Seattle clicks cost about 1.5× the national average, which makes a poorly built dentist account expensive fast. A search for "dentist near me" can be a $1,200 new patient or a job seeker. "Dental implants" can be a $6,000 case or someone researching prices for next year. Below: what dentists in Seattle should expect to pay per lead and per new patient, how we split campaigns across Downtown, Capitol Hill and Queen Anne, Ballard, Fremont and North Seattle, West Seattle and Burien and the rest of the metro, what three budgets produce, and the seasonal moves that matter here. more new patients, at Seattle prices, without the waste.
LEADSTACK™ Five layers. One account that keeps growing.
Most Google Ads accounts are one campaign wearing five hats. LEADSTACK is how we build a lead-gen account instead: the campaign types stacked in the order that pays, each layer fed by the booked jobs the layer below it produced. Below, the stack as we build it for dentists in Seattle.
Remarketing · videoSupport
Remarketing · displaySupport
Performance MaxScale
Local Services AdsCore
SearchCore
One campaign, five jobs
Booked jobs → Google
0:00 · The leak
You are paying for clicks. You need booked jobs.
Most accounts we audit have one campaign doing five jobs, broad match with no negative list, and Google optimizing toward form fills it never sees close. That is where the budget goes.
0:38 · Layer 1 · Search
Capture the demand that already exists.
Exact and phrase match, split by service value and urgency, with call ads while someone answers the phone. The base of the stack and usually 55 to 70 percent of the budget.
1:12 · Layer 2 · Local Services Ads
Pay per lead, above the ads.
Where the category qualifies, the Google Screened or Guaranteed badge sits above every search ad. We run it beside search, dispute junk leads weekly and compare cost per booked job each month.
1:40 · Layer 3 · Performance Max
Scale, but only on real data.
Performance Max finds more of the people who already book with you, if it is fed booked-job conversions and fenced with brand exclusions and search themes. Switched on in month two or three, never on day one.
2:10 · Layer 4 · Remarketing on display
Bring back the 95 percent who left.
Most visitors do not call on the first visit. A small display budget, 30-day windows and one message per service keeps the quote request alive for a few dollars a day.
2:35 · Layer 5 · Remarketing on YouTube
Be the name they remember.
For long decisions like a roof, an implant or an injury case, six-second bumpers to past visitors cost cents per view and lift branded search and close rate.
3:05 · The loop
Booked jobs flow back to Google. Bids follow revenue.
Offline conversion imports tell Google which clicks became customers, so every layer bids toward the cases that pay. By month three the target is hit, or our fee drops to zero until it is.
Film in production · storyboard preview0:00 / 3:40
The film is being shot with Hamid this quarter. Until it is live, the storyboard above walks the same chapters.
We see the same three problems in almost every dentist account we take over in Seattle. Each one is fixable in the first month.
01
Emergency searches at 9pm go to whoever answers
Emergency dental is the highest-intent search there is. If your ads run 24/7 but nobody picks up after hours, you are paying for calls your competitor books. We schedule ads and route calls around your real availability.
02
Implant and Invisalign budgets get eaten by general terms
One campaign for everything means "cheap dentist" and "dental implants cost" share a budget with your best treatment. We split campaigns by treatment value and bid accordingly.
03
You cannot see which calls became appointments
Google counts a 12-second call as a conversion. We track call duration, filter spam, and connect your practice management software so booked appointments, not calls, drive the bidding.
The audit checklist: mistakes we fix in most dentist accounts
One campaign for all treatments, so "cheap dentist" and "dental implants" share a budget
Broad match with no negative list, paying for jobs, schools and DIY searches
Ads running 24/7 while the phone goes to voicemail after 5pm
Conversions counting every call, including 8-second wrong numbers
No separate branded campaign, so brand searches inflate the "new patient" numbers
Sending implant clicks to the homepage instead of an implant page with a consult offer
No offline conversion import, so Google optimizes for calls instead of booked patients
What the budget produces in Seattle
Three budgets, before and after the rebuild.
Built from our dentist benchmarks (cost per lead $90, 40% of leads booked, $1,200 per new patient) adjusted for Seattle click costs at 1.5× the national average. Estimates for planning, not promises.
Monthly budget
Leads today
New patients today
Revenue today
New patients with DGENCY
Revenue with DGENCY
$3,000
22
9
$10,667
16
$19,048
$5,000
37
15
$17,778
26
$31,746
$10,000
74
30
$35,556
53
$63,492
Minimum we recommend for a dentist in Seattle: $4,500 a month. Below that the account cannot buy enough clicks to learn at local prices.
Seattle market dynamics
What is different about Seattle for dentists.
Population 4.0M in the metro, cost of living 156 against a US average of 100, clicks at about 1.5× the national average. Here is how that changes the account.
The lake splits the market
Seattle and the Eastside are separated by Lake Washington and two toll bridges. Bellevue, Kirkland and Redmond have the highest incomes and job values in the region and their own set of competitors. We build separate campaigns for Seattle proper, the Eastside, the south end and Snohomish County.
Rain is the calendar
Roofing, gutters, drainage, water damage and mold searches run from October to April, the opposite of most markets. Summer is when roofs get replaced and decks get built. Seasonal campaigns with their own budgets follow that calendar.
Older housing, bigger electrical and plumbing tickets
Much of Seattle's housing is pre-war, with knob-and-tube wiring, old panels and galvanised pipe. Panel upgrades, EV chargers, repipes and sewer lines are common $5,000 to $20,000 jobs that justify Seattle click prices.
A research-heavy population
Seattle visitors read reviews, compare licenses and expect online booking. Landing pages need detail, transparent pricing where possible and a booking option, and the ads need the L&I license number and review count in the first screen.
Clients in the Seattle metro include an electrical contractor in North Seattle, a dental practice in Bellevue and a plumbing company covering the Eastside.
Area targeting
How we split Seattle for a dentist.
A radius around the office is not a strategy in Seattle. Each tier gets its own campaigns and budget so bids follow where new patients actually come from. Tiers move as your data comes in.
Tier 1 · bid up
Bellevue and Mercer Island
Kirkland and Redmond
Queen Anne, Magnolia and Capitol Hill
Highest incomes and job values in the region; the highest CPCs
Tier 2 · core
Ballard and North Seattle
West Seattle
Woodinville and Bothell
Strong volume with high but manageable CPCs; older housing drives large electrical and plumbing jobs
Tier 3 · test
Renton, Kent and Federal Way
Tacoma
Everett and Lynnwood
Lower CPCs and more volume; added with separate budgets as capacity allows
Local keyword examples for dentists in Seattle
emergency dentist near me downtown,
emergency dentist near me ballard,
emergency dentist near me west
emergency dentist near me bellevue
tooth extraction today downtown,
tooth extraction today ballard,
tooth extraction today west
tooth extraction today bellevue
dental implants downtown,
dental implants ballard,
dental implants west
dental implants bellevue
Area modifiers become separate ad groups only where search volume supports them; otherwise location targeting does the work.
Campaign blueprint
How we structure a dentist account in Seattle.
Campaigns are split by intent and treatment value so budget follows the new patients worth the most. In Seattle each campaign is then split again by area (Downtown, Capitol Hill and Queen Anne, Ballard, Fremont and North Seattle, West Seattle and Burien) so bids follow where new patients come from.
EmergencyCall now
emergency dentist near me · tooth extraction today · broken tooth dentist
High-value treatmentsConsult booking
dental implants · all on 4 implants · invisalign dentist · veneers
New patientBook a first visit
dentist near me · dentist accepting new patients · family dentist
One page per treatment: implants, Invisalign, emergency, new patient
New-patient offer with a clear price and what it includes
Online booking button tracked as a conversion, phone number tappable on mobile
Review count and rating from Google next to the call button
Insurance accepted, financing available, hours and parking
Doctor photo and a short video: patients choose people, not logos
In Seattle: side of the lake and neighborhood named in the headline (bellevue, ballard, tacoma), not just "seattle"; l&i license number, bond and insurance above the fold for trades; wsba number for firms.
Ads that work
Ad copy examples for Seattle
Written for the person about to call, not for the algorithm. Every headline names the service, the promise or the area.
Emergency campaign · Sponsored
Emergency Dentist Open Today | Same-Day Appointments · Call Now | Tooth Pain? We Can See You Today
yourpractice.com › emergency
Walk-ins and same-day emergency visits. Most insurance accepted, financing available. Call now and speak to a real person.
Implants campaign · Sponsored
Dental Implants From $99/Month | Free Implant Consultation + 3D Scan | All-on-4 Specialists in Seattle
yourpractice.com › implants
Replace missing teeth with permanent implants. Free consult, 0% financing, one office for the whole procedure. Book online in 60 seconds.
New patient campaign · Sponsored
New Patient Special: $99 Exam & X-Rays | Accepting New Patients · Book Online | 4.9★ Rated Family Dentist in Downtown, Capitol Hill and Queen Anne
yourpractice.com › new-patient
Cleaning, exam and X-rays for $99. Evening and Saturday hours, most PPO plans accepted. Book your visit online today.
Offers that move the close rate
New-patient exam, X-rays and cleaning at a fixed price
Free implant or Invisalign consultation with a 3D scan
Same-day emergency guarantee during business hours
In-house membership plan for uninsured patients
Financing from $X per month on high-value treatments
Campaign types
Which Google Ads campaign types we run for dentists in Seattle, and which we skip.
Every campaign type Google offers has a job. Most accounts we audit run the wrong ones, or run the right ones in the wrong order. This is the mix for dentists in Seattle, in the order it is switched on.
CoreRuns from day one and carries most of the budget.
ScaleAdded once booked-job tracking is proven, usually month two or three.
SupportA small budget with one specific job.
Not hereWe would not run it for this account, and we say why.
SearchLSAPMaxDisplay RMKVideo RMK
Starting split of the monthly budget in Seattle, rebalanced every month by cost per booked job. Shares are the midpoint of each range.
Core55%of budget
Search
Responsive search ads · exact and phrase match
Why it is core
Implant, Invisalign, emergency and new-patient searches are the whole game for a practice. Each gets its own campaign so a $4,000 implant case never shares a bid with a $79 cleaning.
Seattle: At 1.5× national click costs, campaigns are exact and phrase match only, split by side of the lake, with the L&I license number in the ad. Landing pages carry online booking, because Seattle converts on forms as much as calls.
How we set it up
One campaign per intent tier, never one campaign for everything
Exact and phrase match with a shared negative list from day one
Ad schedule and bid adjustments around open hours
Location targeting by service area, not a city-wide radius
Core15%of budget
Local Services Ads
Google Screened / Google Guaranteed · pay per lead
Why it is core
Dentists qualify for Google Screened. The badge sits above the ads for "dentist near me" searches and costs $35 to $90 a lead, which we dispute and reconcile against booked appointments.
Seattle: Washington L&I licensing and bonding are verified at onboarding. Seattle LSA slots are crowded in home services, so review velocity and response time decide the ranking.
How we set it up
License, insurance and background checks submitted and kept current
Junk leads disputed every week
Reviews synced from Google Business Profile
Cost per booked job compared with search every month
CoreInside search
Call ads
Call-only ads and call assets on mobile
Why it is core
Emergency and same-day searches are mobile and urgent. Call ads run only while the front desk answers, and calls under a minute do not count as leads.
How we set it up
Runs only while the phone is staffed
Calls under 60 seconds left out of the conversion count
Recordings scored weekly so the ad group learns from booked calls
Scale10–15%of budget
Performance Max
Asset groups across Search, YouTube, Display, Gmail and Maps
Why it is a scale layer
Switched on in month three with booked-appointment imports and one asset group per high-value treatment. Without that data it fills the calendar with price shoppers.
Seattle: Seattle visitors research, so Performance Max with detailed asset groups and real job photos works once booked-job imports are flowing. Brand exclusions keep it off your own name.
How we set it up
Never switched on before offline conversions are flowing
Brand exclusions and search themes on every asset group
One asset group per service, with real photos rather than stock
Lead form questions that filter price shoppers
Support5%of budget
Remarketing (display)
Display ads to past visitors and past callers
Why it is a support layer
Implant and Invisalign researchers compare three practices over weeks. A small remarketing budget with the consult offer keeps yours in the running. No personalized ads run from health-condition pages, to stay inside Google healthcare policy.
Seattle: When a first click costs $10 to $30, bringing the same visitor back for cents is the cheapest lead in the account. Remarketing gets a slightly larger share in Seattle.
How we set it up
Audiences by page visited at 7, 30 and 90 days
Frequency capped at three a day
One message per service, with the offer in the headline
Customers who already booked are excluded
Support3%of budget
Remarketing (video)
YouTube bumpers and skippable in-stream to past visitors
Why it is a support layer
A 15-second office tour or founder clip to past implant-page visitors, measured on consult bookings. Cosmetic and implant only; general dentistry does not need it.
How we set it up
Six-second bumper cut from a phone-shot founder video
Audiences shared from the search and display campaigns
Measured on branded search lift and assisted bookings, not views
Not here0%of budget
Demand Gen
Visual prospecting across YouTube, Discover and Gmail
Why we skip it
Smile-makeover creative can work for a large cosmetic practice, but for a general practice it burns budget before search and LSAs are saturated. We revisit it above $15,000 a month.
What would change our mind
Lookalikes built from booked customers, not site visitors. Job-site or before-and-after creative. Capped at ten percent of budget until cost per booked job matches search.
The account can only be optimized toward what it can see. For dentists that means calls with duration, form and booking events, and new patients imported back to Google with a value.
01
What we connect
Call tracking with recording and duration (CallRail or WhatConverts)
Online booking events from NexHealth, Zocdoc, LocalMed or your PMS booking widget
Dentrix, Open Dental, Eaglesoft or Curve appointment exports for offline conversion imports
GA4 + Google Tag Manager with HIPAA-safe configuration (no PHI captured)
Enhanced conversions for forms, so Google matches more bookings to clicks
02
Local Services Ads for dentists in Seattle
Available · $35–$90 per lead in most metros, higher in Seattle
Dentists qualify for Local Services Ads (Google Screened). You pay per lead, not per click, and appear above the search ads. We run LSAs and search together, dispute junk leads, and compare cost per booked patient from each channel every month.
03
Compliance notes
No patient data in URLs, form fields or analytics (HIPAA-safe tracking setup)
Call recording only with the consent notice your state requires
Before/after photos need patient consent and no guaranteed-result claims
Google Local Services Ads are available for dentists: Google Screened badge plus pay-per-lead pricing, which we run alongside search
Seasonality
The Seattle calendar
Budgets that stay flat all year waste money in quiet weeks and starve the account in busy ones. We plan by week around these moves.
January
Insurance benefits reset; new-patient and cleaning searches jump. Raise budget on new-patient campaigns.
August
Back-to-school checkups and pediatric searches peak.
October–April
Rain season: roof leaks, gutters, drainage, water damage and mold searches high; heating emergencies on cold snaps.
May–June
Roof replacement quotes, exterior projects, electrical and EV charger installs rise; pest (ants, rodents) steady.
Your numbers
What a monthly budget produces for dentists in Seattle
Benchmarks from our accounts, adjusted for local click costs (1.5×). Move the slider. Estimates, not promises.
With DGENCY—leads / month—new patients / month—revenue / month
Assumes cost per lead $135 → −30% and lead-to-customer rate 40% → +25% after tracking and structure are fixed, at $1,200 per new patient. Open the full projector to use your own numbers.
Proof
The proof is in the booked jobs
Numbers our clients get paid on, from accounts in healthcare.
Dental
Bright Smile Dental
Austin, TX · $6,500/mo ad budget
$6.40Revenue per $1 of ad spend (from $2.10)
+240%New patient bookings in 4 months
Treatment-specific landing pages (implants, Invisalign, emergency), online booking tracked as a conversion, and Local Services Ads added once reviews passed 100.
8 client stories
★★★★★
“Three agencies before DGENCY. Every one of them sent me a report with a bunch of graphs. Hamid sent me a spreadsheet of booked jobs and what each one cost. That was the whole difference.”
Rick MorenoOwner, Canyon Air Conditioning
★★★★★
“They told me in the first call that my landing page was the problem, not the ads. I did not want to hear it. They were right, and signed cases went from four a month to fourteen.”
Danielle HarperManaging Partner, Harbor Injury Law
★★★★★
“We are a small practice. I was worried we would be too small for a real agency. Hamid looks at our account personally and my front desk knows exactly which new patients came from ads.”
Dr. Sana PatelOwner, Bright Smile Dental
★★★★★
“Our old agency reported clicks. DGENCY reports booked jobs, and the number went from 61 to 140 a month on the same budget once the tracking was honest.”
ME
Marcus EllisonOwner, Summit Air & Heat
★★★★★
“Hamid called our office as a customer before we signed and told us we missed a 4pm call. That is the level of detail. Cost per booked job is down 38 percent.”
LO
Lena OrtizGeneral Manager, TrueLine Plumbing
★★★★★
“Three quotes a week became eleven. The difference was the search terms they cut and the financing line they put in the ad. Nothing fancy, just correct.”
GW
Grant WhitakerOwner, Bluegrass Roofing
★★★★★
“We are a two-attorney firm. They gave us a plan for $5,000 a month and did not try to sell us $20,000. Consults are up 70 percent and the fee is flat.”
PN
Meera NairPartner, Keystone Estate Law
★★★★★
“Quarterly plans at $41 each from Local Services Ads and search together. Our previous agency never turned LSAs on. They did it in week two.”
The same process on every account. Management from $999 a month, never a percentage of spend; your ad budget is paid to Google in your own account. Three-month minimum, then month to month, with the fee dropping to zero if we miss the written target.
01
Weeks 1–2
Audit and tracking rebuild
We audit the account line by line and rebuild the measurement so that only real leads count.
02
Week 2
Blueprint
A written plan that maps your budget to the services and areas that make you the most money.
03
Weeks 3–4
Build
New campaign structure, ad copy and landing pages, built in your account, owned by you.
04
Month 2 onward
Run, learn, scale
Weekly hands-on optimization with AI doing the heavy lifting and Hamid making the calls that matter.
One-time
$299
Account audit
A line-by-line review of your existing Google Ads account, tracking and landing pages, with a written list of what to fix and what it is costing you. Credited toward setup if you continue.
Full hands-on management by Hamid and an experienced Google Ads strategist. Fee scales with the complexity of the account (service lines, locations, campaign types), not with your ad spend.
Everything in phases one to three: tracking rebuild, blueprint, campaign build and the first landing pages. Priced by the number of service lines and locations.
More on the FAQ page, or send your numbers with the growth plan request.
How much do Google Ads cost for dentists in Seattle?
Expect $101 to $169 per lead and around $338 per new patient in a well-built account. Seattle runs about 1.5× the national click cost, so tight geography and negatives matter more here than in cheaper metros.
What budget should a dentist in Seattle start with?
At least $4,500 a month. At $5,000 a month a typical account produces roughly 37 leads and 15 new patients; after tracking and structure are fixed the same budget produces about 26.
Which parts of Seattle should a dentist target?
Start with the areas closest to the practice where your close rate is highest, usually Bellevue and Mercer Island and Kirkland and Redmond, with separate campaigns per area so budget follows results.
What is a good cost per new patient from Google Ads?
$60 to $120 per lead and $150 to $350 per new patient who books is typical for a well-built account. Implant leads cost more, often $150 to $300, and are worth far more.
Do Local Services Ads work for dentists?
Yes, in most metros. You pay per lead rather than per click and appear above search ads with the Google Screened badge. We run LSAs and search together and compare the cost per booked patient from each.
Can you track which ad clicks became appointments?
Yes. Calls with duration and source, online bookings as conversions, and where your practice management software allows it, completed appointments imported back to Google Ads with a value.
How much does Google Ads cost in Seattle?
About 1.5× the national average per click, so well above what the same search costs in a mid-sized market. Legal, dental and electrical are the most expensive; pest control and garage doors sit lower. Eastside (Bellevue, Kirkland, Redmond, Mercer Island) clicks cost more than Tacoma or Everett.
What budget do I need to start in Seattle?
At least $150 a day for most niches, and $7,500 or more a month for legal. Below that the account cannot buy enough clicks to learn which areas and searches turn into jobs. A practice or a contractor serving only the Eastside can spend $250 a day well; splitting Seattle and the Eastside doubles that.
Ask Hamid directly
Send your numbers and get straight answers in the written plan.
Send your details and Hamid reviews your account, your Seattle market and your competitors before the call, then walks you through the five changes that would move your cost per new patient the most. Twenty minutes, a written plan, no obligation.
Step 01
Tell us about your business
Two minutes on the form.
Step 02
We do our homework
Website, landing pages, market and, with read access, your account.
Step 03
You get the plan in writing
A one-page plan you keep either way, and a call to walk through it if you want one.
