Dental Google Ads, paid by the booked patient.

Most dental PPC agencies optimize against form fills or phone calls. The problem is that a form fill is not a patient. Across the practices we audit, roughly 30-50% of "leads" never book, another 10-20% no-show, and a meaningful share of the rest turn out to be existing patients clicking the ad. The agency's dashboard shows green; the operatory is still empty.

Xcare Paid Ads ties Google's Smart Bidding and Meta's CAPI directly to PMS-confirmed bookings. The only conversion that counts is a patient sitting in the chair. Spend, bidding, and creative all optimize against that single number.

A new hygiene patient is worth $1,500-$3,000 over 24 months. An implant case is worth $4,500-$8,000 in a single visit. An Invisalign case is $4,000-$6,500. Bidding the same CPA against all of them is how budget gets wasted.

We split campaigns by procedure - implants, Invisalign, emergency, hygiene, cosmetic - and assign each a target cost-per-booked-patient based on chair value. Implants can absorb a $400 CPA. Hygiene cannot. The PMS feedback loop tells the bidding algorithm exactly how to allocate.

Ads are the easy part. The hard part is the 60 seconds after the click. Our landing pages load in under two seconds on mobile, embed online booking inline (not a contact form), and wire missed-call text-back to the campaign phone number. If the call goes to voicemail, the patient gets a booking link by SMS within 60 seconds.

This is why Xcare Paid Ads only sells alongside Online Scheduling and Missed-Call Text-Back. Paid traffic into a leaky funnel is the most expensive way to lose money in dental.

• Mobile landing pages built per procedure
• Inline real-time booking, not contact forms
• Missed-call text-back wired to ad numbers
• Conversion API + offline conversion uploads
• Negative keyword pruning every 14 days

Cost per booked new patient typically lands in these bands: general dentistry $200-$350, Invisalign $300-$550, implants $400-$700, emergency $80-$180. Those are blended numbers across the markets we run; high-cost metros (NYC, SF, Toronto) trend higher.

The single biggest variable is not CPC. It's funnel conversion - how many clicks turn into booked, kept appointments. A practice with online booking and missed-call text-back will run 2-4x cheaper per patient than one without, on identical ad spend.

Every Xcare Paid Ads account is run by a senior dental media buyer, not an account-management generalist. The buyer owns the campaigns, the creative briefs, the negative keyword lists, and the weekly call. There is no "junior on the account" model.

Reporting is real-time inside Xcare and weekly in a written summary. Every metric is tied to PMS booked patients - cost per booked patient by procedure, cost per kept appointment, 24-month LTV by campaign, and a side-by-side of ad spend versus PMS production attributed to the channel. No vanity dashboards, no "engagement" metrics, no excuses.