WEBVTT

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Welcome to Bite Size Dental Marketing, a podcast

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where we talk to the most influential and brightest

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minds in the dental industry. Our mission here

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is very simple. We're out to create a community

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for dentists, hygienists and dental enthusiasts.

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where you can have access to the minds in dentistry

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that are solving the problems that you are having

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in your practice today. Now, whether that's dental

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marketing or patient reactivation, treatment

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acceptance, buying or selling a practice, or

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even just where the future of dentistry is going

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with all the technological advancements we're

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seeing and the pace at which the industry is

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moving, we want to create a place where you have

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understanding. and have a roadmap on the small

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steps that you can take to make a practice better

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today so that you can feel it in your production

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and the joy of the work you do tomorrow. Enjoy.

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Welcome to Bite Size Dental Marketing. Today

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we have Justin Strong. Justin is the founder

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and CEO at Room 118. Been in the industry a long

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time and I love a good origin story. Justin,

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let's have it. How'd you end up starting a company

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and what in the world got you into dental marketing?

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The short version is it's an homage to my grandfather.

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So my grandfather's named Roy. He was born in

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1911. I'm in Utah. He was born here in Utah.

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And he was born into poverty. When he was six,

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I think seven years old, his father, who was

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a miner, died in the mines and he became the

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man of the house at six years old. Kind of went

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through the Depression and just had a really,

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really impoverished life as a child. And by the

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time he died, he built this sort of small empire

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here in Utah. Nothing grand, but he built two

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hotels, several apartment houses, and a bunch

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of other things. All self -taught. He was not

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formally trained as an engineer or anything like

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that, but he did a bunch of engineering projects.

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And the centerpiece was a hotel called the Best

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Western Rome Inn in Provo, Utah. It doesn't exist

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anymore. They tore it down to do some other development.

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But as a kid, myself and my cousins worked there.

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That was sort of, you know, kind of a rite of

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passage for a lot of the cousins was to come

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in and work at this hotel, mowing lawns, doing

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maintenance stuff and everything else. And in

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the hotel, there was a converted room that was

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room 118. It was formerly a guest room, but we

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turned it in or my grandfather had turned it

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into a workshop. And basically at the hotel,

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if something was broken or if we needed to fix

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something, we all went to room 118 and that's

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where we fixed the problems. So room 118 is literally

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an homage to that room at that hotel that my

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grandfather built. That is a great story. When

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you think about branding and its implications

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in marketing and as you've gone through your

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own company. What are the high points and where

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do you see practices lose their way a bit? So

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if you're a practice owner, trying to understand

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what quote unquote good marketing is, is kind

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of a first principle challenge. Because if you

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don't know the answer to that, you're kind of

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at the mercy of others that know more than you.

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And hopefully their intentions are good. And

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I think mostly they are. But you don't necessarily

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know how to act on that information. So three

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years ago, we decided to come up with. What we

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wanted to be the single authority on dental marketing

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when it came to data. So in 2023, we launched

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the first version of what we called then the

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Dental Digital Marketing Index. We've shortened

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that to just the Dental Marketing Index today.

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And at that time, we looked at a thousand dental

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practices that were statistically representative

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of the 50 large major metro markets in the U

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.S. And we looked at anything we could observe.

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So we looked at, you know, we went to their websites,

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we cataloged what was the content, the structure,

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the organization, the type of, you know, did

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they have custom illustrations? Did they have,

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you know, stock photography? Did they have videos?

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All of that stuff. We ran it through a bunch

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of tools to determine, you know, how good is

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the website in terms of its performance? Is it

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code heavy? We looked at their social, you know,

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how big is their profile? How many followers

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do they have? How often do they post? We looked

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at their SEO performance. We looked at paid.

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We looked at their referrals, their reputation,

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all of that. And we came up with, at the time,

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we were pretty proud of it. Nobody cared but

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us. But we had this sample of about 4 .4 million

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data points that represented those thousand practices.

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So that gave us a chance to kind of crack open

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that black box and just say, objectively, for

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some practices or for most practices, this is

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what marketing means. It's about 350. web visits

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a month from search. It's a domain authority

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of seven to eight. It's probably somewhere between

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150 and 200 followers, things like that. And

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today, the most recent version, we've gotten

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a bit more sophisticated in the size of the sample

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and the way that we're sampling. And we're marrying

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that with something that we're calling the super

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practice blueprint. And all that is, is a fancy

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way of saying we've built some models that can

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look at all of that data at scale. And then look

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at an individual practice and just say, okay,

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you have a practice in Des Moines, Iowa. Des

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Moines, Iowa has this population. It has these

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demographics. It has these growth characteristics,

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so on and so forth. That maps to a certain demand

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model in terms of you're going to have lots of

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ortho or you're going to have lots of implants

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or you're going to have a lot of GP or whatever

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it is. And we can help you understand where your

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practice sits today objectively. We can score

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you on all these things and say, your practice

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is doing great, or your practice needs some help,

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or you're like right in the middle. And then

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objectively say, if you want to increase your

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performance by 5%, let's say you want to add

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another patient a month on average, or you want

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to add 50 patients a month on average. We can

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help you understand, is that possible in your

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local market? And then objectively, based on

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the data, What would you have to do for that

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to be true? So that's sort of a quick high level

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of the index itself. And we thought that that

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was a need in the industry because it doesn't

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really exist, at least not in an accessible way

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for practice owners and DSOs. I have two questions

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to answer them in any way you want. Number one,

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how did you approach the correlation and causation

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problem that begins with that much data? So,

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you know, you need... Uh, successful practices

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need two to 300 visits from paid media. I think

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he said, you know, is that, is the 200 to 300

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visits drive the success of the practice or was

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a successful practice of sort of capturing those

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anyway, right? Yeah. And the second question

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is, how are you tying it to like a P &L performance

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or were you morally looking at marketing analytics,

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if you will? I'll start with the second because

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it's both easier and more difficult to explain,

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so I'll try to get it out of the way. We've pulled

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data from the ADA, from some of the individual

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specialty organizations, and then from dental

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economics and a few others to build pricing models

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across the country. So we have a state -by -state

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pricing model that basically says, on average,

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there are these number of procedures for for

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example, diagnostic and preventative care. There's

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going to be this many in the state of Maryland

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on average. There's going to be this many that

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are restorative, this many that are prosto and

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so on and so forth. And then we can look at the

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survey data that says, well, in that state, they

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tend to price high, low or in the middle. And

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then we also look at the price elasticity in

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that state to say the 50th percentile versus

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the 90th percentile pricing has a big range or

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a little range. All of that goes into a model

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so we can say, well, the average cost of a procedure

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of a certain type in the state is going to be

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X number of dollars. And then the demographics

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are going to have an impact on that. Is it an

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affluent market? Is it an affordability -focused

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market? Is there lots of public insurance? Is

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there a lot of private insurance memberships?

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All of that stuff. So we can look at that and

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give us a baseline to say, well, this is what

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we should be getting transactionally from a win.

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We can look at information on if it's a GP. We

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can look at the average life cycle of that patient

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and that win to say, okay, they're going to make

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this much on the procedure. They're going to

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have a 65 % adoption rate for them to enter their

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active patient pool. And then they'll continue

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to make money for some number of time. If it's

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a specialist, probably going to be more incidental

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in terms of that. But that gives us our baseline

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to say, well, this is what the result was. So

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we can use that in your baseline ROI calculation.

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When it comes to modeling the top of the funnel,

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I think you're spot on. It's one of the biggest

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challenges is, okay, let's say in a given market,

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there is 10 searches, just to keep the math simple.

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Let's say there's going to be 10 searches on

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the term dentist near me. And let's say, and

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this is something that we see pretty consistently

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in this super practice model, one practice is

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going to swallow up six of those 10 searches

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on average. Another practice is going to swallow

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up two. Another practice is going to swallow

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up one. And the remaining small portion of that

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is going to be parsed out among the next six

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practices and so on and so forth. Well, how do

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you know that those six searches that went to

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that super practice, how do you know that they

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did anything with it, right? How do you actually

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understand that? That's your question on correlation.

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We have to have an inference model because we

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don't have, we can't crack inside each practice

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and say, show us exactly what happened. And in

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fact, Even if we had access to it, they probably

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couldn't tell us exactly what happened because

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they can have trouble doing attribution. Our

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model basically does high -level correlation

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on a top -of -funnel activity. We have an assumption

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on conversions that basically says, okay, once

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this engagement has occurred, if I clicked on

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an ad, if I clicked on a search result, if I

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clicked on paid placement on social, whatever

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the source of engagement is, We then profile

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those websites and say, okay, here's what we

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do know about a website that has this kind of

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content that performs in this way. The conversion

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rates should be in this range. And so we do jump

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and make an assumption on this amount of engagement

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results in this amount of conversion, which should

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then introduce the number of unqualified leads

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that hit the practice. When you look at the six

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points from the index, Which ones do you find

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that dentists tend to do well in and which ones

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are underrepresented? So really good question.

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When we, in its current instance, the way we

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sort of go about defining marketing, we say there's

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a top of funnel. That's the first pillar. There's

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a middle of funnel. That's the second pillar.

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And then there's basically a sales portion, a

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sales component. Practice by practice, we rarely

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see anybody do well like on everything, right?

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There's usually what we'll see is we'll see a

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practice that maybe is really good at social.

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And so they have worked hard to build up a large

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following base on Facebook, Instagram, whatever

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their platforms are that they're using. They're

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posting regularly and the engagement from those

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posts is consistent and well above average. That's

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one example of something we see all the time.

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But we rarely see that person also killing it

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on like SEO, right? They're not driving necessarily

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a proportional amount of performance when it

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comes to something outside of that. But very

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occasionally, and this is usually like a group

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practice where you can tell they've thrown a

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lot of resources at it. We will see some folks

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that do well across the board on multiple things.

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When I think through the website, the SEO, the

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Google reviews, social engagement, paid ads,

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And then, you know, the last one is, which ones

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do you see they tend to over -index or spend

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too much time on? Maybe because it's sexy. You

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mentioned social right out of the gate, right?

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Which ones do they, you know, oh, it may not

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be interesting or they tend to under -index the

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importance of it, right? I don't think this is

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really to the fault of anybody. I think the absence

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of good information makes it difficult to make

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these decisions. But we see lots of money spent

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on websites that we don't think does anything.

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There's a case in point. There's a practice in

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New Jersey that has, I mean, a horrendous looking

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website. It is ugly. It's unpleasant to experience

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this website. And it drives something like 16

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,000 clicks a month on organic search because

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they have found the way to hack whatever. in

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their local search market with Google, they have

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found the right combination of this is the content,

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this is the way it's laid out. The engagement

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on the content is good. Their authority is really,

00:12:45.080 --> 00:12:47.279
really high. All of the stuff behind the scenes

00:12:47.279 --> 00:12:49.919
is fantastic. But when you go to that website,

00:12:50.039 --> 00:12:53.039
you're like, this is terrible. Then you go to

00:12:53.039 --> 00:12:56.539
a website that, and there's one, when we profiled

00:12:56.539 --> 00:12:58.379
this example in particular, we looked at the

00:12:58.379 --> 00:13:01.429
few that were around it. Beautiful, beautiful,

00:13:01.470 --> 00:13:06.129
full bleed video, custom everything, just, I

00:13:06.129 --> 00:13:08.490
mean, rollover effects and just this lush marketing

00:13:08.490 --> 00:13:11.269
experience on the website. And it was terrible

00:13:11.269 --> 00:13:14.929
in terms of its SEO performance. And so I think

00:13:14.929 --> 00:13:17.230
one of the things we see objectively is you probably

00:13:17.230 --> 00:13:20.149
should spend the big, at least initially, the

00:13:20.149 --> 00:13:21.950
biggest portion of your marketing budget, I would

00:13:21.950 --> 00:13:24.789
argue, on your website for a whole host of reasons.

00:13:25.720 --> 00:13:27.899
But people think that means it looks beautiful

00:13:27.899 --> 00:13:30.460
and it looks in a certain way and all of that,

00:13:30.480 --> 00:13:34.000
which matters to a point, but not to the exclusion

00:13:34.000 --> 00:13:35.620
of there's certain, you know, it's like having

00:13:35.620 --> 00:13:37.820
a balanced diet. There's a bunch of stuff they

00:13:37.820 --> 00:13:39.259
need to have done that maybe they don't think

00:13:39.259 --> 00:13:41.700
about. You mentioned, you know, defining dental

00:13:41.700 --> 00:13:45.059
marketing in the absence of information makes

00:13:45.059 --> 00:13:51.279
it hard. I find that, you know, as... As business

00:13:51.279 --> 00:13:54.919
owners, we hear some anecdotal story about how

00:13:54.919 --> 00:13:57.940
someone had success. And I love the one about

00:13:57.940 --> 00:14:01.080
mailers. Like my buddy did mailers 10 years ago

00:14:01.080 --> 00:14:05.320
and generated 287 new patients for, and you know,

00:14:05.320 --> 00:14:07.279
I'm going to do mailers in my mail. That was

00:14:07.279 --> 00:14:09.860
10 years ago. He was in El Paso, Texas. You're

00:14:09.860 --> 00:14:15.120
not like, how are you having conversations around

00:14:15.120 --> 00:14:19.659
this multi -channel attribution world? where

00:14:19.659 --> 00:14:23.759
we really like bite -sized nuggets of, just give

00:14:23.759 --> 00:14:25.379
me the thing that, Justin, just give me the thing

00:14:25.379 --> 00:14:27.059
that works, like what should I do? How are you

00:14:27.059 --> 00:14:29.860
having those conversations? I think by, that's

00:14:29.860 --> 00:14:32.220
where the data is helpful because it's one of

00:14:32.220 --> 00:14:34.159
the challenges, and this is part of why we wanted

00:14:34.159 --> 00:14:36.559
to produce this index to begin with. One of the

00:14:36.559 --> 00:14:39.019
challenges, you know, if I'm in that conversation

00:14:39.019 --> 00:14:40.679
and I walk in cold and somebody says, well, I

00:14:40.679 --> 00:14:42.480
heard somebody do this, Justin, why shouldn't

00:14:42.480 --> 00:14:45.259
I do it? I had a client do this three weeks ago.

00:14:46.940 --> 00:14:48.919
And I just said, I don't doubt that that person

00:14:48.919 --> 00:14:52.159
had that success. But that does not necessarily

00:14:52.159 --> 00:14:55.080
mean you will have that success on its own. When

00:14:55.080 --> 00:14:59.220
we look at the data at scale, I'm going to pull

00:14:59.220 --> 00:15:01.679
out mailers because there's not great statistically

00:15:01.679 --> 00:15:05.200
representative examples. I love the story because

00:15:05.200 --> 00:15:09.080
when you're dealing with a mailing company, the

00:15:09.080 --> 00:15:12.419
only answer is more mailers. Right. It's saturation.

00:15:12.720 --> 00:15:15.580
Of course. Why not? Why not? It didn't work the

00:15:15.580 --> 00:15:16.799
first time. They're like, no, you need to spend

00:15:16.799 --> 00:15:19.799
more money. Which, by the way, always the best

00:15:19.799 --> 00:15:21.240
answer, didn't work, but we need to spend more

00:15:21.240 --> 00:15:24.539
money. That's right. That's right. I think one

00:15:24.539 --> 00:15:26.299
of the things, going back to this notion of a

00:15:26.299 --> 00:15:30.580
super practice thing, if we plot all those thousand

00:15:30.580 --> 00:15:33.120
practices on any dimension, And I'm going to

00:15:33.120 --> 00:15:35.539
go back to SEO as an example, because it's one

00:15:35.539 --> 00:15:38.360
that most people hear a lot and I think has efficacy.

00:15:38.960 --> 00:15:40.779
If we look at all thousand practices, we plot

00:15:40.779 --> 00:15:43.120
them on a chart, their monthly search traffic.

00:15:43.159 --> 00:15:45.440
And it gets different when you talk about unbranded

00:15:45.440 --> 00:15:46.700
versus branded and some of the other things.

00:15:46.759 --> 00:15:48.879
But if we just kind of keep it simple, we'll

00:15:48.879 --> 00:15:51.539
see a curve, not unexpectedly. On the left -hand

00:15:51.539 --> 00:15:55.379
side at the one percentile cohort is the lowest

00:15:55.379 --> 00:15:57.179
performance. And if we just then rank them in

00:15:57.179 --> 00:15:59.460
terms of performance, we see a nice curve develop.

00:16:01.149 --> 00:16:02.990
The nature of that curve is sort of like the

00:16:02.990 --> 00:16:06.049
Pareto principle, a little bit on steroids. And

00:16:06.049 --> 00:16:08.529
that curve is really flat until you get to about

00:16:08.529 --> 00:16:11.789
60 to 70 percent, depending on the metric. And

00:16:11.789 --> 00:16:14.490
then after 70 percent, it starts to climb. And

00:16:14.490 --> 00:16:16.590
by 80 percent, it's getting near vertical. And

00:16:16.590 --> 00:16:20.070
at 90 percent, it just goes off the chart. And

00:16:20.070 --> 00:16:22.110
so what's happening is that, you know, you talk

00:16:22.110 --> 00:16:24.450
about that one person that had that great experience

00:16:24.450 --> 00:16:27.070
on mailers. They're that person on the end of

00:16:27.070 --> 00:16:29.870
the chart that's going off into space. What we

00:16:29.870 --> 00:16:32.870
then have to ask ourselves is, well, in your

00:16:32.870 --> 00:16:36.929
market, is that even possible? And is it statistically

00:16:36.929 --> 00:16:40.490
replicatable? Can we see the constituent components

00:16:40.490 --> 00:16:43.230
that went into a program that tend to result

00:16:43.230 --> 00:16:45.909
in that kind of performance? In some cases, we

00:16:45.909 --> 00:16:47.610
had very loose correlations, and so we don't

00:16:47.610 --> 00:16:49.549
make those recommendations. But in the case of

00:16:49.549 --> 00:16:52.679
something like SEO... It's really clear, like

00:16:52.679 --> 00:16:54.720
there's super high correlation between what we

00:16:54.720 --> 00:16:57.399
call cumulative backlink authority, just the

00:16:57.399 --> 00:16:59.659
sum total authority score of all the backlinks,

00:16:59.700 --> 00:17:03.100
excluding toxicity and other things. The type

00:17:03.100 --> 00:17:05.440
of content they have, the relationship of total

00:17:05.440 --> 00:17:07.380
number of pages on the website to pages that

00:17:07.380 --> 00:17:09.799
rank on SEO. We look at those metrics and we

00:17:09.799 --> 00:17:11.960
can see a very strong correlation to the amount

00:17:11.960 --> 00:17:15.359
of traffic they're going to drive. But to your

00:17:15.359 --> 00:17:18.099
point about mailers as well. What about the local

00:17:18.099 --> 00:17:20.200
market? Is there enough search even occurring

00:17:20.200 --> 00:17:22.960
that if you capture 60 % or 70%, is it going

00:17:22.960 --> 00:17:25.220
to drive whatever it was, the example you have

00:17:25.220 --> 00:17:28.440
280 new patients or something like that? Our

00:17:28.440 --> 00:17:31.180
approach is to scientifically look at that local

00:17:31.180 --> 00:17:33.220
market and tell you, well, this is how much should

00:17:33.220 --> 00:17:36.299
be coming every month in your local market. This

00:17:36.299 --> 00:17:38.599
much should be coming from search. dive into

00:17:38.599 --> 00:17:40.380
search. This is how much from organic, this is

00:17:40.380 --> 00:17:41.880
how much from paid search, this is how much from

00:17:41.880 --> 00:17:44.000
local search results going to maps and so on

00:17:44.000 --> 00:17:46.440
and so forth. Same thing for paid display, same

00:17:46.440 --> 00:17:49.599
thing for social, so on and so forth. And unfortunately,

00:17:50.039 --> 00:17:53.759
I love the focus of the podcast where it's like,

00:17:53.799 --> 00:17:55.980
well, let's keep this bite -sized. It's really

00:17:55.980 --> 00:17:57.700
difficult. It's sort of like telling somebody,

00:17:57.779 --> 00:17:59.140
just do this one thing and you'll have perfect

00:17:59.140 --> 00:18:02.440
oral care. It's not quite that simple. There

00:18:02.440 --> 00:18:05.779
are nuances to doing it well, but I think reducing

00:18:05.779 --> 00:18:08.750
the complexity Your example of I had this one

00:18:08.750 --> 00:18:10.549
person do this one thing well, that is the right

00:18:10.549 --> 00:18:13.430
way to do it. Don't boil the ocean. That's the

00:18:13.430 --> 00:18:15.769
other thing. Don't try to do all marketing all

00:18:15.769 --> 00:18:19.529
at once at the same time and have reasonable

00:18:19.529 --> 00:18:22.630
expectations. Do a few things well. Work with

00:18:22.630 --> 00:18:24.849
your agency or whoever's working on your marketing

00:18:24.849 --> 00:18:27.369
and do those few things well. Measure them. Get

00:18:27.369 --> 00:18:29.609
the performance up high. And don't take on something

00:18:29.609 --> 00:18:32.049
else until you have one thing sorted out. Would

00:18:32.049 --> 00:18:36.670
you say the base of that is the website? I mean,

00:18:36.690 --> 00:18:39.690
if you don't have a great website, can you have

00:18:39.690 --> 00:18:41.849
great social without a great website? If you

00:18:41.849 --> 00:18:46.789
have amazing reviews, is the website the nucleus

00:18:46.789 --> 00:18:50.049
of this effort, in your opinion? Absolutely.

00:18:50.049 --> 00:18:52.650
I mean, just empirically based on the data. I

00:18:52.650 --> 00:18:55.569
mean, of the entire data set that we have now,

00:18:55.650 --> 00:18:58.009
something like less than 1 % don't have a website.

00:18:58.549 --> 00:19:00.450
There's some that just have social profiles.

00:19:00.630 --> 00:19:02.710
There's some that just have GMB profiles, things

00:19:02.710 --> 00:19:05.450
like that. Those are rare. But again, if we come

00:19:05.450 --> 00:19:07.309
back to this notion of if you think about your

00:19:07.309 --> 00:19:09.470
local market, all of the people that could become

00:19:09.470 --> 00:19:11.730
your patients, let's again, to keep the math

00:19:11.730 --> 00:19:13.309
simple, let's say there's 10 people that could

00:19:13.309 --> 00:19:16.289
become patients. Well, statistically for a GP,

00:19:16.490 --> 00:19:18.130
three of them are going to find you by search.

00:19:18.410 --> 00:19:21.109
One of them will find you by a generalized display

00:19:21.109 --> 00:19:24.289
ad. Three to four are going to find you by referrals.

00:19:24.430 --> 00:19:26.329
And then, you know, one or two are going to find

00:19:26.329 --> 00:19:29.450
you by what I would call legacy, like your mailers

00:19:29.450 --> 00:19:31.710
or your bus reps or whatever people are doing.

00:19:32.559 --> 00:19:36.700
If you don't have a website, almost 80 % of that,

00:19:36.779 --> 00:19:38.920
maybe even more than that, basically disappears.

00:19:39.519 --> 00:19:41.839
If you don't give them a destination to go to,

00:19:41.940 --> 00:19:44.819
and you don't more specifically give the things

00:19:44.819 --> 00:19:47.240
that are giving them that information, like Google,

00:19:47.420 --> 00:19:51.000
a destination to go through, you're in a lot

00:19:51.000 --> 00:19:53.720
of trouble. And it's not enough just to have

00:19:53.720 --> 00:19:56.299
the awareness piece. It's also converting them

00:19:56.299 --> 00:19:58.059
once they go to the website. So part of it is

00:19:58.059 --> 00:20:00.930
having a website. that people can go to, a destination,

00:20:01.250 --> 00:20:03.230
and it needs to be built well, it needs to have

00:20:03.230 --> 00:20:04.849
landing pages and other things for you to do

00:20:04.849 --> 00:20:07.569
testing, it needs to have all of that. It needs

00:20:07.569 --> 00:20:10.450
to convert those people. And then the last thing

00:20:10.450 --> 00:20:12.369
is, and this is something that I think is probably

00:20:12.369 --> 00:20:14.109
not going to be top of mind for most practice

00:20:14.109 --> 00:20:17.809
owners, it is your greatest source of analytics.

00:20:18.569 --> 00:20:22.069
It is the nexus of anything else that you're

00:20:22.069 --> 00:20:24.269
doing, if you've structured things well, I would

00:20:24.269 --> 00:20:27.089
say most practices are doing themselves a disservice.

00:20:27.720 --> 00:20:29.339
If they don't have a website that helps them

00:20:29.339 --> 00:20:31.119
understand what works and what doesn't work.

00:20:31.819 --> 00:20:33.619
Can you dig into that a little bit for me? If

00:20:33.619 --> 00:20:36.380
like, how would I, if I'm a practice owner, how

00:20:36.380 --> 00:20:39.000
would I understand the analytics? I mean, you

00:20:39.000 --> 00:20:43.019
know, someone's throwing bounce rates and these

00:20:43.019 --> 00:20:46.940
terms at me, right? What is it that I'm looking

00:20:46.940 --> 00:20:50.980
for? The real rough statistical rule of thumb

00:20:50.980 --> 00:20:52.839
we put out there for kind of what you want to

00:20:52.839 --> 00:20:55.279
see on a website or just in marketing in general

00:20:55.279 --> 00:20:59.059
is. Whatever the engagement rate is for the top

00:20:59.059 --> 00:21:01.039
of funnel, so when I say top of funnel, again,

00:21:01.099 --> 00:21:03.099
somebody that does a search, somebody that sees

00:21:03.099 --> 00:21:05.720
something on a social post, whatever, those dynamics

00:21:05.720 --> 00:21:10.359
have a lot of chaos about them. But once they

00:21:10.359 --> 00:21:12.799
hit the engagement level, once they hit the website,

00:21:13.160 --> 00:21:18.819
we kind of want to see a 3 -3 -3 ratio. We want

00:21:18.819 --> 00:21:21.619
to have... Of the people that hit the website,

00:21:21.900 --> 00:21:24.819
we want to have about a 3 % conversion rate across

00:21:24.819 --> 00:21:27.160
the board. And when I say conversion rate, I'm

00:21:27.160 --> 00:21:29.599
saying they have a phone call to your practice,

00:21:29.799 --> 00:21:33.359
they complete a form, or ideally you have a dynamic

00:21:33.359 --> 00:21:35.619
scheduler and they can schedule their own console

00:21:35.619 --> 00:21:39.660
right there. Of those, those we generally consider

00:21:39.660 --> 00:21:42.099
to be unqualified leads from a marketing standpoint.

00:21:42.730 --> 00:21:44.930
They've expressed interest, but you have not

00:21:44.930 --> 00:21:46.789
yet determined if they are actually a fit for

00:21:46.789 --> 00:21:48.470
your services or the type of patient you want.

00:21:48.630 --> 00:21:50.369
Probably they are, but maybe they're not. If

00:21:50.369 --> 00:21:52.490
you have a high specialty practice like you do

00:21:52.490 --> 00:21:54.170
in implants or something like that, you might

00:21:54.170 --> 00:21:56.390
be very particular about who you want to see.

00:21:57.529 --> 00:22:00.450
Once that happens, we want to see at least a

00:22:00.450 --> 00:22:05.690
one -to -three ratio of folks turning into what

00:22:05.690 --> 00:22:09.160
we consider qualified leads. We sell them what

00:22:09.160 --> 00:22:12.680
they need and we want them as a patient. The

00:22:12.680 --> 00:22:15.819
last angle is when you talk about case presentation,

00:22:15.920 --> 00:22:19.039
outside of things like, you know, your run rate

00:22:19.039 --> 00:22:21.599
preventative and diagnostic, but for your more

00:22:21.599 --> 00:22:24.480
high dollar things like implants or prosto or

00:22:24.480 --> 00:22:26.819
perio, we want to see a case acceptance rate

00:22:26.819 --> 00:22:30.700
of about one in three as well. So on the website,

00:22:30.980 --> 00:22:32.779
I would want to, I would, and Google Analytics

00:22:32.779 --> 00:22:35.079
is a bit technical, I think for most folks, but.

00:22:35.480 --> 00:22:37.299
However you choose to do this, I would want to

00:22:37.299 --> 00:22:39.380
see of the folks that hit the website and have

00:22:39.380 --> 00:22:41.220
a... However you choose to do this, I would want

00:22:41.220 --> 00:22:43.779
to see of the folks that hit the website, a scheduler,

00:22:43.779 --> 00:22:51.440
and then identify where I have a blockage or

00:22:51.440 --> 00:22:53.160
where I have underperformance, and that's where

00:22:53.160 --> 00:22:57.720
I would put my focus. You mentioned online scheduling,

00:22:58.000 --> 00:23:03.589
which... Every dentist I've ever met thinks their

00:23:03.589 --> 00:23:08.329
schedule is some unique flower that only they

00:23:08.329 --> 00:23:12.089
can replicate. I mean, obviously we love online

00:23:12.089 --> 00:23:15.849
scheduling. How do you see it progressing over

00:23:15.849 --> 00:23:20.069
the next few years? And I mean, you said hopefully

00:23:20.069 --> 00:23:21.470
they have online scheduling when you were talking

00:23:21.470 --> 00:23:25.789
earlier. How are you integrating it in and where

00:23:25.789 --> 00:23:28.750
are we going with it today? Because today I believe

00:23:28.750 --> 00:23:32.700
most practices, The online schedulers really

00:23:32.700 --> 00:23:34.519
request an appointment, and then the practice

00:23:34.519 --> 00:23:38.019
has to call back and confirm, and there's a level

00:23:38.019 --> 00:23:42.079
of overhead there that they dislike. I think

00:23:42.079 --> 00:23:45.720
there's just a changing reality, and you can't

00:23:45.720 --> 00:23:48.740
stop it. So 29 % of practices in our index have

00:23:48.740 --> 00:23:51.259
a scheduler of some kind, and I would define

00:23:51.259 --> 00:23:53.880
a scheduler as I can pick a time, not I request

00:23:53.880 --> 00:23:56.849
a time. So that number is up from a few years

00:23:56.849 --> 00:23:59.230
ago because I think it was about 17 or 18 percent.

00:23:59.269 --> 00:24:02.250
There is a trend where more practices are having

00:24:02.250 --> 00:24:03.730
online schedules. But you're absolutely right.

00:24:03.769 --> 00:24:05.569
When I've talked to practice owners, I hear the

00:24:05.569 --> 00:24:09.170
same thing. This idea of I want to control my

00:24:09.170 --> 00:24:11.250
schedule, which is a totally I would want to

00:24:11.250 --> 00:24:15.130
do the same thing. The problem is your patient

00:24:15.130 --> 00:24:17.369
base, your prospective patient base isn't going

00:24:17.369 --> 00:24:20.289
to tolerate that. This gets into a much deeper

00:24:20.289 --> 00:24:22.089
conversation about some of the other trends data

00:24:22.089 --> 00:24:24.750
that we've looked at. But in 2023, one of the

00:24:24.750 --> 00:24:26.789
big takeaways of the report was something we

00:24:26.789 --> 00:24:29.690
called the near me wave. And so we looked at

00:24:29.690 --> 00:24:32.930
35 ,000 keyword search terms and indexed them

00:24:32.930 --> 00:24:34.369
to, you know, this is this type of procedure,

00:24:34.490 --> 00:24:36.210
this type of procedure. This is talking affordability.

00:24:36.230 --> 00:24:38.730
This is talking convenience. The one that destroyed

00:24:38.730 --> 00:24:41.630
everything was proximity based search near me.

00:24:41.710 --> 00:24:44.230
Right. So we looked at dentist as a search term

00:24:44.230 --> 00:24:46.369
since 2010. Then we looked at dentist near me.

00:24:46.910 --> 00:24:49.730
In 2010, nobody was searching dentist near me.

00:24:49.789 --> 00:24:52.150
Smartphones had just started to really become

00:24:52.150 --> 00:24:55.490
a thing. And so you have this search term of

00:24:55.490 --> 00:24:58.349
dentist getting like a million and a half hits

00:24:58.349 --> 00:25:00.650
a month across the entire country. And today

00:25:00.650 --> 00:25:02.910
it's like two million hits a month. Had this

00:25:02.910 --> 00:25:05.309
slow, gradual increase. When you look at dentist

00:25:05.309 --> 00:25:08.190
near me, has this increase, and then it's something

00:25:08.190 --> 00:25:11.990
like three million hits a month now. It overtook

00:25:11.990 --> 00:25:14.269
everything. It went from not being how we search

00:25:14.269 --> 00:25:16.609
to the only way we search or the primary way

00:25:16.609 --> 00:25:20.269
that we search. That speaks to a focus on convenience.

00:25:20.410 --> 00:25:23.690
That speaks to, I am prioritizing convenience

00:25:23.690 --> 00:25:26.230
probably over quality of care, to be perfectly

00:25:26.230 --> 00:25:29.009
honest. A scheduler's part of that, right? The

00:25:29.009 --> 00:25:31.150
scheduler's convenience. And if you take that

00:25:31.150 --> 00:25:33.470
convenience away from them, they're just going

00:25:33.470 --> 00:25:36.029
to move on to the next thing. And the last thing

00:25:36.029 --> 00:25:38.009
I would say about that, if we go back and look

00:25:38.009 --> 00:25:43.640
at data from 25 years ago, For a GP, I think

00:25:43.640 --> 00:25:47.599
your average life cycle in time for most GPs

00:25:47.599 --> 00:25:49.859
was 15 or 16 years for a patient, right? You

00:25:49.859 --> 00:25:52.259
got a new patient, they stuck around for a while.

00:25:52.980 --> 00:25:57.339
Today, there's a lot of chaos in the numbers

00:25:57.339 --> 00:25:59.980
on this, but the number we see now is about 72

00:25:59.980 --> 00:26:02.890
months. So that means this is happening more

00:26:02.890 --> 00:26:05.690
often, which means the opportunity to find a

00:26:05.690 --> 00:26:07.549
new dentist is happening more frequently than

00:26:07.549 --> 00:26:09.829
it used to, which means this preference towards

00:26:09.829 --> 00:26:12.670
convenience is actually going to magnify where

00:26:12.670 --> 00:26:16.490
patients go. So if you're a practice that got

00:26:16.490 --> 00:26:20.029
away with, I don't have a scheduler, even today,

00:26:20.089 --> 00:26:21.849
you may be like, oh, it's fine. It's not a big

00:26:21.849 --> 00:26:24.309
deal. But you're shedding patients that you don't

00:26:24.309 --> 00:26:26.730
know. And the guy down the street from you that

00:26:26.730 --> 00:26:29.130
does have a scheduler is taking up more of them

00:26:29.130 --> 00:26:32.650
than you are yourself. It's really critical.

00:26:33.210 --> 00:26:36.210
What are you seeing as the trends of why are

00:26:36.210 --> 00:26:39.650
we changing dentists? Are we moving more? Are

00:26:39.650 --> 00:26:44.130
we just impatient? Are we cycling through different

00:26:44.130 --> 00:26:48.029
insurance plans more quickly? Do we just have

00:26:48.029 --> 00:26:51.769
the comparison game of someone's going to a better

00:26:51.769 --> 00:26:55.009
dentist? What's the story behind the rapid change?

00:26:55.430 --> 00:26:58.650
We call this the Karen effect in the 2023 report.

00:26:59.069 --> 00:27:03.619
All right. Basically, the barriers to selecting

00:27:03.619 --> 00:27:06.220
a new dentist are falling down. It used to be

00:27:06.220 --> 00:27:08.740
kind of a pain, right? Like 25 years ago, like

00:27:08.740 --> 00:27:10.519
when I opened up the yellow pages. The paperwork

00:27:10.519 --> 00:27:13.259
alone. Yeah. The paperwork alone is enough to

00:27:13.259 --> 00:27:15.839
deter me. And so it's like, okay, I had a bad

00:27:15.839 --> 00:27:17.779
experience, but it's not worth it. I'm not going

00:27:17.779 --> 00:27:19.660
to do it, right? So it just didn't happen as

00:27:19.660 --> 00:27:21.920
much. Today, it's like, I didn't like the wallpaper

00:27:21.920 --> 00:27:24.299
and content of practice. So I'm going to walk

00:27:24.299 --> 00:27:25.980
out and find a new practice. It's going to take

00:27:25.980 --> 00:27:29.240
me 30 seconds to get. 25 options that are close

00:27:29.240 --> 00:27:33.099
by. GMB, my business, is going to give me a proxy

00:27:33.099 --> 00:27:35.220
for trust by looking at the value of their scores

00:27:35.220 --> 00:27:39.539
and their reviews. It's just easier. And when

00:27:39.539 --> 00:27:42.519
I talk about the Karen effect, all of the technologies

00:27:42.519 --> 00:27:44.440
that have made things easier for us, I can buy

00:27:44.440 --> 00:27:46.359
something on Amazon, it shows up tomorrow, all

00:27:46.359 --> 00:27:49.519
of that stuff, it's just changed our behavior

00:27:49.519 --> 00:27:53.079
as consumers. We're more demanding, we're less

00:27:53.079 --> 00:27:55.880
tolerant of things we don't like, and those things

00:27:55.880 --> 00:27:58.039
have made it so that we can make that change.

00:27:58.059 --> 00:28:00.299
If for whatever reason, if I just want to make

00:28:00.299 --> 00:28:02.539
a change with my dentist, it's just easier than

00:28:02.539 --> 00:28:07.799
it's ever been. I've always struggled to, as

00:28:07.799 --> 00:28:11.460
just a rank and file consumer, it is so difficult

00:28:11.460 --> 00:28:16.480
to gauge. And I'm interested in your opinion

00:28:16.480 --> 00:28:19.740
on this. I don't know that there is an industry

00:28:19.740 --> 00:28:24.400
where you have these typically introverted business

00:28:24.400 --> 00:28:27.559
owners being dentists. Right. They get into it

00:28:27.559 --> 00:28:31.160
because it's the art and the blending of science

00:28:31.160 --> 00:28:34.319
and the crafting of your hands. And then you're

00:28:34.319 --> 00:28:39.539
a real business owner right first. And 10 or

00:28:39.539 --> 00:28:42.619
15 years ago, I believe that if you were a great

00:28:42.619 --> 00:28:46.799
clinician and an average business owner, you

00:28:46.799 --> 00:28:50.650
ran a good operation. I think today. If you're

00:28:50.650 --> 00:28:53.569
a great clinician and an average business owner,

00:28:53.710 --> 00:28:55.990
you're probably a good employee for a DSO at

00:28:55.990 --> 00:29:02.970
this point. Yes. What has happened? Is it just

00:29:02.970 --> 00:29:05.009
we're just more complex? Is it the world's moving

00:29:05.009 --> 00:29:11.369
faster? Because the stories of there's a dentist

00:29:11.369 --> 00:29:13.470
out there that has a bad website with no reviews

00:29:13.470 --> 00:29:16.609
and they're killing it is getting rarer and rarer.

00:29:17.359 --> 00:29:20.180
And quickly. That rarer and rarer is happening

00:29:20.180 --> 00:29:26.599
faster and faster. So many conversations around

00:29:26.599 --> 00:29:31.519
this. I want my dentist to be a really good clinician,

00:29:31.619 --> 00:29:33.819
first and foremost. We all do. We all do, right?

00:29:33.920 --> 00:29:36.880
Like, I don't want that whoever, he or she, I

00:29:36.880 --> 00:29:38.680
don't want them to be focused on, I'm the best

00:29:38.680 --> 00:29:41.099
business manager on earth. No, I want them to

00:29:41.099 --> 00:29:43.200
give me the best care possible. So I look at

00:29:43.200 --> 00:29:45.519
that and I'm like, I'm really sympathetic to

00:29:45.519 --> 00:29:48.359
this issue. And it used to be, again, going back,

00:29:48.460 --> 00:29:50.980
you know, 25 years and in some cases longer,

00:29:51.099 --> 00:29:53.920
some cases shorter, you hung a shingle out, you

00:29:53.920 --> 00:29:57.099
had services we all needed. Just focus on giving

00:29:57.099 --> 00:29:59.539
good care. And, you know, if you hang that shingle,

00:29:59.539 --> 00:30:03.160
we will come. We will get there. That's just

00:30:03.160 --> 00:30:06.900
not the world today. You brought up this notion

00:30:06.900 --> 00:30:09.160
of consumer behavior, and I think you are spot

00:30:09.160 --> 00:30:13.359
on. That behavior, like if you look at search

00:30:13.359 --> 00:30:16.279
trends, search trends are blowing up. Massive

00:30:16.279 --> 00:30:18.660
search volume. The population's not changing

00:30:18.660 --> 00:30:21.099
that fast. It's behavior that's changing, and

00:30:21.099 --> 00:30:25.730
it's changing radically. Today, I think the challenge

00:30:25.730 --> 00:30:27.769
that a practice owner faces is, well, how do

00:30:27.769 --> 00:30:31.329
I remain focused on being this really good clinician,

00:30:31.390 --> 00:30:34.130
but not ignore the fact that I'm also running

00:30:34.130 --> 00:30:37.829
a business and I can't pretend that there isn't

00:30:37.829 --> 00:30:40.789
value to investing in that business? And I actually

00:30:40.789 --> 00:30:42.529
think, you know, right or wrong, I was on another

00:30:42.529 --> 00:30:44.789
podcast recently and we were talking about this

00:30:44.789 --> 00:30:48.359
issue of. Is it good or bad that DSOs are on

00:30:48.359 --> 00:30:50.440
the rise? You know, they continue to swallow

00:30:50.440 --> 00:30:52.640
up more and more of the local practices. And

00:30:52.640 --> 00:30:54.740
my thought is, I think it's a normal, healthy

00:30:54.740 --> 00:30:56.819
thing. And I think like a lot of things, there'll

00:30:56.819 --> 00:30:59.259
be some balance that's introduced in the market

00:30:59.259 --> 00:31:03.680
at some point. But the DSOs are introducing scale

00:31:03.680 --> 00:31:06.319
and sophistication that your local practices

00:31:06.319 --> 00:31:09.799
can't necessarily compete with. I think the answer

00:31:09.799 --> 00:31:13.000
to that is... There needs to be more tools and

00:31:13.000 --> 00:31:15.519
resources that are, and I think this is the biggest

00:31:15.519 --> 00:31:19.579
term, accessible to a practice owner. There's

00:31:19.579 --> 00:31:22.380
really smart marketers out there. But if I don't

00:31:22.380 --> 00:31:24.420
understand them or I don't like them or something,

00:31:24.500 --> 00:31:26.420
you know, that's not going to help me. And I

00:31:26.420 --> 00:31:28.259
don't need somebody that's really smart at marketing.

00:31:28.359 --> 00:31:30.140
I just need somebody to solve this problem so

00:31:30.140 --> 00:31:33.140
I can go back to being a good clinician. So I

00:31:33.140 --> 00:31:35.400
think there is this tenuous relationship between

00:31:35.400 --> 00:31:37.259
DSOs and the local practices that are actually

00:31:37.259 --> 00:31:41.069
going to help both in the end. Yeah, it's not

00:31:41.069 --> 00:31:42.809
a fun place to be when you're having to try to

00:31:42.809 --> 00:31:44.609
feel like you have to pick between being a business

00:31:44.609 --> 00:31:47.890
manager and a really good dentist. No, it's a

00:31:47.890 --> 00:31:50.589
tough place to be. And you need no other data

00:31:50.589 --> 00:31:54.089
point on how effective DSOs are becoming in marketing

00:31:54.089 --> 00:31:58.250
in that when you looked at DSOs seven years ago,

00:31:58.769 --> 00:32:03.710
they were hiring, I'll say their CMOs and their

00:32:03.710 --> 00:32:06.210
leadership in marketing were people from dental,

00:32:06.369 --> 00:32:09.319
which I think is great. That's fine. But now

00:32:09.319 --> 00:32:12.140
they're bringing in Procter & Gamble alums. They're

00:32:12.140 --> 00:32:14.440
bringing in these people from outside the market

00:32:14.440 --> 00:32:17.359
because if you're in consumer packaged goods

00:32:17.359 --> 00:32:20.079
or you're in some other form of industry, you

00:32:20.079 --> 00:32:23.460
understand multi -chain attribution and you're

00:32:23.460 --> 00:32:25.980
bringing a level of sophistication to marketing

00:32:25.980 --> 00:32:31.680
that just didn't exist in dentistry. It's been

00:32:31.680 --> 00:32:34.970
hanging a good website and, you know. I would

00:32:34.970 --> 00:32:37.529
say not only did it not exist, but the economics

00:32:37.529 --> 00:32:39.210
weren't there to support it, right? There's a

00:32:39.210 --> 00:32:41.950
cost to doing that level of marketing. And you

00:32:41.950 --> 00:32:43.690
talk about, you know, somebody like Procter &

00:32:43.690 --> 00:32:45.450
Gamble, somebody that does, you know, massive

00:32:45.450 --> 00:32:48.849
consumer products. They are their own ecosystem

00:32:48.849 --> 00:32:51.470
in their own right, right? Like, you know, they

00:32:51.470 --> 00:32:54.410
have more data on one product line than the whole

00:32:54.410 --> 00:32:56.730
industry of dental has collectively, right? You

00:32:56.730 --> 00:32:59.769
know, and so DSOs, I think, do bring that level

00:32:59.769 --> 00:33:02.390
of resource focus because the economics start

00:33:02.390 --> 00:33:07.019
to make sense. Personally, I don't want to live

00:33:07.019 --> 00:33:10.359
in a world where it's all DSOs. I also don't

00:33:10.359 --> 00:33:11.720
want to live in a world where they don't exist.

00:33:11.980 --> 00:33:16.599
I do think that it's a competitive aspect that

00:33:16.599 --> 00:33:18.740
is going to ultimately help everybody in the

00:33:18.740 --> 00:33:21.880
end, but it's going to be a challenge to endure

00:33:21.880 --> 00:33:26.319
it over the next several years. Well, I think

00:33:26.319 --> 00:33:29.950
you go back to the… It's not the strongest that

00:33:29.950 --> 00:33:32.230
survive or the fastest that survive. It's the

00:33:32.230 --> 00:33:35.569
most adaptable to change. And the DSOs have raised

00:33:35.569 --> 00:33:40.369
the bar on the quality of care that you need

00:33:40.369 --> 00:33:42.750
to radiate. Now, I'm not saying you can't have

00:33:42.750 --> 00:33:46.269
quality of care, but I want to get into video

00:33:46.269 --> 00:33:49.289
content as we talk about this, but that's one

00:33:49.289 --> 00:33:52.170
area that I find the dentists don't want to do.

00:33:52.730 --> 00:34:01.039
No one enjoys being on video. But yet, saying,

00:34:01.220 --> 00:34:03.240
telling me the technology you have, telling me

00:34:03.240 --> 00:34:06.880
you have a cone beam is great, but so do I can

00:34:06.880 --> 00:34:08.780
hit seven iron from cone beam to cone beam to

00:34:08.780 --> 00:34:12.300
cone beam. Right. It doesn't differentiate you.

00:34:12.480 --> 00:34:14.860
And what does that even mean to your prospective

00:34:14.860 --> 00:34:19.260
patients anyway, right? Yeah. Yeah. You had a

00:34:19.260 --> 00:34:20.960
quarter million dollars to burn. I don't know

00:34:20.960 --> 00:34:23.840
what it means. Yeah. We've talked about DSOs.

00:34:23.900 --> 00:34:25.440
We've talked about the changing market. We've

00:34:25.440 --> 00:34:28.960
talked about, you know, the... marketing index.

00:34:29.300 --> 00:34:34.739
Where do you see dental marketing evolving? How

00:34:34.739 --> 00:34:37.659
do you see it growing over the next two to three

00:34:37.659 --> 00:34:40.800
years with the consumer demand? I think that

00:34:40.800 --> 00:34:42.800
in the same way that this has happened across

00:34:42.800 --> 00:34:46.820
other industries where you have a very homogenous

00:34:46.820 --> 00:34:51.539
SMB slice like dental. One of the things I like

00:34:51.539 --> 00:34:53.219
about dental, one of the reasons the index is

00:34:53.219 --> 00:34:57.579
even possible is we have 135 ,000 dental practices

00:34:57.579 --> 00:35:00.480
in the U .S., 115 ,000 of them are GPs. They

00:35:00.480 --> 00:35:02.599
have a lot of similarities in terms of their

00:35:02.599 --> 00:35:04.420
needs and so on and so forth. When we look at

00:35:04.420 --> 00:35:06.820
other, this is the same issue has been happening

00:35:06.820 --> 00:35:10.530
to. broader healthcare for 25 years anyway, right?

00:35:10.630 --> 00:35:14.530
A lot of your local doctor's offices have been

00:35:14.530 --> 00:35:17.269
absorbed into much larger organizations. And

00:35:17.269 --> 00:35:19.610
that trend, I mean, with private equity, that

00:35:19.610 --> 00:35:22.269
goes into everything from car dealerships and

00:35:22.269 --> 00:35:24.409
plumbing companies to all kinds of things. So

00:35:24.409 --> 00:35:27.449
this trend that's happening in dental, I think

00:35:27.449 --> 00:35:30.429
it's not a new thing. So we can kind of have

00:35:30.429 --> 00:35:34.969
some learnings from that. I do think... I do

00:35:34.969 --> 00:35:36.869
think the big changes that are going to come

00:35:36.869 --> 00:35:40.110
is just we have to have the ability to manage

00:35:40.110 --> 00:35:43.210
complexity. And to your point, that requires

00:35:43.210 --> 00:35:48.190
adaptability. There's a lot of folks that don't,

00:35:48.190 --> 00:35:50.730
not a lot of folks, I would throw myself into

00:35:50.730 --> 00:35:54.030
this. I don't like change that I didn't instigate.

00:35:54.070 --> 00:35:56.050
I don't like it when the world changes and I

00:35:56.050 --> 00:35:59.519
didn't get my permission to do that. But that

00:35:59.519 --> 00:36:01.699
is just going to happen. It's going to happen

00:36:01.699 --> 00:36:05.519
faster and faster. And if your adaptability is

00:36:05.519 --> 00:36:08.320
a muscle, you need to get comfortable. If you

00:36:08.320 --> 00:36:11.199
want to run a practice, you need to get comfortable

00:36:11.199 --> 00:36:16.239
with that. That's just a fact. Not having that

00:36:16.239 --> 00:36:19.340
focus on adaptability and staying current on

00:36:19.340 --> 00:36:21.860
what's happening is sort of like saying, I want

00:36:21.860 --> 00:36:24.199
to be a dentist, but I really don't like teeth.

00:36:24.809 --> 00:36:27.409
I'm just not going to – no, you have to do –

00:36:27.409 --> 00:36:28.929
that's just something that's part of the deal.

00:36:29.110 --> 00:36:31.389
And I think you hit on it. A lot of folks that

00:36:31.389 --> 00:36:33.849
are really good clinicians that are okay at running

00:36:33.849 --> 00:36:36.050
a practice, they're probably going to continue

00:36:36.050 --> 00:36:38.550
to face this question of, do I sell my practice

00:36:38.550 --> 00:36:42.170
to a larger organization? I think, though, the

00:36:42.170 --> 00:36:45.210
blessing and the curse in all of this is there

00:36:45.210 --> 00:36:49.090
are – when you look at technologies over time,

00:36:49.329 --> 00:36:51.949
complexity comes up. And then the complexity

00:36:51.949 --> 00:36:54.909
comes down. You have these really state -of -the

00:36:54.909 --> 00:36:57.090
-art things that were built for very specific

00:36:57.090 --> 00:37:00.429
things and very high -end uses, and then they

00:37:00.429 --> 00:37:04.510
get consumerized. That's happening with dental

00:37:04.510 --> 00:37:08.650
tools and marketing technologies more broadly.

00:37:08.769 --> 00:37:12.190
The index itself is part of that. We're trying

00:37:12.190 --> 00:37:14.449
to be a part of that conversation about reducing

00:37:14.449 --> 00:37:17.409
complexity and giving tools to folks so they

00:37:17.409 --> 00:37:20.300
can make good decisions. And I do think, though,

00:37:20.340 --> 00:37:22.360
I mean, that your question also leads into like,

00:37:22.460 --> 00:37:24.519
well, what are the other trends in the next five

00:37:24.519 --> 00:37:26.460
to 10 years that really are going to hit practices?

00:37:26.599 --> 00:37:29.179
And, you know, and I don't know if you want to

00:37:29.179 --> 00:37:31.300
go there or not, but there's some big ones I

00:37:31.300 --> 00:37:33.300
think that everybody kind of knows about, but

00:37:33.300 --> 00:37:36.639
they do need some attention. Mobile, like, I

00:37:36.639 --> 00:37:39.619
got to ask you a question. How many of the folks

00:37:39.619 --> 00:37:42.539
that you talk to think that mobile is important

00:37:42.539 --> 00:37:47.769
to their marketing? It would be hard for me to

00:37:47.769 --> 00:37:51.190
give a number. They hear it and repeat it. I

00:37:51.190 --> 00:37:56.070
don't believe they understand what mobile first

00:37:56.070 --> 00:38:00.389
means or mobile. I think they're repeating words

00:38:00.389 --> 00:38:04.570
like saying, I need to advertise on TikTok. I

00:38:04.570 --> 00:38:09.429
think it's a similar, they'll say the words because

00:38:09.429 --> 00:38:11.230
I think they're repeating something, but I don't

00:38:11.230 --> 00:38:13.190
know that they really understand the impact of

00:38:13.190 --> 00:38:19.900
mobile. So it's unlimited. Based on what you've

00:38:19.900 --> 00:38:23.179
seen and what you observed with your own experiences,

00:38:23.460 --> 00:38:27.039
how much traffic to a practice's website is mobile?

00:38:28.559 --> 00:38:34.860
Oh, gosh. Near 100. 87, I'm going to guess. It's

00:38:34.860 --> 00:38:37.139
on the lowest end samples we've seen, it's in

00:38:37.139 --> 00:38:40.860
the mid 80s. And it's like 94, 95 % for most

00:38:40.860 --> 00:38:44.380
practices. And so you talked about video earlier.

00:38:44.639 --> 00:38:47.760
And I was on Costas' podcast a couple of years

00:38:47.760 --> 00:38:49.659
ago on this, and he said something to the effect

00:38:49.659 --> 00:38:51.500
of, well, I thought video was something that

00:38:51.500 --> 00:38:54.940
Google liked. And I'm like, it depends. Optimize

00:38:54.940 --> 00:38:57.019
video that's delivered crisply, quickly, and

00:38:57.019 --> 00:38:58.880
is part of an experience. Yes, that increases

00:38:58.880 --> 00:39:00.880
engagement time. That's time on site. Google

00:39:00.880 --> 00:39:02.519
sees that. They're going to increase your authority

00:39:02.519 --> 00:39:06.539
score. But if I had this big, beautiful panoramic

00:39:06.539 --> 00:39:09.539
video that is now sliced into this tiny thing.

00:39:10.010 --> 00:39:13.070
And 95 % of my traffic is going to get this really

00:39:13.070 --> 00:39:15.630
suboptimal experience. Actually, video is bad.

00:39:16.250 --> 00:39:20.809
And so when we talk about the future in industries

00:39:20.809 --> 00:39:23.130
outside of dental, we've been shouting mobile

00:39:23.130 --> 00:39:26.409
first for 15 years. And even those industries

00:39:26.409 --> 00:39:31.150
struggle to really adhere to that. No question.

00:39:31.269 --> 00:39:34.150
And I think it begins with when a developer starts

00:39:34.150 --> 00:39:37.750
building a site, they're doing it on a 38 -inch

00:39:37.750 --> 00:39:43.989
monitor. Yep. I almost feel like those dev environments

00:39:43.989 --> 00:39:46.550
need to basically take away the ability to build

00:39:46.550 --> 00:39:49.389
on anything but mobile and then create tools

00:39:49.389 --> 00:39:51.289
to make that mobile experience extensible to

00:39:51.289 --> 00:39:54.050
a desktop. It's just, I don't understand why

00:39:54.050 --> 00:39:56.670
that's still an issue. So mobile isn't changing.

00:39:56.769 --> 00:39:58.349
And you talked about making video for TikTok.

00:39:58.710 --> 00:40:02.110
We're doing so much stuff on our phone that...

00:40:02.360 --> 00:40:04.300
The old school approach was I'm going to build

00:40:04.300 --> 00:40:06.059
a website that when somebody decides they want

00:40:06.059 --> 00:40:08.340
to have dental services, they need help. They're

00:40:08.340 --> 00:40:09.860
going to go to that website. I'm going to show

00:40:09.860 --> 00:40:11.500
them what I do. They're going to click on something

00:40:11.500 --> 00:40:12.739
and they're going to call us. They're going to

00:40:12.739 --> 00:40:15.000
schedule whatever. That's not what's happening.

00:40:15.099 --> 00:40:17.320
I'm on my phone. I see something on TikTok or

00:40:17.320 --> 00:40:19.739
I see something on Instagram. I then cruise on

00:40:19.739 --> 00:40:21.920
over to your website for five seconds, like what

00:40:21.920 --> 00:40:23.960
I see, but I'm not in a position to want to do

00:40:23.960 --> 00:40:25.139
something right then and there. So I'm going

00:40:25.139 --> 00:40:26.980
to go back to what I was doing. And then at a

00:40:26.980 --> 00:40:28.539
later date, I'm going to find you with a branded

00:40:28.539 --> 00:40:31.719
search or something like that. Mobile is so important.

00:40:31.800 --> 00:40:34.940
You just have to think about engaging with your

00:40:34.940 --> 00:40:38.739
world as if the only window was that mobile device.

00:40:38.860 --> 00:40:42.059
I think that's first and foremost. I would also

00:40:42.059 --> 00:40:45.840
throw out that there is a change in SEO. We're

00:40:45.840 --> 00:40:48.280
seeing this and our models are being updated

00:40:48.280 --> 00:40:52.619
with this version of the DMI. Search is no longer

00:40:52.619 --> 00:40:54.840
just search. And I think you can speak to this

00:40:54.840 --> 00:40:57.300
probably better than I can. But if somebody does

00:40:57.300 --> 00:40:59.909
a search for dentist near me, What do you see?

00:41:01.289 --> 00:41:05.690
Oh, I mean, Google has rolled out new map packs.

00:41:05.989 --> 00:41:10.309
There's sponsored. There's, you know, frequently

00:41:10.309 --> 00:41:13.829
asked questions. There's also information sort

00:41:13.829 --> 00:41:18.150
of suggestions. Yeah, the organic result is getting

00:41:18.150 --> 00:41:20.849
pushed further down and down the page. Exactly,

00:41:20.929 --> 00:41:24.250
exactly. So, like, I still, our research still

00:41:24.250 --> 00:41:27.239
supports the notion that About 30 -ish percent,

00:41:27.280 --> 00:41:29.800
it'll drop or increase based on population density

00:41:29.800 --> 00:41:32.619
and a few other things. But basically about three

00:41:32.619 --> 00:41:35.179
in 10 of your new patients probably found you

00:41:35.179 --> 00:41:38.699
on search, but the experience on search is not

00:41:38.699 --> 00:41:42.079
what it used to be. And so the idea that I need

00:41:42.079 --> 00:41:44.960
to take this approach of what I did 10 years

00:41:44.960 --> 00:41:47.900
ago, I have content that's engaging. I really

00:41:47.900 --> 00:41:49.920
focus on my authority score for that content.

00:41:50.019 --> 00:41:51.800
I really make sure that it's trusted and all

00:41:51.800 --> 00:41:54.619
of that. nobody's scrolling down to it anymore.

00:41:54.780 --> 00:41:58.500
It's all going to the map. And so most of that

00:41:58.500 --> 00:42:02.820
30 % that's coming from search, if you drill

00:42:02.820 --> 00:42:05.519
into that, a huge piece of that is never leaving

00:42:05.519 --> 00:42:07.579
that map path experience, right? You're just

00:42:07.579 --> 00:42:10.760
seeing these are all the dentists near me. I'm

00:42:10.760 --> 00:42:13.199
going to make a quick decision based on how close

00:42:13.199 --> 00:42:16.539
and the scores that I see. And maybe I won't

00:42:16.539 --> 00:42:19.019
make a final decision. But I'm going to exclude

00:42:19.019 --> 00:42:20.900
a whole bunch of stuff that maybe used to perform

00:42:20.900 --> 00:42:22.500
really well on mobile. So we look at that and

00:42:22.500 --> 00:42:26.119
we say, managing your GMB profile is now just

00:42:26.119 --> 00:42:28.340
as important as managing your website to search

00:42:28.340 --> 00:42:31.599
performance. And if you don't have a really good

00:42:31.599 --> 00:42:34.420
GMB profile, you're doing yourself a disservice.

00:42:34.559 --> 00:42:36.579
If you put money into your website, absolutely

00:42:36.579 --> 00:42:38.719
make sure your GMB profile looks good. You've

00:42:38.719 --> 00:42:40.440
got good reviews. You've got review solicitation.

00:42:41.400 --> 00:42:43.800
The last one is, again, kind of obvious, but

00:42:43.800 --> 00:42:48.139
it's AI. Before I say anything, I want your thoughts

00:42:48.139 --> 00:42:50.380
on what do you think AI is going to do in the

00:42:50.380 --> 00:42:52.539
next five to 10 years to this whole experience?

00:42:53.480 --> 00:42:56.300
My belief is when it comes to raw marketing,

00:42:56.360 --> 00:43:01.039
understanding your consumer is where we need

00:43:01.039 --> 00:43:04.199
the most help. So in the next five years, I will

00:43:04.199 --> 00:43:06.980
say that AI is probably going to make a good

00:43:06.980 --> 00:43:11.260
marketing message more effective. in the channels

00:43:11.260 --> 00:43:13.719
I can reach and, you know, the ability to generate

00:43:13.719 --> 00:43:17.500
content and script out a video or consume a podcast

00:43:17.500 --> 00:43:21.139
more quickly is where I would say it's going

00:43:21.139 --> 00:43:23.960
to be. I think it's going to accelerate people

00:43:23.960 --> 00:43:28.139
that have a good plan or a good understanding

00:43:28.139 --> 00:43:31.460
of their consumer will make better use of it.

00:43:31.519 --> 00:43:33.320
The people that don't will probably just replicate

00:43:33.320 --> 00:43:36.940
a poor message over and over. Probably how I

00:43:36.940 --> 00:43:39.469
would say a dental marketing. Yeah. I think I

00:43:39.469 --> 00:43:41.949
agree with all that. The thing about AI that

00:43:41.949 --> 00:43:44.010
I think is most interesting that will impact

00:43:44.010 --> 00:43:48.050
dental is AI is, and I think this was always

00:43:48.050 --> 00:43:50.429
the point of an LLM, of a large language model,

00:43:50.750 --> 00:43:54.769
AI is going to be specific to you. it's going

00:43:54.769 --> 00:43:57.250
to know you. It's going to know me. It's going

00:43:57.250 --> 00:43:59.510
to know anybody that it's interacting with. It's

00:43:59.510 --> 00:44:01.690
going to know your preferences, your fears. It's

00:44:01.690 --> 00:44:02.969
going to know what food you like. It's going

00:44:02.969 --> 00:44:05.349
to know, do you have sleep apnea? Like it's going

00:44:05.349 --> 00:44:08.530
to know everything about you and it's never going

00:44:08.530 --> 00:44:10.510
to require them for, if they have a question

00:44:10.510 --> 00:44:12.769
on, I want to find a new dentist, I'll never

00:44:12.769 --> 00:44:16.690
have to go to a website. I'll never have to look

00:44:16.690 --> 00:44:20.179
at Google reviews. I'll never. I will trust that

00:44:20.179 --> 00:44:24.219
AI, right or wrong, I will trust that AI in almost

00:44:24.219 --> 00:44:26.460
everything that it's doing because it knows me

00:44:26.460 --> 00:44:28.760
so well and I don't want the inconvenience of

00:44:28.760 --> 00:44:31.639
having... To me, that's the long game here that

00:44:31.639 --> 00:44:34.639
folks need to start to prepare for. In the same

00:44:34.639 --> 00:44:36.860
way that your marketing was meant to ultimately

00:44:36.860 --> 00:44:39.940
speak to consumers going through various channels,

00:44:40.159 --> 00:44:43.559
we need to start thinking about how that marketing

00:44:43.559 --> 00:44:46.800
builds authority and communicates to an AI platform.

00:44:47.599 --> 00:44:52.340
Justin, from the story about Roy to hotels to

00:44:52.340 --> 00:44:57.179
correlation causation, the 80 -20, man, we've

00:44:57.179 --> 00:45:00.579
covered a lot of ground here. Thank you so much

00:45:00.579 --> 00:45:02.400
for being on the show. I would love to have you

00:45:02.400 --> 00:45:05.139
back and dig deeper into some of these topics.

00:45:05.219 --> 00:45:09.880
Thank you so much for your time and for being

00:45:09.880 --> 00:45:13.380
out there trying to make the digital dental world

00:45:13.380 --> 00:45:16.969
a better place. I appreciate you taking the time

00:45:16.969 --> 00:45:19.010
and hearing me talk about some of my passions.

00:45:19.070 --> 00:45:20.429
So thank you, Eric. I appreciate it. It's been

00:45:20.429 --> 00:45:24.909
great. And that was your bite of dental marketing

00:45:24.909 --> 00:45:27.369
for the day. And the most important thing is

00:45:27.369 --> 00:45:31.690
don't listen to the episode and do nothing. We

00:45:31.690 --> 00:45:33.929
record these episodes so that you can take it

00:45:33.929 --> 00:45:36.429
and make a real difference in your dental practice.

00:45:36.630 --> 00:45:40.429
So take the advice we've given you. apply the

00:45:40.429 --> 00:45:43.130
action, do what you need to do and make the difference

00:45:43.130 --> 00:45:45.289
in your business. And if you need some help,

00:45:45.489 --> 00:45:49.170
painfreedentalmarketing .com or listen to a couple

00:45:49.170 --> 00:45:52.409
more of our episodes so that you know what you

00:45:52.409 --> 00:45:55.130
need to do to put the best foot forward and make

00:45:55.130 --> 00:45:56.570
that difference in your practice.
