2.8x ROAS Across 6 Locations — Unified, Measurable, Scalable
A Texas dental group had 6 locations running 6 separate, disconnected marketing efforts. Vigorant consolidated the infrastructure, unified reporting, and scaled what was working.
Six Locations — One Growth Engine
The group had strong clinical teams across all six locations but fragmented marketing — three different ad agencies, inconsistent branding, and no unified reporting. Leadership had no way to compare performance across locations or identify where budget was being wasted.
The Consolidation and Scale Strategy
Infrastructure Audit
Audited all 6 ad accounts, website analytics setups, and Google Business Profiles. Identified $4,200/month in wasted ad spend on duplicate keywords and broad-match inefficiency.
Unified Dashboard Build
Built a single real-time dashboard aggregating all 6 locations — cost-per-lead, conversion rate, review velocity, and organic visibility score per location.
Location-Specific SEO
Deployed individual SEO strategies per location based on local competitive analysis — each location targeting its own neighbourhood keyword clusters.
Consolidated Ad Management
Merged ad accounts under a single managed structure with shared negative keyword lists, cross-location audience learnings, and unified creative testing.
Month-by-Month Milestones
- Month 1Infrastructure audit complete, dashboard live—
- Month 2Ad accounts consolidated, waste eliminated-$4.2K/mo saved
- Month 3Location SEO strategies deployedRankings moving
- Month 4First ROAS measurement — all locations1.9x ROAS
- Month 6Full scale achieved2.8x ROAS, +89 patients/mo
- Month 1Infrastructure audit complete, dashboard live—
- Month 2Ad accounts consolidated, waste eliminated-$4.2K/mo saved
- Month 3Location SEO strategies deployedRankings moving
- Month 4First ROAS measurement — all locations1.9x ROAS
- Month 6Full scale achieved2.8x ROAS, +89 patients/mo
Within 6 months, the DSO had eliminated redundant spend, unified its reporting, and scaled to 89 net new patients per month across all locations — with a clear attribution model showing exactly which locations and which channels were driving growth.
The Measurable Outcomes
Across all 6 locations
Net new vs. pre-engagement baseline
After ad account consolidation
Identified in Month 1 audit
By unifying six disconnected marketing operations under a single strategic framework, the DSO eliminated wasted spend, gained full attribution visibility, and scaled patient acquisition to 89 new patients per month.
"We finally know where every dollar goes and what it produces. That visibility alone changed how we make decisions."
Quote used with practice consent. Practice identity anonymised per client agreement.
Frequently Asked Questions
Yes. Multi-location dental groups and DSOs are a core part of our practice portfolio. We build unified reporting, consolidated ad management, and location-specific SEO strategies under one coordinated framework.
Wasted spend refers to advertising budget allocated to keywords, audiences, or placements that generate clicks but no qualified patient leads. Common sources include overly broad match types, duplicate keywords across campaigns, and campaigns without negative keyword lists.
We build brand standards that apply consistently across all locations — ad creative, website copy, Google Business Profiles, and review response templates — while still allowing location-specific messaging.
From $187 to $71 Cost-Per-Lead in 90 Days
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Vigorant is a healthcare-exclusive growth marketing agency. We build AI-augmented, human-led marketing systems for dental, medical, and chiropractic practices.