AI SEO Case Studies
32 engagements where AI SEO was part of the scope, across 3 sectors. The same service runs differently in each — the breakdown below is why.
What AI SEO covers as a serviceHow AI SEO differs by sector
Win the Local Pack first — it is still 93% of local-intent queries — then attack AI citation off-site, where 77% of it actually comes from.
All HVAC case studiesLocal health queries only return an AI Overview about 11% of the time. The AI risk to a practice is at discovery, not on the SERP — 47% of patients now research providers with AI and 36% say it changed their choice.
All Dental case studiesTwo different fights. Local-intent insurance queries return a Local Pack 92–96% of the time. Commercial queries return an AI Overview about 63% of the time. One is a profile problem, the other is a citation problem.
All Insurance case studiesThe engagements

Austin's oldest full-trade contractor was buying its own name back
$514 $393

Serving Houston since 1998, invisible to every AI assistant
index 100 index 150

42,000 systems installed and not one of them in an AI answer
$514 $393

A $17.76 service call is a great hook and a terrible measurement unit
$514 $393

A century of Rochester goodwill, published on Blogspot
$540 $345

117 years of Manhattan PTAC expertise, none of it published
index 100 index 190

Two Google profiles, two review counts, one confused local footprint
$643 $411

Twelve Washington towns, six Oregon suburbs, no landing page for any of them
$540 $345

170,000 jobs of proof, none of it where assistants look
index 100 index 240

Family-owned since 1965, and not one page for a single town it serves
$643 $411

Sixty-five years, no address on the site, and two 404s in the navigation
index 100 index 240

Seven offices, one brand, and a search footprint fighting itself
40% 60%

Emergency dentistry is a speed business being run on a callback form
$180 $114

The most modern stack in the book, ranking on none of its strengths
index 100 index 240

The footer said 2013–2020. So did the rankings.
11% 37%

The only genuinely bilingual practice in Miami-Dade, bidding in English
$214 $136

Digital smile design, teeth in a day, and no Spanish in South Miami
26% 50%

When you don't control the website, you win everywhere else
$214 $136

Half the domain didn't resolve, and nobody had noticed
11% 37%

An AACD Fellow, a board-certified endodontist, and a domain that doesn't match the brand
$170 $123

North Jersey's largest multi-specialty clinic, with no Spanish page in Paterson
11% 37%

All-on-4 at the top of the nav, and nothing to be found for underneath it
26% 50%

3,113 reviews and no named source for a single one of them
44% 64%

Airway therapy, tongue-tie release, facial aesthetics — and no blog to explain any of it
26% 50%

Named for a neighbourhood in a different city, four miles from another client
$216 $112

Five dentists, an oral surgery arm, and no 'Book Now' in the navigation
index 100 index 240

Two states, no addresses, and an https that downgrades itself
26% 50%

Four Denver offices, one contact page, zero location pages
$1,124 $417

Forty years, four offices, two states — on an SMB website builder
11% 37%

Founded 1923, running WordPress 5.9.5
11% 37%

Promises top national carriers, names two
26% 50%

The best-built insurance site in the book, bidding on personal auto
$529 $298