Marketing Performance Memo • Confidential

Peninsula Center of Cosmetic Dentistry, Los Altos

June 2026 performance across paid, organic, and social, with the recent trend that matters.

Period June 2026 vs June 2025 Sources Wonderist dashboard + Google Ads account 112-277-9235 Total paid media (June) $10,474 Prepared Jul 8, 2026
Bottom line up front

In June the Google Ads program produced 18 leads at $399 each, down 79% in volume and up 305% in cost per lead against June 2025. This is not a one-month dip: the account broke in February 2026 and has run at roughly a third of its prior lead volume for five straight months, with June the weakest of the year. In parallel, Facebook spend tripled to $3,292 and now drives most of the practice's lead count through low-friction Instant Forms. Total leads across channels are up 13%, but the mix has swung from high-intent search to low-intent social forms, and the search program that historically carried qualified cosmetic inquiries is the part that is broken. The two priorities: find out what changed in February, and make WNDR prove the Facebook leads reach the schedule.

How to read this memo. Patient revenue lives in the practice management system, not in Google Ads or Wonderist, so this memo is judged on lead volume, cost per lead, and lead source and quality, not on revenue or ROAS.

01June at a glance

Every figure below is June 2026 with its year-over-year change versus June 2025, as reported by Wonderist. The Google Ads numbers reconcile exactly to the raw account export.

MetricJune 2026YoYRead
Site and total
Sessions3,591+32%Traffic up
Total users3,089+53%Reach up
Total conversions (all channels)484+13%Up, but see the mix below
Google Ads
Conversions18−79%Collapsed
Cost$7,182−15%Roughly flat spend
Cost per conversion$399+305%Nearly 4x more expensive
Conversion rate3.14%−78%Funnel broke
Facebook Ads
Spend$3,292+228%Tripled
Clicks1,348+183%Volume ramp
Website purchases trackednoneOn-platform Instant Forms only
Organic and social
Google ranking change−242downRankings slid
Instagram followers34,413−3.11%Large but shrinking
Facebook followers1,328+1.84%Small base
The one number that reframes the rest
Total leads are up 13%, but Google Ads accounts for just 18 of the 484. The growth is coming from Facebook Instant Forms, not from the search program. So "leads are up" and "the paid program is healthy" are not the same statement this quarter.

02The trend: broke in February, budget moved to Facebook

June is not an outlier. The 12-month Google Ads history shows a healthy account that broke in February 2026 and never recovered. Google Ads spend held near $8,000 a month the entire time.

Jul 2025 – Jan 2026
~103 leads / month
at ~$83 per lead • 13–19% conversion rate
Feb 2026 – June 2026
~28 leads / month
at ~$294 per lead • 3–8% conversion rate

Google Ads conversions by month

Jul 2025113 • $67
Aug 2025124 • $77
Sep 2025106 • $96
Oct 202589 • $112
Nov 202586 • $103
Dec 2025108 • $54
Jan 2026107 • $66
Feb 202640 • $269
Mar 202619 • $284
Apr 202632 • $303
May 202632 • $255
Jun 202618 • $399

Bar width is conversions vs the peak month (124, Aug 2025). Red marks the post-February break. Value = conversions and cost per conversion.

What broke. Traffic held the whole time (clicks near 500 to 780 a month). What fell is the rate at which clicks became leads, from about 14% to about 3%, on a fixed date. When traffic holds and conversion rate collapses in one month, it is rarely lost demand. The likely causes, in order: a conversion-tracking break in February; the landing-page migration to the third-party newpatientspecial.com pages, which convert at 0.71 to 2.44% today; or a bid-strategy or restructure change, noting February's spend actually jumped to the year's high as conversions fell.

What moved. Over the same stretch Facebook spend climbed 228% year over year. WNDR appears to have shifted the growth engine from Google search to Facebook Instant Forms. That is a legitimate strategy, but it trades higher-intent search leads for lower-intent social leads, and it has not been shown to reach the schedule.

03Google Ads in June

Down 79% year over year and the most expensive it has been. Below is how the money is structured, from the trailing 30-day export (Jun 8 to Jul 7), the closest granular view of the account. The patterns are structural and hold for the month.

CampaignTypeCostClicksConv.Cost / conv.
Search • GeneralSearch$3,573531$3,573
Search • CosmeticSearch$968181$968
PMax • GeneralPMax$50052511$45
Search • CrownsSearch$466111$466
Search • EmergencySearch$29720
Search • Invisalign / SedationSearch$24750
The allocation is inverted
Search carried about 91% of Google Ads budget for 3 conversions at $968 to $3,573 each, while a single $500 Performance Max campaign produced 11 at $45. Half of the search conversions were people typing the practice's own name. Before shifting budget, confirm PMax leads are real inquiries, but the current split cannot stand.

June top keywords tell the targeting story

Wonderist's June top keywords are almost all generic, not cosmetic. A cosmetic practice is paying for "find a dentist" intent.

dentist office in my area17
dental care dentist9
cosmetic dentistry services6
find a dentist in your area6

Green is the only cosmetic-intent term in the top four. In the raw search terms, about $4,480 of the trailing month went to non-converting, mostly off-intent queries, including $984 on the bare term "dentist."

Landing pages

All paid traffic routes to third-party newpatientspecial.com funnels. The page taking the most money converts the worst.

Landing pageCostClicksConv.CVR
/nps (generic new-patient special)$3,85442230.71%
/smilemakeover-losaltos2 (cosmetic)$1,53516442.44%
/emergency-dentistry-page$297200.0%

The generic new-patient page absorbs most of the spend at 0.71%, while the cosmetic page converts more than 3x better on a third of the budget. Funding and message match are backwards.

04Facebook Ads in June

The channel that grew. Spend tripled to $3,292 and clicks reached 1,348, all through Meta Instant Forms for cosmetic offers.

Facebook ad clicks by campaign (Instant Forms, cosmetic)

Claraview579
Digital Smile Design319
Free consults318
Remarketing132
Volume is real, quality is unproven
Meta Instant Forms collect a name, email, and phone inside Facebook with almost no friction, which is why volume and cost per click look attractive. The catch is that these leads are interruptive and low-intent, they routinely include mistaps and unqualified contacts, and none of them appear as a website action, so the funnel ends at "form submitted." With Facebook now the practice's main lead source, the burden is on WNDR to show that these forms are contacted quickly and turn into booked consults. Until then, the 228% spend increase is buying lead count, not confirmed opportunities.

05Organic and social

06Scorecard

DimensionGradeWhy
Google Ads lead performanceCriticalDown 79% in volume and up 305% in cost per lead year over year, broken since February, June the worst month of the year.
Lead source mix and intentNeeds WorkThe growth is Facebook Instant Forms, a low-intent source, replacing high-intent search. Total count rises while quality of the average lead likely falls.
Facebook programUnprovenSpend tripled and volume is up, but no downstream contact-to-consult evidence and no website actions tracked.
Google Ads efficiency and wasteNeeds Work91% of budget in search for 3 conversions, about $4,480 on off-intent terms, generic keywords dominating.
Landing pagesNeeds WorkThird-party funnels; the highest-spend page converts at 0.71% and the cosmetic page is underfunded.
Organic and socialNeeds WorkRankings down 242, Instagram audience shrinking, published-links data missing.

07What to do

Priority zero • do this first
Diagnose the February break in Google Ads. Pull the conversion-actions change history and the landing-page change date around February 1, and ask WNDR directly what changed in the account that month. This one answer determines whether the search program is fixable or needs rebuilding, and everything else waits on it.
1

Make WNDR prove the Facebook leads reach the schedule

Facebook is now the main lead source. Require a simple weekly report: Instant Form leads submitted, contacted within an hour, and consults booked. Track cost per booked consult, not cost per form. If the forms do not reach the chair, the 228% spend increase is buying vanity leads.

Impact HighEffort Low The single most important accountability metric this quarter.
2

Stop the Google search waste

Add negatives for generic and emergency intent ("dentist office in my area," "dental care dentist," emergency, walk-in, and price-shopper terms). The June top keywords are mostly non-cosmetic; the practice is paying to be a general dentist.

Impact HighEffort Low Can be done this week.
3

Rebalance Google budget toward what converts

Cut Search-General (mostly branded, one conversion for $3,573), fund the starved cosmetic and crowns campaigns, and scale the $45-per-lead PMax after verifying lead quality. Separate brand into its own campaign so cheap branded clicks stop flattering the generic campaigns.

Impact HighEffort Medium
4

Fix the landing-page path

Route cosmetic clicks to the cosmetic page rather than the 0.71% generic page, and test a real branded PCCD page with a working booking step against the third-party funnels.

Impact HighEffort Medium
5

Clean and consolidate the Google account

Archive the paused, test, and duplicate (new-pending) campaigns so the account is legible and the pending rebuild launches from a clean base.

Impact LowEffort Low
This memo covers Los Altos only. Mountain View will be added as a second practice when its data is available. Google Ads figures are pulled from account 112-277-9235 and reconciled to Wonderist's June dashboard, which match exactly ($7,182 spend, 18 conversions, $399 cost per conversion, 3.14% rate). Facebook, organic, and social figures are from the Wonderist June 2026 dashboard.