Dental PracticeGoogle Ads

$3,200/Month in Ads with No Tracking — Fixed and Tripled

A Toronto dental practice had been running Google Ads for 8 months with no conversion tracking. They had no idea what was working. We rebuilt everything — and finally gave them numbers.

3.2×
ROAS
measured for the first time
-44%
Cost per Lead
$140 (est.) → $78 (measured)
+67%
New Patient Calls
on the same monthly budget
The Challenge

Spending blindly with no way to measure what worked

This 3-dentist practice in Toronto had been paying a previous agency $3,200/month to run Google Ads for 8 months straight. The agency sent monthly PDF reports showing impressions and clicks — but had never set up a single conversion event.

No call tracking. No form submission tracking. No imported conversions into Google Ads. Every single dollar was being spent on autopilot, optimizing for clicks with no signal about which clicks actually booked appointments.

The practice was paying for everything — veterinary searches, dental school homework queries, research searches — because no negative keywords had ever been added. Their campaigns looked healthy on paper (lots of clicks!) but the leads weren't materializing at the rate their budget should have been producing.

The Strategy

Measurement first. Optimization second.

01

Rebuild Conversion Tracking from Scratch

Implemented proper call tracking (Google forwarding numbers), form submission tracking via Google Tag Manager, and imported conversions into Google Ads. For the first time, the practice could see which clicks turned into booked appointments.

02

Restructure Ad Groups by Service

Split campaigns into distinct ad groups: dental implants, Invisalign, emergency dental, and general/checkup. Each service got its own budget allocation, keyword lists, and bidding strategy — instead of all services competing in one jumbled campaign.

03

Negative Keyword Audit — 340+ Terms Removed

Audited 8 months of search term reports. Found and excluded 340+ irrelevant search terms (veterinary searches, DIY searches, competitor brand terms, medical terms unrelated to dental). Immediately stopped burning budget on clicks that could never convert.

04

Ad Scheduling Based on Office Hours

Set ads to run only during hours when phones are answered (Mon–Fri 8am–6pm, Sat 9am–2pm). Eliminated spend on after-hours clicks where potential patients couldn't reach anyone and didn't leave a message.

05

Dedicated Landing Pages per Service

Built separate landing pages for implants, Invisalign, and emergency dental — each with a single CTA, patient trust signals, and a fast-loading mobile layout. Previously all ads pointed to the homepage.

The Results

Same budget. Dramatically better outcomes.

3.2× ROAS
Measured return on ad spend (first time ever tracked)
$78 CPL
Cost per new patient lead, down from ~$140 (estimated)
+67%
New patient calls per month on the same $3,200 budget
-$840/mo
Wasted spend eliminated by removing irrelevant search terms
340+ negatives
Irrelevant search terms removed from targeting
4 service campaigns
Properly structured by service type with individual budgets
Key Takeaway

Google Ads without conversion tracking is spending blindly — measurement is the first step, not an afterthought.

You cannot optimize what you cannot measure. Before changing a single keyword or ad copy, the first thing we do is make sure every valuable action — a call, a form fill, a booking — is tracked. Only then can you make decisions that actually improve results.

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