Cusp builds the patient communication systems that close the gap between booked appointments and the seats that actually get filled. For independent US dental practices that have outgrown the front-desk-as-everything model.
Estimated annual revenue the average independent dental practice loses to no-shows, unanswered calls, and patients who never return for recall.
— Industry benchmark, 2024
Most practices don't lose patients in dramatic ways. They lose them slowly — to forgotten appointments, unanswered after-hours calls, and recall reminders that never get sent. By the time it shows up on the P&L, it's been bleeding for months.
The average independent practice runs 8–12% no-show rates. At $200–$400 per slot, that compounds to $30K+ in lost annual revenue.
Front desks are stretched thin. The next dentist on Google is one tap away. Each lost new patient is $1,500–$3,000 in lifetime value gone.
Most patients want to come back. They just don't get reminded the right way at the right time. A working recall system reactivates 15–25%.
Cusp installs the operational backbone that should already be running in the background of every modern practice — without adding software your staff has to learn or workflows they have to remember.
Automated SMS sequences at 7 days, 2 days, and day-of. AI handles reschedule conversations naturally — patients text back, the system responds in plain language and updates your calendar. Cancelled slots auto-fill from your waitlist within minutes.
Every satisfied patient receives a one-tap Google review request after their appointment. Negative responses route to a private feedback form — so issues are caught internally, not on your public rating. A small change to a process that's already happening anyway.
An AI voice agent answers when your front desk can't — during busy stretches, lunch, and after hours. It qualifies the caller, answers common questions about insurance and procedures, and books straight into your calendar. Every captured call is a patient who would have gone to a competitor.
We don't run a generic playbook. Each system is tuned to your practice's actual software stack, patient base, and operational habits.
We look at your current no-show rate, Google reviews, call volume, and recall system. You walk away with a specific dollar figure on what's currently leaking — whether or not you hire us.
Most practices start with reminders. We don't stack everything at once. Each system has to prove itself in 30 days before the next one installs.
We integrate with Dentrix, Eaglesoft, Open Dental, Curve, and most modern PMS platforms. Your staff doesn't learn anything new. The system runs in the background.
Monthly retainer covers monitoring, message tuning, edge-case handling, and quarterly reviews. The point isn't to install software and disappear.
The best practice automation is the kind your staff never has to think about, and your patients never know is there.
— Cusp Operating Principle
[ Your professional photograph — clean, plain background, front-facing ]
Cusp is a small, intentional studio. We work with a limited number of independent US dental practices at a time — typically four to six — because each installation requires real attention to the way that practice actually runs.
We aren't a SaaS company in the traditional sense. There's no self-serve dashboard, no salesperson handoff, no support ticket queue. When you work with Cusp, you work with the engineer who builds and maintains your systems. The unit economics only make sense if the work is good enough to earn referrals — which is the only growth strategy we have.
Setup ranges from $3,500–$5,000 depending on which systems you install first. Monthly retainer for ongoing operation, monitoring, and refinement is typically $600–$900. Most practices see the systems pay for themselves within 30–45 days through recovered no-shows alone.
Yes. All systems are designed to handle Protected Health Information appropriately, and we sign a Business Associate Agreement (BAA) with every practice. Infrastructure is built on HIPAA-compliant tooling (Twilio, AWS BAA-eligible services). We can walk through specifics on the audit call.
No. The whole point of Cusp's approach is that systems run in the background of your existing tools. Your staff continues using Dentrix, Eaglesoft, Open Dental, or whatever you already have. The automations sit underneath.
The first 30 days of every install are a proof period. If we don't see measurable movement on your target metric (typically no-show rate or new-patient capture), we refund the setup fee and part ways without ceremony. We've structured the engagement this way because the only sustainable version of this business is one where the work earns its keep.
Setup typically takes two to three weeks. Measurable changes show up in week three to four for reminder systems, and four to six weeks for review automation. Missed-call recovery is immediate the moment it goes live.
Honest answer: you shouldn't, on faith. Book the audit call. Watch how we think about your specific practice. If the conversation feels like every other vendor pitch, walk away. If it feels like a real diagnostic, we can talk about working together.
The audit is free. You'll walk away with a specific dollar figure on your current revenue leak, whether or not we end up working together.
Book a 20-minute audit →No pitch deck. No sales call. Just a diagnostic.