A $4,200/month Google Ads spend was delivering fewer than 6 new patients per month — $700 per acquired patient. No call tracking meant zero visibility into which keywords drove actual bookings vs. dropped calls. Leads who did not book on first contact were abandoned after one follow-up attempt.
Rebuilt the Google Ads account with dental-specific intent keywords and negative keyword lists to filter non-patient traffic. CallRail integrated for call attribution so every keyword and ad could be tied to actual booked appointments. A 3-touch automated nurture sequence in HubSpot for leads who filled out forms or called but did not convert: email at 2h, SMS at 24h, email at 72h with a low-friction booking link.
Most dental practices have a lead response problem, not an ad spend problem. The majority of booked appointments come from the first 24 hours — leads who do not hear back go to the next result. The nurture sequence captures the 40% of leads who are interested but did not book immediately. CallRail attribution is table stakes: without it you cannot optimize what you cannot measure.
Take the 5-minute assessment to see if this type of project fits your situation — and which specialist is the right match.
Take the free assessmentFree · 5 minutes · No sales call required