Apex places guaranteed, ready to pay cosmetic patients into newly opened London private clinics, then makes sure not one of them rings out unanswered. Composite bonding. Invisalign. Whitening. Implants. No guesswork. No wasted ad spend. Just booked chairs.
Most newly established London practices spend £40k+ on fit out, a flashy website, and Google ads — then sit with 40% chair utilisation because the booking engine never quite works. We are not another marketing agency. We are the booking engine.
At its peak, paid acquisition consumed 57p of every pound the practice earned. Nobody had ever expressed it as a ratio — only as an invoice. Reset to 16% within two quarters, with revenue holding.
Monthly losses narrowed from roughly £18.5k in the first month of trading to under £100 by month nine — not through cost cutting, but by fixing the ratio between what the practice spent to be found and what it earned per chair hour.
A single one off supplier cost, booked in the opening month, accounted for nearly half of nine months of losses. Strip it out and the underlying business was losing a manageable amount — a completely different conversation with the bank.
Eighteen months of complete telephony records, read call by call. 3,935 inbound calls; 1,312 of them rang out. Four in five arrived during opening hours — at eleven in the morning and two in the afternoon, when every chair was full.
The team did call back — 42% within the hour. The problem was the tail. Every missed call was matched against every subsequent outbound call to the same number; 273 callers never received one at all.
"Empty chairs in a fully staffed surgery are the most expensive failure mode in private dentistry."
The Foothold hypothesis · Apex Dental Advisors
Five deposited, attended cosmetic consults a month is the Foothold floor. Set your own case value and conversion rate — then watch what the consult to case slider does to the result. That gap is exactly where our coaching works.
Paid social, Google, and organic pipelines tuned exclusively to high margin cosmetic treatments — bonding, Invisalign, whitening. We don't optimise for clicks. We optimise for deposits.
Chloe, our AI reception layer, answers the overflow and out of hours calls your team physically cannot reach. Every caller is triaged, captured and returned — because the enquiry you never hear about is the one that books somewhere else.
Eight years of enterprise sales discipline applied to your front desk. We script, shadow, and scorecard every consultation so the right patient says yes to the right treatment plan — without pressure, without discounting.
No retainer theatre. No vague monthly reports. A sequenced, transparent process you can watch running in real time — start to finish, week by week.
Every clinic we look at has the same leak, and almost none of them can see it. The enquiry arrives at the busiest hour, the desk is mid checkout, the phone rings out — and a cosmetic caller who reaches voicemail rarely leaves a message. They ring the next practice on the list. Nobody at your clinic ever knows it happened.
Chloe is not a build project. She is a switch you flip, tuned to your practice in a single call, and she is answering while a website enquiry form is still in design. Those figures are not estimates either: they are eighteen months of one practice's complete telephone log, read call by call — 3,935 inbound calls, every missed one matched against every callback that followed. The team did ring people back; 42% within the hour. The damage was in the tail, and in the calls that arrived at eleven in the morning when every chair was full.
Your number, handsets and booking system do not change. Reception always rings first — Chloe only picks up what your team physically cannot reach. Forwarding can be switched off in under two minutes, and calls simply revert to voicemail as they do today. At day thirty you decide on your own measured data: go, adjust, or stop.
Call figures above are drawn from a live Apex engagement with a specialist practice running several surgeries, anonymised with the client's knowledge — practice name, location and telephone number withheld. They describe that practice, not a promise about yours: your own baseline is measured from your phone system before day one, and the day thirty review compares against your real figure, not an industry average.
Every package is anchored to a written booking guarantee. If we miss the floor, the shortfall rolls into next month's target and compounds until it's cleared — the obligation never expires. No asterisks, no lock in beyond 90 days.
We don't just book patients — we protect the name above your door. Every campaign, every creative, every outbound message runs through six hard guardrails. Here's what we refuse to do.
Every ad, email, and social asset reviewed against General Dental Council advertising standards and the ASA/CAP code before it runs. We never make clinical outcome guarantees — only commercial ones.
No creative goes live, no message template hits a patient inbox, without your written approval. Clinician veto is in the contract. You review. You decide. Always.
Zero cold outreach, zero scraped lists, zero unsolicited contact. Every enquiry comes from a real person who raised their hand to your brand, consented to be contacted, and expects your call.
We call it Closed Loop Access: we work inside your systems, on a login you create, scoped to enquiries and the appointment book — never clinical notes. Every action lands in your own audit trail, and you can revoke it in one click without telling us. Nothing is exported, so there is no copy of your list to leak. A written processor agreement under Article 28 lands before any access does.
We never take a competing clinic inside your postcode (or a 1.5-mile radius in the W, SW, EC and WC postcodes). Your campaign does not subsidise a neighbour's chair — and neither does anything we learn about your patients. It is a commercial promise and a data safeguard at once. Written into every tier, even Foothold.
You hold your own Meta and Google ad accounts. We run spend inside them with full transparency — every pound, every click, every deposit visible in real time. No hidden margins on media. No opacity on performance.
Most principals see their P&L once a year, when the accountant sends it. The Intelligence Report turns it into a management tool: where every pound actually goes, which levers genuinely move your margin, and what to do about it — starting Monday. You stop guessing. You start deciding.
Eight years leading commercial strategy inside multinational enterprises, now applied to an industry that has almost never seen it. Private dentistry is full of excellent clinicians running businesses nobody ever taught them to read — where the marketing invoice, the case mix and the chair hour are managed as three separate problems rather than one equation.
The work is deliberately unglamorous: establish what the practice actually earns per chair hour, find the two or three lines that decide the year, rebuild the pipeline that feeds them, and coach the consultation where the money is genuinely won or lost. A financial and restructuring background means the engagement starts with the P&L, not the logo.
On clinical matters, there is a hard line. Apex does not advise on diagnosis, case selection or treatment planning — that judgement belongs to your clinicians, and every campaign, script and price carries a clinician veto in writing.
The answers most principals want before the diagnostic call. If yours isn't here — just ask.
Book a 20-minute diagnostic call. We'll look at your calendar, your case mix, and your current acquisition cost — and tell you honestly whether Apex is the right partner for your clinic.