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Winterholler Dentistry & Implant Surgery
17.23x
Return on ad spend
- 17.23x ROAS
- 8 months
Dr. Will Winterholler
Billings, Montana • Implant Center
Revenue
$1.02M
Ad Spend
$59K
Consult
196
Months
8
6,000 implants. Five agencies. Still starving for leads.
Dr. Will Winterholler has placed over 6,000 implants. His Billings practice is a 10,000 square foot flagship with an onsite lab, a fully digital workflow, 25 team members and a Nobel Biocare All-on-Four Center of Excellence designation. He started it two decades ago on a $600K loan.
Marketing was the weak link. He had been through five agencies, and each one settled into the same generic playbook. The three months right before he brought TIE on were the worst three-month stretch he had seen in five years. A practice he describes as a hungry hippo for All-on-Four cases had nothing to eat.
“Certain marketing companies became very complacent in how they did it. And it’s very cookie cutter. It’s very generic and just, it’s not effective.”
Three changes. Everything else followed.
Leads that matched his standard
A practice at 6,000 implants cannot spend consult slots on people who were never going to qualify. Treatment Setters ran financial pre-screening before anything hit his schedule.
Creative built from his practice, not a template
The digital workflow, the onsite lab, the Nobel Biocare distinction. We learned what made him different and put that in the ads.
Check-ins nobody else was doing
What frustrated him most was that no prior agency ever asked whether it was working. Regular reviews were built in from day one.
From his worst three months in five years to his best four.
$1.02M
Full-arch revenue
8 mo.
And still climbing
BEFORE TIE
AFTER TIE
Worst 3-month stretch in 5 years
- Best 4-month stretch in 5 years
Five agencies, all went generic
- Creative built around his practice
No accountability, no check-ins
- Regular reviews and course-correction
“Our worst three months in the last five years were the three months before we brought you guys in. And the best four months I’ve had in five years, just with All-on-X case generation, has been since we brought Implant Engine into play.”
Winterholler Dentistry & Implant Surgery
He expanded TIE to his second location in Helena. He calls it the best business decision he made all year.
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