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 service

How AI SEO differs by sector

HVAC · 11 engagements

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 studies

Dental · 15 engagements

Local 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 studies

Insurance · 6 engagements

Two 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 studies

The engagements

Service van parked outside a residential property at dusk
HVACPPCAI SEO

Fox Service Company · Austin, TX

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

Cost per booked job

$514 $393 target

Rooftop commercial air handling units on a flat commercial roof
HVACAI SEOPPC

Northwind Air Conditioning · Houston, TX

Serving Houston since 1998, invisible to every AI assistant

Non-branded organic leads

index 100 index 150 target

HVAC technician servicing a condenser unit outside a home
HVACPPCAI SEO

AirCo Air Conditioning, Heating and Plumbing · Fort Worth / DFW, TX

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

Cost per booked job

$514 $393 target

Service van parked outside a residential property at dusk
HVACPPCAI SEO

Comfort Experts Inc. · Fort Worth / North Texas

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

Cost per booked job

$514 $393 target

HVAC technician servicing a condenser unit outside a home
HVACPPCAI SEO

Betlem Residential Heating & Air Conditioning · Rochester, NY

A century of Rochester goodwill, published on Blogspot

Cost per booked job

$540 $345 target

Rooftop commercial air handling units on a flat commercial roof
HVACAI SEOPPC

Stanley Ruth Company · Manhattan, NY

117 years of Manhattan PTAC expertise, none of it published

Non-branded organic leads

index 100 index 190 target

Sheet metal ductwork being fabricated in a workshop
HVACPPCAI SEO

American HVAC Corp · Queens / New York, NY

Two Google profiles, two review counts, one confused local footprint

Cost per booked job

$643 $411 target

HVAC technician servicing a condenser unit outside a home
HVACPPCAI SEO

All Seasons Heating & Cooling · Vancouver, WA / Portland, OR

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

Cost per booked job

$540 $345 target

Rooftop commercial air handling units on a flat commercial roof
HVACAI SEO

Mercurio's Heating & Air Conditioning · Tacoma / Silverdale, WA

170,000 jobs of proof, none of it where assistants look

Google review velocity and recency

index 100 index 240 target

Rooftop commercial air handling units on a flat commercial roof
HVACPPCAI SEO

Suburban HVAC · Westwood / Boston, MA

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

Cost per booked job

$643 $411 target

Sheet metal ductwork being fabricated in a workshop
HVACAI SEO

Hurley & David · Springfield, MA

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

Google review velocity and recency

index 100 index 240 target

Bright dental practice reception desk with waiting area seating
DentalAI SEOPPC

The Super Dentists · San Diego, CA

Seven offices, one brand, and a search footprint fighting itself

Local Pack top-3 coverage on '[treatment] near me'

40% 60% target

Dental operatory with chair and overhead light, prepared for a patient
DentalPPCAI SEO

OnCall Dental Fresno · Fresno, CA

Emergency dentistry is a speed business being run on a callback form

Cost per booked new patient

$180 $114 target

Panoramic dental x-ray displayed on a clinic monitor
DentalAI SEO

Sacramento Dentistry Group · Sacramento, CA

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

Review rating, volume and recency

index 100 index 240 target

Dentist in scrubs and loupes reviewing a chart with a colleague
DentalAI SEOSocial

Midtown Dental · Sacramento, CA

The footer said 2013–2020. So did the rankings.

Local Pack top-3 coverage on '[treatment] near me'

11% 37% target

Bright dental practice reception desk with waiting area seating
DentalPPCAI SEO

Gateway Dental · Miami / Hialeah, FL

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

Cost per booked new patient

$214 $136 target

Panoramic dental x-ray displayed on a clinic monitor
DentalAI SEOSocial

Miami Best Dental · South Miami, FL

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

Local Pack top-3 coverage on '[treatment] near me'

26% 50% target

Dentist in scrubs and loupes reviewing a chart with a colleague
DentalPPCAI SEO

Dentists at Midtown · Miami, FL

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

Cost per booked new patient

$214 $136 target

Dental operatory with chair and overhead light, prepared for a patient
DentalAI SEOSocial

Emerald Coast Family Dentistry · Pensacola, FL

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

Local Pack top-3 coverage on '[treatment] near me'

11% 37% target

Dentist in scrubs and loupes reviewing a chart with a colleague
DentalPPCAI SEO

Jersey City Dental · Jersey City / Hoboken, NJ

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

Cost per booked new patient

$170 $123 target

Panoramic dental x-ray displayed on a clinic monitor
DentalAI SEO

West Broadway Dental · Paterson, NJ

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

Local Pack top-3 coverage on '[treatment] near me'

11% 37% target

Panoramic dental x-ray displayed on a clinic monitor
DentalAI SEOPPC

RANA Dental · Lincoln Park, NJ

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

Local Pack top-3 coverage on '[treatment] near me'

26% 50% target

Dentist in scrubs and loupes reviewing a chart with a colleague
DentalAI SEOPPC

Rivertown Dental Care · Columbus, GA

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

Local Pack top-3 coverage on '[treatment] near me'

44% 64% target

Panoramic dental x-ray displayed on a clinic monitor
DentalAI SEOSocial

Savannah Dental · Savannah, GA

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

Local Pack top-3 coverage on '[treatment] near me'

26% 50% target

Bright dental practice reception desk with waiting area seating
DentalPPCAI SEO

Midtown Dental Care · Columbus, GA

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

Cost per booked new patient

$216 $112 target

Dentist in scrubs and loupes reviewing a chart with a colleague
DentalAI SEO

Gwinnett Family Dental Care · Lawrenceville, GA

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

Review rating, volume and recency

index 100 index 240 target

Insurance agent reviewing policy documents with a client across a desk
InsuranceAI SEO

Alliance Insurance Group · Colorado & Florida

Two states, no addresses, and an https that downgrades itself

Local Pack coverage on '[line] insurance [city]'

26% 50% target

Policy paperwork and a calculator on a desk
InsurancePPCAI SEO

A CityWide Insurance · Denver, CO

Four Denver offices, one contact page, zero location pages

Cost per bound policy

$1,124 $417 target

Insurance agent reviewing policy documents with a client across a desk
InsuranceAI SEOPPC

Gengler Insurance Agencies · Fairfax, VA

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

Local Pack coverage on '[line] insurance [city]'

11% 37% target

Commercial building exterior on an overcast day
InsuranceAI SEO

Suffolk Insurance Corporation · Suffolk, VA

Founded 1923, running WordPress 5.9.5

Local Pack coverage on '[line] insurance [city]'

11% 37% target

Insurance agent reviewing policy documents with a client across a desk
InsuranceAI SEOPPC

RL Insurance Agency · Annandale / Arlington, VA

Promises top national carriers, names two

Local Pack coverage on '[line] insurance [city]'

26% 50% target

Commercial building exterior on an overcast day
InsurancePPCAI SEO

Dulles Insurance Services · Leesburg, VA

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

Cost per bound policy

$529 $298 target

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