How Arini generated Pearl Street Dental Partners $342,000 of production value in 10 months

Summary

Pearl Street Dental Partners is an actively growing DSO with 49 practices across Texas and Oklahoma. Unlike many DSOs, Pearl Street doesn't impose operational decisions on its practices. Each office runs the way it wants to run and any vendor brought into the network has to earn adoption practice by practice. They are technology-forward by default, but firm that AI should augment their teams, not replace them. That same philosophy shaped how they evaluated and adopted Arini.

Challenge

Across their network, Pearl Street was losing calls they couldn't even track. Patients would hit a busy line, hear voicemail, and move on, often to a competing practice that picked up the phone. This was happening both during business hours when front desk teams were stretched thin and after hours when no one was there at all. With 49 offices each operating independently, they needed a solution that could scale across a diverse network without disrupting the autonomy each location relied on.

Implementation

Pearl Street deployed Arini across their highest-volume practices in July 2025, handling overflow during business hours and full after-hours coverage. The front desk staff were skeptical from the start. Would patients respond well to AI? Would the agent take over their schedules?

The concerns faded quickly once bookings started coming in. As Candi McArter, Pearl Street’s Director of Ops Excellence, put it: "Nobody was on board initially until we really got them in to see the demo. Now they're loving it."

What won the team over wasn't just the results. It was the flexibility. Each practice could shape how Arini worked to fit their own scheduling rules and workflows, rather than the other way around. For a DSO built on practice autonomy, that mattered as much as anything. According to Candi, "In this day and age, a lot of vendors are not attentive, not responsive, not willing to make changes. The Arini team has been 100% on top of all of those."

Results

Soon after going live, the Arini agent began capturing $14,000 per month on average of new patient lifetime value for Pearl Street Dental Partners and over $33,000 in realized production per month from otherwise missed calls.

The results have only improved since. After 10 months of Pearl Street deploying Arini, the agent had booked over $342,000 in total production value from calls that would have gone unanswered. Average monthly production booked by Arini climbed above $35,000 in 2026 and in January 2026 alone, Arini booked $50,000 in production value.

Candi's advice to any DSO leader still on the fence: "Do it. Just do it. It's only going to help you, help your business grow, and reduce your missed call rate."