If changes wait for the next meeting
A new campaign goes live the same day it is agreed. Small website changes are done within the hour, and small page fixes go live straight away, logged with their reason.
The short answer: if your agency is slow to change things, ties you to a contract, hides what your ad spend pays for or leaves campaigns on set-and-forget, our model is built around those four things. Our team plans and decides; our agents watch your ads 24/7 and do the repeated work.
Month to month · You pay Google and Meta directly, with no markup from us
Sample animation, not a client account.
Four jobs every practice pays for, side by side. The middle column is a common pattern, and agencies vary, so each cell there says what to ask. There is no total score: each practice weighs the rows differently.
| The job | Shoutout: our team + agentsWhat we sell | A typical agencyVaries by agency | Do it yourself with AI toolsGoogle’s own automation |
|---|---|---|---|
| Watching the ads | Our agents watch your ads 24/7 and make the routine changes inside the budget we agree with you: they block junk searches, reprice bids and move budget toward what books patients. Our team plans the strategy. | Varies. Accounts are often checked on a schedule, such as before a monthly report. Ask how often someone opens the account between reports. | Google’s automation adjusts bids, and AI Max can match more searches and write extra headlines. Someone still has to read the search terms and block junk searches. |
| Changes and new campaigns | A new campaign goes live the same day it is agreed. Small website changes are done within the hour, and small page fixes go live straight away, logged with their reason. Clinical wording waits for a person on our team. | Varies. Changes often wait in a queue or for the next meeting. Ask how long a small change takes from request to live. | As fast as you find the time. Google suggests some changes, such as a higher budget. Deciding and making each change is up to you. |
| Contract and ad spend | Month to month, with no lock-in and no exit fee. You pay Google and Meta directly, at cost, with no markup from us. Plans from $1,990 + GST a month. | Varies. Ask for the contract length and the exit terms, and whether your ad spend goes to Google directly or through the agency with a margin added. | No contract and no management fee. You pay Google directly. It can suit a budget under $1,000 a month. |
| Dental know-how and rules | Over a decade working with dental clinics. Every ad follows Ahpra’s advertising guidelines, and anything clinical waits for a person on our team. | Varies. Ask whether they have worked with dental clinics, and who checks each ad against Ahpra’s rules. | On you. Google can write extra headlines on its own, so someone has to check every line against Ahpra’s rules and remove any line about a treatment result. |
People stay in charge. Our team plans the strategy and decides anything structural. Our agents do the repeated work, 24/7, and anything clinical waits for a person on our team.
Slow changes, lock-in, hidden markup and set-and-forget, and how we run each one instead.
A new campaign goes live the same day it is agreed. Small website changes are done within the hour, and small page fixes go live straight away, logged with their reason.
Every plan is month to month, with no lock-in and no exit fee. You can move up or down a plan at your next billing date.
You pay Google and Meta directly, at cost, with no markup from us. Our fee is a separate bill, from $1,990 + GST a month.
Our agents watch your campaigns 24/7. We agree your monthly budget with you. Our agents never spend past it, and every change they make is logged for you to see.
It is a fair choice, and it can suit a budget under $1,000 a month. Google’s own automation helps: it adjusts bids, can match more searches and can write extra headlines. It does not do the whole job.
Someone still has to
Your accounts stay yours, we handle the move, and your ads keep running. Start with the free account audit, so you see what we would change before you commit to anything.
You share your Google Ads account number and accept our manager link request, our agents read up to 12 months of account history, and you get the findings in writing within 1 business day. You keep the audit either way.
The ad accounts are yours. We work inside them with the admin access you give us.
We take care of the move from your current agency, so it is not another job on your list.
Your ads keep running while we take over.
New patients the practices we work with reported from October 2025 to September 2026, valued at a typical $1,000 a year each, and three practices by name.
Source: 20,453 practice-reported new patients (Oct 2025 – Sep 2026) and 78,490 since 2022, × $1,000 typical revenue per new patient per year (Shoutout Digital estimate).
Growth in new patients a month is worked out from each practice’s own monthly counts. Each figure compares the highest month on record with the lowest month before it, rounded to the nearest per cent. A count includes every new patient, however they found the practice; it is not attributed to Google Ads, SEO or any other single channel.
Marketing results only. Every figure is counted over the period stated, never a clinical outcome. See all case studies
Get a free account auditStart with the free account audit: you share your Google Ads account number and accept our manager link request, our agents read up to 12 months of account history, and you get the findings in writing within 1 business day. You keep the audit either way. Or book a free 30-minute strategy session.
Month to month, from $1,990 + GST a month · A person replies within 1 business day.