NXST LEAP ROI Readiness Index v5 | NuParadym
NXST LEAP ROI Readiness Index
NXST LEAP ROI Readiness Index

See the Invisible:
Calculate Your GenAI Potential

Model GenAI impact by workflow. Costs roll up per location to enterprise total. LTV modeled on a 36-month horizon. No patient data required.

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Inputs 🔒 No Patient Data, No PHI

Configure your baseline

Each slider isolates one revenue driver. Move any slider and all output metrics update instantly. Edit the lift value on each workflow card to match your own expectations.

Your total practice count. All monthly and one-time AI costs are multiplied by this number so the output reflects your true enterprise investment and return.
Total calls, web forms, chats, and texts your organization receives each month. This is the top of your revenue funnel. More inquiries with better AI-powered conversion equals faster payback.
What percent of your inbound inquiries become a booked appointment today, without AI? Industry average is 30 to 35%. The lower your current rate, the more revenue GenAI can recover. AI workflows add percentage points on top of this baseline.
The percent of booked appointments where the patient actually shows up. National average is 85%. Each no-show is direct lost revenue. AI-powered multi-channel reminders routinely push this above 95%.
Total appointments booked per month across your enterprise — new and existing patients combined. Check your practice management system for this number. If you don't know it yet, a reasonable estimate is your average daily scheduled patients per location × business days per month × number of locations. Default is 120 per location, which aligns with the ADA's reported average of 100 to 125 completed visits per month for dental practices. This is the base used to calculate your no-show revenue loss.
Your blended average revenue collected per completed patient visit across all service lines. This multiplies directly against every incremental appointment. Higher average visit values produce proportionally larger uplift numbers as you move this slider.
The percent of presented treatment plans your patients actually accept and schedule. DSO average is 34% by dollar value. This is the single highest-impact lever in the model and the LEAP Score. Moving from 34% to 60% acceptance produces a larger revenue jump than any other input.
GenAI is not a cost center.
It is your highest-yield growth lever.
Every workflow you activate compounds across locations, months, and patient lifetime value.
See Your Full ROI Model
⚙  Advanced Settings (Finance-grade)
Monthly Cost / Location ($)

Your monthly per-location fee for the GenAI platform. Default is $1,400. Adjust to match your vendor quote. Multiplied by location count for enterprise total.

One-time Cost / Location ($)

Setup, onboarding, and implementation fees charged once per location. Default is $4,500. This is the primary driver of your payback period calculation.

Gross Margin (%)

The percent of revenue that becomes gross profit after direct clinical costs. Applied only in ROI, NPV, and IRR. The headline revenue uplift is always gross so you can see proportional impact clearly.

LTV Months

The number of months you model for patient lifetime value. Default is 36 months (3 years). Longer horizons increase NPV. Used only in NPV and IRR calculations.

Discount Rate (%)

Your annual cost of capital or hurdle rate, used to discount future cash flows to today's value. Default is 10%. Higher rates reduce NPV; lower rates increase it.

Ramp Months

Months until the platform reaches full performance. During ramp the model assumes 50% efficiency. Default is 3 months. This conservatively reduces first-year annualized projections.

Reactivation Visits / Mo / Location

Estimated number of reactivated patient visits per location per month from AI recall campaigns. Activate the GenAI Reactivation workflow card to include this revenue in your uplift. Default is 10 visits.

Phone Labor Savings ($ / Mo / Location)

Monthly staff cost savings per location from AI handling routine calls, scheduling, and follow-up. This is hard-dollar savings from reduced headcount or redeployed staff hours. Default is $300 per location.

All defaults are directional benchmarks from published DSO performance data (ADA, Dental Intelligence, TrueLark, Arini). Your paid engagement replaces these with your actual operating data and a full assumptions audit. "pp" means percentage points added to your baseline conversion rate.

Workflow Selection Isolate GenAI Impact

Conversion lifts are directional defaults from published DSO benchmarks. Each is editable on the card. Your paid engagement replaces all assumptions with your actual baseline data. No patient data. No PHI.

Projected Monthly Revenue Uplift
$0
Gross revenue gain from active AI workflows
0LEAP Score
LEAP Index Score
Configure your inputs to see your readiness score.
GenAI Readiness Index0%
Annualized
$0
ROI %
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Payback
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NPV (LTV)
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IRR (Ann.)
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35-Mo LTV
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Baseline monthly appointments--
AI-boosted appointments--
Incremental appointments gained--
Total conversion lift active--
New appt scheduling gain (AI lift)--
Treatment acceptance boost (existing patients)--
Reactivation revenue--
Labor savings per month--
Enterprise monthly AI cost--
Enterprise one-time cost--
Revenue Formula: Monthly Uplift = New Appt Gain + Treatment Acceptance Boost + Reactivation + Labor Savings. New Appt Gain: AI lifts conversion by the workflow pp total. Those extra patients x show rate x acceptance x avg revenue. Acceptance Boost: AI presentation tools raise treatment acceptance on your existing patient base above the 34% DSO benchmark (Dental Intelligence). Higher baseline conversion means more existing patients in chair, so this number rises as you move the Baseline Conversion slider. Gross margin applied only in ROI, NPV, IRR. LEAP Score: 30 pts Workflow Adoption + 20 pts AI Lift + 25 pts Treatment Acceptance + 25 pts Show Rate.
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The 6 GenAI Workflows That Move the Needle

Each workflow below is backed by published performance data from DSO operators, AI vendors, and peer-reviewed dental literature. Lift figures represent documented improvements in conversion rate, no-show reduction, or reactivation yield. Toggle any workflow on the ROI Index tab to include or exclude it from your model. Every lift percentage is editable so you can use your own estimates.

📞
AI Phone Automation
Default +6pp Conversion Lift

AI voice agents handle inbound routing, pre-qualification, and call handling 24 hours a day. Most dental practices miss 20 to 35% of inbound calls with traditional staffing. An AI agent answers 100% of calls, capturing every inquiry that would otherwise go to voicemail and be permanently lost. Arini reports a 90%+ call answer rate versus 68% with human staff alone.

85%
of callers who cannot reach a practice will not call back
97%
answer rate with AI vs 2% with voicemail in a 47,000-call study
$8-12K
additional monthly revenue within 90 days for early adopters
15-20 hrs
staff time saved per week by offloading routine calls to AI

Sources: Arini 47,000-call study, TrueLark SGA Dental Partners case study, multi-practice deployment reports 2024-2025.

Speed-to-Lead
Default +8pp Conversion Lift

Leads contacted within 5 minutes are 10 times more likely to convert than those contacted after 10 minutes. Average DSO response time is measured in hours. GenAI eliminates this gap entirely. Every web form, chat inquiry, and missed call gets an instant intelligent response that qualifies the lead and attempts to book before the patient considers a competitor.

10x
more likely to convert when contacted within 5 minutes vs 10 minutes
55%
of AI-engaged leads book within 5 minutes of first contact (TrueLark)
391%
increase in booking likelihood vs current average DSO response time
90%
book within 10 minutes when AI handles the first response

Sources: InfluxMD 2025 Medical Practice Lead Conversion data, TrueLark booking analytics, Marketly Digital dental growth metrics.

🌙
24/7 After-Hours Response
Default +4pp Conversion Lift

After-hours calls represent 35% of total inbound volume. With traditional staffing, nearly every one becomes a lost opportunity. Patients calling after hours are often in pain or have urgent needs, making them high-intent and high-value. AI agents that answer, triage, and book these callers unlock revenue that simply does not exist without the technology.

35%
of total call volume occurs after standard business hours
72%
of after-hours callers converted with AI agent vs 12% with callback
$425K
annual revenue recovered in one documented case from after-hours capture alone
5,852%
ROI reported on AI investment from after-hours recovery in that same case

Sources: Arini 47,000-call analysis, documented AI receptionist deployment case study, Y Combinator AI Voice Space 2024.

🔗
Multi-channel Sync
Default +5pp Conversion Lift

Patients move across channels. They call, then text, then submit a web form. Without AI each touchpoint is siloed and the patient experience is inconsistent. GenAI-powered multi-channel sync ensures every SMS, web chat, email, and call is aware of the patient's history and intent, increasing booking likelihood regardless of which channel the patient prefers.

98%
open rate for automated SMS reminders vs standard email
1.9%
no-show rate with automated SMS systems vs 15% national average
15-25%
increase in booking rates with convenient online scheduling access
30-45%
fewer no-shows with automated reminders vs manual staff calls

Sources: Arini multi-channel data, DentalAIAssist reminder system study, RevenueWell SMS deployment benchmarks 2024.

GenAI Patient Reactivation
Modeled per Reactivation Visit

Most DSO locations have 500 to 2,000 patients who have not been seen in 9 to 24 months. Reactivating 15 to 20% of that list costs far less than acquiring new patients from cold. GenAI writes personalized recall messages at scale, referencing each patient's last visit, open treatment plans, and seasonal incentives. What took staff-hours now takes seconds.

73%
higher scheduling rate from AI-automated recall vs manual outreach
8.7 to 2.3
days patient response time drops with AI recall campaigns
$73,600
average production growth year one for RevenueWell recall users
41%
decrease in missed recall appointments across a 500-practice study

Sources: DentalAIAssist 500-practice recall study, RevenueWell production data, Arini reactivation benchmarks 2024-2025.

🚀
Speed-to-Market
Default +3pp Conversion Lift

GenAI collapses the content creation bottleneck. Ad copy, landing pages, social posts, email sequences, and promotional offers that once took days can be generated and deployed in hours. Campaigns launch faster, seasonal opportunities are captured before competitors, and the practice responds to market dynamics in real time. McKinsey estimates GenAI boosts marketing productivity by 5 to 15% of total marketing spend.

50%+
reduction in campaign preparation time with AI content generation
5-15%
marketing productivity lift as a percent of total spend (McKinsey)
300%
increase in appointment bookings in one documented practice case study
Minutes
to generate a complete AI-designed landing page vs weeks with traditional design

Sources: McKinsey GenAI marketing productivity analysis, AIQ Labs Austin practice case study, Wix AI builder benchmarks 2024.

Ready to model your specific workflow stack?
Go back to the ROI Index tab and toggle the workflows that apply to your organization. Every lift figure is editable. Then book a strategy call to get the investment-grade version built on your actual data.
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Your ROI Output Summary
All figures calculated live from your inputs on the ROI Index tab. Adjust any input there and return here to see the updated summary. This is a directional model. Your paid engagement delivers the full investment-grade version.
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View Scenario:
Monthly Revenue Uplift
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Gross revenue gain
Annual ROI
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Net of AI cost, after margin
Payback Period
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Months to break-even
36-Mo NPV
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Discounted net value
Revenue Breakdown
Scheduling conversion gain--
Reactivation revenue--
Labor savings--
Total monthly uplift (gross)--
Cost Structure
Monthly AI cost (enterprise)--
One-time implementation cost--
Annual AI cost--
Monthly net gain (gross)--
Full Financial Model
Annualized Uplift
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ROI %
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Payback (mo)
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NPV
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IRR (Ann.)
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35-Mo LTV
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Model Assumptions

Return to the ROI Index tab to change any value. This summary updates in real time.

Locations
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Monthly Inquiries
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Baseline Conversion
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Show Rate
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Total Booked / Mo
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Avg Revenue / Visit
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Treatment Acceptance
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Active Workflows
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AI Conversion Lift
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Gross Margin
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What You Lose Every Month Without GenAI

Based on your inputs, here is the estimated monthly revenue leaving your organization due to missed calls, no-shows, and conversion gaps that GenAI would close.

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Lost from missed and unanswered calls (est. 20 to 35% of inquiries)
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Lost from no-shows at current show rate vs 95% AI-assisted target
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Total estimated monthly revenue left on the table without AI
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Annual revenue at risk without GenAI
Revenue at Risk
Missed Call Loss--
No-Show Loss--
Total Monthly Loss--
Annual Revenue at Risk--

Get Your Investment-Grade Snapshot

The calculator gives you a directional estimate. The full NuParadym engagement delivers a board-ready financial model built on your actual patient data, staffing costs, and operating baseline. No assumptions, no industry averages. Here is exactly what you receive when you submit your details or book a strategy call.

What Is Included in Your Snapshot Package
📊
Executive ROI Snapshot PDF
A board-ready one-page summary of your projected monthly uplift, annualized ROI, payback period, NPV, and IRR. Formatted for leadership presentations with your specific inputs and the benchmarks used to model them.
🗼
90-Day Implementation Roadmap
A phased rollout guide showing which workflows to activate first for fastest payback, how to sequence integration with your existing PMS, and the milestones to track in weeks 1 through 12.
📈
Baseline Comparison Report
Benchmark your current conversion rates, show rates, and treatment acceptance against DSO peer data segmented by your organization size. See exactly where your performance gap creates the most recoverable revenue.
🔍
Assumptions Audit
Every default in this calculator is replaced with your actual operating data during the strategy call. The full model includes sensitivity analysis, scenario planning (conservative, moderate, aggressive), and a methodology you can share with your CFO or PE sponsor.
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📧Snapshot delivered within 1 business day
🤝No obligation, directional estimate only
Your Current Estimate
Based on your inputs. Submit below to receive the full snapshot with benchmarks and checklist.
Your Live ROI Estimate
Monthly Revenue Uplift--
Annualized--
ROI %--
Payback--
NPV (36-Mo)--
IRR (Ann.)--
LEAP Readiness Score--
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