How a Fee for Service Practice Increased New Patients by 281% and Spent Less on Marketing
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About this listen
For most of 2025, this North Carolina dentist was telling herself the same stories every practice owner falls back on: it’s the economy, my market is saturated, we’re fee-for-service so growth is hard. She was averaging 11 new patients a month. She had taught her team everything she knew, and the numbers had stalled out.
Five months later (without spending one extra dollar on marketing) her practice booked 42 new patients in a single month.
Dr. Sarah Myers and her office manager Shannon join Flint for one of the most no-fluff growth stories we’ve shared on the show. They walk through how training the team changed the trajectory of the practice in Cary, NC, what almost held them back, and the moment they realized roughly 30 of those 42 new patients came from existing patient referrals — not paid ads.
In this episode, you’ll hear:
- How the practice grew new patients from 11 a month to 42 a month — with the marketing budget actually trending slightly down
- The mindset shift from “I’m the doctor” to “I’m the bottleneck” — and why owning that unlocked everything else
- How a 6-person team built accountability around new patient calls without losing a single team member
- Why the patient experience went up at the same time the volume went up — and how Google reviews tell the story
- The specific advice Dr. Myers would give a practice owner two years into ownership: “Don’t try to figure it out alone”