In this episode of the Less Insurance Dependence podcast, host Don Adeesha welcomes back Naren Arulrajah, Founder and CEO of Ekwa Marketing, for a conversation about the part of marketing most dental practices overlook entirely: conversion. Practices spend heavily on driving traffic to their website, but the real question is what happens after someone finds them. Are they calling? Are they scheduling? Are they becoming the kind of patient the practice actually wants more of? 

Naren argues that traffic is rarely the real problem. Most practices already have more opportunities than they realize; the leak happens after that first click. He walks through why call handling deserves just as much attention as SEO, why the popular “Book Now” button is quietly costing practices patients, and why AI receptionists can do more harm than good with new patients, even as they have a legitimate role in other parts of the patient journey. 

The conversation closes with a practical starting point for any practice owner who wants to improve conversion: audit the full patient journey, know your keyword visibility, know your conversion rate, know your missed call percentage, and know your true cost per new patient. Naren’s benchmark numbers are specific and are the same ones Ekwa Marketing uses with clients 70% of new patient calls should be booked, and 95% of calls should be answered during working hours. Get those two numbers right, and every marketing dollar already being spent works significantly harder.

Key Takeaways
  1. Traffic is rarely the real problem — quality and follow-through are. The right measure of traffic quality is how many relevant keywords a practice ranks for in the top 10 across Google Search, Google Maps, and Google AI Overview, which Google reports is now used by 2.5 billion people monthly, roughly three times ChatGPT’s user base. 
  2. The average dental practice only books one out of every three new patient calls — and that waste compounds. If a hundred new patients call and only a third book, two-thirds of every marketing dollar spent to generate that call is wasted, and many of the patients who don’t book will never call again and may leave a negative review. 
  3. The “Book Now” button is frequently broken, and almost nobody is checking it. Naren has seen clients click their own book now button, cringe at what they found, and remove it the same day. Every extra question and every intrusive information request lowers completion. The bar: the process should take under two minutes with no unnecessary friction. 
  4. AI receptionists should not answer new patient calls — but have a real role in rebooking. A new patient calling for the first time is screening for trust, and an AI voice signals they are not important enough for a real person. For rebooking existing patients who already trust the practice, an intelligent AI text-based tool is a legitimate and useful application. 

Episode Timestamps

  • 00:00:05 – Introduction: Why Conversion Deserves as Much Attention as Traffic
    • Don Adeesha introduces the episode topic: conversion, the part of dental marketing that often gets overlooked while practices chase more traffic and more clicks.
    • Naren Arulrajah, Founder and CEO of Ekwa Marketing, joins to unpack what turns online traffic into non-insurance-driven patients, why call handling matters as much as marketing itself, and where practices are quietly losing good patient opportunities.

    Don Adeesha: Welcome back to the Less Insurance Dependence podcast. I’m your host, Don Adeesha. It’s great to have you here. Today, we’re talking about a part of marketing that often gets overlooked: conversion. A lot of dental practices focus heavily on getting more traffic, more clicks, and more people to the website. But the real question is, once those people find you, are they actually taking the next step? Are they calling? Are they scheduling? Are they becoming the kind of patients your practice wants more of? So today I’m joined by Naren Arulrajah, founder and CEO of Ekwa Marketing, to talk about what helps turn online traffic into non-insurance-driven patients, why call handling matters just as much as marketing, and where many practices may be losing good patient opportunities without realizing it. Naren, welcome back to the show.

    Naren Arulrajah: This is going to be a wonderful conversation, Don. I’m looking forward to it. Conversion is when somebody takes one step, and what percentage of them go on to the next step. If somebody goes to your website and leaves, they’re not converting. If they go to a second page, they’re starting to convert. If they call your phone, they’re converting even further. You want every one of these steps optimized, because a lot of blocks can stop you from doing really well.

  • 00:02:15 – Is Traffic Really the Main Issue?
    • Naren’s answer: Traffic is important, but it is not the main issue. What matters is the quality of that traffic, how many relevant keywords and phrases a practice ranks for in the top 10 results on Google, which today spans Google Search, Google Maps, and Google AI Overview.
    • Google reports that 2.5 billion people now use AI Overview every month, roughly three times ChatGPT’s user base. Google still controls 95% of the search market, regardless of which surface people use to find a practice.
    • Naren shares client results: practices that started at near-zero visibility have grown to being seen 30,000, 40,000, even 60,000 times a month, growth that compounds rather than grows linearly once the fundamentals are in place.

    Naren Arulrajah: Practices often think they need more traffic, but traffic is not the main issue. The way I measure traffic is what percentage of people are finding you through sources like Google, because they are quality traffic, because they typed in "dentist near me" or "dental implants." Google said 2.5 billion people use AI Overview. That’s three times as many as ChatGPT every single month. Doesn’t matter which way people are finding you; Google still controls 95% of the market. Many of our clients are seen 30,000, 40,000 times, some even 60,000 times. When they start with us, they’re seeing zero times or a hundred times. Then slowly but surely, when you work on it, it compounds. It doesn’t grow 10%, 20%. It goes from 300 to 20,000.

  • 00:04:08 – Attracting High-Value, Non-Insurance Patients: Reputation and Proof
    • For practices that want patients who are not asking "is it covered by insurance," Naren points to reputation as the second lever: 10 or more new five-star Google reviews every month, and strong landing pages with real before-and-after evidence for services like Invisalign.
    • Awards matter more than most practices realize. Ekwa Marketing’s internal studies show that practices featuring an award on their homepage convert up to 50% more than practices without one. Once established, trusted compounds are considered in every other decision a prospective patient makes.

    Naren Arulrajah: If you want to attract high-value, high-margin patients who are going to do bigger cases, accept treatment, and invest in their dentistry, look at reputation. Are you getting 10 or more five-star reviews every single month on Google? Do you have a wonderful landing page with the evidence to convince them you’re the right choice, the full case after pictures, the transformations? Another way to earn trust is through awards. If you’ve won any awards, highlight them on your homepage. We’ve done studies, and people who have won awards tend to convert sometimes 50% more than people who have not, just from that award being featured. People trust you implicitly.

  • 00:05:52 – Why Call Handling Matters Just as Much as the Marketing Itself
    • At least 85 to 90% of dental patients book their first appointment through a phone call, not a form. The call is a validation step; people are reaffirming what they already saw on Google, on reviews, and on the website.
    • The average dental practice only books one out of every three new patient calls. That means, on a hundred new patient calls, roughly two-thirds of everything that generated that call, the SEO, the reviews, the reputation work is wasted, and those unbooked callers rarely call back and may leave a negative review instead.

    Naren Arulrajah: People today, at least 85 to 90% of them, book their first appointment after making a phone call. The reason they call is that they want to make sure they made the right decision; they don’t want to waste their time, book an appointment, come there, and find out it’s the wrong dentist. If that validation is not happening, the average dental patient is only booking one out of three new patient appointments. Two problems with that. One, two-thirds of everything you do, the reviews, the reputation, the before and afters, the SEO, is getting wasted. If you’re spending a hundred thousand dollars, $66,000 is getting wasted because of this. The second implication: those who don’t book never show up again. They write you off, and might even leave a nasty review.

  • 00:08:40 – The Benchmarks: 70% Booking Rate, 95% Answer Rate
    • Naren’s specific benchmarks: 70% of new patient calls should convert into a booked appointment, and 95% of all calls should be answered during working hours. Practices hitting those numbers should keep doing what they’re doing; practices below them should invest in fixing the gap early.
    • The multiplier effect: moving from a 25% conversion rate to a 70% conversion rate is roughly a 3x amplification on every marketing dollar already being spent, without spending anything new on traffic generation.

    Naren Arulrajah: For me, the benchmark is 70% of new patients should be booking appointments, and 95% of all calls should be answered during working hours. If you are hitting those benchmarks, keep doing it. But if you’re not, I would invest in that early in the cycle, because that way every marketing dollar is now amplified. Seventy percent conversion versus 25%, that’s a three times amplification. You’re getting three times the benefit with the same marketing.

  • 00:10:12 – The "Book Now" Button Problem
    • The "Book Now" button has become popular, but Naren has repeatedly seen it fail in practice. Clients who click through their own button with him have cringed and removed it the same day, because it either doesn’t work technically or asks for too much personal information too soon.
    • Two separate failure points: the amount of friction (how many questions are asked) and the intrusiveness of that friction (how personal those questions feel to someone with zero relationship with the practice yet). Naren has seen click-through rates where only about 5% of clicks convert into a completed booking.
    • The fix is not complicated: the process should take under two minutes, ask nothing intrusive, and work reliably across every device, from desktop, iPhone, and Android alike. Test it personally and repeatedly rather than assuming it works.

    Naren Arulrajah: The book now button has become popular in recent years. I’ve seen many of our clients putting it on, but when we actually clicked on it with the client and showed them what was going on, our clients cringed and immediately took it off. Put yourself in the shoes of the customer, er, would I go share personal information with someone I don’t know, like, or trust yet? One of the things I noticed is that many people are clicking, but only like 5% are booking. We are literally bringing our best quality patients to the front door, and then we keep this huge, scary-looking bulldog at the front, and everybody walks away. It should be less than two minutes. It shouldn’t have any intrusive questions. It should work on every platform and load up fast.

  • 00:13:05 – Where AI Receptionists Go Wrong With New Patients
    • A new patient calling for the first time is screening for trust. An AI voice signals, in Naren’s words, that "you are not important enough for me to answer the call myself." The moment a caller realizes they are speaking to AI rather than a trained human, trust drops immediately.
    • Naren’s analogy: it is like showing up at someone’s house and being greeted by a servant instead of the host, being told to wait even though you arrived on time. It signals the caller is not valued, regardless of how good the underlying technology is.
    • AI does have a legitimate role, especially in rebooking existing patients who already trust the practice, using an intelligent text-based conversation rather than a simple yes/no time slot prompt. That is a low-stakes function, not a trust-building one, and existing patients generally don’t mind whether it’s AI or human for that purpose.

    Naren Arulrajah: Trust is probably the most important thing in healthcare. When they’re screening, they’re screening you for trust. The problem with an AI receptionist right off the bat is that it’s telling them: you are not important enough for me to have someone in my team who I have trained to answer the call. It’s kind of like going to somebody’s house and instead of the host coming to greet you, they send a servant. It doesn’t matter how beautiful the house is; you get turned off. So I wouldn’t use it for new patients. But AI has a role, especially in rebooking, because it can have a conversation: " Hey, you missed your last appointment, we want to rebook you. They already have trust in your practice. In those cases, I would use an AI text-based, intelligent rebooking tool.

  • 00:16:41 – Where to Start: Auditing the Full Patient Journey
    • Naren’s starting point for any practice owner: look at the full patient journey using Google Analytics rather than manual keyword checks, which won’t give the full picture. A practice should be showing up for 20 to 30 different keywords per service category, such as dental implants, Invisalign, sedation, emergency, and any other service that matters.
    • Next, audit and remove anything actively hurting conversion, broken "Book Now" buttons, slow-loading websites, or pages that don’t work across every device. Google Lighthouse and the Chrome UX (CRUX) tool can objectively score whether a website is performing.
    • Finally, track the numbers: conversion rate (target 70%+), missed call percentage (target under 5%), and true cost per new patient across different marketing channels so the budget can shift toward the channel producing the lowest cost per booked patient.

    Naren Arulrajah: Start by looking at the full patient journey. Are you showing up on Google for the services you care about? Use Google Analytics, don’t manually type it in. Then look at things hurting you, like the book now button that turns people off, get rid of it if it’s broken. Google provides tools like Google Lighthouse and the CRUX tool to look at the customer experience. Then look at the conversion rate and the number of new patients calling versus booking. That’s a conversion rate. How many calls are not getting answered during office hours that’s your missed call percentage, and you want that under 5%. You want the conversion rate higher than 70%. And finally, look at the cost of a new patient across different methods, so you can put more money into the channel that’s working.

  • 00:18:53 – Sponsor & Closing: Book a Marketing Strategy Meeting
    • Naren closes by pointing listeners toward a comprehensive audit if they want more than a self-assessment: a complimentary marketing strategy meeting with Ekwa Marketing, which involves roughly six hours of research per practice and delivers a written report identifying specific gaps and next steps.
    • Book at lessinsurancedependence.com/msm. Don closes the episode with a direct challenge to listeners: look at your website, your calls to action, and your book now button, and honestly ask whether you’re making it easy for the right patient to choose you.

    Naren Arulrajah: If you want some serious people who know what they’re doing to do comprehensive research, book a marketing strategy meeting. The link is lessinsurancedependence.com/msm. Book that meeting, and it’ll help you fine-tune what you’re doing, help you find your gaps, and find the things that are holding you back. We spend six hours creating it, then you can decide what to do with it.

    Don Adeesha: Thank you, Naren, for this wonderful conversation. Now, for our dentists listening in, take a moment after this episode to look at your website, your calls to action, your book now button, and really ask yourself: are we making it easy for the right patient to choose us? If you want help answering that question, go ahead and book that complimentary marketing strategy meeting at lessinsurancedependence.com/msm. You can also book a complimentary Coaching Strategy Meeting with Gary Takacs at lessinsurancedependence.com/csm. Thank you for listening to the Less Insurance Dependence podcast. I’m your host, Don Adeesha, and we’ll see you on the next one. Take care.

Patients really do not care about what the cost is if they receive a tremendous value — because the value you receive is more important than the money you spend. People don’t want to just buy something. What they want is a relationship.

Mike Sonick

Leadership is what holds everything together. If there’s no leadership, everything crumbles down.

Lester De Alwis

Resources


Gary Takacs

Gary Takacs One of Gary's most significant achievements as a dental practice management coach is transforming his own practice, LifeSmiles, from one that was infected with PPO plans, no effective marketing strategy, and an overhead of 80% to a very successful dental practice that is currently one of the top-performing practices in the US.

With over 2,200 coaching clients, Gary has first-hand experience transforming insurance-dependent practices into thriving and profitable practices.

Through his Personalized Coaching Program, Gary shares access to the systems, strategies, processes, and experience gained over 41 years of coaching dentists and transforming over 2200 practices worldwide.

Learn More: www.thrivingdentist.com/coaching/
Connect with Gary Takacs on Linkedin

Naren Arulrajah

Naren ArulrajahAs CEO of Ekwa Marketing, Naren has over a decade of experience working with dental practices and helping them attract the ideal type of patients to their practices. It is his goal to help dentists do more of the type of dentistry they love with the help and support of effective digital marketing.

Ekwa’s "Done-For-You" Digital Marketing model blends fundamental persuasion principles with an all-in-one Digital Marketing solution to help your ideal patients find you and choose you for reasons other than being on their insurance plan.

If you’re interested in finding out if Ekwa is the right fit for you and your practice, book a Free Marketing Strategy Meeting with Ekwa’s Marketing Director, Lila Stone.

Book Free Marketing Strategy Meeting: www.lessinsurancedependence.com/marketing-strategy-meeting/

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