A bespoke review for Premier Orthodontics · Bromley

People know Premier.
What about those who don't?

Premier already has the reputation, specialist expertise and a paid presence when people search for the practice by name. I looked at what happens when they search for the treatments instead, and found a potentially valuable gap.

Specialist orthodonticsInvisalign & bracesGoogle search review
01 / The search finding

You're already visible by name.
Treatment searches tell another story.

In the searches reviewed, Premier advertised on its own name. But competitors appeared in sponsored results for treatment-led searches where Premier did not appear. That's the opportunity worth examining, not a reason to disregard the advertising you already do.

Google search: invisalign bromley
Sponsored listings observed in the supplied review
WHAT PREMIER ALREADY HAS

Specialist credibility

A well-reviewed specialist practice with Invisalign, Damon braces and other orthodontic treatment options. That is a strong foundation, not something to rebuild.

WHAT THE SEARCHES SUGGEST

Patients beyond the brand

People searching for “Invisalign Bromley” may not know which practice to choose yet. Paid visibility creates another opportunity to enter that decision.

THE COMMERCIAL QUESTION

Are more treatment starts worth buying?

Only if the cost of winning an additional patient is justified by the treatment value and margin. That is what the model tests.

Illustrative reconstruction of search observations supplied from the October 2026 review, not a live Google results feed. Ads and positions vary by time, device, location and auction. Absence from one observed result does not prove Premier never advertises for a term.

02 / Where we would start

Not more ads for the sake of it.
More of the right patients.

At ThinkingMan Creative, we work backwards from profit rather than clicks. We'd establish which treatments are commercially attractive, use paid search to reach people actively looking for them, and measure whether those enquiries become actual treatment starts.

01 · PRIORITISE

Choose the treatments

Start with Invisalign and braces searches where intent is clear. Decide which treatments deserve investment using margins, capacity and patient value, not search volume alone.

02 · TEST

Find profitable demand

Expand beyond people already searching for Premier, while measuring consultations booked, attendance and treatment starts. Protect spend that is not generating real opportunities.

03 · EXPAND WHEN JUSTIFIED

Support the decision

Google Search is the opening identified here. Meta and other paid channels could support awareness and consideration later, but only if the economics justify them.

“The objective isn't to buy more clicks. It's to work out how many profitable treatment starts paid media can genuinely add.”
03 / The commercial model

Your practice. Your numbers.

This is a scenario model, not a revenue forecast. The starting budget is simply an example used to test the opportunity, not a minimum spend or a recommendation to commit £1,000. Adjust the figures to see how the economics change.

Test the opportunity

A working case, not a prediction: 5% of clicks book consultations and 40% of those consultations become treatment starts.

£1,000

The amount paid to advertising platforms each month. Adjust freely; £1,000 is only the example.

£3,624

Estimated revenue for one patient who begins treatment. Replace with your typical case value.

40%

Out of every 10 booked consultations, roughly how many progress into a new treatment?

Working assumptions kept behind the scenes

£7 estimated cost per click · 5% click-to-consultation rate · 87.5% average first-year ramp efficiency · 50% assumed gross margin.

CPC is borrowed from an earlier dental proxy, not Premier's actual account data. Consultation rates, patient mix, margin and ramp are illustrative. We would replace these with Premier's numbers before recommending a budget.

Modelled treatment revenue · year one
£108,720

Potential revenue attributable to the modelled treatment starts, not guaranteed incremental revenue.

New treatment starts · year one
30
Rounded down to whole cases
Booked consultations · year one
75
Modelled, not observed
Treatment gross contribution
£54,360
Before advertising and fees
Net contribution after modelled costs
£31,860
After advertising, illustrative fees and success charges
Annual media spend£12,000
Illustrative monthly management fees£6,000
Illustrative success fees£4,500
Net contribution+£31,860
Compare the scenarios at your chosen budget
Cautious
£47k
Realistic
£109k
Higher competition
£36k

How it works: advertising spend ÷ assumed CPC = clicks; clicks × consultation booking rate × first-year efficiency = booked consultations; bookings × treatment-start rate = treatment starts. Annual starts are rounded down before calculating revenue. Gross contribution uses an illustrative 50% treatment margin; net then subtracts advertising spend, a placeholder £500 monthly fee and £150 per treatment start. The fees shown are not a final quote.

This model does not deduct patients who would have booked organically anyway, account for delayed instalment payments or assess clinical capacity. True incrementality and cash flow would need validating with Premier's own data.

04 / ThinkingMan Creative

Agency capability.
Direct specialist ownership.

We manage paid media around measurable commercial outcomes. I personally handle the marketing science, strategy and account, so the person who develops the plan is accountable for its performance.

Paid media strategy starting with the search opportunity identified here
Local search and treatment-specific campaign structure
Consultation and treatment-start attribution, where available
Landing page and enquiry-quality optimisation
Budget decisions informed by patient value and acquisition costs
Expansion into other paid channels where justified
The next conversation

The interesting question isn't “should Premier spend more?”

It's whether the next treatment start can be acquired at a cost that makes sense for Premier. If you'd like, we can compare this working model against your real treatment mix, existing advertising and capacity, and decide whether a focused test is worthwhile.

Talk through the analysis with Prince