EXTERNAL
Measured against started cases, not clicks.
Google and Meta, managed by people who know what a started case is worth, and reported in numbers a practice owner can act on.
Impressions always look good.
Agencies report impressions, clicks, and cost per lead because those numbers reliably improve. None of them tell a practice owner whether the money produced treatment.
A campaign can triple its leads and produce fewer starts, because the leads got worse. Without attribution running through to the started case, nobody notices for six months.
The only number that matters is what it cost to start a case.
HOW IT WORKS
Four steps, in this order.
1
Audit the current spend
What is running, what it costs, and what it actually produced.
2
Rebuild targeting and creative
Including the landing pages, which are usually the real problem.
3
Run Google and Meta
Managed actively, not set and forgotten.
WHAT IS INCLUDED
Everything in this list, and more.
Google Search and Performance Max
Built around treatment intent, not broad traffic.
Meta campaigns
Reaching parents before they start searching.
Matched landing pages
The ad and the page say the same thing. Most do not.
Call tracking
Because a large share of your best leads still phone.
Attribution to started case
The only metric that decides whether this worked.
QUESTIONS
The things practices actually ask.
What should we be spending?
[PLACEHOLDER: supply guidance framing without naming fees]
Do you require a long contract?
[PLACEHOLDER: confirm contract terms]
Who owns the ad accounts?
You do. The practice keeps its accounts, its history, and its data.
How is this different from what our current agency does?
Most of the difference is on the reporting end. If your monthly report leads with impressions and clicks, nobody is measuring whether the spend produced treatment.
Will you work with a competing practice in our area?
[PLACEHOLDER: confirm the geographic exclusivity policy]
Works well with
SEO and AEO
A practice can sit at the top of page one and never be mentioned when a parent asks ChatGPT for a recommendation.
CTV and OTT Advertising
Connected TV and streaming, targeted to households inside your treatment radius.
Website Design
Most orthodontic sites describe the practice
Find out what your marketing is actually returning.
We audit your website, your paid channels, your referral flow, and your AI visibility, then hand you a written plan. No cost, no obligation.