of consumers now ask AI for local recommendations
up from 6% a year earlier
Dental Groups & DSOs
Consolidation centralised your marketing. It did not make you findable.
Post-acquisition, marketing shifts to centralised frameworks across regions — but AI engines still resolve each location independently, from sources most groups have never claimed.
best dental implants in Austin
Here are some well-reviewed options:
of consumers now ask AI for local recommendations
up from 6% a year earlier
of healthcare consumers would trust an AI-summarised recommendation
when drawn from verified reviews
practices named in a typical AI answer
there is no page two
4 services
Get named by ChatGPT, Gemini, Perplexity and Copilot — and measure it monthly.
Read more →Local and organic search built to feed both Google and the AI engines reading it.
Read more →Paid search managed against booked appointments, not clicks.
Read more →Demand generation on Instagram and Facebook, feeding the searches that follow.
Read more →By procedure
Written for dental groups & dsos
Citation sources we audit
Each engine reads a different set of sources. These decide whether a dental group gets named in your category.
| Source | Primarily feeds |
|---|---|
| Google Business Profile | Gemini / AI Overviews |
| Bing Places | ChatGPT / Copilot |
| Foursquare | ChatGPT |
| Yelp | ChatGPT / Copilot |
| Healthgrades | All engines |
| Zocdoc | All engines |
| Perplexity |
6 services × your markets
Drawn from how patients actually ask, not from keyword tools. A full engagement tracks fifty per market across 4 engines.
How it starts
We run fifty real customer prompts across ChatGPT, Gemini, Perplexity and Copilot for your markets, and show you exactly who gets named instead of you.
We fix the sources those engines actually read — listings, structured data, review velocity, third-party and community presence — in the order that moves your score fastest.
Every month the score is re-measured and reported, with the citation source behind each mention. You watch the number move and you know what moved it.
Before you ask
"You cannot actually measure this."
Fifty prompts, four engines, three runs each — logged with the source every engine cited. The number is reproducible and you get the raw log, not just a summary.
"We already have an SEO agency."
The work barely overlaps. Theirs happens on your website. Around four fifths of ours happens off it — directories, review platforms, community and editorial. We will tell you plainly if we think you are paying twice.
"This is too new to spend on."
Forty-five percent of consumers now ask AI for local recommendations, up from six percent a year earlier. The question is not whether it arrives, it is whether you are named when it does.
"Show us it works first."
Every engagement opens with an audit. You see your score, your competitors’ scores, and the gaps — before committing to a retainer. If the number is already good, we will say so.
Comparison
Not a criticism of SEO — it still matters. These are simply different jobs, and most operators are only buying one of them.
| Traditional SEO agency | First Five | |
|---|---|---|
| Engines covered | ChatGPT, Gemini, Perplexity, Copilot | |
| Where the work happens | Almost entirely on your website | Roughly four fifths off it, where citations come from |
| What success looks like | A position on page one | Being named in a list of five |
| Primary data source | Google Search Console | Business Profile, Bing Places, Foursquare, Yelp, review platforms |
| How reviews are treated | Reputation management | A primary input to whether you get named |
| Monthly deliverable | A traffic report | A score, a per-engine breakdown, and a citation source map |
| When you are not cited | No visibility into why | The exact source that produced a competitor mention instead |
| What compounds | Rankings reset with each core update | Presence in the sources engines read |
Every row above is checkable. If your current agency covers a row we have marked, tell us and we will correct it.
Already working with someone?
Each comparison names the situations where the other option is the better one. If your current provider already covers this, the audit will show it and you should keep them.
What an SEO retainer covers, what it structurally cannot, and why the two jobs share almost no inputs.
Read the comparison →A full-service growth marketing agency working across beauty, ecommerce, healthcare and med spas, SaaS, dental and several other c…
Read the comparison →Cardinal is an Atlanta-based healthcare marketing agency with an established SEO and paid media practice. Aesthetics is one of sev…
Read the comparison →Growth99 is a platform-plus-agency hybrid built specifically for aesthetics practices. It combines a CRM, marketing automation, on…
Read the comparison →9 questions
Usually "emergency dentist open now". It is resolved by hours, open-now status and phone availability rather than by content, which means an unclaimed or stale Bing Places listing makes you invisible for the highest-intent search in the category.
They pull it from Zocdoc, Healthgrades and Business Profile attributes when it is published. When it is not, you are simply excluded from every answer where the patient specified a plan — which is most of them.
Consistency. A six-practice group typically has differently formatted names, at least one duplicate Business Profile and several unclaimed Bing listings. Engines match entities on that data, so inconsistency reads as several weak practices rather than one strong group.
Yes, and it should — that is where the case value is. Each is measured as its own query set, because being named for general dentistry does not mean being named for implants.
Only if call tracking is in place, which is why we set it up first on any paid engagement. Without it, a dental account optimises entirely toward the minority of patients who use a form.
They constrain outcome language, and we work inside them. Most of the ranking weight comes from structured data on services, insurance, hours and location, none of which touches restricted claims.
Directory claims and structured data can register within two to four weeks. Review velocity and third-party presence compound over three to six months. We report monthly either way, so you see progress before it is complete.
No, and you should be sceptical of anyone who does. No AI platform publishes how it selects sources. We work from measured output and correlations documented across the industry, we report honestly, and we re-baseline the source map quarterly because these systems change fast.
No. The monthly plans are cancel any time and the entry engagement is a one-time project with a fixed price. We would rather earn the next month than hold you to a contract. One caveat worth stating plainly: review velocity and third-party coverage compound over three to six months, so leaving at month two means paying for work you never saw finish.
Fifty prompts, four engines, your markets. You will see your score and exactly who is being named instead — before you commit to anything.
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