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Bright booking days for emergency dentists in 20 towns

A UK platform for booking and paying for an emergency dentist online, with partner practices in more than 20 towns. Midsummer Agency rebuilt its Google Ads around where people search, and where there is a free chair to send them.

PPC

Bright booking days for emergency dentists in 20 towns

About the client

The client runs a booking platform for emergency dental care in the UK. A patient with a cracked tooth picks a nearby practice, chooses a slot and pays online in a few clicks, at a time when booking a dentist usually meant a phone call and a waiting list.

Each partner practice offers a set number of appointments, often only on certain days, and some towns have more than one practice. The practices sit in more than 20 cities and towns across the Midlands and the North of England, many close enough that a patient in one town will happily book in the next.

Every practice is its own small business inside the account, with its own number of appointments, its own local area and its own week.

Before coming to us, the owner ran Google Ads personally, alongside the whole business.

Emergency dentist booking

Industry

Healthcare · Dental Booking

Market

United Kingdom

Services

Pay Per Click

Locations

20+ cities and towns

The challenge

The client set us 3 goals: a steady flow of bookings every week, a lower cost per booking, and more volume without that cost creeping back up. A fourth came straight from the practices: stop advertising a town once its appointments are gone.

Getting there meant a structure built around 3 realities of the platform.

  • Towns that overlap. Many of the towns sit a few miles apart. Ads for one town often brought bookings in the next, so the booking system and Google Ads told different stories.
  • Searches come in 2 kinds. Some people type the town (“emergency dentist Stockport”), others type “emergency dentist near me” and let their phone do the rest. A single structure was serving both.
  • Capacity that changes daily. Some practices open for these appointments only on certain days. When a practice is fully booked, its ads need to rest until it has chairs free again.

The solution

We ran Google Ads for the platform, starting with an audit and a week of quick fixes, then rebuilding the structure practice by practice.

Pay Per Click

Splitting the account between the town and “near me”

ServicesGoogle Ads

In the first week we went through every active campaign. We reviewed the bid strategies, paused keywords that spent without booking, added ones that were converting elsewhere, and pointed 38 ads in 2 cities to the landing page of their own practice. We also set up automated checks for broken links, disapproved extensions and overspending budgets.

Local and “near me” for every practice

Then came the change that mattered most. Every practice got 2 campaigns:

  • Local keywords, where the town is in the search, like “emergency dentist” followed by the town
  • Generic keywords such as “emergency dentist near me”, geo-targeted around the practice so we reach people who never type a town at all

Google’s bidding needs time to learn a new structure, so we made the changes early and gave it as much data as possible.

We drew radius targeting around practice postcodes rather than whole cities. In one large city, 2 practices now each get a 5-mile radius in place of one 10-mile circle. Each campaign also carries the other towns we bid on as negative keywords, so one town stops bidding on searches for its neighbor. We kept adding exact-match terms people actually used, from “nearest emergency dentist” to “private dentist near me”.

Letting Dynamic Search Ads find the rest

We launched a Dynamic Search Ads campaign limited to the areas around the practices and kept clear of every exact keyword we were already bidding on. We then tested target CPA bidding against manual bids on half its traffic. Over 27 days, target CPA brought in 84% more conversions at the same cost per conversion, so we switched the campaign over, then ran the same test in a second city and moved it across too.

Ads that follow the practice diary

Budgets follow each practice’s week, agreed with the client. Some campaigns switch on early on Sunday and run until the last Friday slot is taken, and we push weekend bids where practices open on Saturdays. When a practice filled up, a script read a spreadsheet of availability and paused its campaigns, or sent the budget to a practice that still had chairs free.

As new practices joined, we built their campaigns on the same model: Warrington, Liverpool, Ashton, Lytham St Annes and Leigh all went live this way.

Both sets of numbers, side by side

Every week we put Google Ads conversions next to the bookings in the client’s own system, practice by practice, and talked them through on a weekly call, with every change logged in a shared changelog.

The results

In the first 3 months we hit the client’s goals: bookings rose 58% on the 3 months before, while the cost per lead fell 8%.

Practices started filling their diaries more steadily, new towns launched on a structure that already worked, and the weekly comparison gave the client a practice-by-practice view to plan the week around.

+58%
Bookings · first 3 months vs before
-8%
Cost per lead · first 3 months vs before
+84%
Conversions · target CPA test on Dynamic Search Ads
20+
Towns · each with its own campaigns

Timeline

In their words

I want to congratulate your team for doing amazing work to get us to the level it is at today. I am glad I made the decision to move to Midsummer Agency, and it’s a decision I have been grateful of making.

The Owner

UK dental booking platform

The team

Micky

Micky

Micky

Pay Per Click

Ran the audit and led the account, from the 2-campaigns-per-practice structure to the bidding tests and the weekly calls.

Valentinas

Valentinas

Valentinas

Pay Per Click

Worked on the reporting and the day-to-day optimization, tightening radius targeting, location negatives and bids town by town.

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