
14 days or less
Guarantee
90 days
Monthly contract
None
Full arch per metro
One
Practices we market for
1,000
Mixed specialty
New tool / Practice SWOT
Start the SWOTWhat is actually holding your implant volume back?
Fourteen questions become a SWOT of your practice and the three things we would fix first. This is built from your answers, not from a scan of your site. A real audit of your listings, reviews and site is something we do by hand before a proposal.
14 QUESTIONS / ABOUT 2 MINUTES / NO EMAIL REQUIRED
02The number that matters
Everyone in this category quotes cost per lead. Here is the only number that pays your mortgage.
Cost per lead is the easiest number in marketing to make look good, because whoever reports it also controls what counts as a lead. Widen the definition and the number drops without a single case being placed. Cost per seated arch cannot be gamed that way. A case either started and paid, or it did not.
Cost per seated arch, measured
Cost per seated arch
$800
Offices in the sample
103
Months measured
6
Stated because a number without a denominator is not a result. This is the only cost per case figure in this category published with its sample size and date window attached.
ARCH WORKS, cost per seated arch
$800
103 offices, six months ending August 2026
Blended average across all 103 offices, not a best case.
Published benchmark, competent operation
$1,500 to $3,500
Range, not a measured figure. Midpoint $2,500
Published benchmark, weak intake
$4,000 to $7,000
Range, not a measured figure
$0$7,000
68%
lower cost per seated arch than the published benchmark midpoint of $2,500.
What the number means
Cost per seated arch. Ad spend divided by cases actually started and paid for, matching the Started definition in The Arch Standard. Not cost per lead, not cost per consult, and not cost per treatment plan presented.
Sample: 103 offices, measured over six months ending August 2026
Benchmark ranges are from published industry sources, not from any competitor's marketing claim.
How we define a seated archThe number has a cause, not a miracle behind it. The demographic match removes the discovery spend that normally burns the first 60 to 90 days, because the campaign starts from a matched market profile instead of learning your market on your budget.
That is why cost per lead runs about 35 percent below what comparable campaigns produce. On its own that would only mean cheaper leads, and a cheap lead that never seats is worth nothing. The qualification, the speed to lead routing, and the coordinator handoff protect the rest of the funnel, so the cheaper leads survive to a started case instead of dying later. Cheaper in, and the same or better survival through, is what moves cost per seated arch.
Bring your questions about cost per arch.
We will explain how we measure it, and how your current reporting compares.
Why the number is possible
That number is not luck and it is not better creative. It is what happens when you stop paying to discover what a market wants.
Most agencies start by spending your money to find out what works.
We start by looking it up.
Step 01 of 04
Pull the market
We pull census and demographic data for your actual service radius, not your city. Age distribution, household income, education, and the population characteristics that correlate with tooth loss and with financing approval.
What we build
Every funnel is built on the practice's own brand. None of them look like a template.
Every implant practice gets the same two funnel pattern: one for full arch and one for single implants. Each is built on the practice's own brand, never a dropped in template.
BuiltLiveCRM wired
Family and implant practice, Southeast
- Full arch funnel with the starting price on the page
- Separate single implant funnel with no prices
- Brand colors carried from the existing practice identity
BuiltLive test passedMeta ads live
Implant and full arch practice, Northeast
- Two step application, contact first and qualifier second
- Financing prequalification before the consult is booked
- Conversion event fired on qualified submissions
BuiltAd claim review6 ad pack
Multi doctor implant practice, Midwest
- Warm brand palette carried from the practice's own identity
- Separate consent for transactional and promotional texts
- Attribution carried into the CRM with every record
These are the funnel patterns we build, drawn here rather than screenshotted, because client names stay private. We walk through the live builds on a call.
Two funnels, two jobs
Full arch with the starting price on the page, and a separate single implant funnel with no prices and no full arch talk, so the one tooth patient is not scared off.
Contact first, qualify second
A short contact step before the qualifier, so an abandoned application is still a recoverable lead and the platform conversion event fires on real intent.
Wired into the CRM on day one
Qualification answers, consent captured separately for transactional and promotional, and attribution carried through to the seated case.
Seen enough to want specifics?
Get the version of this page written around your own practice and metro.
How the number is verified
And you can only claim a number like that if you can actually see the case that produced it.
Your ad platform cannot see six months.
Full arch decisions run 6 to 12 months from first click to seated case. The pixel inside your ad account was not built for that, and it quietly stops counting long before your patient says yes.
What the platform pixel sees
- PartThe first click that started it
- A patient who researches for four months before calling
- A patient who clicks on a phone and books on a laptop
- The phone call that actually booked the consult
- The consult that showed but did not close, then closed in month five
- The real collected value of the case, not an estimate
What the tracking layer sees
- The first click that started it
- A patient who researches for four months before calling
- A patient who clicks on a phone and books on a laptop
- The phone call that actually booked the consult
- The consult that showed but did not close, then closed in month five
- The real collected value of the case, not an estimate
Every row the platform misses is an ad you cannot tell is working.
One identity, not one session
The tracking layer holds a single identity per patient, carried across devices, browsers, months, and phone calls. An ad platform cookie does not survive that. It expires long before a full arch patient finishes deciding, so the case arrives with no origin attached and gets credited to nothing. This is exactly where most implementations in this category fail: the platform's own attribution window is far shorter than the sales cycle it is being asked to measure.
The phone call counts
Call tracking with dynamic number insertion keeps the source attached to the call, so the number a patient dials tells us which ad produced the conversation. The majority of dental conversions happen on the phone, which means an untracked call is an unattributed case. A practice that only measures form fills is measuring the smaller half of its own funnel and making budget decisions on it.
The corrected data goes back in
When a case seats, the seated arch and its real collected value are pushed back into Meta and Google as conversion events. Their targeting then optimizes toward the ads that produced arches rather than the ads that produced the cheapest form fills. This is the step that turns tracking from a report you read into a performance gain you can feel, and it is the step almost nobody completes.
See where your cases are leaking. Bring last quarter's leads. We will walk the funnel with you, stage by stage.
Book a consultThe other 97 leads are not garbage.
Three of every hundred leads become an arch. The industry quotes that number to sound rigorous and then never tells you what happened to the rest. Most of them are still dental patients, and a lot of them are still implant cases.
An arch candidate who cannot finance the arch
Financing is the hardest gate in this funnel. A patient declined for the full arch plan is frequently approved for a smaller staged plan, and staged treatment keeps them in the practice rather than sending them out to shop.
An arch candidate who is not ready yet
Full arch decisions run six to twelve months. Some of these people come back. They only come back to you if the tracking layer still knows who they are, which is the argument made above.
The requirement
This is why we ask every office to place implants, not just arches.
If the only treatment a practice will accept from this funnel is a full arch, then every lead that fails one qualification question is written off the moment it is paid for. A practice set up to place single implants, partials, and denture conversions keeps a share of that same lead flow as production instead of discarding it. We do not publish a rate for that share, because we have not measured one.
ARCH WORKS makes this recommendation on every account. It is not a nicety and it is not an upsell. It materially changes the economics of the whole campaign, because the media cost stays the same either way and the production it can produce does not.
The numbers in this industry are not real.
Claim in the category
$4.3 billion in production generated
The problem
No date range. No definition of production. No client list. Nothing to check.
Claim in the category
75 percent case acceptance
The problem
Independent benchmarks for implant case acceptance sit at 28 to 35 percent. A number more than double the benchmark, with no denominator stated, is not a result. It is a headline.
Claim in the category
8 to 10 arches per month
The problem
Printed directly above a no-refund policy. The biggest promise in the category is attached to the least recourse in the category.
Claim in the category
Guaranteed qualified leads
The problem
Reported cost per lead in this niche ranges from 15 dollars to 750 dollars. That is not a performance gap. It is four different definitions of the word lead.
What we do instead
- 01Publish the definitions
- 02Report collected, not planned
- 03Attribute the seated arch
- 04Show the measurement standard
The same goes for the terms you are asked to sign. See how ours compare to the category standard.
One hundred leads. Three arches.
This is the real shape of a full arch funnel. Every agency in this category knows it. Almost none of them will show it to you before you sign.
Leads
100
Start
Contacted
50
50% survive
Qualified
25
50% survive
Scheduled
20
80% survive
Showed
12
60% survive
Qualified at consult
11
90% survive
Started
3
30% survive
Benchmark target rates, not achieved rates. Source: published full arch funnel benchmarks, 2026. At a 60 dollar raw cost per lead this funnel produces an arch for roughly 2,000 dollars.
The leak model
Change the mechanics. Watch the arches move.
Four operational changes, each switched off at the industry baseline and on with us. Two of them make the funnel narrower and the arches cheaper at the same time. That is the part nobody explains.
Industry average first response is 42 hours. Contacting inside five minutes multiplies contact odds roughly ninefold.
Contact rate 50%
Screening earlier removes more leads and removes them before you have paid for a show. Fewer qualified leads, cheaper arches.
Qualified 50%, 10% lost at the chair
A 50 to 100 dollar refundable deposit is the highest ROI single change available. You lose top of funnel volume and buy show rate.
Show rate 60%
Anchoring the monthly payment before the fee is stated is the specific tactic credited with moving close rate from the mid 20s to the high 30s.
Start rate 30%
$60
$25,000
Leads100.0
Start of funnel
Contacted50.0
50% survive
Qualified25.0
50% survive
Scheduled21.3
85% survive
Showed12.8
60% survive
Qualified at consult10.3
81% survive
Started3.1
30% survive
Readout
Arches per 100 leads
3.1
Cost per arch
$1,940
Collected per 100 leads
$77,456
Return on ad spend
12.9x
All switches off. This is the industry baseline.
Want this leak model run on your real funnel?
Bring last quarter's leads and consults. We will find the stage costing you the most cases.
This model uses published industry benchmark rates, not ARCH WORKS client results. The toggle effects are drawn from published research on lead response time, deposit policy, and case acceptance training. It is a model of the mechanics, not a projection of your results.
The leads that leave this funnel are not all worthless. A practice that also places single implants, partials, and denture conversions recovers production from a meaningful share of them. This model counts arches only.
How this model works
Roughly three of every one hundred full arch leads become a seated arch. That is the benchmark outcome of seven stages multiplied together, and it is why cost per lead tells you almost nothing about cost per case.
The seven stages, in prose
Start with 100 leads. Half of them, 50, are ever contacted, because a contact means a two way conversation with a human rather than an outbound attempt. Half of those contacts, 25, qualify: in radius, a clinical candidate for full arch, and past the financial screen. 85 percent of qualified leads get onto the schedule, which is 21.25 booked consultations. 60 percent of booked consultations show, which is 12.75 people physically in the building. 90 percent of the people who show are still qualified once the clinician looks, which is 11.48. 30 percent of those start treatment, which is 3.44 seated arches.
The same seven stages, as a table
| Stage | Benchmark rate | Remaining from 100 leads |
|---|---|---|
| Leads | The starting cohort | 100 |
| Contacted | 50 percent of leads | 50 |
| Qualified | 50 percent of contacted | 25 |
| Scheduled | 85 percent of qualified | 21.25 |
| Showed | 60 percent of scheduled | 12.75 |
| Qualified at consult | 90 percent of showed | 11.48 |
| Started | 30 percent of qualified at consult | 3.44 |
The formula, in words and in notation
Seated arches equal the lead count multiplied by the contact rate, the qualification rate, the scheduling rate, the show rate, the rate still qualified at the consult, and the consult to start rate. Cost per seated arch is total ad spend divided by that final number.
started = leads x 0.50 x 0.50 x 0.85 x 0.60 x 0.90 x 0.30 = 3.44 per 100 leads cost per seated arch = spend / started
The four levers, and what each one changes
- 01Speed to lead under five minutes raises the contact rate from 50 percent to 72 percent, because the industry average first response is 42 hours and contact odds fall steeply with every hour after the first.
- 02Financing prequalification before booking lowers the qualification rate from 50 percent to 42 percent, removes the 10 percent who fail financing at the chair, and raises the start rate by 4 points.
- 03A refundable consult deposit raises the show rate from 60 percent to 78 percent, and it is the single cheapest change on this list because it costs nothing to implement.
- 04A trained treatment coordinator working financing first raises the consult to start rate from 30 percent to 38 percent, by anchoring the monthly payment before the fee is stated.
The counterintuitive point
Financing prequalification produces fewer qualified leads and a lower cost per seated arch at the same time. Both move together because prequalification removes the patients who cannot fund the case before you have paid for a show, a chair, and a coordinator's hour. Any agency judged on qualified lead volume will resist this change, because it makes their headline number worse while making your business better. That is the clearest example in this category of why the metric you choose decides the behaviour you get.
Where these rates come from
Every rate above is a published industry benchmark, not a client result. The model deducts a further 10 percent at the chair when financing has not been prequalified, which is why the default state of the interactive version returns 3.1 seated arches per 100 leads rather than 3.44.
These are benchmarks for the category, so they describe a typical practice rather than yours. Nothing on this page is a projection of your results.
A thousand practices is not a brag. It is the data set.
Say the awkward part first: the network is mixed specialty, and most of it is not full arch. It spans general dentistry, orthodontics, pediatric, and implant practices. If anyone reads the figure as a thousand full arch clients, that reading is wrong, and we would rather correct it here than let it sell for us.
For the demographic match, the mix is the point. Running general, ortho, and pediatric campaigns across a thousand markets builds a picture of how different demographic profiles actually behave: which income bands respond to which offer structure, where provider density crushes cost per lead, which age skews book by phone and which book by form. That is a far wider spread of markets than any implant only shop has ever touched, because implant only work does not exist at that volume anywhere.
Now the honest limit. For full arch specifically, the comparables that matter are the full arch accounts in the network, and that subset is smaller than a thousand. The market level picture generalizes across specialties. The case level economics do not. Nobody in this category admits that, and admitting it is the only thing that makes the rest of the figure worth believing.
Even so, an agency with twelve clients cannot do demographic matching at all, however good its people are. Twelve markets is not a comparable set, so month one is a hypothesis and your budget is the test. We treat the figure as a mechanism rather than a credential, which is why its definition travels with it everywhere it appears on this site, including here.
Practices in network
1,000+
Practices marketed for across our network, spanning general dentistry, orthodontics, pediatric, and implant practices. This is a reach figure. It is not a count of full arch clients and it is not a production claim. We are not going to inflate it into one.
Who we serve.
Practices
Implant Practices
You place arches and you want the chair full. We build the funnel, run the media, and hand your coordinator qualified consults with the financing conversation already started.
Read moreGroups
Multi Location Groups
Your constraint is not leads. It is matching lead flow to surgical capacity across locations. We route demand per site and per surgeon, and attribute production to the location that produced it.
Read moreInstitutes
Training Institutes
Two funnels running at once: doctors enrolling in the course, and live patients to treat during it. Nobody else in this category builds both. We have built this exact system repeatedly.
Read moreYour market may still be open.
One full arch client per metro. A consult is the quickest way to find out where you stand.
Build it, fill it, close it, grow it.
All sixteen services, in detailMost agencies in this category do the middle one and hand you the rest. If $497 a month sounds too low for this, there is a real reason and we will tell you what it is. How we can charge this.
- 01Build itThe assets a full arch case is decided on: the site, the funnel, the identity, the footage.
- 02Fill itEvery surface that puts the practice in front of a candidate, paid and organic, online and offline.
- 03Close itWhat happens after the lead arrives, which is where most of the money in this category is lost.
- 04Grow itGrowth that does not come from patient media: acquiring practices, and other clinicians sending cases.
Four things nobody else in this category will do.
We publish our definitions.
Lead, qualified, booked, showed, presented, started and collected each have a written definition inside The Arch Standard. The definition states what counts, what does not count, and when the event is recorded. That means the numbers on your report can be checked against a published rule rather than believed on trust. If we change a definition, the change is dated and visible, and prior reports keep the definition they were written under.
We attribute the seated arch, not the form fill.
We run dedicated attribution software on your account, an independent tracking layer sitting outside Meta and Google that holds one identity per patient for the whole decision cycle. When a case closes, we push the closed opportunity and its real collected value back into Meta and Google as a conversion event. Delivery then optimizes toward the ad sets that produce arches instead of the ad sets that produce cheap form fills. Most practices cannot do this, because their practice management system does not talk to their CRM. Connecting those two systems is part of the engagement, not an upsell.
See what the platform pixel cannot seeWe measure on the real decision window.
Peak booking lands in weeks four through ten, not week one, and full arch decision cycles commonly run six to twelve months from first contact to seated case. So we do not ask you to sign a term, and we do not pretend a 30 day read is a verdict. We will tell you plainly that judging a full arch campaign on month one is judging it before the first cohort has closed, publish the numbers either way, and let you decide at the end of any month.
One full arch client per metro, published.
Exclusivity covers full arch marketing only. It is not a general territory lock across every kind of dental marketing. In a metro where the full arch slot is held, we will still take general dentistry, orthodontic, and pediatric clients, because those practices do not compete with a full arch practice for the same patient. The wider network we market for is mixed specialty for that reason. Territorial exclusivity is claimed by roughly a third of this category and verified by none of it, so we keep a live market list you can check in about ten seconds instead of taking a promise on a sales call. If a metro is held for full arch, we tell you it is held.
Check whether your market is open.
One full arch client per metro. Exclusivity covers full arch marketing only. It is not a general territory lock across every kind of dental marketing. If yours is held, we will tell you it is held.