{
  "schema_version": "state_report.public.v1",
  "source_schema_version": "state_report.v1",
  "state": "CA",
  "state_name": "California",
  "snapshot_cutoff": "2026-07-29",
  "generated_at": "2026-08-03T01:50:00Z",
  "canonical_page": "https://dentalcensus.com/reports/california-dental-market",
  "license_and_terms": "https://dentalcensus.com/data",
  "cite_as": "DentalCensus — California Dental Market Report, snapshot cutoff 2026-07-29",
  "rules": [
    "unknown is never counted as no",
    "aggregates only: no clinic-level rows, no identifiers, no contacts",
    "derived per-capita metrics (clinics-per-10k, saturation, ranks) are out of scope for this artifact"
  ],
  "universe": {
    "unit": "clinic record (organisation-site)",
    "clinic_records": 14704,
    "in_scope_locations": 19673,
    "definition": "Map-eligible clinic records: coordinates plus at least one venue confirmation (existence-based). Location counts include patient-care branches."
  },
  "dso_affiliation": {
    "affiliated_records": 540,
    "affiliated_locations": 1210,
    "distinct_dso_networks": 58,
    "no_affiliation_on_record": 14164,
    "denominator": 14704,
    "note": "Lower bound: branded chains dedupe into one record with branches, so record-level counts understate consolidation."
  },
  "metrics": [
    {
      "section": "services",
      "key": "all_on_x",
      "label": "All-on-X / full-arch",
      "detected": 1433,
      "not_detected": 9014,
      "unknown": 4257,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "the clinic's site was never processed by our crawler"
    },
    {
      "section": "services",
      "key": "cosmetic",
      "label": "Cosmetic dentistry",
      "detected": 10190,
      "not_detected": 4054,
      "unknown": 460,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "no deep-research service extraction on record for this clinic"
    },
    {
      "section": "services",
      "key": "emergency",
      "label": "Emergency dentistry",
      "detected": 4336,
      "not_detected": 6106,
      "unknown": 4262,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "the clinic's site was never processed by our crawler"
    },
    {
      "section": "services",
      "key": "endo",
      "label": "Endodontics",
      "detected": 7362,
      "not_detected": 6882,
      "unknown": 460,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "no deep-research service extraction on record for this clinic"
    },
    {
      "section": "services",
      "key": "general",
      "label": "General dentistry",
      "detected": 10804,
      "not_detected": 3440,
      "unknown": 460,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "no deep-research service extraction on record for this clinic"
    },
    {
      "section": "services",
      "key": "implants",
      "label": "Dental implants",
      "detected": 9307,
      "not_detected": 4937,
      "unknown": 460,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "no deep-research service extraction on record for this clinic"
    },
    {
      "section": "services",
      "key": "oral_surgery",
      "label": "Oral surgery",
      "detected": 7964,
      "not_detected": 6280,
      "unknown": 460,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "no deep-research service extraction on record for this clinic"
    },
    {
      "section": "services",
      "key": "ortho",
      "label": "Orthodontics / aligners",
      "detected": 8707,
      "not_detected": 5537,
      "unknown": 460,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "no deep-research service extraction on record for this clinic"
    },
    {
      "section": "services",
      "key": "pedo",
      "label": "Pediatric dentistry",
      "detected": 5711,
      "not_detected": 8533,
      "unknown": 460,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "no deep-research service extraction on record for this clinic"
    },
    {
      "section": "services",
      "key": "perio",
      "label": "Periodontics",
      "detected": 7263,
      "not_detected": 6981,
      "unknown": 460,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "no deep-research service extraction on record for this clinic"
    },
    {
      "section": "services",
      "key": "prostho",
      "label": "Prosthodontics",
      "detected": 5488,
      "not_detected": 8756,
      "unknown": 460,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "no deep-research service extraction on record for this clinic"
    },
    {
      "section": "services",
      "key": "sedation",
      "label": "Sedation dentistry",
      "detected": 2146,
      "not_detected": 8301,
      "unknown": 4257,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "the clinic's site was never processed by our crawler"
    },
    {
      "section": "services",
      "key": "sleep",
      "label": "Sleep dentistry",
      "detected": 3030,
      "not_detected": 11214,
      "unknown": 460,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "no deep-research service extraction on record for this clinic"
    },
    {
      "section": "services",
      "key": "tmj",
      "label": "TMJ treatment",
      "detected": 3549,
      "not_detected": 10695,
      "unknown": 460,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "no deep-research service extraction on record for this clinic"
    },
    {
      "section": "technology",
      "key": "call_tracking",
      "label": "call tracking",
      "detected": 339,
      "not_detected": 10103,
      "unknown": 4262,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "the clinic's site was never processed by our crawler"
    },
    {
      "section": "technology",
      "key": "online_booking",
      "label": "online booking",
      "detected": 5354,
      "not_detected": 5088,
      "unknown": 4262,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "the clinic's site was never processed by our crawler"
    },
    {
      "section": "technology",
      "key": "patient_portal",
      "label": "patient portal",
      "detected": 964,
      "not_detected": 9478,
      "unknown": 4262,
      "denominator": 14704,
      "method": "website-derived: detection on the clinic's own website (DentalCensus crawl); detected is a floor",
      "unknown_definition": "the clinic's site was never processed by our crawler"
    },
    {
      "section": "marketing",
      "key": "google_ads",
      "label": "google ads",
      "detected": 2007,
      "not_detected": 8019,
      "unknown": 4678,
      "denominator": 14704,
      "method": "verified per clinic against the Google Ads Transparency Center; an explicit no-results response is a verified negative, a failed lookup stays unknown",
      "unknown_definition": "no Transparency Center attempt on record, or the attempt crashed before a result"
    },
    {
      "section": "marketing",
      "key": "meta_ads",
      "label": "meta ads",
      "detected": 345,
      "not_detected": 5770,
      "unknown": 8589,
      "denominator": 14704,
      "method": "verified per clinic against the Meta Ad Library; a failed lookup stays unknown",
      "unknown_definition": "no Ad Library attempt on record, or the attempt crashed"
    }
  ],
  "not_collected": [
    {
      "reason": "no detector exists; free-text technology mentions are not countable evidence",
      "signal": "itero"
    },
    {
      "reason": "no detector exists anywhere in the pipeline",
      "signal": "cerec_same_day_crowns"
    },
    {
      "reason": "no detector and no field exist",
      "signal": "membership_plan"
    },
    {
      "reason": "clear aligners are not separable from orthodontics in any stored field; reported inside 'ortho'",
      "signal": "invisalign_separately"
    }
  ]
}