How a Michigan Multi-Location Practice Got Its Rankings Back in a Month
Six months after a ranking drop, this practice still had none of its main keywords in the local top 3, two vendors working separately, and monthly reports showing nothing. Within a month of taking over, nine high-volume keywords were back in the top 3.
Paying two vendors and going backwards
This multi-location Michigan practice was fed up. It had one company chasing Google reviews and another doing SEO, and the two weren't joined up. Its rankings had taken a hit roughly six months earlier and still hadn't recovered. For its main terms, the ones that look like "city name dentist", it wasn't in the top 3 of the local results at all.
Reports arrived at the end of every month. Tangible results didn't. The practice was frustrated with the agency's ability to restore what had been lost, and with how slowly it responded when asked.
That's a common and expensive place for a practice to be: still paying, still reporting, still invisible.
How did this practice recover its rankings in a month?
By analyzing the competition properly, cleaning up what the last agency left behind, rebuilding the local footprint, and running the review engine in-house instead of through a separate vendor.
Where it previously had none of its main keywords in the top 3, it had nine high-search-volume keywords back in the top 3 within a month, plus 21 new five-star reviews across Google, Yelp and Facebook.
How we rebuilt the local foundation and the review engine together
Analyzed the competition properly
An in-depth look at who was outranking the practice and why, which is the step that tells you whether you're facing a technical problem, a citation gap, or a link problem before you spend a month on the wrong one.
Cleaned up what the last agency left
We removed poor-quality backlinks the previous SEO company had built, as far as we could reach them, and cut about 25 useless pages from the website so search engines could see what actually mattered.
Rebuilt the local footprint
Industry-relevant and geographically relevant directory listings created, name, address and phone data pushed out correctly through a data aggregator, and an SEO-friendly site structure so search engines could read what the practice does, where it does it, and what patients say about it.
Built a review funnel that actually ran
Rather than leaving reviews with a separate vendor, we built a funnel that made it easy for the practice to collect new patient reviews, then monitored rankings and progress as the work continued and adjusted where needed.
Nine keywords back in a month, and reviews to hold them there
The practice moved from invisible in local search to consistently receiving new-patient leads.
Every engagement is founder-led. You work directly with Tyson, not an account rotation.
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