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Cost Per Lead Reduced Through Full-Funnel PPC – Dental Clinic Case Study

How we cut CPA by 75% and tripled leads for a dental tourism clinic with an integrated Google & Meta Ads strategy.

PPC

Cost Per Lead Reduced Through Full-Funnel PPC – Dental Clinic Case Study

About the client

The client is a leading dental clinic in Albania, specializing in implantology and dental tourism. It offers modern facilities and a multilingual team, attracting patients mainly from Western Europe. The clinic is known for delivering world-class dental care at premium prices that reflect its high standards. By combining advanced treatments with an easy travel experience, it has become a trusted destination for patients who want to match healthcare with hospitality.

The challenge

Despite having a strong reputation in the market and benefiting from the growing interest in dental tourism, the client faced several operational challenges in scaling their lead generation efforts efficiently.

  • Cost Per Acquisition required optimization: The current CPA averaged €95 per lead, which presented opportunities for improvement to enhance campaign sustainability and allow for increased budget allocation across digital channels.
  • Lead volume showed potential for growth: The clinic was generating an average of 30 leads per month. Given their healthy advertising budget and market position, there was clear potential to increase lead volume to better align with their business growth objectives.
  • Campaign integration presented optimization opportunities: The Google Ads and Meta Ads campaigns were operating as separate initiatives without cross-platform integration. The creative assets and targeting approach also showed room for refinement to better connect with their core audience of international patients seeking dental tourism services.

The client sought a comprehensive, data-driven, full-funnel PPC strategy that would increase monthly lead volume, optimize cost per acquisition, and maximize the effectiveness of their existing media budget investment.

Our solution

Midsummer Agency implemented a comprehensive, integrated PPC strategy across Google Ads and Meta Ads, focusing on data-driven optimization and continuous creative testing to address the client’s lead generation challenges.

Google Ads Strategy:

We executed a strategic transition from a highly segmented Search-only campaign structure to a unified Performance Max approach. This shift was informed by three critical data points:

  1. Volume optimization opportunity: Despite initial improvements, lead volume remained below targets and CPA needed further reduction to achieve sustainable growth.
  2. Creative performance insights: Video content on Meta platforms consistently outperformed static images and text-based ads, demonstrating strong audience preference for dynamic, engaging content. Performance Max’s video placement capabilities across YouTube and Google Display Network provided the ideal framework to leverage this insight.
  3. Strategic alignment with business goals: The client had strategically shifted focus toward maximizing lead quantity while maintaining quality thresholds, making Performance Max’s broader reach and automated optimization well-suited to their objectives.

This approach enabled us to:

  • Expand reach across multiple high-intent touchpoints including Search, YouTube, Display, and Gmail
  • Utilize Google’s machine learning algorithms to scale impressions and conversions beyond traditional keyword limitations
  • Implement continuous asset group optimization based on real-time performance data, prioritizing top-performing ad formats and geographic segments

Meta Ads Strategy:

We developed and refined a hybrid approach utilizing Instant Forms and WhatsApp campaigns to maximize lead capture efficiency on Meta platforms.

Implementation included:

  • Strategic audience segmentation by language preferences and geographic location to enhance relevance for international dental tourism patients.
  • Collaborative creative development working closely with the client’s in-house team to ensure brand alignment and market authenticity
  • Comprehensive content format testing including patient testimonials, before/after case studies, educational video content, and procedural reels.
  • Systematic optimization of messaging combinations, visual elements, and call-to-action strategies based on performance analytics.

This iterative, creative-focused methodology resulted in measurable improvements in both engagement metrics and conversion rates across Meta platforms.

The results

Within 12 months of implementation, the integrated PPC strategy achieved significant performance improvements across all key metrics:

  • Cost Per Acquisition reduced by 75%: CPA decreased from €95 to €23 per lead, creating sustainable economics for long-term campaign growth.
  • Lead volume increased by 207%: Monthly lead generation grew from 30 to 92 leads on average, while maintaining the same monthly advertising budget.
  • Return on ad spend optimization: The dramatic CPA reduction combined with tripled lead volume resulted in substantially improved campaign profitability.

Strategic Impact:

  • The integration of Google’s Performance Max with Meta’s Instant Forms and WhatsApp campaigns established a comprehensive funnel that captured patient interest across multiple digital touchpoints.
  • Continuous creative testing and optimization on Meta platforms directly contributed to improved conversion rates and stronger alignment between messaging and target market preferences delivering an enhanced audience engagement.
  • Scalable framework establishment: The data-driven approach created a sustainable foundation for continued growth and expansion into additional markets.

These outcomes aligned with our initial objectives of increasing lead volume, reducing acquisition costs, and maximizing media budget efficiency. The client now operates with a robust, scalable PPC framework that supports their continued expansion in the competitive dental tourism market.

-75%
CPA
+200%
Leads
+417%
Traffic

Services

PPC MANAGEMENT:

  • Google Ads full-funnel PPC strategy and optimization

  • Retargeting & Remarketing

PAID SOCIAL:

  • Creative Testing and Messaging Strategy
  • Meta Ads (Facebook & Instagram)
  • Retargeting & Remarketing
Industry
Personal Care
Market
Italy
Services
PPC
Advertising channel
Facebook / InstagramGoogle
Platform
Wordpress

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