How Google Ads pricing works
You do not pay Google a monthly fee. You set a budget, and you pay when someone clicks your ad. The price of each click is set in an auction every time someone searches, so it changes by keyword, area, time of day and how many other practices are bidding.
- High-value treatments such as implants and aligners usually cost more per click than general searches, because more advertisers compete for them.
- Big cities usually cost more than small towns for the same search.
- Ads that closely match the search and land on a relevant page can pay less for the same position than poorly matched ones.
That is why the useful question is not "what does Google Ads cost?" but "what does a patient who turns up cost us?"
Find the real click prices for your area
Before setting a budget, look up the actual numbers for your treatments and town in Google's Keyword Planner, inside your Google Ads account.
- Enter the searches you care about, for example "dental implants [town]", "emergency dentist [town]" and "Invisalign [town]".
- Set the location to the area you serve, not the whole UK.
- Note the top-of-page bid range Google shows for each search. This is Google's estimate of what advertisers have paid to appear at the top.
- Do this per treatment. Prices for "check-up" and "implants" can be very different.
Work backwards from patient value
A budget should come from what a patient is worth, not from what feels comfortable. The chain is simple:
- Cost per click, from Keyword Planner.
- Click-to-enquiry rate: the share of visitors who call or fill in the form.
- Enquiry-to-booking rate: the share of enquiries your team books.
- Show rate: the share of bookings who actually attend.
Illustration only, not a benchmark: if clicks cost £5, 1 in 10 visitors enquires, half of enquiries book and 80% of bookings attend, each enquiry costs £50, each booking £100 and each kept appointment £125. If a new implant patient is worth thousands to the practice, that may be very good value. If you are advertising a £60 check-up, it is not.
Our LTV calculator helps you work out what a new patient is worth, so you know the most you can afford per kept appointment.
How Google spends your daily budget
Google Ads budgets are set per day but behave like a monthly average. Google says that on any single day a campaign can spend up to two times its average daily budget, and that in a month it will not charge more than 30.4 times the average daily budget for most campaigns (Google Ads Help: about average daily budgets).
So a £30 daily budget can spend up to £60 on a busy day, but should not charge more than about £912 over a month. Plan your monthly spend on that basis, not on single days.
Where dental practices waste Google Ads money
- Broad keywords with no negative keywords, so clicks come from job seekers, students and DIY searches.
- The Display Network left on in a search campaign.
- Location set to "Presence or interest", showing ads to people outside your area.
- All ads sent to the homepage instead of the matching treatment page.
- Ads running when nobody answers the phone.
- No call tracking, so the best campaigns cannot be told apart from the worst.
Our Google Ads setup guide for dentists shows how to avoid each of these.
Your reception decides the real cost
The same budget can produce very different results depending on what happens after the click. A missed call or a form answered the next day turns a paid click into nothing. Fast replies, a booked time and automated reminders lower your cost per kept appointment without changing a single bid.
In our own campaign for a dental clinic in Larnaca, €250 of spend produced 12 patients who attended in 14 days, about €20.8 per attended patient (case study). One campaign is not a benchmark, but it shows how much follow-up matters.
Ad spend vs agency fees
If an agency runs your ads, there are two costs: what you pay Google for clicks and what you pay the agency. Ask for both separately and in writing. Google requires agencies to disclose any separate management fee and to give you access to cost and performance data. We cover what to ask in how to choose a dental marketing agency.
A sensible way to start
- Pick one treatment where a new patient is clearly worth the cost, often implants, aligners or emergency appointments.
- Check click prices for that treatment in Keyword Planner.
- Set a daily budget you can keep steady for four weeks.
- Track calls, forms, bookings and attended appointments.
- After four weeks, compare cost per kept appointment with what that patient is worth, and scale only what pays.
Want us to check whether your current Google Ads spend is paying off? Book a free 30-minute audit call.
Founder, YLD · Paid ads for dental clinics
Savva runs YLD, a Larnaca-based agency that builds paid ads and booking funnels for dental clinics and judges every campaign by cost per kept appointment.