463 patient enquiries at $1.04 per conversion — Google Ads for a dental clinic business. Dental clinic needed consistent appointment enquiries from Google Search — on a tight $8/day budget in a competitive US local market. Conversion tracking was incomplete and the account had no negative keyword structure, meaning budget was leaking onto irrelevant searches.

I rebuilt the campaign from the ground up: high-intent local keyword targeting, GA4 + GTM conversion tracking for calls and form fills, location-specific ad copy with trust signals, and structured ad extensions. Weekly optimization kept the search term list clean and the optimization score at 88.9%.

Results over 81 days (Apr–Jun 2026): → 463 conversions generated → $1.04 average cost-per-conversion → $0.89 average CPC → 9,672 impressions · 543 clicks · 5.61% CTR → $483.83 total ad spend

463 enquiries for under $500 in spend. If you're a local service business that needs more leads from Google — let's talk.