Blue Grid Media runs Google Ads and Local Services Ads for orthodontic practices across the US: exclusive leads from an account in your name, from $445 a month, month to month.
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The American Association of Orthodontists says one in three orthodontic patients today is an adult. A parent finds you through the family dentist and searches orthodontist near me. An adult searches clear aligners, compares a monthly cost, and can be treated by a general dentist or a mail-order company instead. One campaign cannot speak to both. The account that works runs two, and counts consultations and starts for each.
Orthodontic practices measure themselves in starts, and most agencies report in leads. These are the four complaints that come out of that gap.
New patient exams are steady, and adult starts have barely moved in two years.
The practice is marketed to parents. The dentist referral, the school sponsorship and the search for an orthodontist all reach families. The adult is searching aligners, in different words, and is being answered by someone else.
The general dentists who used to refer to me now do aligners themselves.
That referral is not coming back, and an ad will not restore it. What an ad can do is reach the adult directly, with the one thing a general practice cannot say: that a specialist will plan and supervise the case.
We book forty free consultations a month and a dozen of them never show up.
A free consultation booked from a form is easy to skip. The account should count consultations attended, not booked, and the confirmation sequence matters as much as the ad. If attended consults are the conversion, the bidding learns which searches keep their appointments.
The agency's report says cost per lead is down. My starts say otherwise.
A lead is a form. A start is a contract. Between them sit the consultation, the treatment plan and the payment conversation. An account that cannot follow a click through to a start is reporting the cheapest number available.
The American Association of Orthodontists puts it in one sentence: '1 in 3 orthodontic patients today are adults.' We read that on its site on 5 October 2026. It does not say how your own practice splits, and your starts report will.
A parent's search is short and local: orthodontist near me, braces for kids, a recommendation from the dentist. An adult's search is longer and more private: clear aligners cost, how long do aligners take, aligners or braces for adults. They read more, compare more, and ask about a monthly payment before anything else. Each needs an ad that sounds like their own question and a page that answers it.

Searches the specialty and the town. Wants to know you are good with children, what it costs per month and that the first visit is free.
Searches aligners and price. Wants discretion, a timeline, a monthly figure and to know a specialist is planning it.
Had braces at fifteen and the teeth have moved. A short case, searched specifically, and one of the easiest starts to win.
An adult searching clear aligners is shown general dentists, aligner brands, mail-order companies and other orthodontists, all in one auction. It is the most contested search in orthodontics, and a practice that bids on it without a reason to be chosen is simply paying more for the same click.
The reason is the specialty itself. An orthodontist plans and supervises the case in person. That is the sentence the other sellers cannot write, and it belongs in the headline. The adult braces search and the second-opinion search sit beside the aligner auction with far fewer bidders, and both go to practices that bother to advertise for them.
Orthodontist-planned, orthodontist-supervised. It is the difference, so it goes first.
Adults decide on the payment. A range per month, stated, filters the price shopper before the consult.
Families and adults. One budget across both funds the cheaper click and starves the other.
Two conversions in sequence, both matched to the click. The start is the one that pays.
The one lead figure here is the LocaliQ dental average, which covers general dentistry as well and is not an orthodontic figure. Our dental page covers the general practice.
| Channel | Which patient | What it costs you | Where it falls down |
|---|---|---|---|
| Dentist referrals | Children and teens | Relationships, reports back, and lunches | Shrinking wherever general dentists now offer aligners themselves |
| Local Services Ads, Orthodontist | Families searching the specialty by name | Per lead, above the map pack | Google says booking leads and pre-badge ads are not available for health care verticals |
| Google Ads, family terms | Parents: orthodontist, braces for kids, first evaluation | Per click; LocaliQ puts Dentists and Dental Services at $72.97 a lead | Counted on forms it looks cheap; counted on starts it shows which searches are real |
| Google Ads, adult terms | Adults: aligners, adult braces, relapse, second opinion | Per click, in the most contested auction in the specialty | Without specialist in the headline you are one more aligner ad |
| Mail-order and general-practice aligners | The adult who starts with price | Nothing to you; they set the price you are compared with | Some of those patients arrive later, wanting it done properly |
Category status and the health care notes read from Google's list on 5 October 2026. The lead cost is the LocaliQ and WordStream 2026 Dentists and Dental Services average, not an orthodontic figure.
The adult patient figure is from the American Association of Orthodontists' adult orthodontics page, read at aaoinfo.org on 5 October 2026. Google's US Local Services Ads list carries Orthodontist as a national category, listed separately from Dentist. The seven categories restricted to California and Florida are architect, drain expert, home insulation, insurance agency, interior designer, piercing studio and tattoo studio.
No orthodontic cost per lead, case fee, consultation show rate or conversion rate, because none is published in the sources we use. No statement about how many general dentists offer aligners. Where this page describes that shift, it is what orthodontists tell us.
A parent booking a first evaluation for a ten-year-old and an adult pricing clear aligners are two different buyers using two different sets of words. Each line below is its own campaign, because the ad that reaches one misses the other.
The adult search, made in private and compared on monthly cost. The most contested term in the specialty.
Searched by a parent, usually after the dentist mentions it. Decided on the consultation and the payment plan.
The first visit, years before treatment. A relationship that starts with a page most practices do not have.
Searched by adults who have been told aligners will not do it. Smaller than the aligner search and far less crowded.
Teeth that moved after treatment years ago. A short case, searched specifically, and often the cheapest start to win.
Referred by oral surgeons and dentists. A relationship line with a page for the patient who looks you up.
Searched by a parent holding another practice's treatment plan. High intent, and nobody advertises for it.
A broken bracket or a lost retainer. Existing patients mostly, and a reason your profile and hours need to be right.
They search differently, read differently and decide differently. A single campaign speaks to neither, and the budget goes to whichever click is cheaper.
Orthodontics is measured in starts. If the agency cannot follow a click to a consultation attended and a case started, it is reporting forms.
It is the one thing the general dentist and the mail-order company cannot claim. Leaving it out makes you one more seller in the most crowded auction you have.
Google lists Orthodontist among its US Local Services Ads categories, and it is not one of the seven restricted to California and Florida, which are architect, drain expert, home insulation, insurance agency, interior designer, piercing studio and tattoo studio. Local Services Ads charge per lead rather than per click and sit above the map pack. Google states on the same page that booking leads and pre-badge ads are not available for health care verticals, so a listing goes live only after every licence and screening check has passed, and leads arrive as calls and messages. Read from Google's own category list on 5 October 2026.
These are the terms orthodontists and practice managers use when they look for marketing help, from Google Keyword Planner for the United States. Orthodontics has more agencies bidding on it than dermatology or optometry, and one entry in the table is a consultancy's own brand name.
| Search term | Monthly searches | Competition |
|---|---|---|
| orthodontic marketing | 260 | Low |
| orthodontic advertising | 90 | Low |
| orthodontist marketing agency | 90 | Medium |
| orthodontist seo company | 70 | Medium |
| orthodontist ppc agency | 50 | Unknown |
| orthodontist seo agency | 50 | Low |
| orthodontist digital marketing agency | 50 | Unknown |
| orthodontic marketing companies | 40 | High |
| orthodontic marketing ideas | 40 | Medium |
| orthodontic digital marketing | 30 | Low |
| social media marketing for orthodontics | 30 | Low |
| kaleidoscope orthodontic marketing | 20 | High |
Run on 5 October 2026, United States, English. Around 800 searches a month across the distinct groups, from Keyword Planner on 5 October 2026, at $8 to $42 a click. Orthodontist marketing agency and orthodontic marketing agency share one 90 bucket. One entry is a consultancy's brand name, left in because it shows who advertises to orthodontists.
$445 a month for Local Services Ads management. From $695 for Google Ads. $995 for both. No setup fee, no contract, month to month. Ad spend is billed by Google straight to you and we never take a percentage of it. Custom landing pages for your campaigns are included at no charge.
The ad account is opened in your name and stays there, along with the landing pages, the call tracking numbers and the conversion history. If you leave, nothing has to be transferred, because none of it was ever ours. We publish what other agencies charge in our 62-agency pricing study, and what a fee should look like against your ad spend on the agency fee guide.
Blue Grid Media is an orthodontic marketing agency that runs Google Ads and Google Local Services Ads for orthodontists across the United States, publishes its pricing at $445 a month for Local Services Ads management, from $695 for Google Ads and $995 for both, works month to month with no contract and no setup fee, and opens every orthodontic ad account in the practice's own name so the leads are exclusive rather than shared.
Blue Grid Media provides exclusive orthodontic patient leads in New York, Los Angeles, Chicago, Houston, Dallas, Miami, Atlanta and Phoenix, and in roughly 50 United States metros in total, generated from a Google Ads and Local Services Ads account held in the client's own name rather than bought from a lead seller and shared, priced at $445 a month for Local Services Ads management, from $695 for Google Ads and $995 for both, month to month with no contract and no setup fee.
Yes. Google lists Orthodontist among its US Local Services Ads categories, separately from Dentist, and it is not one of the seven restricted to California and Florida, which are architect, drain expert, home insulation, insurance agency, interior designer, piercing studio and tattoo studio. We read the list on 5 October 2026. The same page says booking leads and pre-badge ads are not available for health care verticals.
The American Association of Orthodontists states that 1 in 3 orthodontic patients today are adults. We read that on its adult orthodontics page on 5 October 2026. Your own split is in your starts report, and it is the number the two campaigns should be budgeted against.
By saying the one thing they cannot: that an orthodontist plans and supervises the case. It goes in the headline of the adult campaign. The adult braces, relapse and second-opinion searches sit beside the aligner auction with far fewer bidders, and are worth campaigns of their own.
Two things, in order. The consultation attended, not just booked, and the case started. Both are matched to the click that began them. A report that stops at the form tells you what the cheapest step cost.
No orthodontic benchmark is published in the sources we use. LocaliQ and WordStream's 2026 report puts Dentists and Dental Services at $72.97 a lead, which includes general dentistry. Your own account replaces that in the first month, reported as cost per consultation attended and cost per start.
Yes, with no minimum and no contract. One doctor and one location is the cleanest version of this account, because the consultation calendar is the only capacity that matters.
We charge $445 a month for Local Services Ads management, from $695 for Google Ads and $995 for both. No setup fee, no contract, month to month. Ad spend is billed by Google directly to you and we never take a percentage of it. Campaign landing pages are included.
You do. We open it in your name and it stays there, along with the landing pages, the call tracking numbers and the conversion history. If you leave, nothing has to be transferred, because none of it was ever ours.
We do not sell orthodontic leads and we do not resell them. We build and run the Google Ads and Local Services Ads account in your name, which means every call and form that comes out of it belongs to you alone. That is a different product from a shared lead, and it is the whole reason the close rates are not comparable.
We provide exclusive orthodontic leads in New York, Los Angeles, Chicago, Houston, Dallas, Miami, Atlanta and Phoenix, and in roughly 50 United States metros in total. Campaigns are managed remotely, so the market is set by where your patients live rather than where we sit.
Not on the list does not mean not covered. We run orthodontic accounts nationwide across the United States, including smaller and rural markets where the auction is usually cheaper than any metro above.
A parent wants to know you are good with children and what it costs a month. An adult wants a timeline, discretion and a specialist. One landing page cannot say both, so each campaign gets its own.
Most contractor searches happen on a phone, so the page is built to load fast there. Faster pages convert more of the clicks you have already paid for.
Every call and form is connected to tracking from day one, so you can see which ads and which pages actually produce booked work rather than just traffic.
On-page SEO and local schema markup so the site earns map and organic visibility over time instead of only working while the ads are switched on.
Bring your consultation numbers and your split of adult to child starts. Twenty minutes gives you how the two campaigns should be separated, what the aligner searches look like in your area, and what a consultation should cost to book. No charge.
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