Advanced Care · Practice list · as of Sep 30, 2026

Sixteen practices, one growth program.

The quick reference for the Advanced Care book: who each practice is, which lane it sits in, who runs it on the ground, and where it is headed.

Practices
16
22 locations across 3 operating regions
Net production · YTD 2026
$81.7M −2.1%
Jan to Aug 2026 vs $83.5M in the same months of 2025
New patients · YTD 2026
18,905 +8.7%
vs 17,386 in Jan to Aug 2025
In the investment case
6
Peak, New Horizons, Dakota, Minnesota, PCCD and Pony Express
What Advanced Care is

Advanced Care is SGA’s program for practices with real room to grow their direct-to-consumer business in full-arch, implants and high-end cosmetic dentistry. The work is sharper systems, not more clinical skill: disciplined media, accountable agencies, a tighter lead-to-case journey and healthy case economics.

01 The list

Practice Lane · status Operations Key partners Net prod · YTD YoY Implant share

Net prod · YTD is net production for Jan to Aug 2026, with YoY against the same months of 2025 (Patient Growth Report, Power BI, as of Sep 16, 2026). Implant share is implant production as a share of July 2026 net production, weighted across locations (Advanced Care drivers snapshot). MM is the Market Manager. Click any row to jump to the practice.

02 Practice by practice

Full-arch & implants

9 practices · $54.5M net production YTD

Direct-to-consumer full-arch and implant practices, plus the specialty referral practices that do high volumes of arch work.

Innovative Dental
Dr. Down · Springfield, MO
Active

Hold today’s performance and open up surgical capacity with Dr. Down. ROI is strong enough to support a larger budget.

Net prod · YTD
$12.8M −3.6%
Implant share
45%
Operations
Matt SestoROD Danette Williams · MM Jayme
Key partners
829 · The Implant Engine
Dakota Dental · Minnesota Dental Surgery
Dr. Bennett Isabella · Apple Valley · Bloomington, MN
ActiveInvestment case · ready to scale

Both offices are Dr. Isabella’s. Shift Dakota Dental from general to implant, and build a healthy direct-to-consumer program at Minnesota Dental Surgery, a specialty referral clinic with deep full-arch volume.

Net prod · YTD
$8.1M −21.5%
Implant share
37%
Operations
Brendan PoolROD Libby Knopp · MM Kelly / Jenn
Key partners
829 · Grow Dental
Troy Family Dental
Dr. Rich Boatman · Dr. Jordan Spencer · Troy, IL
Active

Stabilize the general side, which has declined since the practice went fee-based, keep full-arch steady and protect gross-margin economics.

Net prod · YTD
$6.6M −1.0%
Implant share
52%
Operations
Matt SestoROD Danette Williams · MM Jayme
Key partners
829 · ITMG · BriteLine · Progressive (outgoing)
Jacksonville Dental Specialists
Dr. Nawrathi · Dr. Pereira · Jacksonville · Jacksonville Beach, FL
Not onboarded

Repair the online reputation and land the DBA name change before any direct-to-consumer spend.

Net prod · YTD
$6.0M +9.0%
Implant share
n/a
Operations
Matt SestoROD Danette Williams · MM Jayme
Key partners
None yet
Peak Family Dental Care
Dr. Bryan Shanahan · Flagstaff · Cottonwood · Sedona, AZ
ActiveInvestment case · ready to scale

Stabilize the general patient base with OM, then turn the implant program back on.

Net prod · YTD
$5.9M +2.2%
Implant share
15%
Operations
Brendan PoolROD Tim Gurske · MM Jenn Freemyer
Key partners
Grow-with-OM
Riverside Dental
Dr. Michael Spencer · Jacksonville, FL
Parked

Get embedded in the practice first. Today we have very little access to, or control over, how it runs.

Net prod · YTD
$5.4M −2.8%
Implant share
54%
Operations
Matt SestoROD Danette Williams · MM Jayme
Key partners
Grow-with-OM
Pony Express Dental
Dr. Dallin DeLoach · Saratoga Springs · Daybreak · Eagle Mountain, UT
OnboardingInvestment case · ground-up

Get embedded first, since very little time has been spent here, then build the full-arch program around Dr. DeLoach.

Net prod · YTD
$4.7M −1.5%
Implant share
18%
Operations
Brendan PoolROD Jeri Amato · MM Kelly / Jenn
Key partners
Grow Dental
New Horizons Dental Care
Dr. Guy Gross · Salina, KS
ActiveInvestment case · ready to scale

Meaningful room to scale implants. The unlock is a dedicated setter.

Net prod · YTD
$3.8M −0.3%
Implant share
19%
Operations
Brendan PoolROD Libby Knopp · MM Jenn Freemyer
Key partners
Grow Dental
Ressler Dental
Dr. Lawrence Ressler · Delray Beach, FL
Active

Restore ad-to-revenue attribution and recover ROAS under 829 while keeping spend disciplined.

Net prod · YTD
$1.2M +28.6%
Implant share
28%
Operations
Matt SestoROD Danette Williams · MM Jayme
Key partners
829

Cosmetic

6 practices · $23.4M net production YTD

Cosmetic-led practices whose main growth lever is veneers, smile design and aligners rather than full-arch.

PCCD · Los Altos
Dr. Joe Field · Los Altos, CA
ActiveInvestment case · ground-up

Stabilize, then scale cosmetic, the service line Dr. Field cares about most.

Net prod · YTD
$5.2M −5.5%
Implant share
4%
Operations
Brendan PoolROD Nessreen Hagopian · MM Jenn Freemyer
Key partners
Wonderist
Wagner Dental
Las Vegas, NV
Active

A strong base at about $7,500 a month in media. Build out a direct-to-consumer cosmetic playbook for the practice.

Net prod · YTD
$5.2M +3.4%
Implant share
9%
Operations
Brendan PoolROD Tim Gurske · MM Kelly
Key partners
Grow-with-OM
Nashville Aesthetic Dentistry
Dr. Dennis Wells (founder) · Nashville, TN
Active

Pacing well and needs a little more focus. The priority is moving the brand from Dr. Wells to the practice and its associate doctors.

Net prod · YTD
$4.5M −12.5%
Implant share
7%
Operations
Nathan McClureROD Parks Pace · MM Kelly
Key partners
Wonderist
Allure Dental
Dr. Murray · Dr. Mazer · Indiana
Active

Triage before strategy: unscheduled consults, long waits for appointments and no financing offer are leaking cases mid-funnel.

Net prod · YTD
$4.3M −1.7%
Implant share
10%
Operations
Brendan PoolROD Lori Rendon · MM Kelly
Key partners
Wonderist
PCCD · Mountain View
Dr. Joe Field · Mountain View, CA
ActiveInvestment case · ground-up

Same stabilize-then-scale cosmetic mandate as Los Altos. First, close the CRM vs ads reporting gap so the numbers can be trusted.

Net prod · YTD
$2.8M +10.0%
Implant share
4%
Operations
Brendan PoolROD Nessreen Hagopian · MM Jenn Freemyer
Key partners
Wonderist
Artistry in Dentistry
Arizona
Active

A cosmetic account rather than a full-arch priority. Fix the phones and keep the cosmetic funnel healthy.

Net prod · YTD
$1.3M +11.1%
Implant share
11%
Operations
Brendan PoolROD Tim Gurske · MM Kelly / Jenn
Key partners
Wonderist

Not yet onboarded

1 practice · $3.8M net production YTD

In the book, with no lane set yet.

Dental Center of Florence
Florence, KY
Not onboarded

Not yet onboarded. The next step is the first conversation with the practice.

Net prod · YTD
$3.8M +27.2%
Implant share
13%
Operations
Brendan PoolROD Lori Rendon · MM Kelly / Jenn
Key partners
None yet

03 Who runs what

Advanced Care
Dakota MilnerVP, Advanced Care
StephenDirector, Advanced Care
Sarah AlofsChief Growth Officer
Field marketing
Amy McNeillVP, Marketing & Field Marketing
Kelly · Jenn FreemyerMarket Managers, general
JaymeMarket Manager, specialty
Matt Sesto
VP Operations · Specialty
5 practices
Danette WilliamsSpecialty Region 3
Brendan Pool
VP Operations · SGA West
10 practices
Tim GurskeCactus Region · AZ / NV
Libby KnoppGreat Plains · KS / MN
Nessreen HagopianGolden State · CA
Lori RendonBluegrass · IN / KY
Jeri AmatoSalt Lake · UT
Nathan McClure
VP Operations · SGA East
1 practice
Parks PaceBlue Ridge · TN

Regions and RODs from the SGA Master Crosswalk. Matt Sesto and Brendan Pool are Advanced Care’s two primary operations partners.

04 Partners 10 partners · 5 types

PartnerWhat they do for usStatusPractices
Media and marketing5 partnersAgencies and media buyers that run paid search, paid social, SEO and traditional media.
829Implant marketing · paid searchTaking over implant marketing across the book, one practice at a time.Scaling
WonderistCosmetic paid media, SEO and GoHighLevelRuns every cosmetic-led practice in the book.Active
Grow-with-OMGeneral dentistry campaigns · Google and MetaOne of our preferred media buyers for general dentistry campaigns.Preferred
ITMGGeneral and traditional mediaTroy’s agency of record for TV, linear and local.Active
Progressive DentalPaid media and SEOOutgoing at Troy as 829 takes over.Winding down
CRM and lead management2 partnersThe systems that capture, track and route leads.
Grow DentalGoHighLevel build and consolidationMoving practice CRMs into the one SGA-owned GoHighLevel instance.Active
The Implant EngineImplant lead managementManages Innovative’s implant leads and is the source of its full-arch close data.Active
Call center1 partnerThird-party teams that answer and work inbound leads.
BriteLine DentalThird-party call centerAnswers and works inbound leads for Troy.Active
Lab1 partnerWhere full-arch cases are fabricated.
Power Dental StudioFull-arch labThe full-arch lab for Troy and Dakota & Minnesota.Active
Coaching1 partnerOutside coaches who train practice teams on case conversion.
Kim MiddletonImplant coachingCoaches setters and treatment coordinators on case conversion.Consultant