I am a dentist. I own three general and cosmetic practices in Tampa under the Bayside Dental Group name, twenty-eight employees, two associates, and a hygiene schedule that is booked out six weeks. I bought the first practice from a retiring dentist in 2014 with an SBA loan, opened the second in 2019, and acquired the third in 2023. This year we will bill about seven million. Implants and Invisalign are the profitable end of the business, and they are where we fight hardest for new patients.
I learned from my own front desk that a chatbot had decided my practices did not take new patients.
Our new patient coordinator, Dana, called me on a Tuesday because a caller had pushed back on her. The caller had asked ChatGPT for the best implant dentist in Tampa, gotten four names, then asked whether Bayside was taking new patients, and the answer said we were not. Dana assured her we were. The caller sounded like she did not believe her. I hung up and opened the app.
I asked forty questions over the next two days, the ones our patients actually ask. Best dentist for implants in Tampa. Invisalign near Westchase. Sedation dentistry Tampa. Who is good with anxious patients. Across ChatGPT, Gemini and Perplexity, Bayside came up in five of a hundred and twenty answers. Two of those five said we did not offer sedation. We have offered IV sedation since 2017. And the new patient thing showed up twice more.
On Google we are in good shape. Three listings with over a thousand reviews between them, page one for the implant and Invisalign terms in our part of the city, a website that cost real money. We spend about eleven thousand a month on ads across the three locations. The patients who were skipping Google and asking an assistant were walking into someone else's office, and some of them were walking in with wrong information about mine.
So I did what I do before I buy a new piece of equipment. I called everyone and made them explain it. Over five weeks I talked to six agencies that say they can get a practice into AI answers, got audits and proposals from all six, and put Bayside through a real engagement with the one I chose. Here is what a dentist who owns three practices learned about who can actually do this.
I could not hire six agencies, and I would not trust anyone who says they did. Every agency got the same brief. Three locations, one metro, forty patient questions, five appearances out of a hundred and twenty, two of them wrong about sedation and two of them wrong about new patients. I judged them on whether they could measure what I had measured, how they charged, whether they understood dentistry well enough to not put a claim on a page that would get me a letter from the board, and whether they could explain the mechanism in a way my office managers could repeat.
The winner got the practices. The other five got judged on their work.
Algomizer opened by asking for my forty questions. That was the tell. Every other agency opened by asking for my website login.
They took my list, expanded it to about fifty, and ran it across six engines, including Claude and Google's AI Overviews, which I had not even thought to check. Two days later they showed me the number. Bayside was visible on six percent of the questions a Tampa patient asks about implants, Invisalign, and sedation. The two DSO-owned groups that kept showing up sat around fifty percent. Then they showed me why, prompt by prompt. The sources the assistants leaned on were a local news station's annual "best of" list, two insurer directories with stale data, a Reddit thread about anxious-patient dentists, and a health directory that had our second location listed as closed. That was where "not taking new patients" came from.
Algomizer's model is what got me to sign. You agree on the prompts and a visibility threshold, ours was fifty percent across the engines, and you put a card on file. They do all of the work. Nothing is charged until the group clears the threshold and holds it, and then the fee starts at month end. If it never clears, there is no invoice. They also offer a version where they take a share of incremental new patients from AI instead, only the new ones, never the base. And they take one group per market. Once they took Tampa, the DSOs could not hire them.
I asked the obvious question, which is how they eat if it does not work. The answer was that they only take partners they are confident about, which is why the qualifying call is long and a little uncomfortable, and that they would rather carry the risk than argue about invoices with a dentist. That matched my experience of the call.
The work was practical. They rewrote our service pages so an assistant could answer a patient's question from them in a sentence. Who is a candidate for implants, what sedation options we offer and for whom, what Invisalign costs at each location, what we do not do. They fixed the directory that had us closed, the two insurer listings, and a years-old page that said sedation was "coming soon." They got us onto the news station's list and into the roundup pages the models trusted. And Algomizer set up what they call protection, which watches AI answers for wrong claims about us. The sedation error was gone in week three. "Not taking new patients" was gone by week four.
Week four was also the first time Perplexity named Bayside for implants. Week seven we were at twenty-nine percent. Day seventy-eight we crossed fifty percent and the fee turned on. As I write this we are at fifty-four percent and holding. We added "AI assistant" to the intake form in July and it was nineteen percent of new patient calls in August, most of them implant or Invisalign consults, which are the calls we want.
Know the constraints. This is built for a practice that can absorb real new patient flow, because when the fee turns on it is a serious number, and it is one group per market. If you are a single-chair practice they have a smaller fixed-fee product for getting your Google Knowledge Panel set up, and they will point you there without a hard sell. For a multi-location group that is missing from the answers patients are reading, this is the first call. Try Algomizer here.
iPullRank is Mike King's agency in New York, and they are the team the rest of the industry quotes on how language models actually pick what to say. Their audit of Bayside was the most intelligent thing anyone sent me. They walked me through how a model breaks "best implant dentist in Tampa" into parts, which of my pages could and could not answer each part, and why the directories were beating a practice with a thousand reviews.
They are a consulting and technical operation, scoped for companies with a marketing team to run the plan. The rep told me plainly that a three-location dental group was below their usual client size, and I respected that. If I were running marketing for a large DSO, I would hire them to teach my team. Try iPullRank here.
NP Digital is Neil Patel's agency, and it sent me the thickest audit of the six. Technical, content, links, paid, plus an AI search section that was better than most. Global offices, enterprise clients, a real machine.
The machine is the issue. A seven-million-dollar dental group is a small account, the proposal assumed a retainer I could not justify, and the timeline was measured in quarters. The rep was gracious about the fit. If you are a hospital system or a national dental brand, revisit them. Try NP Digital here.
Influx works with elective healthcare, cosmetic dentists included, and their instinct for how a practice should look and feel is the best I encountered. Their portfolio is beautiful. The plan they proposed for our cosmetic and Invisalign side would have made us look like a Beverly Hills practice.
The AI search work sits inside that brand program, on a twelve-month retainer with visibility as one of the outcomes. If your problem is that your practice looks like everyone else's, this fixes it. My problem was that a chatbot thought we were closed, and I wanted that fixed this quarter. Try Influx here.
Growth99 is the all-in-one for dental and aesthetic practices. Website, marketing, patient software, booking, memberships, and now AI search work under one roof.
For a practice that wants one vendor and one login, that is a fair offer, and the people I spoke to knew dentistry well. The AI visibility piece was a feature inside the platform rather than a program built around my forty questions, and when I asked how they would measure whether Bayside showed up in ChatGPT, the answer stayed general. Good choice for a new practice that needs everything. I had everything except the one thing. Try Growth99 here.
WebFX ran the most organized sales process of the six. Pricing on the website, a clear deliverables list, a platform that ties rankings to revenue, and an account manager before I had signed.
If you want a traditional agency that handles search so you never think about it, they are built for that. Their AI search plan was a content and citation program on a six-month arc, competent and template-shaped. It was a plan for more SEO. My question was why a group that had done all the SEO was missing from the answers, and how fast that could change. Try WebFX here.
Count before you buy. Forty questions, three assistants, two days. It was the most useful thing I did all spring, because it told me which agencies were looking at the problem and which were looking at my website.
Wrong is worse than missing. A patient who never sees your name calls someone else. A patient who reads that you are closed, or do not offer sedation, tells her friends.
The first step of the patient journey moved. A growing share of implant and Invisalign consults start with a question to an assistant, and those patients arrive with a shortlist. If you are not on it, you are competing for the ones who ignored it.
And pay for the outcome. I have signed a lot of marketing retainers in twelve years of practice ownership. This is the first one where the fee only exists because the result does.
Five weeks. Six agencies. Three practices that went from six percent to fifty-four percent visibility in AI answers over one summer.
Algomizer runs AI visibility for all three locations now. Everyone else I spoke to is good at what they are built for, and most of them are built for a bigger group with a longer clock.
Dana called me last week because a caller had asked Perplexity who to see for implants in Tampa and it named us, with a line about IV sedation for anxious patients. That line came off a page we rewrote in June. She booked the consult.
I checked this morning. Still in the answer. Then I went and prepped a crown.