Engineering blueprint · Hypothetical build

If a 4-chair dental practice hired us tomorrow, here's what we'd build.

An engineering analysis, not a case study. The architecture, the integrations, the measurements we would collect, and the fixed price range we'd quote. No fictional client, no inflated wins, no testimonial we made up.

A note on what this is

Engineering blueprint, not a delivered case study.

This is a proposed workflow for a hypothetical practice. It is not a delivered dental project or a forecast of savings. Integration access, data handling, scope and costs must be established with the practice before implementation. The plan below explains what we would measure to decide whether a build is worthwhile.

Four workflows to measure before proposing a build

A four-chair practice is the example here. Its actual workload, appointment patterns and software access would determine the scope.

Insurance verification

Record the staff time, exception rate and approved access method for each carrier. A human must review uncertain eligibility information.

Appointment reminders

Measure booked appointments, cancellations, reschedules and missed visits over a defined baseline. Separate reminder delivery from actual attendance.

Recall follow-up

Count patients eligible for contact, successful contacts and completed return visits. Use the practice's clinical recall rules.

Review requests

Measure request delivery and voluntary reviews without selecting patients by expected sentiment. Review volume alone does not demonstrate new patient revenue.

Four automations, one integrated stack

A proposed design, subject to approved PMS access and practice review. The final scope must specify supported integrations, human review, patient communication preferences and data handling.

35 to 50 hrs build

1. Insurance Verification Agent

Subject to approved carrier and PMS access, retrieve eligibility information before the appointment and prepare a reviewable summary. Escalate uncertain results to staff. Do not treat a retrieved benefit as a guarantee of payment.

Stack: Playwright, OpenAI for OCR fallback, n8n orchestration, Eaglesoft/Dentrix bridge, Postgres audit log.

25 to 35 hrs build

2. SMS Reminder + Reschedule Sequence

Appointment booked in the PMS triggers a sequence: confirmation at booking, reminder at 48 hours, reminder at 24 hours, day-of confirmation. Patient can reply YES to confirm, or RESCHEDULE to get a Calendly-style picker that respects the chair schedule. Staff reviews exceptions and makes scheduling decisions.

Stack: Twilio, n8n, custom rescheduling API, PMS write-back.

25 to 35 hrs build

3. Recall Call Automation (6-month, 1-year)

Patient hits month 5.5 since last hygiene visit, automation fires a personalized SMS, then a voicemail-drop if no response, then an email with a direct booking link. Patients who don't respond after two weeks roll into a "lapsed" list with a re-engagement offer. Front desk gets a daily digest of who booked.

Stack: Twilio (SMS + ringless voicemail), n8n, booking widget, PMS appointment write-back.

20 to 30 hrs build

4. Review Request Automation

Appointment marked complete, two-hour delay, then a personalized SMS with a direct Google Business review link. Apply the same eligibility rules to all patients regardless of expected rating. Staff can respond to feedback through the appropriate channel; the workflow does not filter out negative experiences.

Stack: Twilio, Google Business Profile API, PMS hook, internal review dashboard.

Build the business case from the practice's own records

We do not have a measured dental-client outcome to publish. Record a baseline, run an agreed pilot and compare equivalent periods before claiming time saved or additional production.

Workflow
Baseline
Pilot measure
Verification
Staff minutes per completed check
Review time plus exception handling
Reminders
Attendance and cancellation rate
Completed visits, with appointment mix noted
Recall
Eligible patients and completed recalls
Additional completed visits, avoiding double counting
Reviews
Requests and voluntary reviews
Delivery, opt-outs and review completion

Value staff time using the practice's actual labor cost. Keep recovered capacity separate from cash savings, and gross production separate from collected revenue. Subtract build, hosting, messaging, software and support costs before estimating payback.

A 2011 systematic review by Hasvold and Wootton found that appointment reminders generally improved attendance in the hospital studies reviewed. It does not establish a particular outcome for this proposed dental workflow.

Fixed price, scoped in writing

$8K to $15K

One-time build · 2 to 4 weeks delivery · You own the code

The range covers scope. A practice on Open Dental with clean API access lands near $8K. A practice on Eaglesoft with five carriers needing portal scraping and a custom rescheduling widget lands near $15K. We tell you the exact number in writing before you commit.

  • All four automations above, integrated with your existing PMS and Twilio
  • Loom walkthrough, written handoff doc, full source code in your repo
  • 30 days of bug-fix support after delivery, no clock
  • Third-party usage, hosting and optional support costs are estimated in the written scope
  • Delivery milestones and acceptance criteria agreed before work begins

Compare the complete implementation and operating cost with your existing software before commissioning a build. No payback period is promised.

First-dental-client offer

We're looking for our
first dental practice partner.

If you run a practice and want the build above, we can discuss a pilot scope and price. Any later case study or testimonial would be optional, based on actual experience and separately approved.

Book a 20-min call