Most dental practice growth plans fail by January 10th. Gary Takacs and Naren Arulrajah explain exactly why, and exactly what to do about it. Four specific rocks, individual champions, a three-meeting cadence, and the team incentive that took one practice from two Google reviews a month to twenty-six. Plus, Naren on AI search for dental practices, the five benchmarks that define a real patient acquisition engine, and cost-per-lead tracking that shows which channels to scale and which to drop. A mid-year reset episode with real time left in 2026 to act on it.