How a Kirkland Practice Grew Paid Patient Leads 26% While Adding a Second Dentist
The key improvements
More paid patient inquiries every quarter, not a one-month spike
✓ 3,372 tracked patient inquiries from Google-paid sources in twelve months, from a single location
✓ 2,639 of them from paid search alone, up 29% across the year
✓ 342 leads from ad call extensions and 322 from Local Service Ads, so patients can reach the practice the way they prefer
✓ Every call and form tracked to source, so the reporting is about patients rather than clicks
The challenge
A second dentist created capacity the old paid-search program could not fill
After adding a second dentist, this single-location Kirkland practice needed more qualified demand than its national vendor was producing. The chairs were there. The patients weren't arriving fast enough to fill them.
They also wanted the demand to be measurable. Not impressions, not clicks, not Google's own count of ad interactions, but real calls and real form fills they could tie back to the money they'd spent.
So we took over the whole paid program, Google Ads and Local Service Ads together, and put call and form tracking underneath all of it before touching a single campaign.
The strategy
How Titan Web Agency built a dependable paid-patient acquisition system
Full-funnel paid search management
Google Local Service Ads
Conversion-focused landing pages
Call and lead tracking underneath everything
The results · Lead volume
Four quarters, ending on the year's high
This wasn't a one-month spike that flattered a report. Paid-lead volume climbed from 770 in the opening quarter to 972 in the most recent, which is the strongest quarter of the twelve months we're measuring.
| Quarter | Paid search | Call extensions | Local Service Ads | Other paid | Total |
|---|---|---|---|---|---|
| Aug to Oct 2025 | 577 | 86 | 92 | 15 | 770 |
| Nov 2025 to Jan 2026 | 701 | 91 | 46 | 13 | 851 |
| Feb to Apr 2026 | 619 | 69 | 72 | 19 | 779 |
| May to Jul 2026 | 742 | 96 | 112 | 22 | 972 |
The results · Channel mix
Where the leads actually came from
The paid mix is deliberate. A patient searching at 9pm with a broken tooth should be able to tap and call, click through to a page, or send a Local Service Ads inquiry, whichever they reach for first.
The results · Under the hood
The optimizations that turned more searches into patient inquiries
Quarter-to-quarter totals can look steady while a lot changes underneath. Two examples from this year:
The after-hours emergency campaign more than doubled its conversions. On essentially the same click volume, roughly 2,500 clicks in each half-year, tracked conversions rose from 91 to 221 as click-through rate went from 4.5% to 5.1%. Same traffic, far more emergency patients captured, through sharper targeting and landing-page work.
Local Service Ads grew into a channel worth having. Quarterly Local Service Ads leads went from 92 to 112, adding a steady stream of Google-verified inquiries next to paid search rather than cannibalizing it.
Want a clearer path to more new patients?
How we measured the results
Lead figures come from our lead-tracking dashboard over the trailing twelve months, filtered to Google-paid sources: paid search, ad call extensions, Google Local Service Ads, and the emergency ad campaigns. The quarterly totals sum to the twelve-month total. Campaign-level engagement figures, meaning clicks, conversions and click-through rate, come from the Google Ads account. All figures reflect a single practice location.
Lead counts are tracked patient contacts and include some repeat callers, so they aren't a count of unique new patients. Paid-search performance varies with market, budget and competition, past results don't guarantee future performance, and client details are anonymized at the practice's discretion.