Strategic by default
You get someone who will tell you that one properly built implant hub is worth more this quarter than a dozen posts about flossing, and walk you through the reasoning instead of pointing at a content calendar.
Industries
Word of mouth fills chairs, but it no longer fills a schedule on its own. People search (dental implants, emergency dentist, Invisalign, a cleaning near the office) and book from the first few results. We build the treatment pages, Maps presence and local coverage that put you in that set.
Healthcare practices, local service businesses and growth-focused brands come to us for senior SEO judgment plus someone who does the work, without the cost or the account layers a traditional agency brings with it.







What we do
One person owns the whole picture: the technical foundation, how your treatments and offices are structured, your Google Business Profile and reviews, the provider credibility patients check before booking, the content, the authority behind it, and tracking that connects a search to an appointment on the schedule.
The person setting your strategy is the person doing the work. That matters in dental because the highest-leverage calls (which treatments deserve real pages, which office to defend first) are judgment, not tasks on a checklist.
Most dental sites sit on a template from a dental marketing vendor, and its speed problems, crawl traps and duplicated location pages come included. No amount of content outranks a site Google struggles to read.
Patients now ask an assistant what an implant costs or whether a cracked molar counts as an emergency before they open Google. Getting cited in those answers rewards clear, specific content with a named clinician behind it.
Usually the biggest single unlock. One services page listing twenty procedures means implants, aligners and emergency care all compete for the same thin paragraph, and none of them ends up ranking for anything.
Cost, candidacy and comparison questions are what people search before a five-figure case: implant versus bridge, aligners versus braces, what insurance actually covers. Those pages earn consultations. General oral-health filler does not.
For routine care the map pack is close to the entire market, because patients choose a practice near home or work. Categories, proximity, review signals and consistent listings decide that, and a blog post does not.
Links and mentions are how Google separates two practices that look identical on paper. The ones a dental practice can genuinely earn are real affiliations, not a link package sold by the hundred.
If you cannot tell which new patients came from organic search, you cannot tell whether any of this is working. We follow a search through to a booked appointment so reporting answers a production question.
Generic agencies struggle with dental because patient search does not behave like one funnel. Someone typing “emergency dentist” books within the hour; someone pricing implants spends weeks comparing cost, credentials and before-and-after results. Insurance questions filter people out before your practice is ever considered, and in most towns the map pack decides much of what is left. We work as your senior SEO, owning the strategy and doing the execution across technical SEO, local SEO, treatment and location pages, content, authority and AI search visibility, with success measured in booked appointments rather than sessions.
How this compares
Three ways a practice or dental group usually covers this work, and what each route costs in seniority, speed and attention.
Fractional SEO
Straight to Results →
Agency SEO
The Long Way Around →
Straight to Results →
You work directly with a senior SEO who knows your business.
No templates. Just what moves the needle for you.
No black boxes. Just clarity.
The Long Way Around →
You rarely work with experienced SEOs.
Cookie-cutter strategies for everyone.
You start over again and again.
| Fractional SEO | A traditional agency |
|---|---|
| Who does the work | |
| Fractional SEO: One senior SEO with over a decade of enterprise experience, who plans the work and then does it. Technical, local, content and tracking held in one head. | A traditional agency: Usually a junior, briefed secondhand by someone who is not doing the work. |
| Who you talk to | |
| Fractional SEO: The same person every time, on a call every two weeks. | A traditional agency: An account manager who carries your questions to the team and the answers back. |
| What it costs | |
| Fractional SEO: From $2,500 a month, scoped to the work actually in front of you. | A traditional agency: A fixed retainer, billed whether or not the month earned it. |
| How long you are tied in | |
| Fractional SEO: Six months to start, then month to month, with 30 days' notice. | A traditional agency: Commonly a twelve-month agreement, up for renewal before you have had time to judge it. |
| What the first 90 days produce | |
| Fractional SEO: A full SEO and AI-search audit, HIPAA-safe tracking in place, the quick wins already implemented, and a six-month plan you can see. | A traditional agency: Discovery, a strategy deck, and work starting somewhere in month two. |
| How success is measured | |
| Fractional SEO: Booked new-patient appointments by case type, tied back to the pages that produced them. | A traditional agency: Sessions, impressions and keyword positions. |
| What you own | |
| Fractional SEO: The strategy, the accounts, the documentation and the website, all in your name from day one. | A traditional agency: Often the agency's template site, rented monthly and hardest to get back at the moment you want to leave. |
An agency is the better call when you need paid media, creative and SEO run as one programme, or when the volume of execution is past what one senior person can cover. We will say so on the call rather than take the retainer.
One partner. One strategy. One clear path to growth.
Senior expertise and genuine strategic leadership for your practice, without the overhead, the red tape, or execution that gets watered down before it reaches your site.
Industry challenges
Dental is not a generic local SEO problem. You compete across map results, treatment searches, review and provider trust, insurance questions, urgent care and high-value elective cases all at once.
The challenge
A great many dental searches carry a coverage qualifier: a plan name, "PPO", "accepts Medicaid", "payment plan no insurance". Most practice sites answer all of it with one sentence about accepting most major plans, which tells the searcher nothing and gives Google nothing to match against. Fee-for-service practices have the mirror-image problem: they avoid the subject entirely, so price-sensitive traffic arrives, bounces, and shows up in reporting as a ranking win.
How we solve it
We build real answers to the coverage questions people actually type (which plans you are in network with, what out-of-network reimbursement looks like, membership plans, financing) as pages that can rank rather than a line in the footer. For a fee-for-service practice we use the same pages in reverse, to qualify the wrong patients out before they take a consult slot.
The challenge
Hygiene and exams carry most of the search volume and the least production per chair. Implants, clear aligners, veneers and full-arch cases carry the revenue, and those patients research for weeks: cost, alternatives, recovery, financing, who is actually performing the surgery. On most dental sites that work gets a few paragraphs on a shared services page while the cleaning page collects all the internal links.
How we solve it
We split them: a fast, booking-first path for routine care, and genuinely deep treatment hubs for the elective work, covering candidacy, alternatives, recovery and the clinician's own experience. Then we report on the two separately, so a quarter that adds a handful of full-arch cases does not look flat next to hygiene numbers.
The challenge
Before committing to anything beyond a cleaning, people search the dentist's name rather than the practice's. What comes back is usually a review profile, a couple of directory listings, and a bio page with a headshot and two sentences under it. Dental also sits squarely in what Google's rater guidelines call your-money-or-your-life territory, where the experience and credentials behind health content weigh more heavily in how quality is judged.
How we solve it
We build provider pages that carry what patients and raters both look for: degree and school, residency or advanced training, board certification or fellowship where it genuinely exists, continuing education, and the procedures each clinician actually performs, with that clinician named as the source on the treatment content they inform. We then reconcile those pages with your association profiles and directory listings so the details agree everywhere.
The challenge
Most towns have a dentist on nearly every commercial block, and for routine care people rarely pick one more than a few minutes from home or work, so proximity does much of the ranking work in the map pack, and you cannot move your building. DSO-backed and national brands add centralized sites with hundreds of location pages behind them. Implant and orthodontic patients will drive far further, yet the pages that could reach them are usually written for the same tight radius as the hygiene pages.
How we solve it
For routine care we accept the radius and compete on what actually moves inside it: categories, review velocity, profile completeness, and a genuinely local page per office instead of a duplicated template. For elective cases we build wider, with regional treatment pages, comparison content and authority signals aimed at the patients who are willing to travel.
You get someone who will tell you that one properly built implant hub is worth more this quarter than a dozen posts about flossing, and walk you through the reasoning instead of pointing at a content calendar.
We work with your office manager and front desk, because a first-page ranking only becomes production if the phone gets answered and there is a new-patient slot on the schedule to put someone in.
Success is measured in booked new-patient appointments and the case types you want more of, tracked into your practice management software, rather than impressions or a keyword count.
Andrew was amazing to work with from the first time we meet. He was very efficient in updating our existing website to create more activity from our website. I highly recommend Andrew to anyone looking to improve their SEO for better results.
FAQ
Yes, dental and adjacent healthcare practices are part of the work. What transfers is the mechanics: map pack visibility deciding most routine-care searches, treatment pages that have to earn a high-value consult, provider credibility doing real work on a health site, and coverage questions shaping intent. What differs between practices is which case types carry the margin and which offices are worth defending, and that is where we start.
Mainly who does the work. Dental agencies tend to sell a bundle (a templated site, a review tool, some ads and SEO) where the senior person sets direction and a junior team executes behind an account manager. Fractional means the senior person is in the account, planning and doing. You buy the hours you need instead of a fixed retainer, and you keep the site, the accounts, the strategy and the documentation, so nothing is held hostage if we part ways.
Local work usually moves first: profile, category and citation fixes can show up within weeks. Treatment and location pages typically take a few months to settle, and competitive implant or ortho terms in a dense metro take longer. No one can promise a timeline or a number of new patients, and anyone who does is guessing. What you should expect in the first 30 days is a prioritized plan and working measurement, not rankings.
Yes, and for most practices it is where we start. That covers primary and secondary categories, services, hours, photos, booking links, posts and Q&A, plus citation cleanup where your name, address and phone disagree across directories, which is common after a rebrand, a relocation or a DSO acquisition. Reviews get a process your team can actually run at checkout, since review volume and recency are among the few local signals you can influence week to week.
Yes, with honest expectations. Being cited in AI answers rewards slightly different things than ranking does: direct answers to real patient questions, consistent information about your practice and providers, named clinical authorship, and structured data that makes your content easy to quote. We track where you currently appear for the questions that matter, then build the content and markup to widen that. The evidence base here is still young, and we will tell you where it is thin rather than overclaim.
By booked new-patient appointments attributed back to organic search, broken out by the case types you care about, not sessions or keyword counts. That means call tracking, form and online-booking attribution, and a handoff into your practice management software, configured so patient details stay out of analytics tools. Reporting is monthly, leads with what changed in the practice rather than in a rank tracker, and is clear about what we cannot yet attribute.