Dental practice management Software Engineering Canadian Orthodontic Partners · May 25, 2026

HubSpot custom integration for 50+ clinics

HubSpot custom integration connecting a website, CRM, and closed practice-management systems for 50+ orthodontic clinics, built behind a calculator already tied to just under $2M in patient revenue.

Geography
Toronto, Ontario, Canada
Year
2020
Stage
Network of 50+ orthodontic practices
Team
Direct work with the Leanware CEO
Duration
June to July 2020
Engagement size
Less than $10,000

The situation

Most of the practice-management systems used across Canadian Orthodontic Partners' network of more than 50 clinics had no open API to connect to. Canadian Orthodontic Partners runs those clinics from a central services organization covering finance, marketing, and HR, and its marketing team needed practice management system integration between the consumer-facing website, the HubSpot CRM, and each clinic's software, without that access point to work with. What the team needed, in effect, was a hubspot custom integration built to route around systems that couldn't be reached directly.

The VP of Marketing wanted the problem solved quickly, without adding work for the agencies already retained on other parts of the marketing stack. Speed and a direct line to the people doing the work mattered more here than a long discovery process.

What we built

 Leanware came in as an ad hoc developer, with the Leanware CEO doing the work directly against the VP of Marketing's brief rather than routing it through a larger team. The engagement ran inside a single window, June to July 2020.

The hubspot custom integration used HubSpot itself as the connection point: the CRM bridged the consumer website and each clinic's closed practice-management platform, since no formal API existed on that side, letting clinics communicate with patients more easily despite the gap. This kind of workaround for closed dental practice-management software follows a similar pattern to Leanware's other dental-sector work, including DocBraces and AI Grader for Crowns.

Alongside the integration work, Leanware improved the website's payment calculator, the tool patients use to explore treatment payment options. The earlier version of the calculator was primitive; the engagement improved both the experience and the data it captured.

Outcome

The payment calculator sits behind revenue the client already attributes to it: just under $2M in patient revenue from visitors coming through that tool, a figure the client expected to keep growing as the improved experience and better data capture took effect.

The Clutch review for this engagement scores 5.0 across every category and calls out responsiveness specifically: quick replies, problems taken on personally, and a communication style the client contrasts with other offshore developers it has worked with. The engagement stayed small and fast by design, and Leanware remained on the client's radar for future work afterward.

"Leanware is incredibly responsive. Their team is quick to reply and fantastic at tackling problems."

— Paul Abrams , VP of Marketing , Canadian Orthodontic Partners · Toronto, Ontario

Engagement FAQ

What does a HubSpot integration project look like when practice-management systems have no open API?

The integration routes through HubSpot as the connection point rather than trying to reach the closed systems directly. For Canadian Orthodontic Partners, that meant bridging the consumer website, the HubSpot CRM, and each clinic's practice-management software through the CRM layer, since most of those practice-management systems had no API to connect to.

How long does a small HubSpot integration engagement take?

The Canadian Orthodontic Partners engagement ran from June to July 2020, start to finish, with the engagement size under $10,000. Timelines like this depend on scope, but a focused, well-defined integration can move fast.

Can a website payment calculator be improved as part of a HubSpot integration project?

Yes, if the calculator feeds into the same CRM the integration touches. In this case, the payment calculator that patients use to explore treatment payment options was enhanced alongside the integration work, and the calculator is the tool the client credits with just under $2M in attributed patient revenue.

Do I need a large team for a HubSpot integration project?

Not necessarily. This engagement was handled directly by the Leanware CEO working from the client's brief, without a large team layered in between, which kept the work fast and the communication direct.

How does healthcare CRM integration work without disrupting the marketing agencies a client already has in place?

By scoping the work narrowly and running it in parallel rather than replacing what's already in place. The brief here was explicitly to solve the integration problem quickly without bogging down the retained marketing agencies already working with the client.

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