Every dollar you spend on ads should put a patient in a chair. Not a click in a report.
We don’t just “do dental.” We specialize in it.
50+
ACTIVE DENTAL OFFICES
$500K+
MONTHLY AD SPEND MANAGED
20+
YEARS OF EXPERIENCE
SPECIALTIES
CORE SERVICES
Digital Marketing & SEO
PRACTICE TYPES
Single Office to 40+ Location DSOs
EXPERIENCE
Hundreds of Practices Managed
You’re spending thousands a month on ads. Your agency sends you a report full of clicks and impressions. But do you actually know what it costs to get a new patient? Not a lead. A patient. Most practice owners can’t answer that, and their agency has never brought it up.
We take over accounts all the time. Different agencies, different budgets, different markets. The problems are almost always the same.
We open accounts and find no call tracking, no form tracking, nothing connecting ad spend to actual leads. The agency reports clicks and spend because that's all they can see. Everything else is a guess.
You got 73 leads at $140 each. Fine. But how many of those turned into scheduled appointments? How many showed? What did it actually cost to get a new patient in the chair? Those are the questions your agency should be asking. If they're not, it's because they either don't understand your business or don't care to ask.
Copy-paste templates across cities. Same keywords, same ads, same budget. A general practice in suburban New Jersey has nothing in common with an implant center in downtown Austin. Running them the same way wastes money in both.
Report says 62 leads. Some of those are existing patients calling to reschedule. Some hung up after five seconds. Some are sales reps. The actual number of new patient opportunities is buried in there somewhere, and nobody's sorting it out for you.
Some accounts are running campaigns that make no sense for the practice. Others were set up fine a year ago and nobody's touched them since. No search term reviews, no bid adjustments, no testing. You're paying a management fee for an account that's on autopilot. Sometimes the best move is to tear it down and start over.
We see this kind of stuff every week. Campaigns poorly run by agencies that are either bad at what they do or good at running ads but don’t understand the dental business. We understand the difference between leads and patients in the chair, and whenever possible we help you figure out that math so your marketing and your business actually connect. We look at things like cost per lead, cost per scheduled appointment, cost per new patient. We want to know those numbers and we want you to know them too.
If you’re not really sure what your campaigns are doing, or you don’t understand the math that connects leads to patients, let’s talk. We’ll take a look at your campaigns and have an honest conversation with you. No cost.
Drop your info and we’ll tell you exactly what we see. No pitch, no commitment.
We know dental economics because we live in them every day. A general office, an implant center, and a 30-location DSO have completely different math. The marketing should be built around that math, not around a template.
Patients in chairs. That’s it. Not impressions. Not clicks. Not “leads” your front desk can’t get on the phone. People who show up, accept treatment, and come back.
A new patient is worth somewhere between $500 and $1,200 in their first year depending on fee schedule and case acceptance. If you’re spending $200 to get that patient, great. If you’re spending $540 because half your ad budget goes to search terms that have nothing to do with your practice, that’s a problem nobody in your monthly report is flagging.
If your office also does cosmetic work like veneers, bonding, or smile makeovers, those need their own campaigns. Higher case value, different patient intent. You don’t want a $10,000 veneer lead getting lost in the same bucket as a cleaning appointment. We split them out so you can see what each service is actually bringing in.
We run Google Ads for dozens of dental locations right now. Dental isn’t a line item on our capabilities page. It’s the business. We’ve built these campaigns hundreds of times and every single one was different because the market, the services, and the economics were different.
At 10, 20, 40+ locations, marketing isn’t something you hand off and check in on quarterly. It’s an EBITDA lever. Every wasted dollar comes straight off the bottom line, and at portfolio scale it adds up fast. A location in Phoenix and a location in rural Ohio have different search volume, different CPCs, different patient demographics. They shouldn’t be running the same campaigns on the same budget.
Your blended cost per lead across 20 locations might look fine. But if 5 of those locations are carrying the other 15, you have a problem you can't see in the summary. You need location-level visibility into what's working and what's bleeding money.
Each office has different new patient goals, different competitive pressure, and different performance history. We help set budgets at the office level based on what each location actually needs and what kind of return it's producing. A location producing a strong ROI should get more investment. One that's maxed out on what it can convert shouldn't be forced to spend the same as everyone else.
If you don't know what each location is spending on ads and what it's getting back in new patients, you're making growth decisions blind. Which locations need more investment? Which ones are underperforming? Without that visibility, marketing is just a cost center on the P&L instead of a growth lever.
Which markets should you expand into? Which locations justify more ad spend? Which ones are saturated? Your marketing data should inform those decisions, but only if it's being collected and reported the right way. Most agencies aren't set up to think at that level.
We’ve managed DSO portfolios with 40+ locations across multiple states. When we find $5,300 a month in wasted spend across a portfolio, that’s not a marketing win. That’s $63,600 a year back on your EBITDA. Most agencies don’t think about it that way because they’ve never had to report to someone who does.
A single All-on-4 case can be worth $25,000 to $50,000. One closed case can cover your ad budget for the quarter. That’s a different business than general dentistry, and the marketing should reflect it.
These patients aren’t calling the first practice they see. They research. Weeks, sometimes months. They compare credentials, read reviews, call around. This isn’t a cleaning appointment. It’s a procedure that costs more than most people’s car, and they take their time before they commit.
The problem is that most agencies run implant campaigns the same way they run everything else. Same structure, same bidding, same expectations on cost per lead. That falls apart when you’re mixing “dental implants near me” with “dentist near me” in the same campaign. The intent is different, the case value is different, and the bidding doesn’t know what to do with it. We separate them because we’ve watched what happens when they’re not.
We’ve been running implant and full arch campaigns long enough to know what they should cost, what the lead-to-consult numbers should look like, and when something is off. Implant marketing isn’t something we picked up recently. It’s work we’ve done for years, and we know the difference between a campaign that’s working and one that’s just expensive.
When you’re managing millions in ad spend across dozens of locations, the patterns that cost you money don’t show up in a monthly report. We use AI to find them.
Every campaign, ad group, keyword, and time segment analyzed at once. We can see which keywords actually bring in patients, which hours are converting, and where budget is going that shouldn't be. The kind of review that used to take a week happens before your first call with us.
Across a big enough portfolio, patterns start showing up. Which campaign structures work in metro markets versus smaller ones. Which bid strategies hold up. Which locations are underperforming compared to similar markets. No single person reviewing accounts one at a time is going to catch that.
Tens of thousands of search queries across a portfolio. We find the waste, the keyword gaps, and the negative keyword holes that are leaking money. Doing it manually across 20+ accounts would take weeks.
Negative keyword gaps bleeding money on irrelevant searches. Budget sitting in campaigns that aren't producing. Spend patterns that look fine in a monthly summary but fall apart when you break them down by day and hour. We find it, put a dollar amount on it, and redirect that spend somewhere it actually works.
The AI finds the patterns. We make the calls.
The core of what we do for most dental clients. We build and manage Search, Paid Social, and Brand campaigns, but only the types that make sense for your practice.
Paid search gets you leads today. SEO builds the pipeline that compounds over time. When we manage both, every SEO decision is informed by what we already know from paid.
Not every practice needs full management. Some need a second opinion, a tracking fix, or a clear answer on whether their ad spend is doing what it should.
20+ years doing this. BMD has been around for 8 of those, and dental has been the core since we started.
Including stuff we built. If a campaign isn't producing, we say so. You'll never get a report from us that buries bad news in good-sounding metrics.
No junior account manager reading from a script on your monthly call. The people you talk to are experienced strategists who build and manage your campaigns. They know dental, they know your account, and they can answer your questions without putting you on hold.
Deep AI analysis of your keywords, search queries, ad schedules, and campaign performance across an entire portfolio to find things humans would miss.
We work with you to figure out what makes sense based on your goals, your market, and what the data says you can actually convert. If you're overspending somewhere, we'll tell you. If you're underspending somewhere else, we'll tell you that too.
Avg Lead Increase (Rebuilt Accounts)
Avg Cost Per Lead Reduction
Leads/Month in 3 months - One DSO Portfolio
Annual Waste Eliminated - Same Budget
Tell us about your practice and what you’re looking for. We’ll look at your current campaigns or help you build them from scratch and tell you exactly what we’d do differently.
It depends on the business and your spend budget, but typically our minimum engagement starts at $3,000/month for management. We occasionally go lower for those with smaller budgets. The actual cost depends on your ad spend, market, the number of locations, and the services you need. Every scope is built around what the practice actually needs and not what we can sell you.
If we’re taking over an existing account, you’ll typically see improvements within the first 30 to 60 days. Tighter targeting, lower waste, and better lead quality. New accounts take longer because we’re building from scratch and need time to gather data. We don’t promise overnight results. Anyone who does is either lying or doesn’t understand how this works.
No. Dental is our largest vertical and where we have deep expertise, but we also manage campaigns for ecommerce, lead generation, and other local service businesses. Dental is our specialty. It’s not the only thing we do.
We pull your actual data. Campaign structure, lead tracking, search terms, change history, Quality Scores, budget allocation, Performance Max breakdown, and landing pages. You get a written report covering what’s working, what’s wasting money, and what we’d change. Same analysis we run when taking over a new account. If everything looks good, we’ll tell you that too.
Yes. We currently manage portfolios for several DSOs and multi-location brands across the country. We build for each market individually and report at the location level so you can see what’s working where. It’s one of the things we’re best at.
We start with a six-month engagement, then it goes month-to-month. Six months gives us enough time to audit, rebuild if needed, gather data, and prove what we can do. After that, you stay because the results make it obvious. Not because a contract says you have to.