Every system I run at Cambridge Centre Dental Care, a co-pilot trained on my manuals, and one call a month where we fix one real problem live.
by Dr. Marwan Elaraby
From $199 a month. Opens February 2027, to cohort graduates first. The first study-club session is Monday, February 22, 2027, at 8 pm Eastern.
The promise
You get the operating system of a seven-day, 14-dentist practice as editable templates: every product on my shelf and every kit from my courses, in one library. You get the MARO OS co-pilot, an app trained on my manuals that answers "how do we do X" the way my team would answer it. You get one new system every month, one live call a month where we take one real problem from one member's practice and work it on screen, a directory of the other owners in the room, and me by text with a reply inside 48 hours. What you do not get is a promised number. I cannot run your practice from Cambridge. You install, your Practice Leader runs it, and your numbers tell us both whether it worked.
Why this exists
In year three at CCDC we wrote the manuals. Front desk, assistants, hygienists, the employee policy. Those manuals are what let me step out of the chair five days a week while the practice went from about $3.2 million to over $7 million. Then owners started asking for them. One at a time, by message, usually late at night: how do you run the 48-hour call, what does your assistant write in the perio note, how do you bill a GA block. I answered the same question many times to many people, and every answer was a little different. That is not a system. That is a dentist with a phone. The membership is the answer written once, kept current, and opened to a room instead of a message thread.
The four rungs
billed yearly, ten months for twelve
What you get
Individual
Practice
Leader
Advisory
Monthly
$199
$349 (decision pending)
Practice fee waived
By application
Annual, billed yearly, ten months for twelve
$1,990
$3,490 (decision pending)
Practice fee waived
By application
Who is in it
One doctor, one login
One doctor plus up to ten named team seats
A dentist who brings five colleagues into the OS and runs one module a month with them
Five owners at $3M or more with associates; the owner and the Practice Leader
Seats
1
11
11
2
New modules a year
12
12
12
12
Office hours a year
10
10
10
10
Study-club session, one a month
the doctor
every seat
every seat
every seat
The Vault on joining
yes
yes
yes
yes
The MARO OS co-pilot (beta)
yes
yes
yes
yes
Role tracks
none
5
5
5
Buyers Group
no
yes
yes
yes
The leader's kit and a 20-minute call with me each quarter
no
no
yes
yes
The operator in the room twice a month
no
no
no
yes
Minimum
monthly, cancel any time
monthly, cancel any time
the club runs its module every month
three months
Individual
Monthly
$199
Annual, billed yearly, ten months for twelve
$1,990
Who is in it
One doctor, one login
Seats
1
New modules a year
12
Office hours a year
10
Study-club session, one a month
the doctor
The Vault on joining
yes
The MARO OS co-pilot (beta)
yes
Role tracks
none
Buyers Group
no
The leader's kit and a 20-minute call with me each quarter
no
The operator in the room twice a month
no
Minimum
monthly, cancel any time
Practice
Monthly
$349 (decision pending)
Annual, billed yearly, ten months for twelve
$3,490 (decision pending)
Who is in it
One doctor plus up to ten named team seats
Seats
11
New modules a year
12
Office hours a year
10
Study-club session, one a month
every seat
The Vault on joining
yes
The MARO OS co-pilot (beta)
yes
Role tracks
5
Buyers Group
yes
The leader's kit and a 20-minute call with me each quarter
no
The operator in the room twice a month
no
Minimum
monthly, cancel any time
Leader
Monthly
Practice fee waived
Annual, billed yearly, ten months for twelve
Practice fee waived
Who is in it
A dentist who brings five colleagues into the OS and runs one module a month with them
Seats
11
New modules a year
12
Office hours a year
10
Study-club session, one a month
every seat
The Vault on joining
yes
The MARO OS co-pilot (beta)
yes
Role tracks
5
Buyers Group
yes
The leader's kit and a 20-minute call with me each quarter
yes
The operator in the room twice a month
no
Minimum
the club runs its module every month
Advisory
Monthly
By application
Annual, billed yearly, ten months for twelve
By application
Who is in it
Five owners at $3M or more with associates; the owner and the Practice Leader
Seats
2
New modules a year
12
Office hours a year
10
Study-club session, one a month
every seat
The Vault on joining
yes
The MARO OS co-pilot (beta)
yes
Role tracks
5
Buyers Group
yes
The leader's kit and a 20-minute call with me each quarter
yes
The operator in the room twice a month
yes
Minimum
three months
Practice: the ten seats
One doctor plus up to ten named team seats. Ten seats is roughly one desk, two coordinators, three hygienists, three assistants and an associate; four staff use four seats at the same price. Each seat picks a role on day one. Five role tracks, with the numbers that seat owns:
Front desk: confirmation rate; same-day cancellations and no-shows; calls logged.
Treatment coordinator: plans presented; accepted by provider; bookings a day.
Hygienist: recall retention; six-week re-evaluations booked; diagnoses recorded word for word.
Assistant: write-outs complete at checkout; print cases ready at the huddle; sterilizer log complete.
Associate: recommendations a month by category; notes signed the same day; plans entered before end of shift.
A finished track earns the practice points, not a certificate. The certificate is the number.
The leader's deal
Bring five dentists into the OS at any rung. Your own associates count. Your Practice Leader gets a seat and is not one of the five. Run one module a month with them: the video, the two pauses, the worksheet. Submit the attendance sheet after each one. The fee is waived for every month the club has five members and ran its module. Two months under five, and you pay the Practice rate until it is back.
Advisory, in two lines
Advisory is five owners, live and on the clock with me, with everything on this page included for the owner and the Practice Leader. By application and a fifteen-minute call; three-month minimum; when five seats are taken there is a waiting list and no sixth. Not priced on this page.
A directory of the other owners in the room, and me by text with a reply inside 48 hours on weekdays.
The monthly study-club session
The last Monday of the month at 8 pm Eastern. One recorded module that stops itself twice so the room talks, then my questions, then yours.
Dr. Maro OS study-club session [live on Zoom] · Dates: the last Monday of each month from February 22, 2027 · Times: 8 pm Eastern · Hours: 1 live hour a month · CE: verify with the provider · RCDSO category: verify · Faculty: Dr. Marwan Elaraby · Sponsor: none
Points, levels and the hard date
Points are earned on defined events and nothing else. Status signals implementation, not spend: the Practice rung earns the same points per event as Individual, and the only way up is a number reported from a system running in your practice.
Event
Points
A module implemented, running two weeks with the worksheet submitted and its number reported
10
A chart audit completed on your own active list
5
A scorecard row submitted, your weekly numbers in by Friday
1 a week, up to 26 a window
A session attended live, camera on
2
A case brought
3
A team seat finishing a role track
2 a seat, up to 10 a window
The Practice Health Scorecard re-scored, once a quarter
2
Level
Points in the window
Must include
On the Board
10
four scorecard rows
Installed
30
one module implemented
Audited
55
two modules implemented and one chart audit
Runs Without You
80
three modules implemented, one chart audit, one case brought
Six-month windows. The first runs February 1 to July 31, 2027, and resets August 1; the second runs to January 31, 2028, and resets February 1. Points belong to the practice, not the person. The badge says what you installed, not what a patient will get; before it goes on a patient-facing page, check your college's advertising rules.
Office hours
Ten office hours a year, sixty minutes, live, recorded. Questions are taken in the order they arrived during the month, from members, and every recording is posted with its case deck. The ten dates are to be confirmed. Members' questions are answered first, in a lane the public one does not see. A question about a patient is never answered here.
The Buyers Group
Member pricing on lab work and supplies arrives when the first vendor signs. Until a signed agreement sits behind it, no saving is quoted and no vendor is named. Member pricing is shown after login only.
Pricing and terms
Individual: $199 a month, plus applicable tax, one doctor, one login. Annual: $1,990, plus tax, ten months for twelve.
Practice: $349 a month, plus tax, one doctor plus up to ten named team seats; annual $3,490, plus tax. Both are decision pending until set. A second location is a second Practice membership.
Leader: the Practice fee waived while the club has five members and runs its monthly module. Two months below five, and the Practice rate applies from the next month.
Advisory: five owners, by application, three-month minimum, on its own call.
Canadian dollars.
Founding members: anyone who joins in the opening window keeps their rung's founding price for 12 months from their join date, whatever the price does after. The window dates are to be confirmed.
Opening order: cohort graduates first, then the waitlist in the order people joined it.
Seats are named people, swapped from the account page. Points stay with the practice. Buyers Group pricing and the badge end with the membership.
Cancellation and refunds
Monthly: cancel any time from your account page. No email, no call, no conversation required. Your access runs to the end of the month you have paid for.
Annual: a full refund if you ask by email within 30 days of paying. After 30 days there is no refund, and your access continues to the end of the term.
Practice seats: cancelling the Practice membership closes every seat the same day as the owner's login. Dropping to Individual takes effect at the next renewal.
Leader: a club that stops running returns to the Practice rate on the schedule above.
Removal: a member who puts patient data into the app, the call, the session, the directory or a text is removed the same day, with the unused part of the month refunded. A seat that does it is closed the same day, and the practice is warned once. I will not negotiate on this one.
Questions
Can I share my login with my team?
No. Team members get named seats on the Practice rung.
Do I need to be a cohort graduate?
No. Graduates open first; then the waitlist in the order people joined it.
Is there a member count?
Not until it is true and dated.
Does the co-pilot see patient data?
No. Nothing in the library or the app holds patient data, and putting it there ends the membership the same day.