Flat management fee. Your ad account, your credit card, your data. We don't take a percentage of ad spend — because the moment we do, our incentive bends toward spending more, not booking more patients.
Percentage-of-spend bends incentives toward more spending, not more booked patients. We charge a flat monthly fee. Your account, your card, your data — paid direct to Google.
No AI black-box "set and forget." Every campaign is structured, named, and tracked so you can read your own account.
The single highest-ROI paid product for most dental practices in 2026. We handle eligibility, license verification, insurance docs, and the dispute-bad-leads workflow that drops your effective CPL by 20–40%. Twilio-routed alerts so the front desk answers in under 5 minutes — LSA punishes slow responders.
Separate campaigns per cluster — emergency, general, cosmetic, implants, Invisalign, pediatric. Tight match types. Negative-keyword libraries built from 30+ dental accounts. Single-keyword ad groups on your top revenue procedures.
PMax is useful as a secondary layer once Search is dialed in. It is dangerous as a primary campaign. We always exclude brand keywords (so Google can't take credit for traffic you'd get for free), feed it a real asset library, and watch for the cannibalization patterns most agencies ignore.
Two to three procedure-specific landing pages per account, not your homepage. Real patient photos (HIPAA Auth on file), trust badges, click-to-call above the fold, a single form. Built on your site, in your CMS — yours when you leave.
CallRail on the HIPAA-eligible tier with BAA. GTM server-side so no PHI ever hits Google in a conversion ping. Form-fill conversions fire as event-only, never with patient data. The CallRail free tier and GA4 on PHI pages are non-starters; we won't set them up.
Bid adjustments, negative keywords, search-term mining, ad copy tests — weekly. A real human-written monthly review with the actual numbers, not a screenshot of the Google Ads dashboard.
$1,500–$3,000. Full account build, LSA enrollment, GTM server-side, CallRail HIPAA setup, 2–3 landing pages. Published on the pricing page.
For ad spend under $3K/mo. Google Ads + LSA. Includes everything in the six pillars above.
For ad spend $3K–$8K/mo. Google + LSA + Meta if Meta makes sense for the specialty.
15% of spend with a $997 floor — same as the published industry midpoint. Still no hidden tiers, still month-to-month, still your account.
No contracts. No setup fees on Foundation or Growth. You own your assets from day one.
Not ready to commit? Start with the free 50-point AEO audit or the $497 deep audit.
Ten things every dental practice should demand from a marketing agency. Most won't put these in writing. We do — every engagement letter.
No. Your card is on your Google Ads account, you see every dollar Google charges. We bill our management fee separately. The percentage-of-spend model is in every agency contract for a reason — we just don't think the reason is good.
You do. Account in your business name, billing on your card, admin access for us. The day you fire us, we drop our access and you keep the account, the history, the audiences, and the conversion data. That's in the Bill of Rights.
Solo GP in a mid-market metro: $2,500–$4,500/mo gets you 25–60 leads. Cosmetic or implant specialist: $5,000–$15,000/mo to clear meaningful case volume. We will tell you, before you sign, what your realistic CPL and case volume look like at each budget — based on your zip code, not a brochure average.
As a secondary layer, yes. As your primary campaign on a $3K/mo budget, no. PMax is a black box that performs well only when you already have a strong Search baseline, exclude brand traffic, and feed it real assets. Most agencies push PMax-first because it's easier to manage and easier to defend when results are weak. We won't.
Run both. LSA owns the top of the SERP for emergency and general-dentistry intent, and you only pay for actual lead calls. Regular Search covers the procedures LSA doesn't (implants, cosmetic, Invisalign by name) and gets you click-to-landing-page conversions where the landing-page CRO matters. The right answer for almost every practice is a stack, not one or the other.
Free 50-point AEO audit. Delivered in 48 hours. No card. No call required.