This is for an owner-operated dental practice, one to five locations, with chair time you want filled and a case mix worth marketing. It is not for a practice booked five weeks out — more demand makes that worse. Not for a DSO that needs a procurement process. And not for anyone who wants a new-patient number promised in writing.
Free, no obligation
Send me your practice and I’ll tell you the three things I’d fix first
Thirty minutes, on a call, looking at your actual site and your actual search results. If the fixes are things you can do yourself, I’ll say so. Pricing is published below — $800 or $1,500 a month, no contract. Cancel any month and keep everything I build.
If you are still reading, here is what I do, what it costs, who touches your account, and what happens if you leave.
Who this is for, and who I turn down
The practices this works for have a shape. The owner is a practising dentist who still makes the business decisions. There is open capacity somewhere — a hygiene column with holes in it, an associate who needs a book, an operatory cold two days a week. And the front desk is willing to change how it answers the phone.
I turn down three kinds of practice, usually on the first call. The first has no capacity. If your next new-patient exam is 31 days out and your hygienists are double-booked, buying marketing is buying a longer waitlist. I will say so on the call, and I will not invoice you for saying it.
The second wants a number in writing. I will show you what I plan to build, what search demand looks like in your city, and how I measure whether it worked. I will not turn that into “23 new patients by month three,” because I control none of the variables that produce it — your phone coverage, your fees, your insurance participation, your treatment presentation, or what the corporate office two blocks away spends next quarter.
The third is shopping purely on price. There are vendors at $300 a month who will post to your Facebook page and email you a PDF. That is a real product, priced honestly. I do not compete there.
What I actually do for a dental practice
In the order I usually do it. I rebuild the Google Business Profile so it matches how people search for a dentist. I fix the pages that carry commercial intent — core services, the new-patient page, location pages, the appointment request. I make the phone and the booking link measurable, so we stop arguing about where patients come from. I set up review requests that fire on the right appointments. And I publish content aimed at the searches that bring the cases you want rather than the ones that bring traffic.
What I do not do: social media management as a standalone product, brand video, mailers, or general awareness work. Those can matter for a practice with a full schedule. They are not what a practice with a soft hygiene column should buy first.
New patients and hygiene recall are two different problems
Most agencies sell one thing — new patients — and most practices have two problems. New-patient acquisition is expensive and competitive. Recall is neither. If your practice management system shows several hundred patients overdue for hygiene and a list of treatment diagnosed and never booked, that is demand you have already paid to acquire.
So before I recommend spending on acquisition, I want to see the overdue hygiene count, the unscheduled-treatment report, and what currently happens to both. Usually the answer is “the front desk calls them when there is time,” which means never. Reactivation runs on a sequence — text, email, and a call list ranked by treatment value — and it is the cheapest work I do. It is also the fastest thing an owner notices.
Acquisition still matters. An associate ramping up, a new location, or an implant line you want to grow all need patients who have never heard of you. I just will not sell you the expensive channel while the cheap one sits untouched. The fuller version of that argument is in my breakdown of automation and follow-up systems for dental practices.
The Google Business Profile and the map pack
Most of the local fight is decided in the map pack, and most dental profiles are half-built. The primary category is often wrong — a practice with a substantial implant caseload listed only as “Dentist,” with no secondary categories for cosmetic dentistry, orthodontics, emergency dental service or periodontics, so it never surfaces on the searches with the highest case value. Hours are wrong for the Friday half-day, which earns one-star reviews from people who drove over. The appointment URL points at the homepage instead of the booking system.
I go through the profile field by field: primary and secondary categories, the services list with written descriptions, the booking link wired properly, attributes, real interior and team photos instead of stock, and a description built around the terms someone types at 9pm with a cracked molar. Then I write the Q&A entries myself — parking, financing, whether you take their plan, whether you see children. If you do not write them, either nobody does or a stranger does.
I also run a grid check across your city rather than checking rank from one point. A practice that appears in the map pack from its own parking lot and vanishes four miles north has a specific, fixable problem. Averaged rank reports hide it.
The website work, specifically
Dental websites fail in predictable places. The appointment request is one long form that asks for insurance details before a phone number. Service pages are a single paragraph each, written by whoever built the site years ago. There is no new-patient page explaining what the first visit involves, how long it takes, what it costs and what to bring — the question the front desk answers all day. The phone number is not tappable.
I rewrite the pages that decide whether someone calls: each core service, the new-patient page, the team page, the financing page, and a real location page per site. I rebuild the appointment request as a short multi-step flow that asks for a name and a number first. If you run a booking platform, I wire it in properly instead of burying it. If your site sits on a platform I cannot work in, I will say so before you pay me anything.
High-value cases: implants, ortho and cosmetic
A hygiene patient and an implant case are not the same marketing problem, and treating them alike is why generic dental campaigns produce volume without revenue. High-value cases have a long consideration window. Someone researching full-arch treatment reads for weeks, compares three or four practices, and decides on trust and financing as much as on clinical detail. The conversion event is a consultation, not a booked cleaning. So the page has to do consultation-level work: the stages, the time involved, what happens at the first visit, financing in plain numbers, and who does the surgical portion.
Orthodontic demand behaves differently again. Clear aligner searches are price-shopped and heavily advertised by direct-to-consumer brands, so an ortho page that does not address why in-office supervision differs is competing on price it cannot win. The longer versions are in my implant case acquisition breakdown, in what orthodontic SEO actually costs, and in the numbers behind paid search for orthodontic practices.
Insurance versus fee-for-service
This changes the entire brief, and most agencies never ask.
If you are heavily PPO-participating, a new patient arrives with a write-off already attached. Volume is the model, and the metric that matters is cost per new patient against a reimbursement schedule you did not set. Filling the schedule with the lowest-reimbursement plan in your area is a way to get busier and earn less, so plan mix is a strategic decision, not a detail.
If you are fee-for-service or dropping plans, everything inverts. You cannot win a price comparison, so the pages have to carry the reasons someone pays out of pocket — time per appointment, the technology, comfort options, the same clinician each visit. And the phone script matters more than the website, because the price question arrives in the first ninety seconds of the call.
Call handling is usually the real bottleneck
I listen to calls before I recommend spending anything on ads, and almost every practice has the same three leaks. Calls go unanswered over lunch, which is exactly when working adults call. New-patient calls get handled like existing-patient calls — a scheduling question rather than a conversion. And the price question gets answered with a number and a pause, instead of a number and an appointment offer.
None of that is a marketing problem, and all of it decides your marketing return. If a third of your calls go to voicemail at 12:40pm, paid search is a bucket with a hole in it, and I will tell you to fix the bucket first. That advice costs you nothing and it is usually the highest-return item on the list.
The claims I will not make
Dental advertising sits under real rules, and I would rather show you where my lines are than find out in month four that we disagree.
I do not make clinical or health-outcome claims. No page I write will say a treatment is painless, permanent or risk-free, and I do not write superlatives about clinical quality — “best dentist,” “safest implants” — that neither of us can substantiate. Comparative and superlative claims about a practice are exactly what state dental boards act on.
I do not use before-and-after imagery unless the photographs are of your own patients, taken in your practice, unretouched, with documented written consent for marketing use. No stock smiles, no cases borrowed from a lab’s library, and an unusually favourable case never gets presented as what a reader should expect.
I do not use “specialist” or “specializes in” for services outside the recognised specialties a clinician is credentialed in. That phrasing is restricted in most states and it is the most common violation I see on dentist websites. I do not gate reviews, filter unhappy patients before they reach Google, incentivise reviews or write them, and patient details do not go into marketing without consent.
And I do not guarantee rankings. Nobody controls Google’s index. Anyone selling a guaranteed position is selling a refund clause. Saying all this up front costs me some deals, and in a regulated category it is the differentiator, not the limitation.
What it costs, and what it does not include
Two tiers, flat monthly, published here so you can decide before you call.
Starter — $800 a month. Google Business Profile management, including categories, services, photos, posts and Q&A. On-page fixes to your core service pages, the new-patient page and the appointment flow. Review-request setup with appointment-type filtering. Call and form tracking so we can see where contacts actually come from. A monthly report and a call with me to read it.
Core — $1,500 a month. Everything in Starter, plus four published pieces of content a month aimed at searches your patients actually make, local citation cleanup, internal linking, schema markup, and location pages if you run more than one office. This is the tier most multi-doctor practices end up on.
Not included: ad spend, which goes to Google on your card rather than through me. Software you already pay for. Photography, though I will tell you what to shoot on a phone. Paid directory listings, which I rarely recommend. Website builds are quoted separately as projects, because bundling a build into a retainer hides what each side of the deal is worth.
I list exclusions because “starting at” pricing that leaves out half the work is how a $1,500 retainer becomes a $3,400 invoice in month two. For market context, I keep a running teardown of what dental practices actually pay for marketing and a companion piece on Google Ads costs for dental practices.
Still reading? That usually means the fit is about right. The call costs nothing and I don’t run a pitch deck.
How the first 90 days run
The first 30 days
Week one is audit and access. I look at the Google Business Profile, the site, your search performance data, your call recordings and your booking flow, and I run the grid check across your city. I ask the front desk what people call and ask about, because that list is better keyword research than any tool produces.
By the end of week two you get a written findings document, ranked by what fills the schedule fastest rather than by what is easiest. Weeks three and four are execution on the profile and the highest-intent pages. On Core, the first content piece publishes here.
You will not see meaningful ranking movement in 30 days. You should see a fully built profile, live tracking, recall sequences running, and the obvious leaks closed.
Days 31 to 60
The build-out stretch. Service pages get rewritten and expanded. Citations get cleaned so your name, address and phone match everywhere. Schema goes in. Reviews start arriving at a steadier pace, usually the first change an owner notices without being told. If a second location is underperforming, its page gets rebuilt here.
Local ranking generally starts to move in this window, on specific long-tail searches first — a service plus a place — well before anything shifts on the broad city terms.
Days 61 to 90
By day 90 we should be able to answer a concrete question: is the phone ringing differently than it was in month zero, and from where. Call volume, form submissions, booking-link clicks, and the source behind each.
Month three is also when I recommend or rule out paid search on evidence rather than assumption. If organic is climbing on the terms that matter, ads may be unnecessary. If a service line has demand you cannot reach organically inside a year — implants and emergency are the usual candidates — that is the case for spending. And day 90 is a point at which leaving costs you nothing, which is the whole design of the arrangement.
Who does the work
I lead every account personally, supported by a team of 17.
The strategy, the audit, the findings document and the monthly call are mine. I read your search data. I decide what gets built and in what order. When you email, you get me. Production work — content drafted to my brief, citation cleanup, page builds, technical implementation — runs through specialists on my team, because that is how it gets done at a sane price and speed.
I run Sprout Sage Solutions out of Chandigarh, India, and have since 2020. I say it up front because you will find it anyway, and because time zones are a practical consideration: my hours overlap your morning on the US East Coast, and I schedule calls around your day rather than mine.
Proof, and what it is actually worth
Here is what I can substantiate. I have shipped 450+ websites since starting Sprout Sage Solutions in 2020. I have 224 jobs delivered on Upwork with a 96% Job Success score, where the history is public and you can read it yourself. There are 17 Google reviews on the business profile. The case studies below are real client work, none of it dental, and I am not going to imply otherwise.
The local SEO map pack rescue is closest in mechanics to what a practice needs: a grid audit across the service area, a full Google Business Profile rebuild, and a review system engineered for steady velocity rather than raw count. Same levers, different industry. That result belongs to that business, in that market, against that competitive set — it is not a forecast for yours.
The form rebuild teardown covers a service-business contact form reworked into a multi-step flow with the mobile call-to-action moved into thumb reach. It is here because dental appointment requests fail the same ways. The full set is at the case studies hub.
The three objections I hear most
“Why not hire a dental-only agency?”
Sometimes you should, and I will tell you when. A dental-only agency brings pattern recognition across hundreds of practices, prebuilt templates, and staff who already know what a hygiene column is. I have written a straight comparison against one of the larger ones — where a big dental agency is the better buy and where it is not — with myself in the comparison.
What you trade for is a productised process — the same site structure, content calendar and campaign shape as the practice in the next state, run by an account manager who is not doing the work. In a category where every competitor within ten miles hired the same three vendors, sameness has a cost. What I bring instead is a senior person reading your data continuously, and a willingness to tell you the problem is your phone rather than your rankings.
“Why not a big agency?”
If you are a 20-location group that needs vendor paperwork, a dedicated account team and a name your board recognises, hire the big firm. Their model is built for that and mine is not.
For an independent practice the trade is straightforward. A large agency gives you depth of process and a named manager who is not the practitioner; strategy gets set in a kickoff call by someone you never speak to again. I give you the senior person on the account continuously, published pricing and no contract — and in exchange, a smaller firm in a different time zone with a finite roster. Pick the trade-off you can live with.
“What if it doesn’t work?”
Then you cancel. No notice period, no termination fee, and you keep everything I built. It is the only guarantee I make, because it is the only one I control.
What I ask in return is that we define “work” together in month one, in writing, using something measurable — new-patient calls from search, booked appointments, map-pack presence, reactivated hygiene. Vague expectations are how both sides end up unhappy in month five.
What you keep if you leave
Everything. The website and its content. The Google Business Profile, in your name, with your access. The tracking setup. Anything published stays on your site. Any account I provision is created under your ownership from day one, not mine.
No contracts. Cancel any month. Keep everything built. I do not construct agency-locked stacks where leaving means losing your tracking number or your booking integration, because that is a way of keeping clients who want to go, and I would rather keep the ones who want to stay.
Questions dentists ask me
Do you work with more than one practice in the same area?
No. If I am already working with a practice in your city I will say so on the first call and decline. Geographic exclusivity is the only version of exclusivity that means anything in local search.
Will you promise a number of new patients per month?
No, and I would be careful with anyone who does. I do not control your phone coverage, fees, capacity, insurance mix or a competitor’s spending. I commit to what I build, when it ships, and how we measure it.
Can you work with our practice management software?
For marketing I need appointment types and patient contact data for recall and review requests, which most systems export or integrate. I do not touch anything clinical. Tell me what you run and I will confirm before you commit.
We already like our website. Does it need rebuilding?
Usually not. Most sites need rewritten pages and a fixed appointment flow instead. I will tell you on the audit call which situation you are in, and a rebuild is quoted separately if it is genuinely needed.
Should we run Google Ads?
Sometimes. Emergency and implant intent convert well because the person is deciding today. Generic “dentist near me” bidding against a corporate group with a national budget usually does not. I want to see your call answer rate first, and the budget goes on your card.
What about a second location that is not performing?
Its own Google Business Profile properly built, its own location page with real local content rather than a name swap, and its own tracking number — so we can tell a demand problem from a conversion problem. Those look identical on a revenue report and need opposite fixes.
How long before I should expect results?
Recall and profile work lands inside 30 days. Ranking movement typically begins on long-tail searches before broad ones. Content compounds over months. Anyone giving you a firm date for page-one rankings is guessing and charging you for the guess.
Book a 30-minute call
The call is free, with no pitch deck. I look at your Google Business Profile, your site and your search data live, and give you three specific things to fix that week whether or not you hire me. If we are not a fit, I will say so and tell you what I would do instead.
Book the free 30-minute call, or call me directly at +91 97297 12388.


