Local SEO
How to choose a dental SEO agency: 10 questions to ask
The ten questions to ask before you sign, the answers worth hearing, and the red flags that cost practices time and money.
01Why the choice of dental SEO agency matters
Picking a dental SEO agency is picking who controls how new patients find you for the next year or more. A good one brings steady calls and bookings. A poor one can leave you locked into a contract, without access to your own Google profile, and sometimes with penalties to clean up. These ten questions separate the two quickly.
02The 10 questions
1. Do you work with dental practices?
Dentistry has its own searches, treatment pages and rules for health information. An agency that works mainly with dentists already knows what patients search for and how to write about treatments accurately.
2. What exactly will you do each month?
You should get a clear list: Google Business Profile updates, review replies, new or improved pages, technical fixes. “Ongoing optimisation” on its own is not an answer.
3. How will you report results?
Ask to see a sample report. It should show calls, direction requests, bookings and enquiries, not only rankings and impressions. If it cannot connect the work to patients, it is hard to know what you are paying for.
4. Who owns the accounts?
Your Google Business Profile, Google Analytics, Search Console, domain and website should all be in your name, with the agency added as a manager. If the agency owns them, leaving can mean starting again from nothing.
5. How long is the contract?
Long lock-ins protect the agency, not you. Month-to-month terms keep everyone honest, because the agency has to keep earning your business.
6. Do you guarantee rankings?
A good dental SEO agency will not. Google’s results change daily and depend on where each searcher stands. A guaranteed first place is a red flag.
7. How do you get reviews?
Google does not allow buying reviews or asking only patients you expect to be happy. The right answer is a simple, consistent way to ask every patient, plus a reply to every review.
8. How do you build links and mentions?
Listen for local directories, professional associations, community sponsorships and genuinely useful content. Bought links and networks of fake sites can get a practice penalised.
9. Who does the work?
Ask whether the work is done by the team you are talking to or passed to someone else, and who your contact is when you have a question.
10. What happens if we part ways?
You should keep everything: accounts, content, pages and data. Ask for it in writing.
03Red flags at a glance
| Red flag | Why it matters |
|---|---|
| Guaranteed #1 ranking | No one controls Google’s results |
| The agency owns your Google profile | You can lose it when you leave |
| Reports with no calls or bookings | You cannot see what the work brings in |
| 12–24 month lock-in | You keep paying even if nothing improves |
| Cheap “review packages” | Fake reviews break Google’s rules and can remove your profile |
04How to compare two proposals side by side
When two dental SEO agency proposals land on your desk, put them next to each other and check the same things in each:
- The monthly work, listed task by task, not as a single line.
- The reporting, with a sample report you can actually read.
- The term, and what it costs to leave early.
- Ownership of every account and every piece of content.
- Who you speak to, and how quickly they answer.
- The total cost, including set-up fees, ad management fees and ad spend, which should be separate.
The cheaper proposal is often missing reporting or ownership. Those two gaps are the ones that cost the most later.
05What a good first 90 days looks like
A good agency spends the first month on foundations: auditing your website and Google profile, fixing contact details everywhere, setting up tracking for calls and bookings, and agreeing which treatments matter most. The second month usually brings the visible work: improved or new treatment pages, a complete Google profile, and a steady review programme. By the third month you should see a clear report comparing calls, bookings and reviews with where you started, and a plan for what comes next. If three months pass without a report you can understand, ask for one before paying for a fourth.
06The questions a good agency should ask you
A good dental SEO agency interviews you as much as you interview it. Expect questions such as: which treatments do you most want to grow, and which have spare capacity in the schedule? Where do most new patients come from today? What does a new patient typically spend in their first year? Which neighbourhoods do you want to reach? Who answers the phone, and how are calls handled after hours? If an agency quotes a price before asking any of this, the plan is likely generic, and generic plans rarely move the numbers that matter to a practice.
07How DentalMarq answers these questions
We work only with dental practices. SEO & marketing is $1,400 a month, month to month. Every account stays in your name, and if you leave, you keep everything. Each month you get one plain-English report of calls, bookings and reviews, plus what we will do next. We never guarantee rankings. See the full scope on our SEO page and our pricing page.
08Before you sign anything
Know your starting point, so you can judge any agency’s results later. Our free 32-point audit records where your website, Google profile and reviews stand today, and comes with a fixed quote and no obligation. You can also read more about how we work.
Questions
What should I look for in a dental SEO agency?
Experience with dental practices, a clear list of monthly work, reports that show calls and bookings, accounts kept in your name and a month-to-month contract.
Should a dental SEO agency guarantee rankings?
No. Google’s results change daily and depend on where each patient is searching. A guaranteed top ranking is a warning sign.
Who should own my Google Business Profile?
You should. The agency should be added as a manager, so you keep the profile, its reviews and its history if you ever change agencies.
How long should a dental SEO contract be?
Month to month is best for the practice. Long lock-ins mean you keep paying even when results do not improve.