Is it realistic to raise my average case size in six months? It is realistic, but only if you understand what six months actually buys you. Six months is the foundation window, not the finish line. In that time you learn the system, you learn the checklist, you add the capability to present larger cases at appropriate fees. That is huge, but it is the setup, not the payoff. The growth and the bigger numbers come from practicing it, measuring what you do, and inspecting your own performance over time. So when a dentist asks me if average case size jumps [...]