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Local Dental Practice with Phone Conversions
Attribution analysis for a local dental practice with 50 new patients, mixed online/offline channels, and phone as primary conversion mechanism. Demonstrates handling the 'phone gets all credit' problem and reveals hidden value in direct mail.
Input
What you provide to the skill
Local dental practice - 50 new patients, mix of Google Ads, Facebook, direct mail, referrals. Most call to book. 1-7 day cycle.
Output
What the skill generates for you
Attribution Model Comparison Results
Credit Distribution by Model
Last-Touch Attribution:
- Phone Call: 72%
- Google Ads: 12%
- Facebook Ads: 8%
- Direct Mail: 4%
- Referrals: 4%
Position-Based (Marketing Channels Only):
- Google Ads: 33%
- Organic/Maps: 24%
- Facebook Ads: 16%
- Direct Mail: 15%
- Referrals: 12%
Linear (Marketing Channels Only):
- Google Ads: 30%
- Organic/Maps: 26%
- Facebook Ads: 18%
- Direct Mail: 14%
- Referrals: 12%
Time-Decay (Marketing Channels Only):
- Google Ads: 36%
- Organic/Maps: 22%
- Facebook Ads: 17%
- Direct Mail: 12%
- Referrals: 13%
First-Touch:
- Google Ads: 40%
- Organic/Maps: 24%
- Facebook Ads: 16%
- Direct Mail: 12%
- Referrals: 8%
The Problem with Last-Touch
Last-touch is broken for call-driven service businesses:
- “Phone Call” gets 72% credit
- Phone is a conversion mechanism, not a marketing channel
- No visibility into what drove the call
Key Insights
Direct Mail: Invisible to Non-Existent
- Currently getting 0% visibility in basic tracking
- Actually drives 12-15% of patient value
- Works as top-of-funnel driver leading to brand search
Google Ads vs. Organic:
- Google Ads: Appears as 40% (last-touch) but really 33-36% (multi-touch)
- Organic/Maps: Hidden in last-touch, but drives 22-24% of value
Recommendation: Position-Based Attribution
Why this fits:
- Short sales cycle (1-7 days) but multi-touch journeys (60% have 2+ touchpoints)
- Clear stages: awareness (direct mail, ads) → consideration (website, maps) → conversion (phone)
- Values both discovery AND conversion actions
- Most common for local service businesses
Why NOT Time-Decay:
While the cycle is short, the 1-7 day window doesn’t meaningfully differentiate touchpoint value by time. Position-based better reflects the awareness/conversion split.
Why NOT Linear:
Not all touchpoints are equal—initial discovery and final conversion moments matter more than middle touches.
Implementation Requirements
To track attribution accurately:
-
Call tracking numbers per channel
- Unique number for Google Ads
- Unique number for Facebook Ads
- Unique number for Direct Mail pieces
- Track forwarding to main line
-
UTM parameters on all digital
- Website links from Facebook Ads
- Google Ads destination URLs
- Track in Google Analytics
-
Updated intake form
- Change from “How did you hear about us?”
- To “How did you FIRST hear about us?”
- Add second question: “What made you call today?”
-
CRM integration
- Log all touchpoints before phone call
- Track days from first touch to conversion
Budget Reallocation Impact
Current Budget: $3,000/month
Current Allocation (Based on Last-Touch Bias):
- Google Ads: $1,800 (60%)
- Facebook Ads: $600 (20%)
- Direct Mail: $300 (10%)
- SEO/Local: $300 (10%)
Optimized Allocation (Based on Position-Based Attribution):
- Google Ads: $1,050 (35%) [-$750]
- Facebook Ads: $480 (16%) [-$120]
- Direct Mail: $450 (15%) [+$150]
- SEO/Local: $720 (24%) [+$420]
- Referral Program: $300 (10%) [+$300 NEW]
Expected Outcomes
Immediate (Month 1-3):
- More balanced marketing mix
- Better visibility into true channel performance
- Reduced over-reliance on paid search
Medium-term (Month 4-6):
- Stronger organic presence from SEO investment
- Direct mail-to-search journeys increase
- Referral program generates predictable patient flow
Long-term (Month 7-12):
- Lower overall cost per patient (less paid ad dependency)
- More defensible patient acquisition (own your organic presence)
- Compounding returns from referrals and SEO
Validation Framework
Test if position-based attribution predicts future performance:
- Month 1: Implement tracking and measure baseline
- Month 2-3: Shift 20% of budget based on position-based model
- Month 4: Compare:
- Did channels predicted to perform better actually deliver?
- Did cost per patient decrease?
- Did patient quality remain consistent?
- Month 5+: Full reallocation if validation successful
Quick Wins
This Week:
- Set up call tracking for Google Ads and Direct Mail
- Update website intake form question
- Add UTM parameters to Facebook Ads
This Month:
- Launch small referral incentive ($50 credit for both parties)
- Increase SEO budget by $200 (content, local listings)
- Test Direct Mail to different neighborhood
This Quarter:
- Build full attribution dashboard
- Optimize based on 90 days of clean data
- Create patient journey documentation
Model Selection Rationale Summary
| Model | Fit for Your Business | Reason |
|---|---|---|
| Last-Touch | ❌ Poor | Over-credits phone calls (not a channel) |
| First-Touch | ⚠️ Partial | Shows awareness, ignores conversion journey |
| Linear | ✓ Acceptable | Simple, fair, but doesn’t reflect importance hierarchy |
| Time-Decay | ✓ Good | Short cycle fits, but days don’t meaningfully differ |
| Position-Based | ✓✓ Best | Values awareness AND conversion, fits 2-3 touch journeys |
Bottom Line: Position-based attribution will reveal that you’re over-investing in Google Ads (last-touch bias) and under-investing in the channels that create awareness (direct mail, SEO, referrals). The 1-7 day cycle with 2-3 average touchpoints is the perfect fit for this model.
About This Skill
Compare marketing attribution models and get data-driven recommendations. Analyze how first-touch, last-touch, linear, time-decay, and position-based models credit your channels differently for smarter budget allocation.
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