Let's TalkLet's TalkA five-figure treatment decision made over months, which makes the follow-up sequence worth more than the campaign - most practices lose these cases in the gap between consult and financing.
Full-arch cases die in predictable places - between enquiry and consult, between consult and treatment plan, and between plan and financing approval. Send us 90 days of enquiries and outcomes and we will show you the drop-off at each stage, with the revenue attached to each gap.
Local conditions that change the plan, rather than the state name pasted into a template.
Texas is not one market. Houston, Dallas-Fort Worth, San Antonio, Austin and El Paso have materially different implant competition, and a statewide campaign averages them into a number that describes none of them. Austin in particular runs hot on cost per click relative to case volume, and practices there routinely overpay because the budget was set against a state average.
Practices in San Antonio, El Paso and the Rio Grande Valley compete against clinics in Mexico advertising full-arch work at a fraction of US pricing. Ignoring that in the messaging does not make it go away - it means the price objection arrives in the consult with no answer prepared. The practices that win these cases address it directly, on the page, before the patient raises it.
Texas has a comparatively high share of self-pay and cash-pay dental patients, which is favourable for implant work - the decision is less gated by insurance approval and more by financing. It also means the financing conversation matters more here than in states where a plan covers part of the case.
The board that governs your advertising depends on the licence you hold, not only on the state. These are the rules that bite in Texas.
Dentists in Texas advertise under the State Board of Dental Examiners, which is a separate body from the Texas Medical Board with its own rules. Agencies that have read the physician rules and assume they transfer get this wrong in both directions - some things permitted for a dentist are not for a physician, and vice versa. The board that governs you is the one whose licence you hold.
How a general dentist may describe implant work, and whether the word specialist can be used at all, is the most common advertising problem in Texas dentistry. A general dentist placing implants is not an implant specialist in board terms, and copy that implies otherwise is the sort of claim a competitor complains about. We check the current wording rules before any creative is produced.
Before-and-after imagery is the most persuasive asset an implant practice owns, and it requires documented patient consent prior to use in advertising. Not consent to treatment - consent to the image being used in marketing, specifically. Practices routinely discover their strongest case photos were never consented for advertising.
The same programme as everywhere, run against this state's rules.
Our closest work to this market is the dental group in the case study below - 31,000+ leads, cost per lead down to $19 and appointment show-rate up 44% across a multi-location network. We will say plainly that they were not a Texas group. The mechanics transfer; the board rules do not, which is why the Texas specifics above are handled separately rather than assumed.
Read the full case studyThe Texas State Board of Dental Examiners, under its own rules in the Texas Administrative Code - not the Texas Medical Board, which governs physicians. This matters because the two bodies have different rules on specialty claims and testimonials, and an agency applying the physician rules to a dental practice will be wrong in both directions. If you hold a dental licence, TSBDE is the rulebook that binds your advertising.
Treat this as a question for your counsel rather than for an agency, and treat it more carefully in Texas than in most states. Texas has an unusually broad statutory and board-level position on testimonials in healthcare advertising, and the definitions used can reach further than practices expect - extending beyond patient comments. We build campaigns that do not depend on testimonials for exactly this reason, which is a constraint in most states and closer to a necessity here.
It varies enough by metro that a state-level number is not useful. Houston and Dallas-Fort Worth behave differently from Austin, which runs expensive relative to its case volume. The useful figure is cost per accepted case measured against your own case value, not cost per lead against a benchmark - at full-arch values a lead costing four times more that converts twice as often is comfortably the better lead.
By answering it on the page rather than in the consult. Patients in San Antonio, El Paso and the Valley are actively comparing US pricing against cross-border clinics, and a practice that never mentions it looks either unaware or evasive. The material that converts addresses continuity of care, what happens if something needs revising, and the total cost of a case that requires a second trip - which is a stronger argument than pretending the comparison is not happening.
Yes, and the economics are often better - less competition in the auction, and a wider catchment because patients will travel further for implant work than for a cleaning. What changes is the geographic targeting, which needs to follow drive time rather than city limits. A practice in Tyler or Midland draws from a radius that no city-based targeting setting describes properly.
The full service, and the neighbouring states we cover.
Which metro, which procedures, and what you are running now. We will tell you honestly whether we can help, and what the board rules mean for it.