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Orthodontic Practice
April 2026

Fishbein Orthodontics Boosts Monthly Production by $125,000

The orthodontic industry is becoming more competitive every year. Patients are more distracted and less patient than ever, which is why Fishbein Orthodontics places a special emphasis on an extraordinary patient experience and exceptional clinical care. The practice has been recognized as one of the fastest-growing in the world and has scaled from seven team members to over 100 across eight locations spanning northwest Florida. Dr. Ben Fishbein and Amanda Floyd, along with the entire team, host the renowned Fishbein Fundamentals in-office courses to teach the systems behind their patient care and scalable practice growth.

However, there was one glaring opportunity: getting in touch with new patients immediately and consistently was challenging with their existing system.

What led Fishbein Orthodontics to LeadSigma

Dr. Ben Fishbein and his Director of Patient Care, Alyx Perry, knew they needed a system that facilitated immediate connections with new patients and kept them organized to continue engaging unscheduled production opportunities. They needed something customizable and easy-to-use to ensure that the perfect text message, email, and phone call was actioned and automated at the perfect time — with as little disruption and training as possible.

At the Fishbein Fundamentals course in Pensacola, FL, where LeadSigma presented, Alyx quickly identified the value of seamless multi-channel automations and a new patient pipeline acceleration platform that fit Fishbein Orthodontics' needs.

When Alyx evaluated LeadSigma's lead management workflows, the top priority was clear organization and consistency: would LeadSigma manage their new patient contacts seamlessly so the team could follow up immediately and consistently?

Yes, it would. LeadSigma is designed for orthodontic teams to connect with new patients without extra work and with minimal training. Just pick up the phone when it rings and connect with new patients automatically.

"LeadSigma does all the work for us — just a click of a button."

$125,000 in additional monthly production

Of course, results also mattered. With one of the world's leading practices, the saying applies — if it ain't broke, don't fix it. Onboarding with LeadSigma not only made the team's life easier and more organized, but the results spoke for themselves.

In the first few months post-implementation, the practice grew monthly production by $125,000 over the same months in the previous year — a triple-digit ROI that is, frankly, unbelievable to print. (For context on the dollars-and-cents math behind even small lifts in lead conversion, see how we model the production leak.)

Smooth implementation, easy onboarding

With a high-performing team of passionate Patient Care Specialists, implementing new technology and changing systems is a thoughtful process for the #FishOrtho team. Among the most important considerations were the thoroughness of the training, the white-glove implementation, and phenomenal customer support.

"LeadSigma implementation was very simple, the team was easy to communicate with, and the training was streamlined — making it easy for my team to use from day one."

Once Fishbein Orthodontics made the decision to implement LeadSigma, the Patient Care team was using the service with no interruptions. After a brief onboarding call for account setup, the entire team was offered hands-on personalized training.

Converting new patients into signed contracts — and following up on every recall, observation, and pending patient

According to the practice, "LeadSigma makes reaching out to prospects so much easier" — and a whole lot faster, too.

Using LeadSigma, the average time it takes Fishbein Orthodontics to reach an interested new patient is 20 seconds. When an interested patient requests an appointment or schedules online, the #FishOrtho team is connected with the patient via phone, text, and email immediately. (For the research behind why first-minute response wins, see the ultimate guide on inbound lead responsiveness.)

Immediately after the patient submits their information or schedules online, LeadSigma automations jump into action. The personal connection facilitated by LeadSigma resulted in more scheduled consultations and a higher exam show rate — contributing to the practice's exponential growth.

The same workflow extends beyond new patient leads. Patient Record Connect surfaces unscheduled recall, observation, and pending-treatment opportunities at the right moment so they don't fall through the cracks of the daily operatory rhythm.

Reporting that takes minutes, not hours

Nobody likes running reports, but everybody needs the data. LeadSigma has not only created a measurable difference in production growth — it has reduced the reporting burden for Alyx and her team.

"LeadSigma has cut our reporting time in half."

With innovative lead mapping and call attribution reporting, the #FishOrtho LeadSigma dashboard and new patient records show the team exactly where leads are being generated and provide a full contact history — text message, email, and phone calls — for each new patient. Alyx never again has to guess who has been contacted and when. With LeadSigma, every new patient interaction is clearly documented, no matter the channel.

As Fishbein Orthodontics continues to grow, they can rest easy knowing that LeadSigma is helping the team deliver exceptional patient experiences — using automation while simultaneously increasing marketing ROI and perfecting the sales process.

What changes when your practice runs on LeadSigma

Fishbein's results aren't unique to a 100-person, 8-location flagship. Practices of every size see the same shifts after moving onto a CRM purpose-built for orthodontic practices: faster speed-to-lead, more consults booked, and higher show and start rates. For another agency-led example, see how eNox Media drove similar gains across its client base, and for a partner-practice perspective at scale, read the MB2 Dental case study.

If you'd like to see what LeadSigma can do for your practice, book a 30-minute walkthrough and we'll review your lead sources, your conversion math, and what changes when every inbound lead gets a response in under a minute.