429 verified patient bookings at a $10.38 CPA.
Toothpaste Family Dentistry provides comprehensive family, cosmetic and emergency dental services across Queensland’s Gold Coast. Crovilo designed and executed a highly targeted Google Ads patient acquisition framework — focusing ad spend strictly on high-intent local search queries and eliminating duplicate conversion tracking to deliver 429.00 verified patient conversions at an exceptional average cost per conversion of $10.38.
Campaign scope and performance for Toothpaste Family Dentistry, measured across the full Google Ads search account.
The budget was spending. The cost per patient kept climbing.
Dental practices operating in competitive metro and suburban markets face distinct acquisition obstacles. Unoptimised search campaigns suffer from high cost-per-click rates and rising cost-per-acquisition. Legacy tracking configurations frequently register basic page interactions or repeated CTA clicks as conversions, misinforming Smart Bidding algorithms. And general dental searches leak ad spend on non-commercial queries such as public health dental schemes, price shopping and DIY advice.
Bid on ready-to-book patients. Then count each one once.
Three layers, built as one end-to-end performance framework across the booking journey.
High-intent dental search campaigns
Structured treatment-focused ad groups around core high-value treatments — emergency dentist Gold Coast, family dental check-up, teeth whitening and children’s dentistry. Strict negative keyword guardrails then excluded non-converting traffic such as dental jobs, public clinics, cheap dentures and dental student courses.
Multi-channel conversion tracking & signal clean-up
Engineered unified patient lead attribution across Google Tag Manager and Google Ads for direct phone calls, online appointment bookings and webchat inquiries. Primary conversion actions were standardised to record once per user session, providing clean, honest conversion data to Google Ads algorithms.
Smart bidding & low-CPA management
Leveraged Smart Bidding strategies fed by clean, verified patient conversion data to continuously drive CPA down, and optimised geographic radii and ad schedules so budget deployment aligned with peak clinic opening hours and phone booking times.
Same practice. 429 bookings at a fraction of the usual cost.
Across the reporting window the account delivered 429 verified patient bookings from 2,640 qualified clicks — a 16.25% conversion rate — at an average cost per conversion of $10.38 and a total campaign investment of $4.45K. With duplicate conversions removed, Smart Bidding optimised against real appointment demand rather than page noise.
Source: Google Ads account reporting for Toothpaste Family Dentistry (Toothpaste Dental Pty Ltd), 26 Mar 2025 – 19 Oct 2026; conversions recorded on a single-count-per-session basis.
From rising acquisition costs to a $10.38 patient booking.
Before this build, acquisition costs climbed as broad dental searches absorbed budget, legacy tracking counted page interactions and repeated CTA clicks as conversions, and Smart Bidding optimised against inflated numbers. We restructured ad groups around treatment intent, installed negative keyword guardrails, rebuilt conversion tracking across calls, bookings and webchat, and let Smart Bidding work from verified data.
Result: 429 qualified patient leads from appointment bookings, emergency phone calls and inquiries; an ultra-low $10.38 cost per acquisition in a highly competitive metro dental vertical; and a 16.25% conversion rate turning better than one in six clicks into a verified patient lead.
Let’s find out what your ad spend is actually buying.
We’ll audit your campaign structure, your keyword and negative lists, and your conversion tracking to find where your leads — and your budget — are leaking.