A four-location endodontics group
doubles new-patient volume in 18 months.
A specialty-dental group operating four offices in two metro markets came to Macbach after three years with a general-purpose agency. Production was flat, referring-physician volume was eroding, and the GBPs were a mess. What followed is a fairly typical Growth-tier MapsPRO + RankPRO engagement, laid out here with numbers.
What actually moved.
Why production had flattened.
Four offices. Six endodontists across the group, one of whom had joined six months earlier and was half-booked. The prior agency had focused on a general dental paid-media strategy that didn’t fit, endodontics is substantially referral-driven, and the paid budget was consistently attracting general-dental prospects that the practice couldn’t convert.
Three of the four GBPs had primary-category errors (listed as “dentist” rather than “endodontist”). Two locations had NAP inconsistencies across major citation directories, including hours that hadn’t been updated after a 2023 office move. Reviews were trickling in, averaging 1.2 new reviews per location per month, with a 4.3-star composite that sat right at the patient-filter threshold.
The site itself was functional but thin. Condition pages were three paragraphs long, no physician byline, no schema beyond a basic Organization tag. Ahrefs showed 174 organic keywords across the group, almost all of them low-intent informational.
Foundation first, then compounding.
Weeks 1-4: baseline + GBP remediation.Four GBPs fully reset, primary categories corrected to “endodontist”, service lists rebuilt, attributes reviewed, NAP reconciled across 47 directories. Hours, photos, and physician-to-location mappings cleaned up. No new content yet; just getting the infrastructure in shape.
Weeks 5-12: review workflow + schema. A systematic review request workflow launched across all four locations. Every completed procedure triggered a review request at the 48-hour mark, with a second touch at day 14 if no review had been left. Schema deployment across the site (MedicalBusiness, Physician (named per provider), MedicalProcedure (Mohs, apicoectomy, retreatment, etc.)) nested in a proper @id graph.
Months 4-12: content and internal linking. RankPRO Growth tier ran in parallel. Two long-form condition articles per month, authored by named physicians: cracked-tooth syndrome, endodontic retreatment, dens evaginatus, cold sensitivity, GentleWave. Each piece linked to related procedures, related physicians, and the appropriate location pages. By month twelve, organic keyword footprint had grown from 174 to 690.
Months 6-18: paid realignment. Paid was reduced from the original budget, general-dental targeting was turned off entirely, and the remaining spend was redirected to referring-physician remarketing, branded search defense, and select procedure-intent campaigns. CAC compressed from $284 to $148 across the funnel.
The honest list.
No ranking guarantees. No aggressive link-building schemes. No review-gating software (illegal under Google’s terms, unethical regardless). No paid-spend markup. No single-case miracle story. The growth came from the boring parts done consistently: correct categorization, correct schema, steady review velocity, thoughtful content, and paid spend directed at the right audience.
Three referring endodontic specialists increased their referral volume to the group by a combined 48%. Two new referring dentists were added to the network organically through the content surface alone, neither practice had been contacted by Macbach or the group; they found the site and reached out. That is the quiet compounding of a working system.
Similar footprint?
similar starting point?
The Practice Audit applies the same diagnostic framework to your practice (local, organic, technical, trust) with the three things worth doing first.