The Raving Patients Podcast

Season 

9

, Episode 

341

Beyond Keywords and Bids: What Really Drives PPC Results

Season 

9

, Episode 

341

September 11, 2026

Beyond Keywords and Bids: What Really Drives PPC Results

Spending more money on Google Ads does not automatically mean more new patients. In fact, what happens after someone clicks your ad may matter just as much as the campaign itself.

In this episode of the Raving Patients Podcast, Dr. Len Tau sits down with Michael Lyjak, former Google trainer and founder of Efficiency Marketing, to break down what really drives PPC performance for dental practices. Having managed more than $16 million in dental advertising since 2019 and worked with over 100 practices, Michael explains why successful paid advertising goes far beyond choosing the right keywords and setting a budget.

Michael shares how AI is changing Google Ads, why branded campaigns can actually help when structured correctly, and how reviews and a practice's overall digital footprint are becoming increasingly important to both paid and AI-driven search. He also explains quality score, budgeting based on market competition, and why Google leads typically cost more than Meta leads.

But getting the lead is only half the battle. Michael and Dr. Len discuss one of the biggest places dental practices lose marketing dollars: poor lead handling. Missed calls, slow response times, weak follow-up, and a lack of conversion tracking can turn even a well-performing ad campaign into wasted money. Michael explains why practices need a strong feedback loop between their marketing and front desk if they want to know what's actually generating appointments and revenue.

What You'll Learn

  • Why Google Ads are no longer just about keywords, bids, and budgets
  • How AI and machine learning are changing PPC for dental practices
  • Whether dentists should bid on their own branded keywords
  • Why DIY Google Ads can cost practices more than they realize
  • How Google reviews and your digital footprint can influence visibility
  • Why smaller advertising budgets are becoming harder to compete with
  • How to determine the right PPC budget based on your market and procedures
  • Why missed calls and slow lead response can destroy your advertising ROI
  • What Google Ads quality score means and how it affects your cost per click
  • Why Google Ads cost more than Meta Ads and how patient intent changes lead quality
  • How to track leads from click to booked appointment
  • Why a strong feedback loop between your marketing team and dental practice matters
  • How AI search could change the way prospective patients discover your practice

Key Takeaways

02:15 Beyond Keywords and Bids: What Really Drives PPC Results

03:48 Meet Michael Lyjak

04:40 From Google Trainer to Dental Marketing Expert

06:25 What Really Determines PPC Success?

08:25 Should You Bid on Your Own Practice Name?

10:20 How to Structure Branded Campaigns

12:45 Why DIY Google Ads Are So Difficult

15:09 How Reviews Impact Ad Performance

17:14 How AI Is Changing Search and PPC

19:53 How Much Should a Dental Practice Spend on Ads?

22:55 The Hidden Cost of Missed Calls

24:30 Understanding Google Ads Quality Score

26:40 How to Know If Your Ads Are Actually Working

27:58 Google Ads vs. Meta Ads

30:59 Why Leads Aren't Turning Into Appointments

34:25 Should Your Marketing Company Handle the Calls?

35:40 The One PPC Action Dentists Should Take Now

36:20 Connect With Michael and Get a Free PPC Audit

Connect With Michael

Email: mike@makeitefficient.com

Website: https://makeitefficient.com/

Michael is offering Raving Patients listeners a free PPC audit along with 10% off monthly management services. Mention the Raving Patients Podcast or Dr. Len Tau when reaching out. 

Learn proven dental marketing strategies and online reputation management techniques at: https://www.drlentau.com

This podcast is sponsored by Dental Intelligence. Learn more at: https://www.dentalintel.com/

This podcast is sponsored by CallRail, call tracking & lead conversion software for dentists. Find out more at: https://www.callrail.com/

Raving Patients Podcast is your go-to place for the latest and best dental marketing strategies that will help you skyrocket your practice. Follow us for more!

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