Smile Dental Group: AI Infrastructure Success Story
Smile Dental Group, a multi-location dental practice with 5 offices and $4.2M annual revenue, was losing $112K annually from 35% of calls going unanswered. After implementing Voice AI, they captured 100% of inbound calls, increased appointment bookings by 300%, and achieved 400% ROI within 90 days.
Agxntsix Team
Updated on Dec 2025
Overview
Smile Dental Group, a multi-location dental practice with 5 offices and $4.2M annual revenue, was losing $112K annually from 35% of calls going unanswered. After implementing Voice AI, they captured 100% of inbound calls, increased appointment bookings by 300%, and achieved 400% ROI within 90 days.
The Challenge
With high patient volume across 5 locations and limited front desk staff, Smile Dental Group struggled to answer every call—especially during peak hours, lunch breaks, and after-hours—resulting in massive patient leakage to competitors.
- 35% of incoming calls went unanswered (over 200 missed calls/week)
- $112,000 annual revenue loss from patients booking elsewhere
- Front desk overwhelmed juggling walk-ins, check-ins, and phone calls simultaneously
- No after-hours availability (40% of patients prefer evening/weekend scheduling)
- Long hold times averaging 4+ minutes causing patient frustration and hang-ups
- 87% of patients choose practices that answer immediately—competitors were winning
The Solution
Agxntsix deployed a HIPAA-compliant Voice AI system that answers every call instantly, schedules appointments directly into their practice management software, and handles insurance verification questions 24/7.
Key Features
- AI receptionist answering 100% of calls 24/7/365 in under 1 second
- Direct integration with Dentrix/Eaglesoft practice management software
- Bilingual support (English/Spanish) with natural conversational tone
- Automated appointment scheduling, rescheduling, and confirmation
- Insurance pre-verification and benefits explanation
- Smart escalation to human staff for complex clinical questions
Implementation
The Voice AI system was deployed across all 5 locations in 14 days with zero disruption to patient care. Staff received 1 day of training on the AI dashboard. The system was trained on 2 years of call recordings and Smile Dental's specific scheduling protocols.
The Results
Within 60 days of deployment, Smile Dental Group transformed their patient acquisition and staff productivity:
| Metric | Before | After |
|---|---|---|
| Appointment Bookings | 120/week | 480/week (+300%) |
| Call Answer Rate | 65% answered | 100% answered (+54%) |
| After-Hours Bookings | $0/month | $18K/month (new revenue) |
| Front Desk Hours Saved | 0 hours | 35 hours/week |
| Average Hold Time | 4+ minutes | 0 seconds (instant) |
| Patient Satisfaction Score | 72% | 94% (+31%) |
Additional Outcomes
- $112K in recovered annual revenue from previously missed calls
- Full ROI achieved in 67 days (400% ROI at 12 months)
- Front desk staff freed to focus on in-office patient experience
- New patient acquisition up 45% due to instant response
- Reduced no-show rate by 28% through automated confirmations
We were skeptical at first—patients want to talk to a real person, right? But the AI sounds so natural that 90% of callers don't even realize it's not human. Our bookings tripled in 60 days, and my front desk team finally has time to actually care for the patients in front of them. This is the best investment we've made since opening our second location.
— Dr. Sarah Mitchell, Owner, Smile Dental Group
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