GOOGLE ADS CASE STUDY: Dental Practice Full-Funnel Rebuild
After taking over a stagnant Google Ads account, our team executed a full campaign rebuild from the ground up — restructuring everything from targeting and bidding to creative and tracking. This was more than a tune-up — it was a fresh start built to scale.
In just 90 days, the results were staggering: conversions exploded by over 730%, cost per acquisition dropped by more than half, and visibility surged nearly 200%. This case study breaks down how a strategic overhaul transformed an underperforming campaign into one of our most high-performing assets to date.
Goals
- Rebuild From Scratch: Replace the existing account structure with a performance-driven framework.
- Maximize Lead Volume: Generate a high volume of qualified conversions across service areas.
- Cut Acquisition Costs: Drive results while reducing cost per conversion significantly.
- Expand Visibility: Increase impressions and engagement through better audience targeting.
Quarterly Performance Highlights
Clicks: Increased to 1,930 (↑1,180 / +157%)
Conversions: Skyrocketed to 531 (↑466 / +733%)
Cost per Conversion: Dropped to $48.99 (↓$56.17 / -53.4%)
Impressions: Jumped to 45.9K (↑30.6K / +199%)
A total rebuild drove massive growth — more than 7× the leads and over 50% lower CPA — all within the first 90 days.
Campaign Strategy:
- Ground-Up Campaign Rebuild: Completely replaced outdated ad structure, keywords, and ad groups with a performance-first architecture.
- Smart Bidding Strategy: Shifted from manual to automated bidding optimized for conversions and value.
- Audience & Geo Targeting Reset: Re-evaluated service areas, zip codes, and demographics for high-intent traffic zones.
- Fresh Ad Creative: Wrote all-new ads focusing on urgency, trust signals, and clear service differentiators.
- Landing Page Sync: Audited and aligned landing pages for speed, mobile UX, and conversion clarity.
- Conversion Tracking Overhaul: Installed new tracking for form submissions, calls, and multi-step funnels to capture full-funnel performance.
Key Takeaways:
- Massive Lead Surge: Over 730% more conversions proves the power of a full campaign reset.
- Cut CPA in Half: Smarter bidding and tighter targeting slashed acquisition costs by 53%.
- Explosive Visibility: 200% more impressions delivered broader brand reach and volume potential.
- Rebuilds Work: This campaign shows that with the right strategy, even “broken” ad accounts can become top performers.
How we did it:
- Call Tracking with Recording to monitor lead quality and optimize sales conversations
- Instant + Scheduled Reporting (Daily, Weekly, Monthly) for transparent performance tracking
- Real-Time Feedback Loop between the client and our marketing team for rapid optimization
- High-Intent Traffic Targeting via strict Google Search and Search Partner placement only
- A/B Split Testing of Ad Variations to isolate top-performing creative and messaging
- Consumer-Centric Ad Copy built around local pain points and search behavior
- In-Depth Keyword Research + live Search Term Optimization for better alignment
- Aggressive Negative Keyword Expansion to eliminate budget waste and refine targeting
- Click Fraud Protection System to automatically block invalid traffic
- Upgraded Google Analytics Tracking for deeper engagement and funnel insights
This wasn’t optimization — it was a transformation. By rebuilding the campaign from scratch, aligning every layer for conversion, and tracking results in real time, we turned a low-performing account into a high-volume, cost-efficient lead engine. If your campaigns are stuck or underdelivering, a reset might be the breakthrough you need.
Smarter Digital Campaigns. Measurable Client Results.
Dental Marketing in Action: SEO, PPC & More
Our business has experienced a major transformation since we started working with Realtop Marketing. The team demonstrates professionalism while showing deep knowledge and complete dedication to achieving results. The company has delivered better-than-expected outcomes across all their services including SEO and paid advertising and lead generation and conversion optimization. – L Mcmillon
Frequently Asked Questions About This Dental Practice Google Ads Campaign
How many conversions did the dental practice generate?
The campaign delivered 197 total conversions, showing strong appointment growth over the quarter.
How much did the cost per conversion improve?
Cost per conversion dropped to $20.57, reducing spend and increasing efficiency.
Was high traffic volume sustained during the campaign?
Yes, the clinic maintained 4.8K clicks, with consistent visibility and engagement across all stages of the campaign.
Can these strategies help other clinics or practices?
Absolutely. With strong targeting, better ad alignment, and conversion path optimization, this approach works across multiple healthcare verticals.
