All-on-4 patients research for months. How does bidding handle that?

GA4 attribution windows extended to 90 days. EOC fires at each stage (consultation, quote, completion) so Smart Bidding gets short and long signals. Bidding learns on the full funnel, not just the final close.

Will EU consent stack break Smart Bidding?

Yes if Consent Mode v2 isn't configured. Properly wired, modelled conversions backfill the consent-denied gap and Smart Bidding stays healthy.

We track consultation bookings already. Why isn't that enough?

Smart Bidding learns on what you give it. If you give it consultation bookings, it optimises for consultations — not for the €14,000 treatment that closes 6 weeks later. Treatment-stage EOC fixes this.

What about patient privacy and ad copy?

We don't write medical claims. Copy is reviewed by the clinic. Hashed user data only for Enhanced Conversions; PII never leaves your domain unhashed.

MCC access broken on our account — can you work around it?

Yes. We use direct customer-level access (login_customer_id omitted) for write operations. Documented in our practice from Stom Berlin work.

How We Work · Dental

Dental marketing, measured at treatment.

Smart Bidding learns on consultation bookings by default. The €14,000 All-on-4 that closes six weeks later is invisible. We fix the measurement layer first — treatment-stage EOC, Consent Mode v2, 90-day attribution windows — then build the campaign architecture.

5 stages

Treatment funnel tracked

CMv2

EU consent, modelled fills

~5 days

To first written diagnostic

Diagnostic is always free. No obligation. We read the account before proposing anything.

Four phases

Audit. Fix measurement. Build. Operate.

Phase breakdown

What happens at each stage.

DAY 01–05PHASE 01

Dental Audit

We read your consent stack before we touch your campaigns.

FREE

We map what is actually being measured — and what isn't. Consent stack integrity, CRM gclid integration, EOC pipeline gaps, GBP completeness, and the resident vs dental-tourism demand split. Everything goes into a written diagnostic before we propose anything.

Consent stack integrity (CMv2 status, opt-out coverage)

CRM gclid integration: where does the click land?

EOC pipeline: which treatment stages fire? Which don't?

GBP completeness and review cadence

Resident vs dental-tourism demand split

Multi-language campaign structure audit

Deliverable:Dental diagnostic with EOC gap map and consent-stack assessment

WEEKS 01–03PHASE 02

Compliant Tracking Layer

Consent Mode v2 first. Without it, EU campaigns slowly starve.

FOUNDATION

Consent Mode v2 wired to your CMP — Cookiebot, Usercentrics, or equivalent. EOC pipeline built for each treatment stage from inquiry to treatment-completed with revenue. Attribution window extended to 90 days. No campaign touches anything until this layer is confirmed.

Consent Mode v2 wired to your CMP

EOC pipeline per treatment stage (5 stages)

Phone-call attribution if applicable

GA4 channel group separating treatment-relevant channels

Attribution window extended to 90 days

Deliverable:Live EOC pipeline + CMv2 confirmed + 90-day attribution window

WEEKS 02–06PHASE 03

Architecture by Treatment

All-on-4 and cleaning are not the same campaign.

LAUNCH

Each treatment vertical gets its own campaign tree. Resident and dental-tourism traffic are segmented. Treatment-specific landing pages replace pricing-list pages — each one framed as a consultation invitation. GBP and reputation channels are managed alongside paid.

Campaign tree per treatment vertical (All-on-4, implants, ortho, cleaning)

Resident vs dental-tourism segmentation

Treatment-specific landing pages (consultation invitation, not menu)

GBP and reputation channel cadence

Direct customer-level access configured if MCC fails

Deliverable:Live treatment-vertical campaigns + treatment-specific landing pages

MONTH 02 →PHASE 04

Optimize on Treatment CAC

Consultation CAC is a vanity metric. Treatment CAC is the business.

ONGOING

Weekly review against treatment-level CAC — not consultation CAC. Monthly EOC quality and match rate check. Seasonal calendar to push the right treatment at the right time. Budget decisions made on closed-treatment economics, not platform recommendations.

Weekly review of treatment-level CAC (not consultation CAC)

Monthly EOC quality and match rate

Seasonal treatment-mix calendar (cleaning push, holiday windows)

Patient-origin economics reviewed quarterly

Bidding reviewed at treatment-completion level

Deliverable:Weekly digest + monthly treatment economics review

Patient funnel

Six stages. Each one tracked.

Every stage from first search to completed treatment has an EOC event with the correct revenue value. Smart Bidding sees the full funnel.

Research

"all-on-4 cost berlin"

LandingGA4 page_view

Treatment page · consult CTA

Consult BookedEOC Stage 1

Form / phone · gclid → CRM

Consult AttendedEOC Stage 2

CRM update

Quote AcceptedEOC Stage 3

CRM update

Treatment CompletedEOC Stage 4 + revenue

Final stage · with revenue

Treatment dashboard

Optimise on what actually closes.

Consultation CAC looks flattering. Treatment CAC is what the business runs on. Every budget decision, every bidding adjustment is made against treatment-level numbers — broken out by vertical, by patient origin, by language.

Treatment-level CAC — not just consultation bookings

Resident vs dental-tourism breakdown per treatment

EOC quality and match rate tracked monthly

Seasonal mix: cleaning push, implant windows, holiday

treatment cac · dental · sterling lab

LIVE

ALL-ON-4 CAC

€280

−62%

target: <€320

CONSULT→TREAT

34%

+11pp

target: 30%

EU CONSENT RCV.

+28%

modelled

via CMv2

TREATMENT ROAS

4.8×

vs 4.0×

target: 4.0×

treatment breakdown

cacroasvolume

All-on-4

€2804.8×12/mo

Implants

€1903.9×28/mo

Ortho

€955.2×41/mo

Cleaning

€227.1×180/mo

sample data · fictionalised

EOC ✓GA4 ✓CRM ✓

Sample treatment dashboard · data fictionalised

Same process. Real clinic.

What this looks like in practice.

All cases →

Dental · All-on-4 · Berlin

Stom Berlin (Konzept Dental)

MCC PERMISSION_DENIED on the account — resolved via direct customer-level access. Treatment-vertical architecture: Berlin residents vs EU dental-tourism in separate campaign trees. EOC pipeline wired per treatment stage.

MCC bypass → direct accessBerlin vs DE separationTreatment-specific architecture

FAQ

Answers before
you ask.

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Send the clinic access.

Read-only. Five working days. Written diagnostic — consent stack integrity, EOC gap map, treatment CAC reality, and the exact changes we would make.

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