From Startup to National Dental Brand

Client Overview

Founded: 2018 (launched 2019)
Headquarters: Nashville, Tennessee
Employees: 650+
Studios: 33 locations (NYC, DC, Boston, Atlanta, Nashville, Connecticut)
Funding: $200M+ (GV, Addition, Tiger Global, Redpoint)
Mission: To make going to the dentist something to look forward to.

Tend is a fast-growing, venture-backed dental startup redefining the dental experience with hospitality-inspired studios, transparent pricing, and advanced tech integration. With rapid expansion across major U.S. cities, Tend serves over 100,000 patients and has become one of the top-rated dental providers in the country.

Client Challenge

As Tend expanded rapidly from a few studios to over 30, their marketing challenges multiplied:

• Inconsistent visibility across new markets: Each city had different performance and rankings.
• High CAC pressure: Investors required strict cost-per-acquisition controls for scalability.
• Fragmented data: Paid and organic efforts weren’t connected, making ROI unclear.
• Underperforming landing pages: Creative design wasn’t translating to booked patients.
• Missed opportunities after hours: No automated response to patient inquiries or bookings.

They needed a system built for precision, automation, and scalability, not another agency retainer.

Solution - G-SITE’s Sales-First System

1. Website Redesign - Built for Conversion, Not Just Branding

G-SITE rebuilt Tend’s website structure with a focus on speed, patient trust, and data tracking.

• Dynamic location pages for each city
• Mobile-first UX with “Book Instantly” functionality
• Studio-specific SEO optimization
• Conversion tracking integrated with Tend’s CRM

Result: 2.8× increase in appointment bookings sitewide.

2. SEO - Dominating Local Search

• Optimized for “dentist near me” + “Tend” + local modifiers across all markets
• Added schema markup for services, reviews, and availability
• Built internal linking to elevate authority for each studio

Result: +84% organic traffic and top-three Google rankings in five metro areas.

3. Local Ads - Visibility That Converts

• AI-driven ad automation for 30+ regions
• Hyper-local targeting (e.g., “dentist SoHo” vs “dentist NYC”)
• Keyword strategy refined to lower CPC and boost qualified conversions

Result: 400% MoM lead growth with CAC reduced by 32%.

4. AI A/B Testing - Continuous Optimization

• Automated headline and CTA testing for each landing page
• Real-time performance tracking across studios
• AI-driven promotion of top-performing variants

Result: 3.6× improvement in form and booking conversions within 60 days.

5. AI Chat & Booking - 24/7 Conversion Assistant

• Custom G-SITE AI assistant for live Q&A and real-time appointment booking
• Integrated directly into Tend’s internal scheduling system
• Handles after-hours requests automatically

Result: 18% of all new patient bookings originated after hours.

Results

20%+ increase in new patient bookings in 90 days
400% MoM lead growth across all active markets
84% increase in organic traffic
32% lower CAC within investor targets
18% of new bookings after hours via AI Chat
Consistent data attribution for all 33 studios

“G-SITE’s level of service and their Sales-First System are truly second to none. They didn’t just give us more leads they helped us understand where growth really comes from.”
Emily Pitcher, CMO, Tend

Conclusion

Tend’s vision was to make dentistry patient-first. G-SITE’s mission was to make its marketing profit-first.

By integrating AI booking, SEO, local ads, and conversion optimization into one system, Tend turned complex, multi-city marketing into a scalable engine for predictable growth. With measurable ROI and unified performance data, Tend is now positioned as a national leader in patient-first dentistry running smarter, scaling faster, and growing profitably.