Why do full arch leads not convert?

Out of 100 full arch leads, roughly 3 become a seated arch, and half are lost before anybody ever speaks to them.

Cases are lost in six places: never contacted, disqualified, no show, lost at the consult, financing declined, and not ready yet.

Only two of those six are a sales problem, which is why training a presenter rarely fixes a funnel on its own.

Last updated 2026-09-16

The detail

The stack below starts at 100 leads and applies published benchmark rates at each stage. Reading it largest first matters, because the biggest loss happens before the conversation the practice is usually trying to improve.

  • Never contacted, 50 of 100

    Benchmark contact rates in full arch sit near 50 percent, so half the leads are never reached at all. This is a staffing and speed problem rather than a lead quality problem. Contact odds fall steeply with every hour after the first, and the industry average first response is measured in tens of hours.

  • Disqualified, 25 of the 50 contacted

    Half of the people reached are outside the service radius, not clinical candidates for full arch, or unable to fund treatment at any structure. This loss is not waste if it happens early. It is waste when it happens after the practice has paid for a consultation slot.

  • Never booked, 3.75 of the 25 qualified

    About 85 percent of qualified leads get onto the schedule. The remainder are qualified people who wanted to think about it and were never scheduled, which is the smallest loss in the stack and the easiest one to reduce with a follow up sequence.

  • No show, 8.5 of the 21.25 booked

    Roughly 60 percent of booked full arch consultations show. A refundable deposit of 50 to 100 dollars is the single cheapest change available here, because it costs nothing to implement and it trades top of funnel volume for people who actually arrive.

  • Disqualified at the chair, 1.27 of the 12.75 who showed

    About 10 percent of patients who show are no longer qualified once the clinician examines them. This is unavoidable clinically, but it is avoidable financially, because prequalifying financing before booking removes the patients who could never have funded the case before a consultation slot is spent on them.

  • Lost at the consult, 8.04 of the 11.48 presented

    At a 30 percent consult to start rate, roughly 8 of every 11 people who sit through a presentation do not start. Some are financing declines and some are simply not ready yet. This is the one stage where a trained treatment coordinator working financing first changes the outcome, and it moves start rates from the mid 20s into the high 30s.

The stack, applied to 100 leads at published benchmark rates.

The stack, applied to 100 leads at published benchmark rates.
StageBenchmark rateRemainingLost here
LeadsThe starting cohort1000
Contacted50 percent5050
Qualified50 percent of contacted2525
Booked85 percent of qualified21.253.75
Showed60 percent of booked12.758.5
Presented90 percent of showed11.481.27
Started30 percent of presented3.448.04

The part that matters most

The counterintuitive part is worth stating plainly. Prequalifying financing before booking produces fewer qualified leads and a lower cost per seated arch at the same time, because it removes the people who cannot fund a case before the practice has paid for them to show up.

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