One dentist,
eighteen years, no review.
Macbach’s first client signed in 2008. Stephanie Murphy, DDS Family & Cosmetic Dentistry in Milwaukee, WI, founded by Dr. Stephanie Murphy, DDS. Solo dentist, single office. Still our client today, eighteen years on, with the practice operating at the revenue ceiling a single-dentist office can carry. That is the only dental retention number we respect.
Dr. Murphy and Stephanie Murphy, DDS Family & Cosmetic Dentistry signed with Macbach in 2008 as our first client. Solo dentist, single office. Eighteen years on the book, same relationship the whole time, with the practice operating at the revenue ceiling a single-dentist office can carry. The Founding Member designation is a Macbach internal title for our first client.
“From the very beginning, the website they created for us received countless compliments from patients and colleagues alike. More importantly, it worked.”
“Fifteen years ago, when I was starting my dental practice from scratch, I was fortunate to find this team. From the very beginning, the website they created for us received countless compliments from patients and colleagues alike. It looked professional, modern, and truly reflected the quality of our practice. More importantly, it worked. Many new patients found us online through our website and SEO presence, which was incredibly valuable as a start-up practice trying to grow.”
“Over the years, they have consistently been responsive, knowledgeable, and easy to work with. They stay on the cutting edge when it comes to both aesthetics and content, and they continually help keep our online presence fresh and relevant. I highly recommend them to any business looking for a company that is creative, smart, and genuinely invested in their clients’ success.”
Reviewed by a
practicing dentist.
Dr. Shim-Middleton co-owns Middleton Family Dentistry in Fort Wayne and reviews the clinical claims, terminology, and procedure-specific content on Macbach’s dental pages. Macbach acts as her practice’s fractional CMO under the Architect engagement; this material connection is disclosed on every page where she reviews. Every clinical claim, procedure-specific page, and dental glossary entry on this site is reviewed against current standard of care before it ships.
- ·DDS · Indiana University School of Dentistry, 2012
- ·Board Member · Isaac Knapp District Dental Society
- ·Macbach Architect (fractional CMO) client; engagement disclosed.
What we actually understand.
New-patient acquisition cost.
Every new dental patient has a real, measurable acquisition cost. We make it smaller and more predictable, and we know which channels actually move the number for your specialty.
Production per chair.
Production per chair is the number. Everything else is commentary. We build the systems that fill chairs with the right cases, not just more cases.
Case acceptance starts early.
Case acceptance begins long before the consult. It begins when the patient first searches. Search presence, the site, and the review profile are case-acceptance infrastructure.
Same methodology.
different levers.
Almost entirely referral-driven, but patients Google the referral before they call. Your digital presence is part of the referral.
High-ticket, long sales cycle. Local SEO and reviews decide who enters the consideration set; the consult decides who signs.
The site is the first consult. If it loads slow, reads generic, or lacks before-and-afters that stand up to scrutiny, the patient has already moved on.
Specialty visibility online is thin industry-wide. A real presence is a genuine competitive edge in most markets.
Parents research exhaustively. Pediatric especially: reviews, photos, and the way the site talks about pediatric patients all matter.
The math is volume-driven and neighborhood-local. Maps and reviews are the foundation; paid social fills gaps when needed.
Each specialty has its own hub, with city-specific pages for eight of the metros we cover.
Endodontic practices grow on the referring-general-dentist relationship first. The website is the GP’s confirmation surface, the referrer portal is the operating system.
Orthodontic practices win on case-acceptance infrastructure: the consult is the conversion event, the website is the consult-prep surface.
Periodontics splits between maintenance perio (referral-driven, recurring LTV) and cosmetic and surgical perio (mixed acquisition, higher per-case LTV). Conflating the two miscalibrates the budget.
Oral surgery is the widest CAC and case-value range in dental. The two segments (third-molar extraction volume vs. full-arch fixed implant cases) require entirely different acquisition systems.
Prosthodontic practices, especially cosmetic and full-mouth reconstructive, carry the highest dental CAC because consideration is long and the consultation is the conversion. The site is the consult-prep surface.
Pediatric dentistry has moderate CAC but the largest LTV multiplier in dental: children become long-term patients, siblings reduce per-family CAC, and families rarely change practices once trust is set.
Four products. One operating system.
MapsPRO
Local visibility, GBP, citations, review velocity. Where we start for every dental practice.
RankPRO
Condition pages, procedure content, specialty guides. Structured for how patients actually search dental terms.
AdsPRO
Google and Meta paid acquisition for the high-ticket procedures where the math works. Pass-through spend.
SitePRO
Next.js sites with real schema, before-and-after galleries, and conversion architecture tuned for dental.
Answers specific to
dental specialty.
- Which dental specialties have you worked with?
- Endodontics, orthodontics, periodontics, implant dentistry, cosmetic dentistry, prosthodontics, pediatric dentistry, oral surgery, and general dentistry with a specialty focus.
- What's the ROI window for dental SEO?
- Six to twelve months for rankings to move on competitive terms. Eighteen to twenty-four months for full economic impact as the compounding content and link profile mature.
- Do you work with DSOs?
- Two to five location DSOs are a fit. Twenty-plus location DSOs usually have in-house marketing teams and don't need us.
- What's the difference between MapsPRO and RankPRO for a dental practice?
- MapsPRO wins the map pack, which is the first decision patients make on a local search. RankPRO wins the organic positions below the map pack for condition- and procedure-specific searches. Most practices need both, in that order.
- Do we need a new website to start?
- No. We work with any modern dental site. If the site is the bottleneck on conversion or technical SEO, we flag it in the audit and you decide whether to fix, rebuild, or leave it.
- How does dental specialty marketing differ from general dentistry?
- Referring-provider content, procedure-specific pages, insurance versus fee-for-service strategy, and case-acceptance mechanics differ significantly. General dentistry is a relationship business; specialty is a referral business.
Dental specialty
by market.
Each city has its own competitive field, submarket geography, and maturity curve. The pages below carry the honest version of the dental playbook for that market.
Twelve to fifteen.
Total. Full stop.
Architect is the integrated, fractional-CMO engagement that covers all four products under one twelve-month agreement. We cap the entire book at twelve to fifteen practices, total, across every vertical. Dental specialty groups currently hold a meaningful share of those seats. When the seats are full, the next dental engagement waits.
This is a published policy, not a sales line. Read the Architect terms.
Run the audit.
then decide.
Three minutes. We return a real read on where the practice stands, visibility, acquisition cost, site conversion, review velocity, with three specific things worth doing next.