98.5%
Organic click growth in 90 days
The playbook · how we grow practices
The system behind the kept exam.
Four channels, one tracking layer, sequenced across 90 days — and a live performance dashboard so every dollar is tied back to a booked, kept exam.
Tracking before spend SEO that compounds Reported in plain English
Your growth, in one report
This monthProfile views
8,540
▲ 12%
New-patient calls
312
▲ 18%
Booked consults
96
▲ 14%
Kept exams
41
▲ 9%
Click-through rate 6.8%Cost / booking $52Booking conversion 11%Calls answered 94%
New-patient calls — last 6 months
Local visibility
93%
Map-pack optimisation
Illustrative live reporting view — every figure tied back to booked, kept exams.
The channels
Four channels, working as one.
Combined into a single engagement so traffic, tracking and the front desk all point at the same outcome.
01
Google Ads — find patients now
Separate campaigns per location, keywords focused on patients ready to book, dozens of negative keywords blocking waste, and budget that shifts monthly toward what produces appointments.
02
SEO — build free traffic
Location and treatment pages, blog content answering real patient questions, an active Google Business Profile, and technical fixes for speed, indexing and schema. It compounds for years.
03
Local Services Ads — pay per contact
Google's Guaranteed lane for healthcare. Zero cost for impressions or clicks — you pay only when a real patient makes contact, with a trust badge attached.
04
Tracking — tie it to revenue
Call tracking with a 60-second quality bar, booking attribution and patient-level reporting in GA4. Every lead linked to its source; every appointment to a dollar.
Get found locally
Own the map pack in every town you serve.
Orthodontics is a local search before it's anything else. A practice with two locations has two chances to appear in the map pack for every "near me" search — most treat them as one. We build a separate local strategy per location, because that's what wins both slots.
Local Search Ranking
"braces near me"
#2 ▲1
Avg rank
9 mi
Coverage
41% ▲
#1 searches
◈
Google Business Profile, kept live
Every field filled, 20+ photos per location and 4+ posts a month. Consistent activity is a direct local ranking signal — most set it once and forget it.
⌖
Pages built per location
A dedicated page for each location with a location-specific H1, embedded map, LocalBusiness schema and real patient testimonials — not one page with the city name swapped.
★
Reviews on autopilot
A one-tap review request 24 hours after a positive visit. More reviews mean a higher map-pack position — the cheapest ranking lever there is.
≡
NAP consistency
Name, address and phone identical across your site, GBP, Yelp, Healthgrades and every directory. Discrepancies confuse Google and patients alike. Audited quarterly.
⚲
Local keyword coverage
"Orthodontist [city]," "Invisalign [city]," "braces near me," "free consultation near me" — the high-intent searches patients actually type, mapped to the right page.
▦
Map pack & "near me"
Schema, proximity signals and reputation tuned so the practice shows up in the three-result local pack — where most local clicks go before anyone scrolls.
~2×
Organic traffic by end of Q1
$0
Cost per organic patient
Conversion features
Getting the click is only half the work.
A visitor who reads your Invisalign page for 90 seconds and closes the tab is a missed appointment. These features give every visitor a low-friction path to booking — at 2pm on a Tuesday or 11pm on a Saturday.
A
AI chatbot, 24/7
Answers treatment, insurance and cost questions instantly, books consults in the chat window, and captures contact details after hours — so no inquiry goes unanswered.
B
Click-to-call & "Talk to us"
A fixed, always-visible button in the corner of every page. One tap to call on mobile, where most local searches happen.
C
Online booking
Location selector, service picker and a live calendar showing genuinely available slots — with automatic confirmation and a 48-hour reminder.
D
Exit-intent capture
When a visitor moves to leave, one clear offer appears: the free consultation. Recovers 10–35% of would-be exits as leads — no fake timers.
E
Follow-up sequence
Confirmation within five minutes, a 48-hour reminder with a one-tap reschedule, and a same-day recovery call on no-shows while they're still warm.
F
Reviews on autopilot
A one-tap review request 24 hours after a positive visit. More reviews mean a higher map-pack position — the cheapest ranking lever there is.
The 90-day roadmap
Foundations. Volume. Compound.
The sequence is fixed: technical foundations before content, content before optimisation. Each phase depends on the one before it.
Month 1
Foundations
Get the baseline right
Track first
Full technical SEO audit, call and booking tracking, and campaign structure built before a dollar of spend.
Local presence
Google Business Profiles built and optimised per location; treatment and location pages with proper schema.
Month 2
Volume
Drive traffic & leads
Content engine on
Three blogs and three landing pages published — insurance, cost and treatment-comparison coverage for high-intent searches.
Conversion live
Google Ads running, chatbot active, exit-intent deployed and the review workflow turning visits into booked consults.
Month 3+
Compound
Optimise what's running
Sharpen the rankings
On-page improvements, schema additions, metadata refreshes and internal linking on the pages already ranking.
Raise the quality bar
60-second call threshold, booking-conversion review and Local Services Ads to add a pay-per-contact lane.
Measuring growth
Two kinds of metrics. Only one pays the rent.
Activity metrics — impressions, clicks, spend — show the work is happening.
Business metrics — booked consults, kept exams, new patients — show it's working.
We report both, in plain English, with context for every number.
Book a growth review
Let's set your kept-exam target.
A free 30-minute review of your current marketing — where the funnel leaks, and the fastest fixes available in 30 days.