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Signature Dental Partners (SDP) operates across multiple markets, where every front desk is fielding inbound calls, but also managing in-office patients, paperwork, and a long list of todos that are constantly coming in. After seeing the impact of Flossy's AI receptionist at one location, SDP expanded the deployment across their network.
Signature operates at a scale where every hour without phone coverage compounds into hundreds of missed opportunities. And yet across the network, after-hours calls were by default going to voicemail. When this happens, patients rarely leave a message. Instead, they hang up and call the practice down the street. Industry data puts voicemail abandonment rates at 60 to 80% with most patients never calling back.
For SDP this leak was not only painful, it was invisible. Counting voicemails and callbacks was easy. The hard part was understanding what was happening when patients hung up and never left a message. What were they calling about? How many were new patients wanting to book an appointment? How much revenue was each office missing out on by not having someone there to answer the phone? There was very little data but the leadership team knew the problem was real and likely hurting them.
"Across multiple locations, you can't manage what you can't see. We didn't know how many calls we were losing until we had data in front of us."
Joshua Harvey
Director of Marketing
With Flossy live, someone is always there to pick up the phone. Whether it's 6pm, the middle of the night, or on a Saturday morning. Fiona is available 24/7 to help patients schedule an appointment, handle an emergency, reschedule to prevent painful no shows, and answer questions so that nothing needs to wait for the front desk to be at their desk and available. The patient receives help immediately, when they need it, and appointments can start filling up on the calendar.
The same coverage extends across channels. Parents who would rather text can engage with Fiona over SMS, or they can book directly on Signature's website via chat.
Fiona can also initiate follow-ups. If a call gets dropped, she send a quick text to the patient and picks up naturally where the conversation left off. This feature has saved hundreds of calls that would have otherwise landed in the office's callback queue and instead ends with a clean resolution and a booked appointment.
Booking volume grew 83% month over month from February to March 2026, and the curve has kept climbing since. Patients who had been disappearing into voicemail were now landing directly on the schedule, and the volume of bookings rose every month as more locations came online and existing ones matured.
The network hang-up rate fell from a 44% peak to 23% by March, with four of the network's most-developed locations under 18%. The longest-running site went from 44% to 13% over nine months, the clearest maturation curve in the portfolio. Newer sites are tracking the same path on a faster timeline, with several arriving at near-mature performance within their first month.
What surprised SDP wasn't that Fiona worked at one location. It was that she worked the same way across every location. Implementation got faster each time and the results kept improving, regardless of whether Fiona was running full-time or only covering after-hours. For SDP, Flossy isn't just answering the calls the front desk is missing, it's turning the phone from a leak into the group's most reliable booking channel.