Started cases, not consults
Rank channels by treatment actually started and its contract value.
For Orthodontists
Match started treatment plans and their contract value to the consultations and ads that produced them.
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The blind spot
Free consultations are cheap to fill and most do not start. A started case is worth five thousand dollars over two years, and consultation counts cannot tell you which channel produces them.
Rank channels by treatment actually started and its contract value.
A consultation in spring that starts in autumn still traces to the ad behind it.
Rank on the full plan value rather than the deposit, which is the figure that matters.
Not impressions, not leads, not cost per click. Closed revenue, by the channel that produced it, for a period you choose — with the portion we could not trace shown rather than quietly shared out across your paid channels.
| Channel | Sales | Revenue | Share |
|---|---|---|---|
| Meta Ads | 41 | $142,800 | |
| Google Ads | 29 | $109,200 | |
| Email marketing | 11 | $33,600 | |
| Direct / Unknown | 38 | $134,400 |
Orthodontics runs on free consultations, which means marketing is optimised for something the practice gives away. Conversion from consultation to started case varies enormously between channels, and nothing in a cost-per-lead report reveals it.
Ranking by started case value shows which channel produces families who proceed. It routinely turns out that the cheapest consultation source converts worst, and that a more expensive channel is the profitable one.
Direct-to-consumer aligner brands trained patients to shop and compare before booking, which lengthened the decision and increased the number of consultations that go nowhere.
That makes attributing on started cases more important, not less. The consultation count went up; the thing worth measuring did not change.
"We generated 400 leads" invites an argument. "This channel closed $186,400 last quarter, here is the reconciliation" ends one. The teams that can show closed revenue by channel are the teams that get the next increase approved, because they are asking with evidence rather than with conviction.
Killing spend is politically harder than adding it, because someone always owns the channel being cut. A number that reconciles to the sales export takes the argument out of the room — you are not overruling a colleague's judgement, you are reading the same ledger they are.
Platform-reported conversions do not reconcile to revenue, and eventually someone in finance notices. Reporting built from your own closed-sales export starts from the number finance already trusts, which is why it holds up when it is checked.
Because this reconciles exports rather than tracking visitors, it works on months that have already closed. You are not instrumenting now to learn something in ninety days — you can answer for last quarter today, which is usually when the question is being asked.
Which is why the report ranks on started cases. Unconverted consultations appear as unmatched leads and cost nothing against your record allowance.
The contract value, and consistently. A deposit tells you almost nothing about which channel produces valuable cases.
Any layout works. A contact detail, an amount and a date is all the match needs.
Flat monthly pricing with no per-call, per-minute or per-form fees. The number here is the number on the invoice. Most orthodontists land on Growth.
A single business getting started
$49/mo
billed monthly
A business scaling ad spend
$199/mo
billed monthly
One business closing at volume
$499/mo
billed monthly
Reporting on many clients at once
$799/mo
billed monthly
Started cases: a patient or parent phone number or email, the contract value, and the start date.
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