Google Ads for a Niche Clinic on a <$10/Day Budget
Rohit Shihora
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Posted Feb 8, 2026
Ran precision Google Ads for a niche clinic on a tight budget by focusing only on high-intent searches and disciplined structure.
This is the kind of account most people underestimate.
Low daily budgets.
Narrow geography.
Hyper local intent.
And that’s exactly why most setups fail here.
They chase volume instead of precision.
This one went the other way.
The real problem before touching ads
This clinic did not need more traffic.
It needed the right people, at the right moment, in a very specific radius.
Generic dental keywords burn money fast in small towns.
Competitor names feel risky.
And “dentists near me” looks attractive until Quality Score ruins your day.
So the work here wasn’t about scale.
It was about control.
Traffic behavior told the first truth
Direct traffic moved before anything else.
That usually doesn’t happen by accident.
GA4 comparison, November vs October:
Home page views: 255 vs 108 up 137.04%
Home page active users: 203 vs 77 up 163.64%
Dental practice page views: 61 vs 36 up 69.44%
Dental practice active users: 50 vs 34 up 73.53%
People were not just landing.
They were returning.
That’s local brand recall kicking in quietly.
The pages that mattered started moving
This is where it gets practical.
Contact Us traffic: up 66%
Services page visits: up 38%
These are not vanity pages.
These are decision pages.
Even through December, a period where healthcare traffic usually softens, results stayed stable.
That matters more than spikes.
Google Ads, kept intentionally tight
Two campaigns.
Both limited by budget.
That’s not a problem.
That’s a signal.
Account snapshot:
Daily budget: ₹1,000 total
Impressions: 1,795
Clicks: 121
CTR: 6.74%
Average CPC: ₹113.72
Total spend: ₹13,760.38
For a niche local clinic, those CTRs are strong.
Especially with zero fluff keywords.
Campaign level reality
RM | Dental KW
CTR: 5.21%
CPC: ₹93.03
Spend: ₹6,512.37
Stockton Dental
CTR: 11.28%
CPC: ₹142.12
Spend: ₹7,248.01
One campaign for efficiency.
One for intent.
That balance is deliberate.
Keywords did the heavy lifting
This is where most people get scared.
Competitor keywords.
They worked.
“stockton dental clinic”
CTR: 19.28%
Conversion rate: 25%
Cost per conversion: ₹296.29
That’s not cheap traffic.
That’s decisive traffic.
“raymond terrace dentist”
Conversion rate: 50%
Very low volume, very high intent
“boulton dental”
CTR: 10%
Conversion rate: 16.67%
These keywords don’t scale wide.
They convert deep.
Even the messy keywords told a story
“dentists near me”
CTR: 11.47%
Impressions: 497
Flagged as low Quality Score
Most people would pause this.
Here, it stayed under control.
Why?
Because supporting keywords like
“dental cleaning near me” and “dental clinic medowie”
pulled CTRs of 17% to 18%.
That keeps the account healthy while testing reach.
What this setup quietly nailed
Narrow geography with high intent only
Competitor keywords used surgically, not emotionally
Budget limits respected, not fought
Ads feeding direct traffic growth
SEO visibility improving without forcing content
This is how local dominance actually starts.
Slow. Precise. Hard to copy.
Summary
Market: Niche local dental clinic
Daily spend: ₹1,000
CTR peak: 19.28%
Best CPA: ₹296.29
Contact intent growth: +66%
Core outcome: High intent traffic with zero waste
Just 2 google ad campaigns (Look at the CTA, all relevant)
Competitor keywords worked well because volume was less for main niche keywords
GA4 Impact
Overall Boost in Competitor Keywords also..