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Dental · PPC and Google Ads

Dental PPC management that fills the schedule, measured in patients, not impressions.

You get dental PPC management run by senior media buyers, not generalist account execs splitting attention across SaaS and e-commerce accounts. Every dental Google Ads campaign, every Local Service Ads placement, and every Meta retargeting test is tied back to a booked appointment in your PMS. The unit you spend against is a patient on the schedule, not a click, a form fill, or a vague lead that the front desk never hears from again.

// 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 is included in every PPC engagement

Dental PPC built for dental search behavior,
not generic Google Ads playbooks.

Every dental PPC engagement, from Launch through DSO Enterprise, includes these acquisition fundamentals. Tier differences are mostly campaign volume, recommended ad spend headroom, and the depth of weekly optimization a senior media buyer brings to your account each week.

Service-specific campaigns

Separate dental Google Ads campaigns for implants, cosmetic, emergency, ortho, sleep, pediatric, and Invisalign. Each one carries its own keyword strategy, ad copy library, landing page, and conversion goal, so a patient searching "tooth pain dentist near me" never sees your veneers ad and your $7,500 implant offer is not buried under a free-cleaning headline.

Call tracking and booked-patient attribution

CallRail integration so every dental ads dollar gets measured against booked appointments, not clicks. Every call traces back to the campaign, keyword, ad copy, and landing page that produced it, and feeds your PMS so revenue lands on the same row as spend.

Local Service Ads (LSA)

Google's pay-per-lead format. Your practice shows above paid search with the Google Guarantee badge, which is the lowest cost-per-acquisition channel for emergency dental in nearly every market we have run.

Conversion-tested landing pages

Every dental PPC campaign points to a dedicated landing page, not your homepage. Average conversion rate 5.4 percent across active programs, versus the 1 to 2 percent industry baseline for generic agency landing pages.

Negative keyword sculpting

The single biggest lever in dental PPC advertising. We block "free dental," "Medicaid" (when not relevant), "DIY," "school," and 200 plus other waste-spend triggers from day one, then refine the list every week as the data lands.

Geo and radius targeting

Patient travel patterns vary by service. Radius gets tuned per campaign: implants 30 miles, ortho 20 miles, cleanings 5 miles, emergency tighter still, with day-parting added for after-hours pickup economics.

Live revenue dashboard

Spend, CPA, ROAS, booked patients, and per-service performance refreshed daily. No monthly PDFs, no autogenerated rollups that hide the campaigns quietly burning your budget.

You own the ad accounts

Google Ads, Meta, LSA, GA4, and CallRail, all in your name from day one. We work inside your accounts, not ours. If the relationship ever ends, your campaigns keep running and the data stays with you.

The dental PPC management lifecycle

Six stages.
One revenue-tied loop.

Most dental PPC agencies treat campaigns as set and forget. You get them run as a continuous loop, where research feeds setup, setup feeds optimization, optimization feeds new research. The loop runs weekly, every week, for the life of the engagement, with a senior media buyer reading every report and making the call.

01

Research

Keyword, competitor, and service-line audit grounded in real local search data and your actual high-LTV services.

02

Campaign setup

Service-specific structure, ad copy library, landing pages, and conversion goals tied to booked appointments.

03

Audience targeting

Geo, demographic, in-market, and remarketing audiences, calibrated per service line and per patient travel pattern.

04

Conversion

Call tracking, form attribution, and offline conversion import. Every booked patient gets measured and tagged to source.

05

Optimization

Weekly bid, copy, audience, and negative keyword adjustments based on actual booking data from your PMS.

06

Reporting

Live dashboard plus a weekly written review tying ad spend back to booked patient revenue, by service line and location.

Schedule a strategy call
Transparent management fees

Dental PPC management pricing that scales with your ad budget.

Four tiers. Flat monthly management fees. No percentage-of-spend gotchas. Most growing practices pick the Growth package at $799 per month for management, with $3k to $8k per month recommended in ad spend on top. PPC for dental practices is a 90-day proof window, then month to month.

01 · Launch
$399 /mo

Single-location practices testing dental PPC for the first time. Recommended ad spend: $1.5k to $3k per month.

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
$1,499 /mo

Two to ten location dental groups running multi-channel acquisition. Recommended ad spend: $8k to $25k per month.

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
From $2,500 /mo + spend

DSOs and 11 plus location operators. Recommended ad spend: $25k per month and up, 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, and LSA, never marked up. We do not take a percentage of spend, and we do not own your ad accounts. Ask any other dental PPC agency to commit to that in writing before you sign anything.

90-day performance guarantee. Hit your agreed CPA target in 90 days or month 4 is free. Free Google Ads audit available for accounts spending $5K+/mo.
Why dental PPC works fast

The fastest-moving
acquisition channel in dental.

SEO compounds over months. Recall reactivation pays off in quarters. Dental PPC moves the schedule in days, as long as it gets run right. Three reasons dental PPC advertising outpaces every other channel for new-patient acquisition in the first 90 days of an engagement.

14d
Speed to first patient

Fast

From the day campaigns go live, most practices see their first booked patient inside 14 days. Compare with 90 plus days for SEO and 60 days for recall reactivation. The chair fills before the next month ends.

5.4%
Avg. landing page CVR

Better

Dental-specific landing pages convert 3 to 5 times better than generic agency landing pages, because the patient question (cost, insurance, financing, pain) is answered before the call-to-book button is ever clicked.

$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 in the entire dental ads stack, full stop.

How we stack up

What you would pay somewhere else for dental PPC.

An apples-to-apples comparison of what a Growth package includes versus a generic dental PPC agency, a freelance media buyer, and self-managed campaigns run by the practice owner on a Sunday night.

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 to 20% of spend Hourly Free + your time Flat fee
Typical avg. CPA (implants) $180 to $400 $140 to $280 $300+ $84 to $112

Comparison reflects typical industry quotes for dental PPC management with equivalent scope. CPA figures are anonymized averages across the 142 plus dental practices we have worked with since 2021. Self-managed assumes a practice owner running campaigns without expert support.

Common questions

Questions every dentist asks before running ads.

Two line items: a management fee and ad spend. Management fees on this page run from $399 to $1,499 per month depending on tier. Ad spend gets paid directly to Google, Meta, and LSA, never marked up, and typically runs $500 to $10k per month or more depending on practice size, service mix, and growth targets. Most growing single-location practices land at $1k to $3k per month in ads paired with the $799 Growth management tier. You will get a specific recommended ad budget on the strategy call, based on your services, your target patient volume, and the auction prices in your local market.
It depends on the service mix. Dental Google Ads on Search is the primary channel for high-intent dental searches like implants, emergency, and ortho. Local Service Ads (LSA) are the lowest-CPA channel for emergency dental in most markets. Meta works best for cosmetic and Invisalign retargeting and for top-of-funnel awareness in newer suburbs. Display is mostly waste in dental and we say so on the call rather than padding the engagement with it. The channel mix gets recommended on the strategy call based on your goals, your services, and what is already working.
Three filters. First, service-line specificity: "dental implants near me" beats "dentist near me" every time, because the intent and the LTV are higher. Second, commercial intent: words like "cost," "near me," "open now," and "emergency" beat informational queries every time. Third, aggressive negative keyword sculpting: "free dental," "Medicaid" (when not in network), "DIY," "school," and 200 plus other waste-spend triggers get blocked from day one. Match types and bids get layered on top and adjusted every week as actual booking data comes in from the PMS. Vanity keywords with no commercial value never enter the account.
First booked patient typically inside 14 days of campaign launch. CPA stabilizes at target levels by day 30 to 45 as the optimization loop tightens, since more conversion data feeds smarter bidding, which produces lower CPA, which feeds more conversion data. By day 60, most practices are at or below their target CPA per service line. Emergency campaigns often produce results inside 7 days because the LSA auction rewards practices with the Google Guarantee badge and clean review history. Slower starts almost always trace back to a landing page issue, not the ad account.
Active management, every week. Dental PPC is not set and forget, even though many agencies treat it that way. Bid adjustments, ad copy testing, audience tuning, negative keyword updates, and landing page CRO happen on a weekly cadence, with a senior media buyer reading the numbers and making the call. Set and forget is how dental PPC agencies justify a 10 to 20 percent of spend pricing model while producing $400 CPAs. We do not operate that way, and the case studies on this page reflect what weekly optimization looks like over 90 days.
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, the first 7 days are an audit: salvage what is working, restructure what is not, archive the campaigns burning budget on the wrong queries, and build new campaigns alongside the old ones so nothing breaks the schedule mid-month. You keep account ownership and history throughout, and the audit document is yours whether you hire us or not.
Mostly no. Performance Max bundles Search, Display, YouTube, and Discovery into a black box optimized for impressions and clicks, not booked patients. For dental, we get dramatically better results from explicitly structured Search plus LSA plus (sometimes) Meta campaigns, where bidding, audience, and creative are controlled per service line. Performance Max gets used here only for branded campaigns and select retargeting, where the algorithm has enough signal to be useful instead of expensive. Any agency selling Performance Max as the centerpiece of a dental PPC program is either lazy or new.
Yes. Call tracking through CallRail with a HIPAA BAA in place, server-side conversion tracking that strips PHI before anything reaches Google or Meta, and consent-mode-compliant pixel implementation in line with Google's healthcare ads policies. Patient identifiable information never gets passed to an ad platform. This is one of the most common mistakes generic agencies make, and it is the kind of thing that does not show up in a report until OCR comes calling. We treat it as a foundational requirement, not an upsell on a feature sheet.
Four things show up by day 30. First, dental PPC built on actual patient search behavior, not a playbook borrowed from B2B SaaS or e-commerce paid media. Second, a senior media buyer running the account day to day, not a generalist account manager forwarding tickets. Third, flat monthly fees with no percentage-of-spend gotchas, and full ownership of every account in your name from day one. Fourth, booked-patient attribution from the PMS, not click counts and form fills with no follow-through. Most dental PPC agencies pick one or two of these and call it differentiation. You get all four, with 142 plus dental practices behind the playbook since 2021.