40% of your Google Ads leads are Medicaid patients you can't accept
Your campaigns target 'dentist near me' at $12-18 per click. Google doesn't know you don't accept Medicaid — so you're paying $500+ for patients who walk in, find out, and leave.
You're paying $3,500/mo to an agency that never connected your CallRail to Google Ads. They report 'clicks' — you need cost-per-new-patient. Corporate chains like Aspen Dental are outspending you 10:1, and your marketing isn't getting smarter.
$0
General dentistry; cosmetic keywords run $20-35
$0
With proper tracking and procedure-specific campaigns
$0
Hygiene visits + procedures over 5-7 year retention
$0
Invisalign and implant campaigns justify higher CPAs
Your campaigns target 'dentist near me' at $12-18 per click. Google doesn't know you don't accept Medicaid — so you're paying $500+ for patients who walk in, find out, and leave.
Your agency set up 3 campaigns — General, Cosmetic, Emergency — but never linked call tracking to conversion data. You have no idea which campaigns generate new patients vs. existing patient calls.
You're guessing based on new patient intake numbers and total ad spend. Without proper attribution, you can't tell if your Emergency campaign is 10x better than General or vice versa.
Aspen Dental, Pacific Dental, and corporate chains run massive ad budgets with professional marketing teams. You're competing with stock photo websites against their dedicated landing pages and offer funnels.
“$50k spent on Google ads for a Medical Practice, no idea what I'm doing.”Reddit r/PPC
“It's a major red flag if I see a Google Ads campaign pointing traffic to a homepage.”Reddit r/PPC
“I spent nearly $30K on Google Local Service ads, and the majority of the patients were Medicaid-related.”Reddit r/dentistry
These are representative outcome patterns we've seen from operators implementing these systems. Details are anonymized; numbers are realistic for the vertical.
Operator profile
Starting point
New patients/month from Google: ~8 (estimated). Cost per new patient: $300-500 (guessing).
What changed
Installed call tracking + CRM integration, rebuilt Search with procedure-specific ad groups, and set up new-patient value tracking instead of generic form conversions.
Outcome
New patients/month from Google → 15+ (tracked by source). Cost per new patient → $180-250 (measured).
Each product builds on the previous one. Start where you are, progress at your own pace.
Your YouTube campaigns aren't failing - your attribution model is. A measurement framework that reveals what dashboards hide about top-funnel impact.
Same customer, same $100 order — Triple Whale shows $200 in revenue. It's the attribution model you're using, and it's costing you thousands.
You built a $1.1M practice on clinical skill. Now build a marketing system that matches. Connect your tracking, exclude unqualified leads, and launch high-value procedure campaigns that corporate chains can't replicate with generic marketing.
Operator profile
Starting point
Single 'dentist' campaign with blended $420 CPA, Medicaid inquiries consuming 45% of call volume, zero visibility into which procedure keywords produced $6K+ case values.
What changed
Used the Measurement System to pipe case-value from the PMS into Google, split Invisalign and implant campaigns with Medicaid-exclusion negatives, and tier-bid on high-LTV procedures.
Outcome
Cosmetic case CPA dropped to $290 with an average case value of $5,800, Medicaid calls fell to under 8%, practice added $240K in annualized case revenue from Google alone.
Operator profile
Starting point
Shared campaigns treating all offices the same, 50% of new-patient calls driving to the wrong office location, marketing coordinator rebuilding reports manually each month.
What changed
Deployed the Landing Page System with office-specific booking pages, geo-fenced Search campaigns per ZIP cluster, and location-aware call routing tied to offline conversion imports.
Outcome
Per-office new-patient CPA averaged $145, wrong-office routing dropped below 5%, each dentist-partner received automated per-location performance reports.
Separate campaigns for general, cosmetic, emergency, and high-value procedures. Medicaid exclusion keywords, geographic targeting, and RSA copy that pre-qualifies patients.