How a Carlsbad Pediatric Practice Became the Local Choice Across Search, Maps, and AI
The key improvements
From average visibility to a trusted local choice for parents
✓ 1,481 tracked patient leads in twelve months, about 123 a month across calls, forms and texts
✓ The most-mentioned kids' dentist in Carlsbad AI answers, 156 brand mentions and 145 citations
✓ 2,195 direction requests from the Google Business Profile over the year
✓ Parents now arrive from ChatGPT and Perplexity as tracked leads, not just as citations
The challenge
A trusted practice that was not showing up when parents searched for care
Carlsbad is a crowded, expensive pediatric market. This practice had the clinical reputation and the reviews to win it, but average local map visibility and no meaningful presence in the AI answers parents increasingly ask before they ever open Google.
There was a second problem underneath the first. Nobody knew where the practice's patients were really coming from. Without call and form tracking to source, a practice can pour its budget into a website while two thirds of its demand walks in through the Google Business Profile.
So we covered every route a parent might take, and we measured all of them.
The strategy
A patient-acquisition system built around how parents actually choose
The Google profile as the primary channel
Content written for parent intent
Technical SEO cleanup
AI and GEO optimization
Google Ads as a supplement
Tracking across all of it
The results · Channel mix
Most parents choose the practice directly from Google Maps
The reason this practice sees about 123 inquiries a month isn't one channel doing the heavy lifting. It's that every route a parent might take is covered, and each one is tracked to source. The split is the most useful thing on this page for any practice owner reading it.
| Channel | Tracked leads | Share |
|---|---|---|
| Google Business Profile | 983 | 66% |
| Direct | 160 | 11% |
| Paid search (Google Ads) | 149 | 10% |
| Google organic search | 120 | 8% |
| Other referral | 44 | 3% |
| Bing organic | 20 | 1% |
| AI assistants (ChatGPT, Perplexity) | 5 | Under 1% |
A practice that invests only in its website is competing for the 8% of demand that arrives through organic search results.
The results · AI search
The kids' dentist AI recommends in Carlsbad
In AI answers about Carlsbad pediatric dentists the practice leads on every measure: #1 share of voice at 11.2%, 45.5% of the decision-stage funnel, the most brand mentions at 156, and the most-cited website at 145 citations, with a GEO score of 89 out of 100.
The results · Local map
More than half the map, and 2,195 sets of directions
Local Pack coverage grew from 33.7% to 55.6%, so the practice now appears in more than half of the map results across its service area. Over the year the Business Profile produced 2,195 direction requests. A parent asking Google how to get there has already chosen.
The results · Paid search
Paid search used strategically to capture high-intent pediatric demand
Alongside the organic program we run three tightly themed search campaigns covering pediatric dentistry, orthodontics and Invisalign. Over twelve months they produced 149 tracked patient leads at $110.97 per lead, with the pediatric campaign carrying 94% of clicks at a 5.07% click-through rate.
Paid search is deliberately the smallest of the four channels here. It tops up demand at the moments parents are ready to book, rather than carrying a practice whose Business Profile already produces two thirds of its inquiries.
Want a clearer path to more new patients?
How we measured the results
Lead figures come from the Titan Web Agency lead-tracking dashboard for the trailing twelve months, 15 August 2025 to 14 August 2026, counting phone calls, form submissions and text messages attributed to source. Channel groupings combine related source tags: Google Business Profile aggregates all profile-tagged sources, and paid search covers Google Ads attributed leads.
Google Ads spend, clicks, click-through rate and cost per click come from the Google Ads account via Agency Analytics over the same period; cost per tracked paid lead works out to $110.97, reflecting a coastal Southern California auction where click prices run roughly double those of mid-size markets. AI-visibility figures are from Visby.ai for July to August 2026. Local Pack coverage is from local map-grid tracking, and Business Profile engagement is from Business Profile Insights.
Lead counts are tracked patient contacts rather than booked appointments, and include some repeat callers. There are no guarantees in SEO, paid-search performance varies with market and budget, and client details are anonymized at the practice's discretion.
