Washington, Pennsylvania
General Dentist
Established Family Practice
Partnered: August 16th, 2024
August 16th, 2024 — Washington, Pennsylvania
The conference room of Elizabeth L. Wakim Dental Practice falls silent as our team presents the digital audit findings:
Current Performance Metrics:
- Google Business Profile: 86 reviews (4.2-star average)
- Website conversion rate: 2.4%
- Monthly organic traffic: 1,873 visitors
- Lead contact-to-appointment ratio: 31%
- Average case value: $1,675
- Monthly production: $168,000
Dr. Elizabeth Wakim leans forward. "I've been practicing for seventeen years. We're respected in Washington. But something's not translating online."
Our lead strategist nods. "That's precisely why we're here. What if I told you that by implementing our complete Domination System™, we could turn these numbers around within six months?"
Dr. Wakim smiles. "I'd say prove it."
PHASE ONE: Laying the foundation—reputation reconstruction
Days 1-30
Before touching the website or launching ads, we began with reputation management, the trust foundation that supports EVERYTHING else.
What We Implemented:
➡️ Deployed our proprietary "Patient Satisfaction Intercept" system to catch negative experiences before they became online reviews
➡️ Implemented a targeted review solicitation system for patients who expressed high satisfaction
➡️ Created custom response templates for Dr. Wakim's team to ensure EVERY REVIEW received a HIPAA-compliant, personalized response
➡️ Audited and corrected directory listings across 47 online platforms
30-Day Results:
✅ Google reviews increased from 86 to 174 (100% growth)
✅ Average star rating improved from 4.2 to 4.8
✅ Response rate to reviews: 100%
✅ Directory accuracy improved from 58% to 100%
The First Win:
On day 27, a new patient called to schedule a full-mouth reconstruction consultation. When asked how she found the practice, she mentioned, "I was deciding between three dentists, but when I saw how Dr. Wakim personally responds to every patient review, I knew this was the right place."
Estimated value of that SINGLE CASE: $18,000.
PHASE TWO: Removing friction—automation Implementation
Days 31-60
With trust signals in place, we tackled the practice's booking workflow, which was causing 73% of potential patients to abandon before scheduling.
What We Implemented
Deployed our custom automation platform with:
➡️ Two-way texting integration
➡️ Smart scheduling that synchronized with their practice management software
➡️ Intelligent form reduction (cutting required fields from 16 to 7)
➡️ Automated appointment confirmation and reminder sequence
➡️ Digital treatment plan acceptance
The Technical Challenge:
Dr. Wakim's team was using three disconnected systems (practice management software, email platform, and text reminder service). Our engineers created custom API integrations to unite these systems into one platform.
60-Day Results:
✅ Booking completion rate increased from 27% to 68%
✅ Front desk call volume decreased by 43%
✅ Admin time saved: 31 hours weekly
✅ No-show rate decreased from 12% to 3.4%
The Unexpected Benefit:
"Our front desk team has has become more efficient," reported Dr. Wakim. "One staff member told me she finally feels like she's in patient care rather than data entry."
"I was considering leaving dentistry altogether after 12 years. The administrative burden was crushing my spirit. Now I spend my day actually connecting with patients instead of playing phone tag and filing paperwork. I've fallen in love with dentistry again." — Dental Assistant, Tina Morales
PHASE THREE: Activating the conversion triggers—psychological website
Days 61-90
With the foundational elements in place, we rebuilt Dr. Wakim's website around the 5 psychological triggers.
The Implementation Challenge:
Dr. Wakim's previous website was visually appealing but psychologically flawed. We had to convince her to move away from a design she personally liked to one that would activate the right psychological triggers.
We solved this by creating a split-test demonstration: running 500 visitors through both the old and new designs, then comparing conversion rates. The new psychological design outperformed by 837%.
That was all the convincing she needed.
What We Implemented:
→ Complete website restructuring around the 5 psychological triggers:
→ Trust Signaling (featuring the newly enhanced reviews)
→ Decision Simplification (integrating the new automation system)
→ Value Perception (reframing service descriptions)
→ Urgency Creation (adding scarcity elements where appropriate)
→ Anxiety Reduction (addressing Pennsylvania patients' specific concerns)
90-Day Results:
✅ Website conversion rate increased from 2.4% to 21.3%
✅ Average time on site increased from 1:34 to 3:27
✅ Bounce rate decreased from 67% to 22%
✅ Treatment plan acceptance rate increased from 44% to 71%
The Breakthrough Moment:
"I remember the exact moment I became a believer," Dr. Wakim shared. "I was reviewing our weekly metrics and noticed something: our website traffic had actually decreased, but our new patient appointments had more than doubled.
That's when I understood—this isn't about getting more eyes on the website; it's about converting the visitors we already have."
PHASE FOUR: Reactivation & cultivation—email psychology
Days 91-120
With new patient acquisition improving, we turned our attention to Dr. Wakim's existing patient database.
What We Implemented
We segmented her 7,400+ patient database into behavioral categories based on:
→ Treatment history
→ Insurance status
→ Procedure receptivity
→ Appointment consistency
→ Lifetime value
Deployed five custom email sequences:
➡️ The _"We've Missed You" Sequence (for patients absent 7+ months)
➡️ The "Treatment Completion" Sequence (for patients with unscheduled treatment)
➡️ The "Review Generation" Sequence (for post-appointment follow-up)
➡️ The "Referral Activation" Sequence (for satisfied patients)
➡️ The "Special Announcement" Sequence (for practice updates)
The Implementation Challenge:
Dr. Wakim had previously sent quarterly newsletters with a 14% open rate. She was concerned about "bothering patients" with more frequent emails.
To address this, we showed her response data from other practices and implemented a progressive frequency approach, starting with monthly communications and gradually increasing only for engaged segments.
120-Day Results:
✅ Email open rates increased from 14% to 67%
✅ Patient reactivations: 218 in 30 days
✅ Additional production from email: $127,500
✅ Referrals from email campaigns: 43 new patients
✅ Patient complaints about email frequency: 0
"I was shocked by the responses," Dr. Wakim noted. "Patients were replying with personal notes, asking questions, and scheduling appointments they'd been putting off. One patient wrote, 'I felt like you were speaking directly to me.' That's when I realized that these were conversations"
PHASE FIVE: Strategic acquisition—psychology-based advertising
Days 121-150
With internal systems optimized, we launched targeted advertising campaigns to attract ideal new patients.
What We Implemented:
➡️ Facebook and Instagram campaigns utilizing our "Core Void → Core Emotion → Core Desire" framework
➡️ Google Ads campaigns targeting specific high-value treatment searches
➡️ Custom video production featuring Dr. Wakim addressing specific patient anxieties
➡️ Remarketing campaigns to capture unconverted website visitors
The Strategic Insight:
Washington, Pennsylvania has unique demographic characteristics. Our research identified that unlike urban markets, this community particularly valued:
→ Multi-generational care (seeing the same practice as parents/grandparents)
→ Community involvement and recognition
→ Perception of value rather than luxury positioning
We customized all campaigns to highlight these specific psychological triggers.
150-Day Results:
✅ Facebook ad ROI: 7.2X
✅ Google ads ROI: 5.8X
✅ New patient acquisition cost: $67 (down from $284)
✅ High-value case acquisition: 17 implant cases, 23 full-arch rehabilitations, 41 cosmetic cases
✅ Additional monthly production from advertising: $183,500
The Strategic Shift:
"By month five, we actually had to make a strategic decision," Dr. Wakim explained. "We were approaching maximum capacity. Rather than simply turning down the marketing, we worked with the Dental Web Strategy team to shift our targeting toward higher-value procedures and more ideal patient profiles."
PHASE SIX: Competitive domination—seo dominance & market leadership
Days 151-192
In the final phase, we implemented our long-term SEO strategy to establish Dr. Wakim's practice as the DOMINANT FORCE in her market.
What We Implemented:
➡️ Local search optimization targeting 43 high-value keywords
➡️ Creation of 27 SEO content pieces based on actual patient questions
➡️ Implementation of schema markup for enhanced search visibility
➡️ Optimization for featured snippets in Google search results
➡️ Creation of topic clusters around high-value treatments
The Technical Implementation:
Rather than focusing on traditional keyword density and backlink strategies, we structured content around the actual questions Washington, PA residents were asking online.
187-Day Results:
✅ First-page rankings for 41 of 43 target keywords
✅ Featured snippets captured: 13
✅ "Near me" visibility in local search: 94% (up from 27%)
✅ Organic search traffic increased: 373%
✅ New patients from organic search: 47/month (up from 11)
✅ Additional monthly production from SEO: $68,500
The Market Position:
By day 187, Dr. Wakim's practice appeared in the top three search results for multiple dental search terms in her market. More importantly, they dominated the featured snippets—the coveted "position zero" that appears above all other search results.
THE COMBINED RESULTS: DAY 192
Before the Domination System™:
❌ Monthly Revenue: $168,000
❌ New Patients Per Month: 32
❌ Case Acceptance Rate: 44%
❌ Average Case Value: $1,475
❌ Marketing ROI: 1.2X
❌ Staff Satisfaction: Moderate (3.8/5)
❌ Patient Attrition Rate: 19% annually
After implementing the Domination System™:
✅ Monthly Revenue: $543,500 (223% increase)
✅ New Patients Per Month: 127 (297% increase)
✅ Case Acceptance Rate: 78% (77% increase)
✅ Average Case Value: $4,275 (190% increase)
✅ Marketing ROI: 6.3X (425% increase)
✅ Staff Satisfaction: 4.8/5 (47% increase)
✅ Patient Attrition Rate: 7% (63% decrease)
When asked about the most significant change, Dr. Wakim's answer was surprising:
"The numbers are incredible, of course. We've more than tripled our revenue. But the most meaningful change is in the type of dentistry we're doing and the patients we're attracting.
"Before, we were a volume-based practice, seeing whoever came through the door. Now we're doing the complex, rewarding cases I went to dental school dreaming about. We're changing people's lives.
"Plus, my team is happier. We're more selective about who we work with. The automation means less rushing and more meaningful patient interaction. And patients feel the difference.
"I used to think marketing was about getting more people in the door. Now I understand it's about getting the right people in the door, and creating systems that deliver exceptional experiences once they arrive.
— Dr. Elizabeth L. Wakim, DDS, Washington, Pennsylvania
COULD YOUR PRACTICE BE NEXT?
The story of Elizabeth L. Wakim Dental Practice isn't an anomaly. It's not magic. It's not luck. And it's definitely not about having a "special" practice or location.
It's the result of systematically implementing all elements of The Domination System™ with strategic precision.
And the best part?
We can do the same for YOU. But only if your practice meets these criteria:
✔ You have an average patient value of $1,500+
✔ You're willing to move beyond "traditional" dental marketing
✔ You're ready to implement a psychological approach to patient acquisition
✔ You want to attract QUALITY patients, not just any patients
For practices that qualify, we offer a comprehensive Domination Analysis that shows:
✔ Your current performance across all six phases
✔ Your specific opportunity gaps in each area
✔ A projected timeline for implementation
✔ Expected ROI based on your practice metrics
If that sounds like you, click the button below
P.S. Dr. Wakim's practice continues to grow even after our initial implementation. With quarterly strategy sessions and ongoing optimization, they're projecting $7.2M in annual revenue for 2025, a 329% increase from their starting point.
