Two local markets · 33 days
Multi-location implant & denture acquisition
Multi-location dental group
Dental
A multi-location dental group recorded 334 Google Ads lead conversions across two local markets in 33 days at a $55.60 blended cost per lead—giving its implant and denture teams a measurable acquisition baseline.
Reporting period: March 6–April 7, 2026 · 33 days
Combined Google Ads campaigns
$52.53 blended cost per lead
$65.21 blended cost per lead
Source: Internal Google Ads campaign reporting. Figures are reported lead conversions, not a count of unique patients, booked appointments, or treatment revenue. Bookings and subsequent CRM stages are tracked separately. These results relate to paid search and Performance Max, not SEO or AEO. Past performance does not guarantee future results.
Behind the headline
The two-market acquisition scorecard
| Market | Reported leads | Ad spend | Blended cost per lead |
|---|---|---|---|
| Market A | 253 | $13,289 | $52.53 |
| Market B | 81 | $5,282 | $65.21 |
| Combined | 334 | $18,571 | $55.60 |
Challenge
Where the account stood
Implant and denture searches span treatment research, competitor names, and people outside a clinic’s service area. The team needed to understand acquisition costs in two distinct local markets and keep advertising enquiries separate from booked consultations and treatment outcomes.
Approach
What DBM did
DBM combined Search and Performance Max with market-level reporting. The initial 33-day scorecard established a baseline; subsequent optimisation focused on treatment intent, tighter local coverage, search-term exclusions, and visibility into CRM follow-up.
Ran Google Search and Performance Max across two local markets, reporting each market’s leads, spend, and blended acquisition cost separately.
Reviewed treatment-specific intent, including full-mouth implants, single-tooth needs, and local ‘near me’ searches rather than treating every dental search as equally relevant.
In subsequent optimisation, reviewed clinic-radius and ZIP-code coverage against the clinics’ service areas and excluded irrelevant neighbouring areas to tighten geographic relevance.
Added more than 620 competitor practice and doctor names as negative keywords during May 13–18, 2026, and disabled Search partners on April 23 to improve traffic control.
Introduced CRM lead-quality scoring in May and worked on click-ID routing and follow-up visibility. These later improvements are not presented as the cause of the earlier March–April results.
Services involved
What made this work
More customer results
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