Dental PPC judged on booked chairs, not clicks.

Waste comes out in the first fortnight, because negatives, capped brand spend and paused catch-all campaigns take effect immediately. Structural gains follow over four to eight weeks as bidding relearns on cleaner conversion data. The honest read is a full quarter: calls move before booked high-value cases do, and we agree that up front so nobody judges a rebuild on nine days of data.

Management is a fixed monthly fee scoped to the account rather than a percentage of spend, so our incentive points at efficiency instead of volume. Media is yours and paid directly to Google. Judge us on cost per new patient against what a patient is worth to the clinic: with a $72.97 benchmark cost per lead and your own case acceptance rate, the break-even is straightforward arithmetic we will do with you before you sign anything.

Some, rarely as much as an inherited account does. Brand terms look excellent in a report because they convert cheaply, and much of that volume would have arrived anyway. We keep enough brand coverage to defend against competitors bidding on your name, measure the incremental part honestly, and move the rest to treatment campaigns that need help. It usually frees a meaningful share of budget in month one.

In dentistry it is the whole game, because most high-value enquiries arrive by phone rather than by form. Without it, the platform optimises toward whoever fills in a web form, which skews budget away from implants and emergencies. Call-only formats convert strongly in this market — 18.2% is the reported benchmark — and we set the tracking up, test it on your handsets and keep your existing numbers visible everywhere patients look.

Separately, and with different copy, bids and hours. Emergency searches convert fast and forgive very little: the ad has to say you can see someone today, the page has to give a phone number above the fold, and someone has to answer. We keep these campaigns live when demand actually appears, including evenings and weekends where your team covers them, and we pause them honestly when nobody is there to pick up.

Yes, and it is usually where the return lives. High-value treatment searches are fewer, more expensive and slower to close, so they need their own campaigns, their own pages answering cost and finance questions, and a conversion definition based on consultations attended rather than enquiries received. We also sequence follow-up so a patient researching for six weeks still sees your practice at the point of decision.

It is a constraint we work with often, and usually the highest-value thing we change. Where the platform allows custom pages we optimise those; where it does not, we build fast standalone pages for the campaigns carrying real spend and pass enquiries straight into your systems. Given offer-specific pages convert around 12.5% against 4.2% site-wide, this is often the cheapest performance gain available.

Yes, and the accounts that perform best are the ones where we do. We share call recordings from paid campaigns, agree what counts as a booked appointment so everyone measures the same thing, and flag missed-call patterns by hour rather than blaming anyone. Small changes at reception, like covering the lunch hour, routinely move cost per new patient more than a bid adjustment ever will.

Enough to gather data in a reasonable time rather than a fixed magic number. With clicks averaging $8.00 in this category, a single-site clinic usually needs a few thousand dollars a month to learn anything reliable within a quarter. We would rather tell you a budget is too thin for the market than take it and report averages, and we will say which treatments to fund first if the number is tight.

Yes, and the structure changes. Each location gets its own budget, radius and phone tracking so one busy site cannot hide an underperforming one, while shared assets and negatives stay central so the group is not rebuilding the same work five times. Reporting rolls up for the group and drills down per practice, which is usually what a regional manager actually needs.

It can work with guardrails: clean conversion data, brand exclusions so it does not quietly harvest your own name, sensible asset groups per treatment, and regular reporting on where placements ran. We use it where the data supports it and always keep a controlled search structure alongside, so you have a channel where the levers are visible and a fallback if the automated campaign drifts.

Yes, and the numbers get more honest when one team holds them. Our local SEO, paid social and analytics specialists work from the same plan as the paid search team, so a new patient is attributed once instead of claimed by three vendors. Hiring us for search alone is equally fine — everything is documented and left in accounts you own.