Implants and a hygiene recall cannot share a bid strategy
Campaigns should be grouped by what a case is worth, because a single account average hides everything that matters.
Full-arch and single implants, clear aligners, cosmetic work, emergency visits and general new-patient searches behave like five different businesses. Different click prices, different research cycles, different objections at the front desk.
Put them in separate campaigns with separate budgets. Otherwise the cheap high-volume terms eat the money and the implant traffic gets whatever is left at the end of the day, which is usually nothing.
Each campaign should point at a landing page that matches the search. Sending an aligner query to a general homepage is the most common and most expensive mistake in dental accounts.
Set conversion values that reflect case value, not a flat one per lead. A bidding algorithm optimising towards a flat conversion will happily buy you a hundred cleanings and no implants.
The negative keyword list is where a dental account is actually won
Most wasted dental spend is not bad bidding, it is traffic that was never going to become a patient.
Job searches are the biggest single drain: dental assistant jobs, hygienist salary, front desk hiring. Then education queries, dental school, CE courses, and anatomy homework.
Add product searches such as whitening strips and water flossers, DIY and at-home aligner queries, veterinary dental, free and low-cost clinic searches, and, if you do not accept them, the specific plan names that will produce calls you have to decline.
Review the search terms report weekly for the first two months, then monthly. Broad match in dentistry needs a shorter leash than it does in most trades, because the vocabulary overlaps with employment, education and retail.
This work is unglamorous and it is where the margin is. An hour a week on search terms usually returns more than any amount of ad copy testing.
Local Services Ads change what you are buying at the top of the page
Google's Local Services placement for dentists charges for a lead rather than a click and sits above the search ads.
Getting in requires verification and screening, which takes time and paperwork before a single ad runs. Plan for that rather than discovering it mid-launch.
The unit economics are different. You are paying per lead, disputable in some cases, and the placement takes the position your search ad used to occupy.
It does not replace a search campaign. It changes what the search campaign is competing against, because the top of the page now belongs to whoever completed the verification.
Watch for duplicate spend. Practices frequently pay for the same patient twice by running Local Services, search and Maps promotion without tracking that reconciles them.
Count new patients booked, not forms filled
Cost per lead is a number you can improve steadily while the schedule stays empty.
Use a distinct tracking number per campaign, with dynamic insertion on the website so the source survives the click. Record the calls, with the appropriate notice.
Then close the loop. Match the calls and forms against the appointment book weekly, and mark which ones became a booked new patient and which became a kept one.
Feed that back into the platform as offline conversions where the tooling allows. Bidding that learns from booked cases behaves very differently from bidding that learns from form submissions.
The number to put on the monthly report is cost per booked new patient by campaign. Everything else is diagnostic detail underneath it.
Pace the budget against a patient book that is not the same all year
The seasonal swing is uneven across the county, so pacing depends on where your patients actually live.
The Palm Beach County Planning Division publishes seasonal population municipality by municipality, and the shape differs sharply between the barrier-island towns and the county seat. A practice whose book leans on the Town of Palm Beach or Highland Beach is running a different calendar from one serving year-round households a few miles inland.
If your patient list skews seasonal, flat monthly budgeting spends the same money into a much thinner market for part of the year. Weight the spend towards the months when the people are here.
Year-end benefit expiry is often cited as a driver of elective enquiries. Whether it moves your numbers is a question your own year-over-year data can answer; treat it as a hypothesis to test rather than a rule.
Whatever the pattern, build the pacing from your own booked-case history. Borrowed seasonality curves are worse than none.
Paid social sells implants and veneers; it will not sell a six-month recall
Feed placements create demand for high-value elective work and waste money chasing routine hygiene.
Search captures people who already decided. Social has to create the thought, which only pays back when the case is large enough to justify the patience.
Video of the doctor explaining the procedure tends to outperform polished production. People are choosing a person to put their hands in their mouth.
Creative needs a legal read before it runs. Florida's dental advertising statute restricts laudatory statements, comparative quality claims and appeals to fear, which rules out a lot of standard before-and-after ad copy. Those rules apply statewide, in Naples and Miami exactly as here, and are worth confirming with your own counsel.
Upload your patient list as an exclusion so you stop paying to reach people who are already on the books, and cap frequency. A dental ad seen fifteen times reads as desperation.
Questions we actually get
- What should we budget to start?
- There is no honest industry number, and any agency quoting one has not looked at your account. The way to size it: take the click cost for your target procedure terms in your own geography, estimate how many clicks it takes to produce a call at a realistic rate, then multiply by what you know about how many calls your front desk converts. That produces a cost per booked case you can compare against case value. We would rather run one procedure campaign properly funded than five campaigns starved.
- Should we run ads while SEO is still building?
- Usually yes, and for a specific reason beyond the traffic. Paid search tells you within weeks which procedure terms actually produce booked patients, which is expensive information to obtain any other way. That data should then direct which organic pages get written first. The two programmes inform each other rather than competing for the same budget line.
- Do we need separate landing pages, or can ads point at the website?
- Separate pages, for the campaigns that matter. An implant ad landing on a general homepage asks the visitor to do the sorting, and most of them will not. The pages do not need to be elaborate: the procedure, what happens, the doctor, the phone number, a short form. Consistency between the ad text and the first line of the page does more than design polish.
- How do we know the calls the agency reports are real?
- Listen to them. Call recording with proper notice, reviewed monthly, settles the question in twenty minutes. Any agency that resists giving you raw access to the call log and the recordings is telling you something. Beyond that, the reconciliation against your appointment book is the real audit, since a booked patient in your own system cannot be manufactured by a reporting dashboard.
- Should we bid on our own practice name?
- Generally yes, and cheaply, because competitors can bid on it and a brand click that you lose is often the most qualified click of the day. The counter-argument, that you would have got the visit anyway from the organic listing, has some force when nobody else is bidding. Check the auction insights for your own name; if competitors appear there, the question answers itself.
