Google Ads · Dental and orthodontic clinic

Two years of paid search for a clinic, measured in bookings

Tooth Crew Clinic is a dental and orthodontic practice in Islamabad. Dental paid search is expensive and crowded, and the temptation is to optimise for cheap clicks. We ran the account against booked appointments instead, for nearly two continuous years.

Window August 2023 to June 2025Scope Google Ads · Search · Conversion trackingSource Client Google Ads account
849
Tracked conversions over the period
Google Ads
21.1K
Clicks from 190K impressions, 11.1% CTR
Google Ads
Rs 2.4M
Media managed across the period
Google Ads
Rs 2,827
Average cost per conversion
Derived

The situation at the start

A category where a wasted click is an expensive click.

Dental search terms are among the more competitive in local healthcare, and the cost of a click reflects that. An account optimised for volume will happily spend the budget on people researching prices, comparing clinics in other cities, or looking for something the practice does not offer.

The only number that matters in this category is booked appointments, so the account had to be built around conversion tracking from the start rather than reporting on clicks and hoping.

Starting conditionBeforeAfter
Optimisation targetclicksTracked conversions
Click-through ratecategory typical11.1%
Conversion trackingnot configuredConfigured and reported
Query controlbroadNegatives and intent filtering
Managementcampaign burstsContinuous, nearly two years

Client Google Ads account, August 2023 to June 2025.

The approach

Four workstreams,
one engine.

Each stream existed to make the others measurable. Nothing here was run in isolation.

01 · Measurement first

Track the booking, not the click

Nothing else can be optimised until the conversion is defined.

  • Conversion tracking configured for appointment actions
  • Call and form conversions both captured
  • Reporting framed around conversions rather than traffic
  • Spend judged per conversion, not per click
02 · Query control

Spend only on treatable intent

Most wasted spend in healthcare comes from the wrong searcher.

  • Negative keyword lists built from real search term reports
  • Research and price-shopping intent separated from booking intent
  • Location targeting tightened to the practice's catchment
  • Treatment-level ad groups so copy matches the search
03 · Ad relevance

Earn the click before paying for it

An 11.1% click-through rate is a relevance outcome, not a bidding one.

  • Ad copy written per treatment rather than per clinic
  • Landing pages matched to the specific treatment searched
  • Extensions used to answer pre-click questions
  • Underperforming variants retired continuously
04 · Sustained management

Two years, not two months

Paid search compounds when it is managed continuously.

  • Ongoing bid and budget adjustment across the period
  • Seasonal demand accommodated rather than fought
  • Campaign structure revised as treatments changed
  • Account maintained through platform and policy changes

The results

Nearly two years of continuously tracked bookings.

Across the period the account delivered 849 tracked conversions from 21.1K clicks, served against 190K impressions, on Rs 2.4M of managed media — an average of roughly Rs 2,827 per booking in a category where a single implant case repays that many times over. The click-through rate of 11.1% is well above what this category typically returns, which is the clearest signal that the ads were being shown to the right searches rather than simply being shown often.

The more important outcome is continuity. This was not a burst campaign: the account ran and was actively managed for nearly two years, which is what allowed query control and ad relevance to compound rather than resetting each time a campaign was relaunched.

Conversions by period

Google Ads · Aug 2023 to Jun 2025
04285127170Q4 23Q1 24Q2 24Q3 24Q4 24Q1 25Q2 25Q4 23: 61 conversionsQ1 24: 94 conversionsQ2 24: 118 conversionsQ3 24: 126 conversionsQ4 24: 141 conversionsQ1 25: 152 conversionsQ2 25: 157 conversions

Account at a glance

Google Ads · full period
Click-through rate+11%
Clicks, thousands+21%
Conversions, hundreds+8%
Same clientSee the search results we produced for themCited inside Google AI Overviews for clinical queries, plus first-page rankings across three countries.Same clientSee the website we built for themA dental clinic site built around booking, with implant landing pages that carry the clinical detail patients actually read.

All figures read from the client's Google Ads account for the stated window. Account identifiers are not reproduced. Conversion counts include both call and form conversions. Managed spend is the account total for the period; cost per conversion is derived from that total and the recorded conversion count.

Key takeaways

What made
the difference.

Related work

More like this.

Other engagements that shared a discipline with Tooth Crew Clinic.

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