Look for an agency that understands patient privacy, can write accurately about orthodontic care, reports on consults and starts, lets you own your website and accounts, and works without a long contract. Ask for a baseline of what AI tools say about you.
Start with how they write. Orthodontic content needs to be accurate and careful, avoiding promised results while still being clear and helpful. Ask how they would explain early treatment or the difference between braces and aligners. If the answer sounds like a generic dental template, the content will too, and generic content rarely ranks or gets cited by AI tools. Also ask whether they will have your doctors review clinical content before it goes live. A careful agency treats that review as a standard step, not a favor.
Check their understanding of privacy and consent. Patient data should stay out of analytics and ad platforms, review replies should never confirm treatment and before and after photos need written consent. Confirm you will own your domain, website, Google Business Profile and analytics, so leaving the agency never means losing your online presence or starting over from nothing. Ask how they handle multi location practices if that applies, including separate profiles and location pages, so each office can rank in its own area.
Then look at reporting and terms. Reports should connect activity to consult requests and treatment starts, not just traffic charts. Long contracts protect the agency. Ask for a sample monthly report and a clear list of what is included, so you can compare agencies on substance rather than slide decks. Heights Digital works month to month at $399 after a $750 build and starts every relationship with a free audit, including what ChatGPT and Gemini say about your practice. Call or text (210) 729-4008.
Send the site over. We will tell you what is broken, what you could rank for, and whether AI search knows you exist. No charge and no pitch deck.