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Dental · PPC & Google Ads

The fastest path
to a fuller schedule
measured in patients, not impressions.

Senior media buyers running Google Ads, Local Service Ads, and Meta campaigns built around dental conversion economics. Every dollar tracked back to a booked appointment — not a click, a form fill, or a "lead."

// dental.ppc.dashboard
Live · 30d
Campaign Spend CPA Pts
Implants — Search $8.4K $112 75
Cosmetic — Search $4.2K $74 57
Emergency — LSA $2.1K $48 44
New Patient — Meta $3.6K $92 39
Brand — Search $680 $22 31
Booked patients · 30 days +247%
246 booked patients from $19K spend · $77 avg. CPA
$48 emergency CPA
Local Service Ads
7.4× ROAS
Implants campaign
$84
Avg. cost per booked patient
7.4×
Avg. ROAS on Implants campaigns
14d
From kickoff to first booked patient
+247%
Avg. lift in qualified bookings
What's included in every PPC engagement

Built for dental search behavior —
not generic Google Ads templates.

Every package — Starter through DSO Enterprise — includes these acquisition fundamentals. Tier differences are mostly campaign volume, ad spend headroom, and depth of optimization.

Service-specific campaigns

Separate campaigns for implants, cosmetic, emergency, ortho, sleep, pediatric, and Invisalign — each with its own keyword strategy, ad copy, landing page, and conversion goal. Patients searching "tooth pain dentist near me" don't see your veneers ad.

Call tracking + booked-patient attribution

CallRail integration means we measure ad spend against booked appointments — not clicks. Every call traced back to the campaign, keyword, and landing page that generated it.

Local Service Ads (LSA)

Google's pay-per-lead format. Your practice shows above paid search with the Google Guarantee badge — best for emergency.

Conversion-tested landing pages

Every campaign points to a dedicated landing page — not your homepage. Avg. CVR 5.4% (vs. 1–2% industry).

Negative keyword sculpting

The single biggest lever in dental PPC. We block "free dental," "Medicaid," "DIY," and 200+ other waste-spend triggers from day one.

Geo + radius targeting

Patient travel patterns vary by service. We tune radius per campaign — implants 30mi, cleanings 5mi.

Live revenue dashboard

Spend, CPA, ROAS, booked patients, and per-service performance — refreshed daily, not weekly PDFs.

You own the ad accounts

Google Ads, Meta, LSA — all in your name from day one. We work inside your accounts, not ours.

The PPC management lifecycle

Six stages.
One revenue-tied loop.

Most agencies treat PPC as set-and-forget. We treat it as a continuous loop — research feeds setup feeds optimization feeds new research. The loop runs weekly, every week, for the life of the engagement.

01

Research

Keyword + competitor + service-line audit grounded in real local search data.

02

Campaign setup

Service-specific structure, ad copy library, landing pages, conversion goals.

03

Audience targeting

Geo, demographic, in-market, remarketing audiences — calibrated per service.

04

Conversion

Call tracking, form attribution, offline import — every booked patient measured.

05

Optimization

Weekly bid, copy, audience, and negative keyword adjustments based on real data.

06

Reporting

Live dashboard + weekly written review tying spend back to booked patient revenue.

Transparent management fees

PPC pricing that scales with your ad budget.

Four tiers. Flat management fees — no percentage-of-spend gotchas. Most growing practices choose Growth at $800/mo for management, with $3k–$8k/mo recommended in ad spend.

01 — Launch
$500 /mo

Single-location practices testing PPC for the first time. Recommended ad spend: $1.5k–$3k/mo.

Best for
New & solo practices
  • Up to 2 service-line campaigns
  • Google Ads (Search) only
  • Call tracking + 1 landing page
  • Negative keyword sculpting
  • Monthly optimization
  • Monthly performance review
  • Local Service Ads (LSA)
  • Meta + Display campaigns
Start with Launch
03 — Scale
$1,500 /mo

2–10 location dental groups running multi-channel acquisition. Recommended ad spend: $8k–$25k/mo.

Best for
Multi-location groups
  • Unlimited campaigns
  • Google Ads + LSA + Meta + Display
  • Per-location attribution
  • Custom landing page system
  • Daily optimization
  • Senior media buyer assigned
  • Weekly + monthly executive reports
  • A/B testing program
Start with Scale
04 — Enterprise
Custom

DSOs and 11+ location operators. Recommended ad spend: $25k+/mo with per-region budget pools.

Best for
DSOs & enterprise
  • Everything in Scale
  • De-novo location launch playbook
  • Per-region budget pools
  • Custom dashboard + Looker Studio
  • Dedicated success team
  • SLA-backed response times
  • Quarterly executive reviews
  • SOC 2 / SSO integration
Request a proposal
Important
Management fees are separate from ad spend. Ad spend is paid directly by you to Google / Meta / LSA — never marked up. We never take a percentage of spend, and we never own your ad accounts. Ask any agency to commit to that in writing.
Why dental PPC works fast

The fastest-compounding
acquisition channel in dental.

SEO compounds over months. Recall reactivation pays off in quarters. PPC moves the schedule in days — provided you run it right. Three reasons dental PPC outpaces every other channel for new-patient acquisition.

14d
Speed to first patient

Fast

From the day campaigns go live, most practices see their first booked patient within 14 days. Compare to 90+ days for SEO and 60 days for recall reactivation.

5.4%
Avg. landing page CVR

Better

Dental-specific landing pages convert 3–5× better than generic agency landing pages — because the patient question (cost, insurance, financing) is answered before they're asked to call.

$48
Emergency CPA via LSA

Local

Local Service Ads place your practice above paid search results with the Google Guarantee badge. For emergency dental, this is the lowest CPA channel that exists — period.

How we stack up

What you'd pay somewhere else.

Apples-to-apples comparison of what a Growth package includes versus generic agencies, freelance media buyers, and self-managed campaigns.

Feature Generic agency Freelance media buyer Self-managed Redefine Web
Dental-specific campaign strategy Sometimes
Service-line campaign structure Sometimes Maybe
Aggressive negative keyword sculpting Sometimes ✓ (200+ blocks)
Local Service Ads (LSA) management Add-on Rarely DIY
Conversion-tested landing pages Extra cost
Booked-patient attribution (not just clicks)
You own the ad accounts Sometimes
Optimization cadence Monthly Bi-weekly Whenever Weekly
Pricing model 10–20% of spend Hourly Free + your time Flat fee
Typical avg. CPA (implants) $180–$400 $140–$280 $300+ $84–$112

Comparison reflects typical industry quotes for dental PPC management with equivalent service scope. CPA figures are anonymized averages across 30+ dental practices we've worked with since 2018. Self-managed assumes practice owner doing campaigns without expert support.

PPC case studies

From spend to scheduled appointments.

Three dental engagements where ad spend produced measurable, attributable revenue. Browse the archive for more across single-location, group, and DSO clients.

Browse all dental PPC case studies
Common questions

Questions every dentist asks before running ads.

Two costs: management fee + ad spend. Our management fees run $500–$1,500/mo depending on tier. Ad spend is paid directly to Google/Meta/LSA and runs $1,500–$25k+/mo depending on practice size and goals. Most growing single-location practices spend $3k–$8k/mo in ads with our $800/mo Growth management. We never mark up ad spend or take a percentage.
It depends on the service mix. Google Search is the primary channel for high-intent dental searches (implants, emergency, ortho). Local Service Ads (LSA) are best for emergency. Meta is best for cosmetic and Invisalign retargeting. Display is mostly waste in dental. We'll recommend the channel mix on the strategy call based on your services and goals.
Three filters: (1) service-line specificity — "dental implants near me" beats "dentist near me," (2) commercial intent — "cost," "near me," "emergency" beat informational queries, (3) negative keyword aggression — we block "free dental," "Medicaid" (when not relevant), "DIY," and 200+ other waste-spend triggers from day one. Then we layer in match types and adjust weekly based on actual booking data.
First booked patient typically within 14 days of campaign launch. CPA stabilizes at target levels by day 30–45 as the optimization loop tightens (more conversion data → smarter bidding → lower CPA). By day 60, most practices are at or below their target CPA per service line. Emergency campaigns often produce results within 7 days.
Active management — every week. PPC isn't set-and-forget. Bid adjustments, ad copy testing, audience tuning, negative keyword updates, and landing page CRO happen on a weekly cadence. Set-and-forget is how agencies get away with charging 10–20% of spend and producing $400 CPAs. We don't operate that way.
Yes — and we prefer it. We work inside your Google Ads, Meta, and LSA accounts, not ours. If you have an existing account with historical data, we audit it first, salvage what's working, restructure what isn't, and build new campaigns alongside. You retain ownership and history throughout.
Mostly no. Performance Max bundles Search, Display, YouTube, and Discovery into a black box that's optimized for impressions and clicks — not booked patients. For dental, we get dramatically better results from explicitly structured Search + LSA + (sometimes) Meta campaigns where we control bidding, audience, and creative per service line. We use Performance Max only for branded campaigns and select retargeting.
Yes. Call tracking via CallRail with HIPAA BAA, server-side conversion tracking that strips PHI before sending to ad platforms, and consent-mode-compliant pixel implementation. We don't pass patient identifiable information to Google or Meta — ever. This is one of the most common mistakes generic agencies make.
// Case studies

Real practices, real numbers.

A sampling of recent engagements that match this work.

Browse all case studies