How much should a dental practice spend on marketing?
Established practices generally run 4-7% of gross revenue. New practices in their first year or two commonly spend far more — published guidance ranges from 6-10% up to 15-20% — because empty chairs cost more than marketing does. But the percentage matters less than what a patient costs you and what a patient is worth.
What practices actually spend
The published ranges cluster tightly for established practices and diverge sharply for new ones.
Cost per patient, against patient value
This is where the percentage stops being useful and the arithmetic starts.
What a patient costs
Reported acquisition costs run roughly $150-$300 for general dentistry and $400-$800 for implant and cosmetic cases. The variance is the point: high-value cases cost more to acquire and are worth it.
What a patient is worth
Average annual revenue per patient multiplied by how long they stay. A patient generating around $650 a year over seven years is worth roughly $4,500 — which reframes a $300 acquisition cost entirely.
The conversion gap
Many practices convert only a minority of inbound calls to appointments. Fixing that costs nothing in ad spend and changes every other number on this page.
Referrals and AI both run on trust signals
Referrals account for a substantial share of new patients at established practices, and referred patients convert at far higher rates than advertising-generated ones. The same signals that drive referral now drive AI recommendation.
Common questions
Related reading
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