Dental Practice Network Scales From 3 To 12 Locations: 289 Percent New Patient Acquisition

This was not a turnaround story. It was a scaling story.

The client was already doing the hard part well. Patients were happy. The original locations had momentum. Referrals were steady. If you walked into any of their practices, you could feel that the operation worked.

Then they expanded from 3 locations to 12, and the marketing reality changed overnight.

The new clinics were open and ready, but search did not treat them like real options yet. In the original market, word of mouth carried a lot of weight. In new markets, it did not, the fastest unlock is earning credible local authority signals that look real to both patients and search engines. People search first, compare fast, and book the practice they can actually find. And in those new ZIP codes, competitors were already sitting in the top results with older profiles, deeper local signals, and years of trust built into the SERPs.

So the problem was simple to describe, but hard to solve at scale. The brand was strong, but it was not visible where intent starts.

The network needed a system that could do three things at once:

• Make each new location feel locally credible, fast
• Keep branding and business info consistent across all locations
• Scale without turning marketing into a weekly fire drill

Together with OutReachFrog, the client set clear objectives for a 12 month engagement:

• Grow new patient acquisition across all locations, not just the original footprint
• Earn page one rankings for local searches in every market
• Build repeatable launch standards for new locations so expansion stopped feeling like starting from zero
• Improve patient quality and retention by making organic a bigger part of the mix
• Centralize coordination so 12 locations could move in the same direction without slowing down operations

The client selected OutReachFrog’s multi location SEO program, scoped as a premium investment at $14,000 per month across a 12 month engagement.

Instead of treating SEO like a checklist, the work was run like a system that could scale across locations without breaking consistency.

The strategy focus

The early work started with a practical question: what does a new patient actually do when they need a dentist in a new area?

Most do not search for a brand name. They search by location and service, then they look for proof that the practice feels legitimate and trusted. That meant the strategy had to cover three layers:

• Location discovery, where patients search for a dentist in a specific city or neighborhood
• Service intent, where patients search for the exact treatment they need
• Trust validation, where reviews, photos, and credibility signals decide who gets the booking

The execution system

From that blueprint, OutReachFrog implemented a network wide framework designed to keep each location distinct without creating messy duplication, using the same quality standards that guide our white hat link building process.

Workstreams included:

• Business profile alignment across all locations so names, categories, hours, and core details stayed consistent
• Location page structure designed to feel genuinely local, with market specific proof points and clear service relevance
• Local citation cleanup and consistency controls, so expansion markets did not suffer from conflicting data and duplicate listings
• Review generation and response standards rolled out across locations to build trust steadily, not randomly
• Local authority building based on real community presence and credible mentions, replacing low value signals with stronger local prominence
• Tracking and reporting designed for multi location reality, so leadership could see performance by location and understand what was working

​​We moved away from low impact placements and focused on white hat local authority building that holds up long term. Each month followed a predictable rhythm: maintain the foundation, strengthen relevance, build local authority, and measure outcomes by location so underperforming markets could be corrected quickly.

289 Percent Increase In New Patient Acquisition

The headline outcome was clear. New patient acquisition increased 289% across the network.

Just as importantly, the growth stabilized into a predictable baseline. By the end of the engagement, the network was consistently generating 18 to 24 new patients per location per month.

That predictability mattered operationally. When patient flow becomes stable, staffing and scheduling stop feeling like guesswork.

Page One Rankings In All 12 Locations

Expansion markets went from “invisible” to competitive.

The network achieved page one rankings for local searches in all 12 locations, which changed the acquisition dynamic. Each location could generate discovery on its own, instead of relying on the original market’s reputation to carry growth.

This also reduced the feeling that every new location launch required heavy paid spend just to create initial traction, because the network followed a safe link velocity as authority built up market by market.

$2.8M In Attributed Patient Lifetime Value

Over the 12 month period, the program produced $2.8M in attributed patient lifetime value.

For leadership, this was the difference between “SEO looks nice in a ranking report” and “we can see how this ties to business outcomes.” The visibility gains were not vanity metrics. They translated into booked appointments and retained patients.

Retention Quality Shift: Organic vs Paid

One of the most important outcomes was patient quality.

The network recorded:

• 65% patient retention from organic
• 42% patient retention from paid

That gap changed how the team viewed acquisition. Paid could still be useful, but organic patients tended to arrive with more trust, stronger intent, and better long term value.

A Repeatable Rollout Playbook For Future Locations

The engagement did not just generate results. It created a way to scale.

Instead of treating each new market like a brand new project, the network now had a repeatable rollout sequence:

• Standardize location signals before scaling demand
• Launch a location presence that is clearly local and clearly credible
• Build trust signals consistently through reviews and community proof
• Strengthen authority in ways that are defensible and sustainable
• Monitor by location and adjust quickly when one market needs extra support

That playbook is what turns a strong year into a scalable growth model.