Most practices see ranking movement in 60–90 days and a real uptick in new patients by month three or four. The first couple months are foundation work — cleaning up your Google Business Profile, fixing citations, getting your review system running, and tightening on-page signals. Once Google trusts those signals, you start climbing for the terms that actually matter: “dentist near me,” “emergency dentist [your city],” “best dentist in [area].” By month three you’re typically top three. By month six you’re locking in the #1 spot and the returns compound from there. We track rankings weekly and send a clear monthly report so you always know where you stand — no guessing, no vanity metrics.

Yes, and it’s in the contract. When you join, we sign a territorial exclusivity agreement that legally bars us from working with any other general dentist in your service area — usually a 10 to 15 mile radius or your metro ZIP codes, whichever’s bigger. If the practice down the street calls us, we tell them the area’s closed and send them elsewhere. That exclusivity lasts the entire time we work together. We’ve literally turned down revenue to honor it. You can check whether your area’s still open right here.

That’s exactly why front desk training is a core pillar of the program, not an add-on. Getting the phone to ring is only half the job. We start by auditing real calls and scoring your team on 12 conversion behaviors. Then we run monthly 30-minute coaching sessions — virtual, scheduled around patient hours — with scripts for price shoppers, insurance questions, and the usual objections. Between sessions your team practices with roleplays and gets recorded feedback. We track your booked-appointment rate from new inquiries every month and adjust the training focus. Most practices see a 20–35% lift in call-to-booked within 60 days. If your team shows up, we’ll make them great at this.

No. After an initial 90-day commitment, it’s month-to-month with 30 days’ notice either way. The 90 days isn’t a lock-in tactic — it’s the minimum runway. Google’s trust cycle takes about 90 days of consistent signals. Review velocity needs momentum. Front desk training takes six to eight weeks to show up in the numbers. And we invest heavily in month one (audit, setup, citation cleanup, content) before we see a dollar of return. After day 90, if rankings aren’t climbing and new patients aren’t increasing, we part ways cleanly. No auto-renewals, no annual contracts, no penalties.

Three things: we build one system around one goal, we own the full funnel, and we have skin in the game. Most agencies sell you piecemeal services — SEO here, ads there, a reputation vendor somewhere else — and report on vanity metrics like impressions and traffic. We integrate every lever that determines local ranking into a single program aimed at one outcome: #1 in your area. We report on rank position, new patient calls, booked appointments, and ROI. We don’t hand off at “phone rings” — we train your front desk to convert. And we contractually refuse to work with your competitors. We’re not a vendor. We’re the team accountable for getting you to #1 and keeping you there.