Google Ads can be incredibly effective for dental practices—when done right. Unfortunately, many practices waste thousands of pounds on poorly optimised campaigns. Here are the five most common PPC mistakes we see and how to avoid them.
Mistake #1: Not Tracking Conversions Properly
This is by far the most damaging mistake. Without proper conversion tracking, you’re flying blind—you have no idea which keywords, ads, or campaigns are actually generating patient enquiries.
What Goes Wrong
Many dental practices only track form submissions, missing the majority of their conversions: phone calls. For most dental practices, 60-80% of new patient enquiries come via phone, not forms.
The Fix
- Call tracking: Use call tracking software to attribute phone calls to specific ads and keywords
- Form tracking: Set up proper form submission tracking in Google Ads
- Import data: If possible, import actual appointment bookings from your practice management software
- Offline conversion tracking: Track which leads become paying patients
💰 The Cost of Poor Tracking
A dental practice spending £3,000/month on ads without call tracking might think they’re getting 10 leads at £300 each. In reality, they might be getting 40 leads (including phone calls) at £75 each—or just 5 leads at £600 each. Without tracking, you’ll never know.
Mistake #2: Using Generic Landing Pages
Sending all your ad traffic to your homepage is a recipe for wasted spend. Homepages are designed for general browsing, not converting specific search intent.
What Goes Wrong
When someone searches “dental implants Manchester” and lands on a generic homepage, they have to hunt for the relevant information. Most will leave before finding it.
The Fix
- Service-specific pages: Create dedicated landing pages for each service you advertise
- Match ad copy: The landing page headline should match the ad headline
- Clear CTA: One clear call-to-action above the fold
- Mobile optimisation: Ensure pages work perfectly on mobile
- Fast loading: Slow pages kill conversions—aim for under 3 seconds
Mistake #3: Ignoring Negative Keywords
Negative keywords prevent your ads from showing for irrelevant searches. Without them, you’ll waste budget on searches that will never convert.
What Goes Wrong
A dental practice bidding on “dentist” might show for searches like:
- “dentist salary” (job seekers)
- “dentist training” (students)
- “NHS dentist free” (people looking for free treatment)
- “dentist for dogs” (pet owners)
The Fix
- Start with a baseline: Add obvious negatives before launching (free, jobs, training, salary, course)
- Review search terms weekly: Check the Search Terms report regularly
- Add negatives proactively: Don’t wait for wasted clicks
- Use match types: Phrase and exact match negatives for precision
📋 Essential Negative Keywords for Dental Practices
Start with these: free, cheap, NHS, jobs, salary, training, course, school, university, DIY, home, at home, near me jobs, reviews (unless you want these), complaints.
Mistake #4: Poor Geographic Targeting
Dental practices are local businesses, but many run ads targeting far too wide an area or miss crucial location settings.
What Goes Wrong
- Targeting entire counties when patients only travel 10-15 miles
- Using “People in or regularly in” instead of “People in” for location targeting
- Not excluding areas where you don’t want patients from
- Missing location extensions and call extensions
The Fix
- Know your catchment: Analyse where your current patients come from
- Use radius targeting: Target a realistic radius around your practice
- Set location to “Presence”: Target people actually in your area, not just interested in it
- Use location extensions: Show your address in ads
- Bid adjustments: Bid higher for locations closer to your practice
Mistake #5: Not Optimising for High-Value Treatments
Not all patients are equal. A dental implant patient might be worth £3,000-£10,000, while a check-up patient generates £50. Your PPC strategy should reflect this.
What Goes Wrong
Many practices bid the same amount for “dental check up” as they do for “dental implants.” This means they’re either overpaying for low-value patients or underbidding on high-value ones.
The Fix
- Calculate patient values: Know the average revenue from each treatment type
- Separate campaigns: Run separate campaigns for different service categories
- Adjust bids accordingly: Higher bids for higher-value services
- Set appropriate CPAs: You can afford to pay more to acquire an implant patient than a check-up patient
- Focus budget: Allocate more budget to your most profitable services
📊 Example: Smart Budget Allocation
If you have £2,000/month for PPC, consider: £1,200 on dental implants (high value, high competition), £500 on Invisalign/cosmetic (medium value), £300 on general dentistry (to maintain presence). This focuses budget where ROI is highest.
Quick Wins to Implement Today
- Set up call tracking: If you haven’t already, this is your #1 priority
- Check your location settings: Ensure you’re targeting “Presence” only
- Review your Search Terms report: Add at least 20 negative keywords
- Create one dedicated landing page: For your highest-value service
- Calculate your break-even CPA: Know how much you can afford to pay per lead
When to Get Professional Help
If you’re spending more than £1,000/month on Google Ads, professional management typically pays for itself. Look for an agency that:
- Specialises in healthcare marketing
- Understands dental advertising regulations
- Can implement proper conversion tracking
- Provides transparent reporting on actual leads, not just clicks
- Has case studies from similar practices
Free PPC Audit
Want to know if your dental practice is making these mistakes? At Koncept Digital, we offer free Google Ads audits for dental practices. We’ll review your campaigns and identify opportunities to improve performance. Request your free audit.


