TandreguleringKBH
Four times the ad budget — at exactly the same low cost per booking. SEO and Google Ads over two and a half years across two businesses.
Tech stack in this case study
Case studies
400+
Trustpilot
4.8
Years of experience
10+
The results
Four times the budget — at the same cost per booking
TandreguleringKBH are specialist orthodontists with a clinic in central Copenhagen and more than 12 years of experience. acend managed SEO and Google Ads for two and a half years across their two businesses.
200 kr
per booking through Google Ads
4x
larger advertising budget — same cost per booking
2.5 years
of collaboration across two businesses
- Bookings at 200 kroner each through Google Ads.
- Advertising spend quadrupled during the partnership — without increasing the cost per booking.
- A steady flow of new patients across both businesses.
- Two and a half years of partnership with no lock-in — renewed month by month.
When the cost per booking stays steady while the budget quadruples, the channel is no longer an experiment — it is a scalable part of the business.
The problem
Scaling in a market where every click counts
More patients without increasing the cost per booking — across two businesses and two channels that can easily end up bidding on the same searches.
A niche market with high value per patient
Only a few people search for orthodontic treatment at any given time, but each booking is highly valuable. That makes precision more important than volume — there is no room to pay for clicks that never turn into patients.
Growth without costs spiralling
The ambition was to scale ad spend significantly. The challenge in a small market is that the cost per booking typically rises as the budget grows.
Two businesses that could not afford to cannibalise each other
With two businesses and two channels, the risk is bidding on the same searches and paying for traffic you could have gained for free through organic visibility.
The solution
Advertising spend should expand market reach — not duplicate it
SEO covers the traffic you can get for free. Google Ads handles everything else. That division is the entire reason a quadrupled budget could maintain the same cost per booking.
SEO captures what can be gained for free
Searches where the clinic could rank organically were covered by dedicated pages about treatments, treatment journeys and prices. It is the cheapest traffic available — and there is no reason to pay for it twice.
Google Ads expands the market
Advertising spend went where organic visibility could not reach. Campaigns are tightly focused on searches with genuine treatment intent, keeping the cost per booking at 200 kroner even as the budget grows.
Two channels that don't overlap
SEO and Ads were managed together, covering different parts of the market rather than bidding on the same searches. That is what allowed the budget to quadruple without costs rising alongside it.
The partnership
Regular reporting and ongoing strategic input
Regular reporting and strategic input
A regular follow-up schedule across both businesses — with ongoing advice along the way.
All operations in one place
acend handled the day-to-day work. SEO and Google Ads were managed and optimised together, so the two channels covered different parts of the market.
No long-term commitments
The partnership had to make sense month after month — and it did for two and a half years.
Team acend
The team behind this case study
Valdemar Greve
Consultant
valdemar@acend.dk
Frederik Krøl Larsen
CCO & Partner
frederik@acend.dk
Contact
Shall we take a look at your business?
Tell us briefly where you want to go. We will get back to you with an honest assessment of how we can help you generate more enquiries.
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