A marketing department that costs what an agency costs and belongs to one practice
- Not there yet. What stands between here and there is an ontology and a governed engine, built against a real practice with a real payer mix — in progress.
Quadfence Corp. · Sugar Land, Texas · Private alpha
A marketing department for one practice. As software.
AiRadics tells an independent dentist whether a market can be won. Then, if they want it to, it goes and wins that market for them — and for nobody else in their territory.
178,000
US dental practices, mostly independent
under 5%
Largest share held by any single operator in US dentistry (IBISWorld)
4.3%
Of practices needed for a $1B outcome
Two readers, two routes
Start where your question is.
If you run a practice
What you get, and what it replaces
Every channel measured together, the website built and kept current, creative generated and compliance-checked, and no change orders — priced in line with what an agency charges to run two channels.
- The net benefit, line by line, at the same annual figure
- The screen a dentist opens in the morning
- Why a market evaluation comes first
- Territory exclusivity, and how narrow it is
- Ninety days’ notice either way, no annual lock-in
If you are evaluating the company
The model, the market and the round
A $2.88B gross market in one fragmented vertical, a go-to-market built on how dentists actually buy, and a pre-seed that funds capacity rather than discovery. Every figure sourced and dated.
- Where the company stands today, precisely
- The four assumptions carrying most of the weight
- Success criteria for the pilot, published in advance
- What the money does and what it should produce
The problem
The two decisions a dentist makes without data.
Buying a practice, and then marketing it. Both are made on what the profession has always been handed, and in both cases the number that decides the outcome is missing.
Decision 01 · buying
What a buyer receives at signing
Verified financials: patient counts, procedure mix, collections, with an accountant through the books. Then a page of census data from the broker — education levels, a gender split, a race breakdown.
What is not in the pack: how many dentists are already fighting over the same patients, how fast the surrounding households turn over, what the payer mix on the ground actually is, and which clinical services the competition has left alone. The buyer signs anyway. Most do.
Decision 02 · marketing
What a corporate group has that an independent cannot hire
A marketing department: a strategist, a media buyer, an SEO lead, a content team, and an analyst whose job is to say which of the others is working. That costs hundreds of thousands a year.
What an independent practice can hire is an agency — the same handful of people, shared with the practice down the road, accountable to none of its numbers.
The response
Build that department as software, for one practice at a time
AiRadics answers the buying question first, as a market evaluation. Then it runs the marketing: it reads the market, reads the money, makes the work, and only acts on what the dentist approves.
Quadfence is the company underneath it. It builds AI for decisions where being wrong is expensive, which means a recommendation is no use unless it can be checked, its source seen, and the same answer produced twice. Dental is where that is proved first.
The product, today
The screen a dentist opens in the morning.
The live daily brief for the pilot practice. Where the practice stands, what the gaps are costing, what the engine proposes to do about it, and what to do next — each play carrying the axiom it came from and the revenue it is worth.
AiRadics console — daily brief, pilot practice
Every proposal carries an axiom reference
Four numbers, and only four
A dentist has eleven minutes between patients. Anything that does not change a decision is not on this screen.
A bounded market, not an ad budget
The catchment stated as a countable thing: households, share held, headroom, competitors contesting it.
Losses quantified, not described
Each line of leakage maps to a play with an annual value — the difference between a dashboard and a decision.
Provenance on every play
The axiom codes beside each row show which prior result produced the recommendation, so it can be checked and argued with.
Nothing executes unapproved
The engine proposes, the owner decides, and the outcome is written back as a new axiom.
Built on Google Cloud
Each practice runs in its own GCP project with its own BigQuery warehouse. Only aggregated, surrogate-keyed segments cross into the hub. Multiple models must agree before anything acts.
What AiRadics is
An analyst and a production line, in one system.
Three jobs a marketing department does. Each is sold separately today, by different companies, to the same dentist — and none of them is accountable for the other two.
01
It reads the market
How many dentists per capita already compete for the same patients. How fast the households nearby turn over. What the payer mix on the ground actually is, and which clinical services the competition has left alone. A CPA can audit the books. None of this is in them.
02
It reads the money
Every channel reports in. The model works out what each one actually produces, what a patient costs through each of them, and where the next dollar earns most — then the budget moves. Not five numbers on a dashboard. An answer.
03
It makes the work
The website, the landing pages, the ads, the images, the video — all generated, and none of it live until it has cleared the governance gate: FTC rules, ADA guidance, the state dental board, and Google’s stricter standard for health content. No change orders, because producing an asset costs a fraction of what it costs an agency to have a person make one.
| Today, sold separately | AiRadics | |
|---|---|---|
| An agency | Has people who can make the work, but cannot honestly measure it. | The analysis decides what to make — and making it is nearly free. |
| An analytics tool | Can measure, but cannot make anything. | Measurement and production sit in one loop, so a finding becomes an asset without a change order. |
| Accountability | The dentist pays either for a report they cannot act on or for spend they cannot account for. | One system accountable for all three jobs, with every play traceable to the result that produced it. |
The net benefit
The same annual figure. What it buys today, and what it buys here.
The case is not that AiRadics is cheaper. A practice paying an agency is typically buying two channels, a monthly report and a change-order queue; everything else is quoted separately each time. At roughly the same annual figure, the practice stops receiving a subset and starts receiving the whole thing. The figures below are the ones already stated elsewhere on this site, with their limits.
| Per year | What an agency relationship costs today | At an indicative $16,200 a year |
|---|---|---|
| Channels run | $1,200 to $1,500 a month — $14,400 to $18,000 a year — to run Google and Facebook ads and nothing else. | Paid search, paid social, organic search, Google Business Profile, Local Services, mailers and call tracking, measured together. Ad budget stays in the practice’s own accounts. |
| The website | $5,000 to build once (what the pilot practice paid). Each shift in the landscape — most recently AI search — is a fresh quote, so the practice pays for the same site twice. | Built, hosted and rebuilt as the ground moves. Included, HIPAA-ready, and the practice’s to keep if they leave. |
| Edits and creative | An account manager, a queue, often a monthly cap on edits, and change orders for landing pages, images, video and print. | Unlimited amendments. Creative generated by the platform, so there is no change order to raise. |
| What the report says | Impressions, clicks and a bill. No owner interviewed could attribute a patient to a channel. | New patients by payer, cost per acquired patient by channel, lifetime value against acquisition cost — and which channel to feed or starve this month. |
| The practice next door | The same agency can sign it tomorrow and run the identical playbook. No dental marketing agency known to Quadfence offers exclusivity. | One practice per zone, written into the subscription, and the zone stays closed for ninety days after leaving. |
| Where the data lives | Typically on the agency’s accounts and tools, and the history goes when the agency does. | In the practice’s own cloud project and warehouse. Two years of knowing what worked in their neighbourhood stays theirs. |
| Commitment | Set by the agency’s contract. | Ninety days’ written notice either way. No annual lock-in, no automatic renewal, no penalty. |
Whether the engine moves a practice’s numbers is the first of the pilot’s four success criteria, measured against the practice’s own three-year history. It has not been passed yet, and is not claimed to be. The criteria, published in advance →
Pilot & MVP development customer
Built against a live practice before it is sold to a second one.
AiRadics is not built against a specification and then offered around. Every module is built, run and optimised inside a working general practice first — the channels, the content generation, the template repository and the governance gate all shipped against real data, a real payer mix and a real patient book before anyone else sees them.
Why this practice: it is the hard case
- Four payer classes in one book — Medicaid, CHIP, Medicare Advantage and commercial PPO.
- A mixed catchment across income bands and language groups.
- The full procedure set a general dentist bills, plus patient financing.
- A general practice in North Houston, operating since December 2022, with three years of channel spend and collections already in the book.
Most single-clinic pilots teach one path. This one exercises nearly all of them at once, which is why what it produces generalises instead of having to be relearned.
What has to be shown before a second sale
- The engine moves the numbers here — against the practice’s own history, not a projection.
- A second practice stands up from the same blueprint in a day.
Twenty shallow clinics would produce twenty thin datasets. One clinic exercising every payer class produces an ontology the twenty-first can actually use.
Disclosure
The pilot practice is under common ownership with Quadfence. It is a related-party engagement, stated here rather than left to be found. It is a development engagement, not a customer base, and is not presented as one.
The market
A $1B outcome needs 4.3% of one fragmented vertical.
Each number below is a count of practices multiplied by what one pays in a year. Nothing is borrowed from a bigger adjacent market to make it look larger.
$2.88Bgross market
178,000 US practices at an indicative $16,200 annual contract value. Recurring fee only — media runs on the practice’s own accounts and is excluded.
$1.87Bserviceable
Independent practices only, assuming 65% remain independent; affiliation is reported at 13–16% today. Small and mid-size DSOs are deliberately left out of this number even though they are buyers too, which means consolidation is less of a risk than the figure implies.
4.3%share required
7,716 practices at the same indicative figure is $125M ARR, roughly a $1B company at an 8× multiple. That would make Quadfence the largest player in this niche while holding four percent of it.
The market does not have to be won, only a slice of it. The three largest dental marketing agencies that can be put a number to serve roughly 9,100 practices between them — 5.1% of the market. The leader has 4.2% after twenty-three years and private-equity backing. The engine itself does not care that the customer is a dentist, which is why small medical practices are the obvious second move: same shape of problem, different vocabulary.
The round
Not raising to find out whether this works. Raising to go faster.
The goal
What money buys
The part that is purely capacity
- Finishing the product.
- Putting clinics onto it.
- A new practice is provisioned from the same blueprint every time rather than built — which is what makes one-day onboarding possible and an agent-led sale viable.
Where it stands, precisely
Private alpha, inside one practice
- The pilot and MVP development customer, under common ownership with Quadfence. A development engagement, not a customer base.
- What exists: a working system, a practice whose numbers it is measured against, and the ontology it is producing — not a slide, and not twenty shallow trials.
- Pricing sits in line with what a practice already pays an agency for two channels and nothing else, and includes considerably more.
Get in touch
Request early access, or ask for the deck.
AiRadics is in private alpha and taking a small number of Texas practices into the first cohort. Investors: the deck and the operating model are available on request.