Gary Takacs: Well, Naren, I've got some questions for you. Actually I have 5 questions for you, and I'm gonna close by asking myself a question. So, how about we start with the ones I have for you? Is that all right? Naren Arulrajah: Sounds like a plan, Gary.
Gary Takacs: All right, here's question number 1. So Naren, let's settle this for once and for all. Should a dental practice run Google Ads or not? So a very blunt question. I'll be curious to hear your response.
Naren Arulrajah: Yes, you're throwing the curveball right out of the pitch.
Gary Takacs: No, no, it's sitting on a tee. It's a 16-inch softball sitting on a tee, and if you can't hit this one, Naren, then we've got to really have a conversation. Naren Arulrajah: Makes sense. I take your challenge for sure.
Gary Takacs: Yeah.
Naren Arulrajah: Should a dental practice run Google Ads? Yes or no? Good question. And I'm gonna give you a nuanced answer, and I think the answer is it depends. And I'll tell you when I would run Google Ads. So. The one where it makes total sense in 2026 is for a startup practice, and let me explain why. Because when you buy a practice, what are you buying? You're buying an active patient base. They call it the goodwill, and you write a million-dollar check to acquire, let's say, 1,500 active patients, right? So you're like, OK, each patient, I'm paying this seller $700. I'm making this up, of course, it might depend on where you are. And the quality of the patient, revenue, everything else. But just for simplicity's sake, that's what you're buying. Now imagine you are a dentist, early, young dentist or mid-career dentist, and you want to do it your way, not just do it your way in terms of taking over a practice and improving it, like buying a used home. You want to build a brand new home, you want to hire the contractor, you want to start from scratch, just do it your way. Now, if you're one of those people who want to do it your way, and you've already decided that's the path, and you've already invested, let's say $400,000 doing the leasehold improvements, buying the technology, doing whatever you need to do to build this perfect practice, day one, you have zero new patients, right? Now, you can continue to burn through money every month. Remember, every month you're open, you have to pay your team members, you have to pay your rent, you have to pay the bosses who sold you the leasehold improvements. You have to pay the people who sold you the technology. So you have a monthly check going to the bank, which financed all of this. Let's say 10,000, and you have all the other expenses, the rent, the employee cost. Another 15,000. Again, you're being very stingy and you're being careful with your money, but still, you are in the hole on day one of every month, $25,000. I'm just making up a number, whatever the number is. And now you are bleeding money every month, losing 25. You're not getting paid anything, you're losing 25. Now, what would I do if I was in that situation? I somehow need to start acquiring patients ASAP. Now, we're going to get into the nuances of is Google Ads the best way to get new patients, and the short answer is it's going to be 5 to 10 times more expensive compared to the organic method. So it is not the best, but given the option of losing $25,000 month after month and not getting paid month after month, you know what, I might acquire that new patient for $500. So in those cases, I would say Google Ads, Gary, does make sense because you want to get as many new patients as you can as early as possible, even though it's really, really hard, you want to do that, so Google Ads makes sense.
Gary Takacs: This is what I'm hearing you say, correct me if I'm wrong here, but the biggest advantage is speed. Naren Arulrajah: It is speed.
Gary Takacs: It is kind of like if you just really need a gallon of milk, you go to the convenience store.
Naren Arulrajah: Exactly.
Gary Takacs: It's on the corner. It's right there. You overpay for it, but you want the gallon of milk in your fridge, instead of going to the grocery store and farther drive, it's not as convenient. It takes you longer. Is that a fair analogy?
Naren Arulrajah: Yes, one is cost, meaning you're spending a lot more. The other one is quality. When you go to that grocery store, they might have organic, local farm, right? As opposed to convenience store. They don't care. Like, as long as it's milk and nobody's going to die, they're going to sell you that milk. So quality is the other thing that you are giving up on. Why? People are clicking on you by clicking on an ad, which means they're thinking, what's wrong with this guy, I imagine. Sometimes when you walk in a busy city, there are people outside a restaurant dressed as a clown inviting people in.
Gary Takacs: I've seen that, or people standing on the street inviting people in. Naren Arulrajah: I've seen that in every tourist destination, I was traveling a lot this year in Europe, it's just like people literally calling you in to come into the carnival barkers trying to bring you into the restaurant.
Gary Takacs: Yeah, so of course.
Naren Arulrajah: I usually don't walk in, but even if I do, I'm thinking, what's wrong? So the first thing I do is I'm looking at the menu. Is it really the place I want? I might even, by the way, those restaurants probably don't have Michelin stars.
Gary Takacs: They don't, they don't.
Naren Arulrajah: And usually you get what you pay for, because somebody, if they have to stand on the street and invite you in, you know what, they may not be the best anyways. Only reason I might go in there is if I'm really, really hungry and I have no other option, then I might walk in.
Gary Takacs: Well, they've got a table available.
Naren Arulrajah: Yeah, they've got a table available, and they are inviting me in. So I think that's the problem with ads, especially in healthcare. Why? Because people don't trust ads, Gary. Think about it, healthcare is all about trust, trust, trust, trust. So, ads is the opposite of trust. Imagine Apple running an ad saying, I'll give you 50 bucks off, here is an ad, buy my iPhone. Will you ever see an ad from Apple saying, buy my iPhone? They won't, because the minute they do that, the trust people have that it's a premium product that people want to have gets killed. So it's the things you don't do. So from that perspective, it is not a good idea, but if you are losing 25,000 and not making a dime, then, hey, you know what, not a bad idea, right? So you may want to lean into it.
Gary Takacs: My own perspective on that, I'll answer that question. Should a dental practice run Google Ads or not? And I think you stated it correctly, it depends. It's not a replacement for a comprehensive marketing strategy. It can work as a complement to your marketing, so it's part of a marketing plan. It's not the only thing. Let me go to the second question.