PPC management services measured by qualified leads, not clicks
We plan, build and run Google Ads, Microsoft Advertising and paid social campaigns for healthcare practices, dental clinics, medical billing companies and other service businesses. Tracking goes in first, so every report shows what each lead and each new client cost you.
- 7+Years of experience
- 1,000+Projects delivered
- 9Industries served
Paid advertising services
Choose a platform, or start with your industry
Each service has its own page with scope, process and FAQs. Most clients start with Google Ads, then add paid social or remarketing once tracking shows what works.
By platform
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Core
Google Ads Management
Search, Performance Max and local campaigns that reach people at the moment they look for what you sell.
- Search campaigns split by service, location and intent
- Performance Max and AI Max set up with guardrails
- Calls, forms and bookings tracked to each campaign
Best forBusinesses whose buyers search before they call or book
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Paid Social (Meta & LinkedIn)
Facebook, Instagram and LinkedIn campaigns that build local demand and reach B2B decision-makers before they search.
- Meta campaigns for local reach and lead forms
- LinkedIn targeting by job title, company and industry
- Leads synced to your CRM and followed up fast
Best forBrands that need demand beyond search, and B2B companies
By industry
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Healthcare PPC & Google Ads
Patient acquisition campaigns planned around Google's healthcare policies.
- Campaigns by specialty, service line and location
- Privacy-aware call and appointment tracking
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Dental PPC & Google Ads
Google Ads and Local Services Ads for new patients and high-value treatments.
- Treatment-level campaigns, from implants to emergencies
- Call tracking for every practice location
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B2B
Medical Billing PPC & Lead Generation
Google Ads and LinkedIn campaigns that reach practices ready to outsource billing.
- Search campaigns for outsourcing intent
- Leads qualified by specialty and claim volume
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Telehealth Advertising
Policy-compliant search and social campaigns for telehealth brands.
- Certification checked before campaigns are planned
- Campaigns by state where your clinicians are licensed
Also part of our paid advertising plans
- Microsoft Advertising
- Remarketing and display
- Local Services Ads
- Landing pages
- Conversion tracking
Results
Results from our clients' ad accounts
Figures from Google Ads campaigns we run, with the client type and period. Each one links to the project in our portfolio.
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13.7×Google Ads
Return on ad spend
Mental health clinic · Feb 2023 to Jun 2025
View project -
$1.53Google Ads
Cost per conversion, Q2 2025
Healthcare service provider · 4,867 conversions
View project -
643Google Ads
Leads on $2.74K ad spend
US medical billing company · B2B lead generation
View project -
24.8KGoogle Ads
Targeted clicks on $36.7K ad spend
Orthopedic clinic, Denver · Feb 2020 to Jun 2025
View project
Figures as reported in each client's Google Ads account. Results depend on market, budget and offer, so they are examples, not promises.
Find the leak
Where is your ad budget leaking?
Pick the problem that sounds most like your account. You'll see what usually causes it, what we change, and where to start.
You get clicks, but few calls or form fills
What's usually behind it
- Ads show for searches that have nothing to do with what you sell
- The landing page doesn't match the ad, or loads slowly on phones
- Calls and forms aren't tracked, so some leads are never counted
What we change
- Search-term reviews every week, with new negative keywords
- Ads and landing pages that match each search theme
- Call, form and booking tracking tested end to end
You get leads, but too many aren't a fit
What's usually behind it
- Broad matching reaches researchers, students and job seekers
- Bidding counts every form fill as a win, good or bad
- Forms don't ask enough to tell a good lead from a poor one
What we change
- Exclusions for job, free, DIY and training searches
- Qualified leads and new clients sent from your CRM back to the ad platforms
- One or two qualifying questions added to your forms
Your cost per lead keeps going up
What's usually behind it
- More competitors bidding on the same searches
- Budget spread thin across too many services and locations
- Low ad relevance, which raises what you pay for each click
What we change
- Budget moved to the services and areas with the best cost per qualified lead
- Tighter ad groups, with ads written for each search theme
- Microsoft Advertising tested as an extra source of searches
You can't tell which ads bring in clients
What's usually behind it
- Conversion actions are missing, duplicated or counting page views
- Phone calls from ads aren't tracked at all
- The ad platforms never learn which leads became clients
What we change
- Conversion tracking rebuilt in GA4 and Google Tag Manager
- Call tracking by campaign and by location
- CRM outcomes imported, so reports run from click to client
Your healthcare ads are disapproved or limited
What's usually behind it
- Keywords or ad text that trigger Google's healthcare and medicines policy
- Remarketing or customer lists used for health services, which Google doesn't allow
- Missing certification, for example for telehealth prescription services
What we change
- Keywords, ads and landing pages reviewed against current policy
- Audiences rebuilt around search intent, location and Google's own segments
- Help preparing for certification where it's required
You're about to advertise for the first time
Common first-time mistakes
- Launching before calls and forms are tracked
- One campaign for every service and location
- A budget too small to learn which searches convert
What we set up first
- Tracking for calls, forms and bookings
- Campaigns split by service, location and intent
- A starting budget and a test plan with review dates
Lead quality
We optimize for clients, not form fills
A cheap lead that never becomes a client is wasted spend. We track every stage, agree with you what a qualified lead is, and send that signal back to the ad platforms so bidding learns from it.
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Stage 1
Click
Someone searches or scrolls, then clicks your ad.
We trackSearch terms, cost per click, click-through rate
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Stage 2
Lead
They call, fill in a form or book online.
We trackCost per lead by campaign and keyword
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Stage 3Optimized for
Qualified lead
Your team confirms they're a good fit.
We trackQualified-lead rate, cost per qualified lead
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Stage 4Optimized for
Booked
An appointment or sales call goes in the diary.
We trackBooking rate and time to first reply
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Stage 5Optimized for
Client
They start treatment or sign a contract.
We trackCost per client, and revenue or ROAS where measurable
Qualified leads and new clients from your CRM go back to the ad platforms, so automated bidding favors the searches and audiences that bring clients. For healthcare clients we send a lead status only, never clinical details.
- Google Ads: enhanced conversions for leads
- Meta: Conversions API
What's included
Everything in a PPC management plan
Plans are scoped to your accounts and goals. This is the work we do each week and each month.
Get a free Google Ads auditAccount audit and competitor research
What's working, what's wasting money, and what competitors bid on and say.
Tracking you can trust
Calls, forms and bookings tracked in GA4 and Google Tag Manager, and tested before launch.
Keyword research and campaign structure
Campaigns split by service, location and intent, so budgets and reports stay clear.
Ad copy and creative
Search ads, assets, and image or video ads for social, written for each audience and policy.
Landing page recommendations
Fixes that lift your conversion rate, or a new page built by our web team.
Weekly search-term reviews
New negative keywords every week, so budget stops going to searches that won't convert.
Bids, budgets and automation
Smart bidding aimed at qualified leads, with budget moved to what performs.
Monthly reporting
Cost per lead and per qualified lead by campaign, what we changed and what comes next.
Automation, with guardrails
Google's AI now runs more of your campaigns by default. We decide where it's allowed to.
Since 1 September 2026, Google has been converting Search campaigns that use automatically created assets or campaign-level broad match into AI Max for Search. Left on defaults, that can match ads to loosely related searches and send people to pages you didn't choose. We set the limits first.
Source: PPC Land, August 2026
Automation handles
- Bidding toward the conversions you value most
- Testing headline and description combinations
- Finding new searches once tracking is clean
We keep control of
- Brand, competitor and negative keyword lists
- Which pages your ads can send people to
- Ad text in regulated industries, approved before it runs
- Budget split by service and location
- When to scale and when to pause
Healthcare advertising
Healthcare ads follow stricter rules. We plan around them from day one.
Healthcare, dental, medical billing and telehealth are our focus markets. These four rules shape most of their campaigns, and this is how we handle each one.
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Google Ads
No custom audiences for health services
- The rule
- Google doesn't allow advertiser-built audiences, such as remarketing lists, customer lists and lookalikes, in ads that promote health content.
- What we do
- We reach patients through search intent, location and Google's predefined audience segments, which are still allowed.
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Meta
Less tracking data on Facebook and Instagram
- The rule
- Meta limits the data and conversion events it accepts from many health and wellness advertisers, so campaigns can't always optimize for leads.
- What we do
- We send generic, privacy-safe events through the Conversions API, judge lead quality in your CRM and write creative to Meta's health ad rules.
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Certification
Certification before telehealth ads can run
- The rule
- Google requires certification, usually through LegitScript, for telemedicine providers and online pharmacies that advertise prescription services.
- What we do
- We check eligibility before planning campaigns, help you prepare, and never suggest ways around the policy.
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Privacy
Patient details stay out of ad platforms
- The rule
- Health details in page URLs, form fields or tracking events can reach ad platforms, which creates privacy and HIPAA risk for practices.
- What we do
- We keep conditions and patient details out of everything sent to ad platforms. Lead status is the only signal we pass back.
Medical billing and other B2B healthcare companies market to practice owners and managers. Those campaigns run on Google Search and LinkedIn, with lead qualification built for a longer sales cycle.
Sources: Google Ads policy, Health in personalized advertising · Google Ads policy, Healthcare and medicines. This is general information, not legal advice.
What happens first
Your first 90 days of paid advertising
A typical plan for a new or inherited account. Timing depends on how many services and locations you advertise.
- Weeks 1–2
Audit and tracking
- Account, competitor and landing page audit
- Tracking for calls, forms and bookings
- Agree what counts as a qualified lead
- Weeks 3–4
Build and launch
- Campaigns by service, location and intent
- Ads, assets and negative keyword lists
- Landing page fixes, or a new page
- Weeks 5–8
Learn and tighten
- Weekly search-term and budget reviews
- Lead quality check-in with your team
- First ad and landing page tests
- Month 3 onward
Scale what's profitable
- Budget moved to the best cost per qualified lead
- Paid social, Microsoft Ads or remarketing added if they fit
- Monthly report and a plan for each quarter
Free Google Ads audit
Find out where your ad spend is going
Give us view-only access to your Google Ads account and we'll review it against your goals and competitors. You get a prioritized list of fixes, whether or not you work with us.
What the audit covers
8 areas- Conversion tracking accuracy
- Search terms and wasted spend
- Keywords, match types and negatives
- Campaign structure and budget split
- Bidding and automation settings
- Ads, assets and policy issues
- Landing page speed and message match
- Location, schedule and device settings
Delivered as a prioritized action plan, with the biggest savings at the top.
Pricing and transparency
What you pay for, and what you always keep
PPC has two costs that some agencies blur together. We keep them separate, so you always know where your money goes.
- Goes to the platform
Ad spend
Paid by you directly to Google, Microsoft, Meta or LinkedIn. You set the budget and see every charge.
- Goes to us
Management fee
Paid to us for strategy, builds, optimization and reporting. Quoted after we review your account.
- One time
Setup, when needed
A one-time fee for tracking, a new account build or landing pages, agreed before work starts.
We quote after reviewing your account, market and goals. Pick a budget range in the form and we'll recommend options that fit.
Client reviews
See what clients say about us
Read reviews from clients we have worked with on these platforms.
FAQ
Questions about PPC management
Something else? Ask us directly and we'll answer it in our reply.
How much does PPC management cost?
There are two parts. Your ad spend is paid directly to Google, Microsoft, Meta or LinkedIn, and our management fee covers strategy, builds, optimization and reporting. Some accounts also need a one-time setup for tracking or landing pages. We quote after reviewing your account and goals. Choose a budget range in the form so we can recommend options that fit.
How much should we spend on ads each month?
It depends on what clicks cost in your market, how many services and locations you advertise, and what a new client is worth to you. We work back from the cost per client you can afford, then recommend a starting budget large enough to show which searches convert within the first few weeks.
How quickly will we see results?
Search ads can bring clicks and enquiries within days of approval. The first weeks are for learning which searches and ads convert, and most accounts need a couple of months of tracked data before costs settle. Every report shows what changed and what it cost per lead.
Who owns the ad accounts and the data?
You do. Campaigns run in accounts registered to your business, and we work as users you can remove at any time. If we build a new account, it is set up in your name. If you leave, your campaigns, history and tracking stay with you.
Can you advertise healthcare, dental and telehealth services?
Yes, within each platform's rules. Google doesn't allow remarketing or customer-list audiences for health services, Meta limits health-related data, and telehealth providers that advertise prescription services need certification, usually through LegitScript. We plan campaigns around these rules and never suggest workarounds.
Should we start with Google Ads or social media ads?
For most service businesses, Google Search comes first because people are already looking for what you offer. Meta helps with local reach and with people who haven't started searching yet. LinkedIn suits B2B companies, such as medical billing firms that sell to practice owners and managers.
Can you track phone calls and which leads become clients?
Yes. We track calls, forms and online bookings, and connect your CRM so qualified leads and new clients are reported by campaign. Google Ads can learn from those outcomes through enhanced conversions for leads. For healthcare clients we send lead status only, never clinical details.
Can you take over our existing ad account?
Yes. We start with an audit and keep your account history, so automated bidding keeps what it has learned. We fix tracking first, then restructure only where it helps.
Free PPC proposal
Let's make every ad dollar accountable
Tell us about your business, current ad spend and goals. We will review your ad account, competitors and landing pages, then recommend the channels and budget that fit.
Request a free proposal
We review your website first, then reply with the services and scope that fit.