Last updated: November 2026
Snapshot
- Client: Bakersfield Smile Design, Bakersfield, California
- Industry: General and cosmetic dentistry, orthodontics and dental implants
- Services: Local SEO, website SEO and content, Google Ads, Local Services Ads, paid social
- Timeframe: Multi year partnership. Results below cover October 2023 to October 2026.
Results at a Glance
- About 124 patient leads a month from Google Ads in mid 2024
- Nearly 3x more monthly leads after Massif resumed management: from about 36 a month in early 2025 to about 106 a month from May to October 2026
- About 60 calls a month from ads in mid to late 2026, up from about 14 at the low point
- Monthly ad clicks up about 33% compared with mid 2024
The Starting Point
Bakersfield Smile Design is a full service dental practice offering general and cosmetic dentistry, orthodontics and implants. For a practice like this, growth depends on two things: showing up when local patients search for a dentist, and making it easy for them to call or book. Massif supports both sides, managing the practice’s local search presence and its paid search program.
What We Did
Local SEO: We manage the practice’s Google Business Profile and local presence so nearby patients find it on Google Search and Maps.
Website SEO and content: We optimize the site and build content around the treatments the practice offers, so its pages match how patients actually search.
Google Ads: We run search campaigns aimed at patients who are ready to book, with call tracking and online appointment tracking so every lead is counted.
Local Services Ads: In 2026 we added Google Local Services Ads, which gives the practice another spot at the top of local results and brings calls straight to the office.
A Management Gap and the Recovery
From late 2024 into mid 2025, management of the Google Ads account moved outside Massif. Over that stretch, lead volume fell by about 70%, from roughly 124 patient leads a month to about 36. Calls from ads fell the most, from more than 100 a month to around 14.
When Massif resumed management in mid 2025, we brought the account back to the approach that had been working. Lead volume climbed steadily from there, averaging about 106 patient leads a month from May through October 2026, and about 117 a month from July through October.
How We Measured
Patient leads are calls from Google Ads, calls to the tracked number on the website and landing pages, online appointment requests, and phone leads from Local Services Ads.