The best marketing agency for most orthodontic practices is Ortho Marketing: twenty-plus years working only with orthodontists and dentists, Meta and Google advertising alongside its own SmileHub CRM and call centre, and hundreds of practices behind it. O360 is the pick if the website is the real problem and you want no long-term contract; HIP Creative is the pick if you want staff and treatment-coordinator training bundled with the media. Nobody in this category publishes a price. All eight agencies below were verified against their own live sites in September 2026.
Full disclosure
No agency paid for placement on this list, and there are no affiliate links or referral fees on this page. Karbon Agency publishes this list and appears on it; we are placed by the same score as everyone else, and on several of our lists that means we are not first.
The ranking, side by side
Ranked by the score below, which is explained in full under “How we ranked these”. The pricing and lock-in columns are the reason this page exists — almost no other list in this category will tell you what these agencies charge.
#
Agency
Score
Best for
Pricing
Lock-in
1
Ortho Marketing
60/100
practices that want the full stack — Meta and Google ads, CRM and a call centre — from one orthodontic-and-dental-only team
Pricing not published — quoted after a call
Not published
2
O360 (Optimized360)
59/100
practices whose site is the bottleneck and who will not sign a long-term agreement for one
Model published (design fee + monthly), figures not published
No long-term contract, stated on site
3
HIP Creative
58/100
practices that believe their conversion problem is the front desk, not the ad account
Pricing not published — quoted after a call
Not published
4
Karbon Agency *
57/100
practices that want Google and Meta ads driving free-consult bookings, with a dashboard tying every dollar to a started case
Published: intro tiers from $500/month
None — month-to-month
5
Sagapixel
56/100
practices that want Meta and Google ads run month-to-month against a stated cost per lead
Pricing not published — quoted after a call
Month-to-month, stated on site
6
ProSites
55/100
practices that want the most-endorsed vendor in dental and a patient-communications stack in the same subscription
Pricing not published — quoted after a call
Not published
7
Smile Marketing
51/100
referral-led practices in less competitive markets that want an organic-first program
Three plan tiers published without figures
Not published
8
Ortho Sales Engine
50/100
practices that want the most orthodontic-exclusive team on this list and will do the diligence on a call
Pricing not published — quoted after a call
Not published
9
Gargle
49/100
practices chasing high-value Invisalign and clear-aligner cases rather than volume
Pricing not published — quoted after a call
Not published
* Karbon Agency publishes this list — see the disclosure above. All other rows are based on each agency’s own published materials as of September 14, 2026.
Best for: practices that want the full stack — Meta and Google ads, CRM and a call centre — from one orthodontic-and-dental-only team
Strengths
Works only with orthodontists and dentists, and has done for more than 20 years
The most complete service list here: websites, SEO, Facebook and Meta advertising, PPC, retargeting, social, reputation management, branding and video
Runs its own SmileHub CRM and a call centre, which closes the gap between a lead arriving and a consult being booked — the place most orthodontic marketing actually leaks
Considerations
No pricing and no contract terms are published anywhere on the site
Its "#1 Orthodontist Marketing Agency" and "best in North America" claims are self-declared, with no third-party certification, award or review count behind them
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
Best for: practices whose site is the bottleneck and who will not sign a long-term agreement for one
Strengths
The plainest terms in this category: "one design fee and a low monthly for hosting and support, with no long-term contract"
Founded in 2003 by Dr. Sean Fahimi, a practicing dentist, with 3,100+ websites built, 434+ five-star Google reviews and a published 94% retention rate
Names orthodontics among the 41 specialties it designs for, and includes HIPAA-compliant hosting and email
Considerations
Publishes the pricing model but not the number — "Tell us about your practice and we will send an exact, no-pressure number"
A website company first: PPC and social are offered, but orthodontic consult conversion, treatment-coordinator training and CRM are not part of the product
Pricing: Model published (design fee + monthly), figures not published · Lock-in: No long-term contract, stated on site
Best for: practices that believe their conversion problem is the front desk, not the ad account
Strengths
Bundles staff training and coaching with the media — the only agency here that treats treatment-coordinator performance as part of the marketing engagement
Publishes 600+ practices served, holds Google Partner certification and is an ActiveCampaign Certified Consultant
Integrates with the systems orthodontists actually run — PracticeBeacon, Cloud 9 and Rhinogram appear as named platform partners
Considerations
Not orthodontic-only: it also serves cosmetic, pediatric, implant and general dentistry, periodontics, oral surgery, dermatology and audiology, and the 600+ figure is not broken out by specialty
No pricing, contract terms, founding year, review count or guarantee appears anywhere on the site
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
Best for: practices that want Google and Meta ads driving free-consult bookings, with a dashboard tying every dollar to a started case
Strengths
AI-driven reporting — a live dashboard shows what every ad dollar did, down to the lead
No lock-in: month-to-month terms, cancel anytime
Published intro tiers starting at $500/month, so you know the cost before the first call
Considerations
Small, newer team — we don't have a decade-deep case-study library yet
Not an orthodontic specialist — no treatment-coordinator training, no ortho CRM and no Cloud 9 or PracticeBeacon integration, which is exactly where the specialists above earn their fee
Best for: practices that want the most-endorsed vendor in dental and a patient-communications stack in the same subscription
Strengths
By far the strongest published proof on this list: 20+ years, 7,500+ practices, a 4.8/5 rating from 500+ reviews, 16+ state dental association endorsements and seven Townie Choice Awards
Covers Google Search Ads, social media ads, social management and video alongside websites and SEO
Adds the operational layer — AI chat, online booking, bill pay, forms, insurance verification and a phone system
Considerations
Names "specialty dentistry" rather than orthodontics specifically, and the site is built around general dental practices
No pricing figures and no contract term are published; the pricing page names plans without numbers
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
Best for: referral-led practices in less competitive markets that want an organic-first program
Strengths
Publishes a real three-tier structure with the fit spelled out — Essential for "referral practices or those in smaller, less competitive jurisdictions," Premium for growing practices, Ultimate for multi-practitioner offices
Names orthodontists directly among the dental specialties it serves
Every tier includes website design, custom copywriting and local SEO, with blogging, email, reputation management and review automation added higher up
Considerations
The tiers carry no dollar figures at all, and paid advertising management is described only as "discounted" with no rate
The thinnest firmographic proof here — no founding year, client count, review count or guarantee is published
Pricing: Three plan tiers published without figures · Lock-in: Not published
Best for: practices that want the most orthodontic-exclusive team on this list and will do the diligence on a call
Strengths
The only genuinely orthodontic-exclusive agency here — "a full-service practice growth agency that develops highly customized, repeatable marketing systems for orthodontists"
Frames itself around sales systems rather than media volume, which matches how orthodontic revenue is actually produced: consults started, not leads counted
Considerations
Publishes almost nothing verifiable — no client count, founding year, review count, award or named service list
No pricing and no contract terms, so every fact about the engagement has to come out of a sales call
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
Best for: practices chasing high-value Invisalign and clear-aligner cases rather than volume
Strengths
Dental-only and explicit about the goal — attracting "high dollar cases", with Invisalign named directly
One of the few here still doing direct mail alongside PPC, social ad management, SEO, reviews and Google Business optimisation
Bundles online scheduling and forms, plus affiliate call-centre and insurance-verification services
Considerations
Publishes no founding year, client count or review count; its headline case study (35 to 350 new patients a month) carries no timeframe or attribution detail
No pricing and no contract term — "Configure your plan" routes to a demo booking
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
How we ranked these
Every agency is scored out of 100 across five weighted dimensions. The weights are fixed across every list on this site, so a 78 here means the same thing as a 78 on any other niche.
Niche specialization30 points
How much of the agency's actual business is this one industry. A shop that works only in this niche scores full marks; a generalist that lists it among twenty verticals scores about half.
Pricing transparency20 points
Does it publish what it charges on its own website. Full marks for real numbers you can read before a sales call, partial for a published budget framework or starting-at figure, zero for "contact us".
Proof and reviews20 points
Verifiable evidence on its own site: years in business, client counts, named case studies, third-party review counts, Google/Meta partner badges. Unsourced hype counts for nothing.
Service fit20 points
Whether the service mix matches what this industry actually needs to get customers, rather than what is easiest to sell.
Contract flexibility10 points
Month-to-month terms and client ownership of the website, ad accounts and data score highest; undisclosed or multi-year terms score lowest.
Every agency here was checked against its own live website. Pricing, contract terms, client counts and review counts are only stated where the agency publishes them — everything else is recorded as "not published" rather than guessed at. Scores are ours, they are subjective, and the rubric above is published so you can disagree with them.
Last reviewed by Seva Kogan, Founder. We refresh these lists when something real changes — a price, a contract term, an agency going dark — not on a schedule.
Frequently asked questions
What does orthodontic marketing cost?
Not one of the eight agencies verified here publishes a price, which puts orthodontics alongside dermatology as the least transparent niche we have scored. The closest anyone gets is structural rather than numeric: O360 publishes its model ("one design fee and a low monthly for hosting and support"), Smile Marketing publishes three named tiers with no figures, and Sagapixel's contact form sorts prospects into bands of under $1,000, $1,000–$5,000, $5,000–$15,000 and $15,000+ per month. Budget the management fee and the ad spend as two separate lines in every quote you take. What orthodontic marketing costs →
Should orthodontic ads target teens or parents?
Parents, and Meta's own rules make that more than a preference. Meta's health and wellness advertising standards require that ads "promoting or marketing dietary, health, or weight loss or weight gain products and services must be targeted to people at least 18 years or older." Orthodontic treatment sits inside that health-services scope, so the adolescent patient is not a legitimate ad audience even though they are the person in the chair. Target the 30–55 parent, write to the person paying and scheduling, and use the teenager as the subject of the creative rather than its recipient.
Can an orthodontic practice run before-and-after smile photos on Meta?
Generally yes. Meta's health and wellness standards permit before-and-after transformation imagery for cosmetic procedures where the ad is targeted to adults 18+, to "illustrate people using the product or the service, and its impact." The rules that catch orthodontic creative sit elsewhere in the same policy: "statements of inferiority about physical appearance" are prohibited, as are sensational or exaggerated claims. "Fix your embarrassing smile" fails; "18 months of treatment, one patient's result" does not. Written HIPAA authorisation for the patient's images is a separate legal obligation on you, not on Meta.
Why do orthodontic ads get rejected for personal attributes?
Because malocclusion is a medical condition. Meta's Advertising Standards on privacy violations and personal attributes state that ads "must not contain content that asserts or implies personal attributes," and the list expressly includes "physical or mental health (including medical conditions)" and age. Second-person copy — "Are your child's teeth crowded?", "Still hiding your crooked smile?" — asserts knowledge of the reader or their child and is the most common rejection in this category. Describe the treatment and the outcome in the third person instead.
Which orthodontic agencies let you leave month-to-month?
Two of the eight publish terms at all: Sagapixel states "month-to-month contracts," and O360 states "no long-term contract" on its website plan. Ortho Marketing, HIP Creative, ProSites, Smile Marketing, Ortho Sales Engine and Gargle publish nothing. That is not proof of a long agreement — but it does mean the term is a negotiation you have to open yourself, in writing, before signing.
Do I need an orthodontic specialist or will a dental agency do?
The economics are different enough that it matters. A general dental practice sells many small procedures to many patients; an orthodontic practice sells a handful of $4,000–$7,000 cases a month, and the whole game is consult-to-start conversion rather than lead volume. That is why the strongest options here — Ortho Marketing with its CRM and call centre, HIP Creative with its staff training, Ortho Sales Engine with its sales systems — all invest past the ad click. A dental generalist that reports leads rather than starts is measuring the wrong thing.
How should an orthodontic practice measure its agency?
On started cases and cost per start, not leads. A lead in orthodontics is a free-consult request, and the gap between requesting a consult, attending it and signing a contract is where most of the money is lost — no-show rates on free consults are the single biggest variable an agency will not want to be measured on. Ask for the full funnel monthly: ad spend, leads, consults booked, consults attended, cases started, and production value of those starts.
Should a practice hire an agency or an in-house marketer?
A single-location orthodontic practice rarely has enough work for a senior full-time marketer, so in-house hires skew junior — and juniors cannot run paid social, local SEO and creative equally well. Agencies spread senior specialists across the account. In-house begins to win at multi-location or DSO scale. We wrote out the full math. Agency vs. hiring in-house →
Want the honest version for your business?
Talk to us and we’ll tell you plainly whether we’re the right fit — and if one of the agencies above suits you better, we’ll say so.