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On pace after just 6 months of consulting, and the trajectory is still accelerating.
- Casey Bull
- 6 days ago
- 6 min read
Updated: 2 days ago
Mint Orthodontics was already successful, multi-location, loyal patient base, strong reputation. But Dr. Geoff had a bold vision, and the operating model underneath couldn't get him there.
In just 6 months, CascadEffects helped Mint grow production 17%, new starts 13%, and set multiple all-time records, with systems now in place to compound that growth across every month and every location.
THE COMPOUNDING EFFECT
17% growth compounds fast
For a practice already producing at a high level, a 17% production increase doesn't just add to the top line, it compounds across every month, every location, every year. With the first 6 months including the building phase, the systems are now running at full speed. At current trajectory, Mint is on pace for 20–25% annual production growth, from just 6 months of consulting work.
This Isn't a Turnaround Story, It's a Growth Story
Mint Orthodontics was already profitable, well-regarded, and growing. Dr. Geoff had built a multi-location practice with a loyal patient base, a capable team, and a reputation anchored to four core values: Safety, Efficiency, Courtesy, and Show.
But he'd set a bold target, and the organic operating model that got Mint here wasn't engineered to get it there. The systems had grown ad hoc. Institutional knowledge lived in people's heads. And Dr. Geoff was still the connective tissue across every location.
The Challenge: From Successful to Scalable
CascadEffects designed a structured engagement beginning April 1, 2025, prioritizing foundational systems in the first phase before layering in growth and leadership initiatives. Consulting services spanned operations, technology, team development, and strategic planning. 1. No documented SOPs — institutional knowledge lived in individual team members, creating single points of failure across locations
2. No OKR or performance framework — teams were working hard but not always on the same priorities, with no shared language for measuring "good"
3. Doctor-dependent operations — Dr. Geoff was the connective tissue across locations, limiting the practice's ability to scale beyond his bandwidth
4. Under-structured TC function — conversions were strong clinically but there was no consistent tracker, no benchmarked close rate
5. No formal leadership development — capable team members were being promoted without a shared playbook or structured coaching
6. Culture drag from turnover — replacing foundational roles during a growth push had created friction that needed intentional management
The Solution: Built Around Mint's Own Vision
CascadEffects structured the engagement around Mint's strategic framework, Vision, Traction, and Strategy, so every initiative tied directly to Mint's stated destinations. The first phase prioritized operating procedures, measurement systems, and team alignment. The second phase layered in leadership and strategic growth.
Strategic Alignment — The Cascade House Framework
Is your practice ready to break through its ceiling?
The Results: All-Time Records in 6 Months
The 17% production growth and 13% new-starts growth aren't one-off spikes, they're the output of systems that are still accelerating. During the engagement, Mint set multiple all-time records:
The underlying story isn't the numbers, it's the shift. Mint went from a practice where record months were surprises to a practice where record months are becoming the new baseline. That's what scalable operations look like.
Built on Mint's Own Language
One of the defining features of this engagement is that it was built inside Mint's own strategic frame, not imposed on top of it. Every initiative, from core-values workshops to OKRs to the TC tracker, was framed against Mint's four values and the Cascade House pillars.
That alignment is what made the work stick. It didn't feel like consultant-speak bolted onto a practice, it felt like Mint's own language finally given operational teeth.
Why This Engagement Worked
It started with the vision, not the problem list. Every initiative tied to Mint's one-year plan and growth target, keeping the work strategic rather than reactive.
It respected what was already great. Mint's culture, clinical reputation, and team were strengths to be systematized, not rebuilt. That's why adoption was fast and turnover minimal.
It used Mint's own language. The Cascade House and four core values became the organizing frame for everything, so the team never felt like they were implementing an outside system.
It sequenced for compounding. Core values and OKRs first (alignment), then SOPs and TC tracking (execution), then leadership development (scale), each layer unlocked the next.
It was measured in outcomes patients feel. Record-setting months happened because the underlying work moved, not because the team was pushed harder.
Case Study Details & Performance Breakdown
This orthodontic case study details the transformation of Mint Orthodontics through a structured orthodontic consulting and fractional COO engagement with CascadEffects, a firm specializing in orthodontic practice growth, operational systems, and leadership development.
Mint Orthodontics, a multi-location orthodontic practice led by Dr. Geoff Sudit, was already a high-performing organization with a strong reputation, loyal patient base, and established culture. However, like many scaling orthodontic practices, its operating model was not fully optimized to support the next stage of growth. Key challenges included lack of standardized operating procedures (SOPs), absence of a formal performance framework such as OKRs, doctor-dependent decision-making across locations, and inconsistent tracking of case acceptance and treatment coordinator performance.
CascadEffects partnered with Mint Orthodontics to implement a comprehensive operational framework designed to improve orthodontic practice performance across production, collections, new patient starts, and team alignment. This included SOP creation across clinical and front office workflows, implementation of role-specific OKRs, development of a treatment coordinator (TC) tracking system with close-rate benchmarking, and structured leadership development for team members across multiple locations.
The engagement also focused on optimizing orthodontic patient flow, improving scheduling systems, strengthening patient experience consistency, and aligning the organization around Mint’s core values of Safety, Efficiency, Courtesy, and Show. Technology and operational systems were refined to support scalability, including improvements to financial workflows and practice management systems.
As a result of this orthodontic consulting engagement, Mint Orthodontics achieved measurable and accelerating growth within the first 6 months. Production increased by 17%, new patient starts grew by 13%, and collections increased by 7%, while the practice simultaneously established the operational systems required for sustained performance.
Based on current trajectory, Mint Orthodontics is projected to achieve 20–25% annual production growth, demonstrating the compounding effect of aligned systems, structured leadership, and optimized patient flow.
During the engagement, the practice also achieved multiple all-time records, including its highest production month, highest new-starts month, and strongest collections performance in practice history. These outcomes reflect a shift from inconsistent, effort-driven growth to a structured, repeatable growth model supported by operational infrastructure.
This orthodontic case study demonstrates how fractional COO services and orthodontic consulting can transform a successful dental practice into a scalable organization. By aligning systems, team performance, and leadership structure, practices like Mint Orthodontics are able to convert existing demand into consistent production growth, improved case acceptance, and long-term operational stability.
For orthodontists and dental practice owners seeking to scale multi-location practices, improve production and collections, optimize patient flow, and implement structured leadership systems, this case study highlights the impact of operational consulting and performance-driven infrastructure.
CASCADEFFECTS
The People Behind the Results
CascadEffects doesn't advise from the sideline,
we embed with your team and build alongside you.
Ready to Transform Your Practice?
CascadEffects partners with orthodontic practices to build lasting operational excellence. Let's talk about what's possible for yours.
"CascadEffects didn't come in and change who we are, they helped us become a better version of ourselves. The systems they built feel like ours because they were built around our values, our vision, and our language. We're hitting numbers we've never hit before, and the team is more aligned than ever:"
-DR. GEOFF SUDIT
Practice Owner, Mint Orthodontics About CascadEffects
CascadEffects is an orthodontic consulting firm that partners with growth-minded practices through a six-month embedded engagement model. Founded by Casey Bull, a former COO and Global Director with over a decade of orthodontic leadership experience and an MBA from Pepperdine University, CascadEffects is powered by a leadership team that has operated at every level of practice management.
Director of Operations Heather Broughton brings years of hands-on orthodontic operations experience, having managed multi-location practices from the inside, overseeing teams, systems, and day-to-day execution before stepping into a consulting role.
Together, Casey and Heather work shoulder to shoulder with practice teams to install leadership infrastructure, accountability systems, and team culture frameworks that drive measurable production growth, with clients achieving 20–150% growth.
CascadEffects also publishes The Cascade Report, an industry publication for orthodontic professionals.
Learn more at cascadeffects.com
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