The website a practice shows people, and the domain it runs on. Most small businesses have those handled by two parties who never speak to each other. We do both, and we keep them working.
Most small businesses no longer send their own email directly. Booking platforms, CRMs, newsletter tools, billing systems and appointment reminders all send mail using the business's domain name, and almost nobody has visibility into whether any of that is configured correctly.
That gap is invisible. There's no breach to detect and nothing on the business's side looks broken, which is exactly why it sits unaddressed for years while anyone at all can send email that appears to come from the practice.
We built MDA Insights around fixing it. What we found along the way was that the same practices with unprotected domains usually had websites nobody had touched since launch, no search visibility, and no idea their contact form had stopped delivering. So the work grew to cover both.
Single-location and specialty practices where a spoofed email to a patient is a real problem rather than a theoretical one, and where the website needs to look current without changing every week.
Practices competing locally for new patients, where being findable in the surrounding few miles matters far more than ranking nationally for anything.
Small and solo firms handling client correspondence and wire instructions by email, where domain impersonation carries consequences well beyond embarrassment.
We don't manage reviews, run ad campaigns, or resell hosting. Those are real services and there are good people doing them; they're just not us. Being clear about it up front saves everyone a call.
No account managers relaying messages to someone you never meet. These are the people building your site and touching your DNS.
David has spent sixteen years keeping large systems online. Most recently as a Senior Systems Engineer at First American Financial & Title, where he designed and ran the monitoring platforms covering critical .NET and Java applications across AWS, Azure, and Google Cloud. Before that, DevOps engineering at AT&T/DirecTV and Expedia, where he led monitoring and automation across more than 20,000 production servers in a 24/7 operations environment.
Specializing in uptime, alerting, and root cause analysis, David knows a system is failing before the people relying on it do. It's the same discipline behind our website monitoring, and it's why a practice hears from us about a broken contact form before a patient has to report it.
Email authentication sits in the same territory. DNS records, mail routing, policy enforcement: infrastructure problems that happen to arrive dressed as marketing ones. Most agencies won't touch them, and most IT generalists never get to them.
ITIL v3 Certified · AppDynamics Power User & Implementor Certified · Splunk Certified
Angela runs MDA Insights and leads design and development on every site we build. Layout, structure, build, launch, nothing goes out that she hasn't worked on directly.
She has spent five years building and designing websites, consulting on projects for businesses of every size before bringing that work in-house here. Her focus is the part most small practices never get: a site that reflects the business as it is now, loads properly, and does the one job it exists to do; get someone to pick up the phone or fill in the form.
She also handles the client side of the work directly. When you have a question about your site, you're asking the person who built it.
Behind the scenes we have a team handling development, monitoring, and customer support. Work stays in-house, we don't subcontract client sites or give DNS access to third parties ever.
The domain, the hosting account, the site itself. We hold delegated access to do the work and nothing more. If you leave, there's nothing to unwind.
You pay your provider directly, at their price. No markup, no lock-in, and no waiting on us if there's ever a billing problem.
Client sites and DNS access stay in-house. Nobody outside this company touches the records that control your email.
Security work and marketing work get bought by different people for different reasons. Bundling them is how one of them ends up as a line item nobody owns.
If your site is fine and only your email is exposed, we'll say so. Selling a practice something it doesn't need is a short business.
Check what your domain publishes today. It takes a few seconds, costs nothing, and if your setup is already fine we'll tell you that.
Protecting the digital front door of your business from websites that convert, monitoring that catches problems before your customers do and managed IT services that you can actually count on.
2026 MDA Insights - All Rights Reserved.
