Paid media & PPC

Make every ad dollar work harder.

We plan, launch, and manage campaigns across Google, Meta, LinkedIn, and TikTok around one question: what does it cost to win a new customer? Sharp targeting, creative that stops the scroll, landing pages built to convert, and constant optimization.

The problem

Most ad accounts leak money: broad targeting, untested creative, and clicks sent to pages that were never built to convert. A bigger budget only makes the leak bigger.

Proof, not promises · 30 days · August to September 2026

77 patient leads in 30 days
for a New York orthodontic practice.

Same practice. Same clinical care. We changed the offer and the hook, and the cost of a new patient lead fell to $19.74.

Patient leads
77
Booked consultations
7
Total ad spend
$1,520
Per lead
$19.74
Per booked consultation
$217

Figures from one campaign, August to September 2026. Results vary by market, offer and follow-up.

What’s included

Everything you need.
Nothing you don’t.

We scope the work to your goals. These are the building blocks we combine.

  • Channel and budget strategy based on your goals and margins
  • Google Search, Performance Max, and remarketing campaigns
  • Facebook, Instagram, LinkedIn, and TikTok advertising
  • Ad creative and copy built for testing, including AI-assisted variations
  • Conversion tracking for calls, forms, and bookings
  • Landing pages designed around a single, clear action
  • Ongoing A/B testing plus bid, audience, and budget optimization
  • Reporting on cost per lead, conversion rate, and return on ad spend
How it works

A clear process.
Measurable progress.

A simple, transparent process. You always know what we’re doing, why, and what it’s achieving.

  1. 01

    Track

    Every call, form, and booking is measurable before we spend a dollar.

  2. 02

    Launch

    We start focused: the right audiences, offers, and creative.

  3. 03

    Test

    Headlines, visuals, audiences, and landing pages go head to head.

  4. 04

    Scale

    Budget moves to what works. What doesn’t gets cut.

Who it’s for

Built for businesses like yours.

Businesses ready to invest in advertising that want clear accountability for every dollar. Ad spend is paid directly to the platforms and agreed separately from management fees.

Let’s talk about your goals
Cover and results page of the Coliseum report Why Some Practices Fill Their Schedule From Ads, and Most Don’t
Related results

New York orthodontic practice

77 patient leads in 30 days, at $19.74 each.

Read the case study
Good questions

Paid media & PPC: your questions.

Something else on your mind? Ask us directly or call +1 (646) 844-8644.

How much should we spend on ads?

It depends on your market, your margins, and what a new customer is worth to you. We recommend a starting budget large enough to learn from and small enough to be sensible, then scale on results.

Who owns the ad accounts and data?

Your business should own its ad accounts, tracking, and data. We walk through access and ownership with you before any campaign launches.

Google Ads or Meta ads: which is better?

They do different jobs. Google captures people already searching for a service. Meta creates demand among people who match your ideal customer. Many businesses start with one and add the other once tracking proves what works.

Free strategy call

Ready for marketing that
pulls its weight?

Tell us where you want to grow. We’ll show you where the opportunities are, and exactly how we’d go after them.