North Dakota is one of the least populated states, and it has no dental school. Most dentists practice in Fargo, Bismarck, Grand Forks or Minot, and much of the rest of the state has very few. Patients in small towns may drive an hour or more, so when they search, they’re looking for the nearest practice with good reviews and clear hours.
The oil boom in the Bakken changed western North Dakota, with Williston, Dickinson and Watford City growing fast. Those towns have attracted workers and families from all over, and many of them look for dentists online when they arrive. Practices there can often win a lot of new patients simply by keeping their Google profile accurate and responding to reviews.
Fargo has also grown, with young families and professionals, and its practices compete with Moorhead, Minnesota, just across the river.
Since almost no agencies here specialize in dentistry, our list is made up mainly of national dental firms. We checked each one for named clients, results, pricing and reviews, and nobody paid to appear.
Dental SEO Market Statistics: North Dakota
- 385 professionally active dentists work in North Dakota, about 0.2% of the US total (ADA via KFF, 2024 data).
- North Dakota has 64.5 general dentists per 100,000 people, 23rd of 50 states and below the US average of 66.3 (NPPES via America’s Health Rankings, September 2025).
- 68.4% of North Dakota adults visited a dentist in the past year, 20th of 49 reporting states, compared with 67.5% nationally (CDC BRFSS via America’s Health Rankings, 2024).
- North Dakota has 70 federally designated dental shortage areas covering 114,211 people, and it would take 14 more dentists to lift them all (HRSA via KFF, December 2025).
- 11.1% of North Dakota adults aged 65 and over have lost all their natural teeth, below the 11.4% national rate (CDC BRFSS via America’s Health Rankings, 2024).
- Women make up 34% of North Dakota’s dentists, compared with 39% nationally (ADA via KFF, 2024 data).
- North Dakota has 19 orthodontists, 21 oral surgeons and 3 periodontists, the specialists who compete hardest for aligner and implant searches (ADA via KFF, 2024 data).
- Few dental SEO specialists are based in North Dakota, so most of the 9 agencies on our list serve practices here remotely (DentalSEOAgencies.com research).
- Agencies on our North Dakota list that publish hourly rates charge $70 to $150 an hour on directories such as DesignRush and Clutch (DentalSEOAgencies.com research, 2026).
- Published retainers from agencies on our North Dakota list start at $2,000 a month (UpCity listings via DentalSEOAgencies.com research, 2026).
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Quick Picks: Best Dental SEO Companies Rankings In North Dakota
Short on time? These are the standouts from our 2 reviewed local agencies.
Key Findings From Our Research of Top-Tier Dental SEO Services in North Dakota
Numbers from our own review of every agency on this page.
- 2agencies based in North Dakota made our list after we checked their reviews, clients, results and terms.
- All 2name at least one dental client publicly, so you can check their work.
- 1 of 2publish case studies with real figures such as traffic, leads or revenue.
- 2 of 2have a rating we could verify, averaging 4.9 stars.
- $50–$135per hour is the range of rates these agencies publish.
- 94/100is the average DSA Score here. Top score: 94/100.
Updated automatically from our agency data. Last data refresh: November 2026.
How We Score Each Agency
Every agency in the main list is based in North Dakota. National dental agencies that work here are shown separately below it. We checked each one’s dental client work, public reviews, published results and terms before adding it, then read every client testimonial we could find. Only agencies that pass these checks are listed, so every DSA Score starts at 80. The other 20 depend on how many of the 100 points below each agency earns: DSA Score = 80 + points earned ÷ 5.
- Profile (up to 80 points). Five factors scored out of 20 each, then scaled to 80:
- Client reviews: a verified rating on Google, Clutch, G2, UpCity, Trustpilot or a similar platform
- Experience: years in business, a named founder or leader, and a dental or healthcare focus
- Client portfolio: how many dental clients the agency names publicly
- Published results: case studies with real figures, such as traffic, leads or revenue
- Transparency: published prices, clear contract terms, and a confirmed website and location
- Client feedback (up to 20 points). What clients actually say, from the testimonials we read on Google, independent review sites and the agency’s own website:
- Independent reviews (6): how many reviews we found that the agency doesn’t control
- Client satisfaction (8): how consistently clients praise the agency, adjusted so a handful of reviews can’t outscore a long track record
- Independent sources (4): how much of the feedback comes from Google and review sites rather than the agency’s own pages
- Dental clients (2): at least one review from a dental practice
- Verification. Client feedback points are reduced when reviews or agency details can’t be verified.
We summarise each client review in our own words and link to the original, so you can read it in full.
Price ranges are a guide based on published rates and typical fees for agencies of a similar profile. Always ask for a written quote.
What Dental Practices Say About the Top Dental SEO Agencies in North Dakota
We gathered 30 client reviews for the agencies on this page from Google, independent review sites and the agencies’ own websites, and summarised each one in plain English. Clients most often praise the new patient bookings they bring in.
What Clients Praise Most
Most reviewed on Google and independent sites: Spotlight Media, with 6 client reviews.
Founded in Fargo by Mike Dragosavich, Spotlight Media started out as a magazine publisher and grew into a full marketing agency with a team of more than 30. They publish titles such as Fargo INC! and Bison Illustrated alongside web design, SEO, Google Ads, streaming TV and video production for regional businesses. Their portfolio includes a website, SEO and online booking build for the Wellness District medical spa, which maps well to patient-facing healthcare. For dental practices, they can pair a new website and local SEO with paid campaigns that keep the practice visible across the Fargo-Moorhead area. Clients rate them 4.8 on Google and 5.0 on Clutch.
Why Choose Spotlight Media
- 4.8 Google rating and 5.0 on Clutch
- Web design packages published on Clutch
- Medical spa website and SEO experience
- Local SEO, ads and video under one roof
- Deep Fargo-Moorhead media connections
What Clients Say About Spotlight Media
- 2 on Google
- 4 on review sites
Clients Most Often Praise
- Dental website design 5
- Higher Google Maps & local rankings 3
- More new patient bookings 1
- Value for money 1
In ShortClients praise their care for client growth, listening skills, creative video content and websites that bring more traffic, leads and bookings.
Ryan Berry said the new medical spa website with SEO brought more traffic and more online bookings.
See it on clutch.coKristi Ulrich reported higher website traffic, better engagement, improved conversion rates and strong return on ad spend.
See it on clutch.coKelsey Warren credited the website redesign and advertising with more engaged visitors and a notable increase in clients.
See it on clutch.coShow 3 more client reviews
- Sports bar owner reported steadily rising website traffic and a stronger brand from their video, SEO and PPC work. Clutch, 16 Aug 2019
- Allison Harder described the team as a seamless, collaborative partner on video, streaming and web development projects. Google, 13 Nov 2025
- Alex Kelly said they have handled branding, websites and advertising since the business started and are professional and caring. Google, 29 Apr 2025
How the DSA Score Breaks Down
Points earned: 70.6 of 100 (profile 68 × 0.8 + client feedback 16.2). DSA Score: 94/100
Key Strengths
- New practice websites built to turn local searches into booked appointments
- Local SEO focused on ranking practices across the Fargo-Moorhead area
- Streaming TV and programmatic ads that build awareness of new services
- Professional video production that introduces dentists and team members to patients
At a Glance
| Services | SEO, Local SEO, Web Design, Web Development, Google Ads, Paid Social, Programmatic and Streaming TV Advertising, Video Production, Branding, Social Media Management |
|---|---|
| Hourly Price Range | $50-$99/hr (Clutch) |
| Project Price Range | $7,000-$25,000 website design packages (Clutch) |
| Top Clients | Kilbourne Group, Jacuzzi Hot Tubs of Fargo, Royal Jewelers, Wellness District, Bank Forward, Hebron Brick, Great North Insurance, O'Keefe Law Firm, Marvin Windows |
| Ratings We Checked | Google 4.8 (40 reviews) · Clutch 5.0 (5 reviews) |
Since 2013, AdShark Marketing has grown from a Fargo startup into a Google Premier Partner with 22 digital marketers on staff. They manage Google, Microsoft and paid social ads alongside technical and local SEO, website design and conversion optimization. Their client list includes Center for Plastic Surgery, which shows experience marketing elective medical procedures to local patients. For dental practices, that paid search expertise can promote implants, Invisalign or cosmetic treatments to people actively searching nearby. They work month to month without long-term contracts, and Google reviewers give them 5.0 across 33 reviews.
Why Choose AdShark Marketing
- Google Premier Partner 2026
- 5.0 Google rating across 33 reviews
- Month-to-month contracts with no lock-in
- Experience with a plastic surgery practice
- In-house team of 22 digital marketers
What Clients Say About AdShark Marketing
- 4 on Google
Clients Most Often Praise
- Clear reporting & honesty 1
- Communication & responsiveness 1
- Value for money 1
In ShortClients praise their Google Ads results, honest advice without upselling, fast responses and hands-on, personal approach.
Beau Votava praised strong Google Ads results across Fargo, Grand Forks and Bemidji and a team that cares about customers.
See it on designrush.comJeff Stacey said a Google Business Profile consultation gave clear, honest and immediately actionable advice without upselling.
See it on designrush.comsonnieDAYSinc said the team responds quickly to issues, is polite and helpful, and brings good ideas.
See it on designrush.comShow 1 more client review
- Zack Lesak valued their hands-on, personal approach and quick responses and recommended them for marketing needs. Google, 2 Jan 2024
How the DSA Score Breaks Down
Points earned: 67.7 of 100 (profile 66 × 0.8 + client feedback 14.9). DSA Score: 94/100
Key Strengths
- Google Ads campaigns that promote implants, aligners and cosmetic treatments to nearby searchers
- Google Business Profile optimization that strengthens map pack visibility for practices
- Landing pages and conversion work that turn ad clicks into booked consultations
- Paid social and streaming ads that keep a practice top of mind locally
At a Glance
| Services | Google Ads, Microsoft Ads, SEO, Local SEO, Paid Social, Connected TV and Programmatic Advertising, Email and SMS Marketing, Web Design, Web Development, Conversion Rate Optimization |
|---|---|
| Hourly Price Range | $135/hr average (DesignRush) |
| Project Price Range | $10,000-$25,000 minimum budget (DesignRush) |
| Top Clients | Center for Plastic Surgery, Acme Tools, NDSU, Walser, PRx Performance, Sandy's Donuts, Valley Imports, Hebron Companies, dogIDs, Heat Transfer Warehouse |
| Awards & Recognition | Google Premier Partner 2026, Locals Love Us 2025/26 Award Winner |
| Ratings We Checked | Google 5.0 (33 reviews) |
National Dental Agencies That Work with North Dakota Practices
These agencies aren’t based in North Dakota, but they specialise in dental marketing and take on practices here remotely. They’re scored the same way as the local agencies above.
Since 2009, Portland-based Delmain has run a dental-only marketing program spanning dental SEO, AI search optimization, website design, Google Ads and Meta Ads, with a team of about 40 that has marketed more than 500 US dental practices. Their PatientPulse tool connects to Dentrix, Eaglesoft and Open Dental to show which campaigns actually fill chairs. The results are concrete: Cedar Village Dentistry grew annual collections from $1.4M to $4.2M, and Timberhill Dental went from about 12 to more than 80 new patients a month. A Google Premier Partner and Meta Business Partner rated 5.0 across 120 Google, Facebook and Yelp reviews, they suit practices that want growth they can measure.
Why Choose Delmain
- PatientPulse ties spend to patients
- Named dental results
- 500+ practices marketed
- Founder wrote From Search to Smile
- Works with North Dakota dentists from Portland
What Dental Practices Say About Delmain
- 3 on review sites
- 6 on its website
- 9 from dental practices
Clients Most Often Praise
- More new patient bookings 6
- Clear reporting & honesty 2
- Understanding of dentistry 1
In ShortClients consistently cite measurable new-patient and collections growth and top keyword rankings.
Dr. Drue Pickens says the practice added about 200 patients over two years working with Delmain.
See it on designrush.comDr. Kurt Black reports new patients rising from about 12 per month to more than 80.
See it on designrush.comDr. Craig Spodak recommends Delmain as a dental marketing partner.
See it on designrush.comShow 6 more client reviews
- Dr. Ben Friberg says he gets 30-40% more patients per month on the same ad spend. Agency website
- Dr. Thomas Dooley credits Delmain with growth from $1.4M to $4.2M in annual collections. Agency website
- Dr. Rebekah Anderson attributes 30-40 new patients a month directly to Delmain's work. Agency website
- Dr. John Will says the practice moved from mid-pack to mostly #1 for its target keywords. Agency website
- Dr. Adam Jensen reports 30-40% year-over-year growth and tripled new patients since working with Delmain. Agency website
- Dr. Clint Martin says collections doubled year over year. Agency website
How the DSA Score Breaks Down
Points earned: 85.6 of 100 (profile 86 × 0.8 + client feedback 16.8). DSA Score: 97/100
Key Strengths
- Learns each practice's needs first and guides the website build at every step
- Builds bilingual or Spanish practice sites following WCAG accessibility practices
- Protects a practice's Google Ads budget from click fraud on treatment campaigns
- Practices own their domain, website and copy with full admin access
At a Glance
| Services | Dental SEO, Google, Meta and Microsoft Ads, dental websites, branding, PatientPulse ROI tracking |
|---|---|
| Hourly Price Range | $85-$140/hr |
| Project Price Range | $1,000-$10,000 (DesignRush) |
| Top Clients | MillBridge Dentistry, Timberhill Dental, Cedar Village Dentistry (outside North Dakota) |
| Awards & Recognition | Google Premier Partner, Meta Business Partner |
| Ratings We Checked | DesignRush 4.6 (3 reviews) · TechBehemoths 5.0 (5 reviews; page shows TechBehemoths and Google review labels) |
Cash-pay medicine and dentistry have been the focus of Einstein Medical since the San Diego firm was founded in July 1995, and the team reports building more than 30,000 websites since then. Cosmetic and implant dentists are a particular strength, and Dr. Michael Tischler worked with them for ten years before bringing them into the Teeth Tomorrow implant network. As a Google Premier Partner, they run Google Ads, Local Services Ads, Meta ads, local SEO, video and AI call tracking that shows which campaigns turn into booked treatment. Rated 4.8 on TechBehemoths for strong return on investment, and with staff averaging about ten years of tenure, they offer practices rare continuity.
Why Choose Einstein Medical
- Google Premier Partner
- Low entry budget
- 30,000+ sites built
- Teeth Tomorrow network partner
- Works with North Dakota dentists from San Diego
What Clients Say About Einstein Medical
- 3 on review sites
- 1 from dental practices
Clients Most Often Praise
- Value for money 1
In ShortPractice owners cite strong ROI and online visibility.
Doctor said patients could finally find the practice online.
See it on techbehemoths.comLong-time client reported excellent return on investment over many years.
See it on techbehemoths.comClient was won over quickly in sales calls and said Einstein met and exceeded expectations.
See it on techbehemoths.comHow the DSA Score Breaks Down
Points earned: 64.4 of 100 (profile 61 × 0.8 + client feedback 15.6). DSA Score: 93/100
Key Strengths
- Works with HubSpot, ActiveCampaign and WordPress for sites and patient email
- Offers market research to shape strategy for cash-pay treatments
- Provides UX and UI design for practice websites
- Runs inbound and email marketing for practices alongside ads and SEO
At a Glance
| Services | Medical and dental websites, SEO, PPC, content for cash-pay practices |
|---|---|
| Hourly Price Range | $70-$150/hr (TechBehemoths) |
| Project Price Range | Under $1,000 (DesignRush) |
| Top Clients | Teeth Tomorrow implant network; no named North Dakota client |
| Awards & Recognition | Google Premier Partner |
| Ratings We Checked | TechBehemoths 4.8 (5 reviews) |
Dental-only since 2010, Pro Impressions Marketing works from Ten Sleep, Wyoming, and has built deep expertise with general dentists as well as TMJ and sleep apnea clinics. The team handles dental SEO, technical SEO, website design, content, PPC and reputation management, and their ProView Analytics tool shows exactly which ads turn into booked patients. Clients such as Country Club Dentistry, Smile Columbia Dentistry and Rochester Advanced Dentistry report top Google rankings and say most new patients now arrive through the website. With a 5.0 rating from 7 verified UpCity reviews, 4.8 on DesignRush and featured-company status with AADOM, the agency suits practices that want a partner who feels like part of the office team.
Why Choose Pro Impressions Marketing
- Founder writes for Dental Economics
- Dental-only since 2010
- Named dental results
- Hosts the Marketing Chairside podcast
- Takes North Dakota clients remotely
What Dental Practices Say About Pro Impressions Marketing
- 5 on review sites
- 3 on its website
- 8 from dental practices
Clients Most Often Praise
- Understanding of dentistry 3
- More new patient bookings 1
- Dental website design 1
- Value for money 1
In ShortClients praise the team's professionalism, responsiveness and dental-industry expertise, long-term relationships, and websites that drive new patients and top Google rankings.
Dr. Shahin Safarian strongly recommends Pro Impressions to dentists wanting to grow their business.
See it on designrush.comDr. Scott Rice says Pro Impressions represents the brand better than other marketing firms used over 31 years.
See it on designrush.comDr. Adam Hahn calls the team professional, easy to work with, and knowledgeable about dentistry.
See it on designrush.comShow 5 more client reviews
- Dr. Mike Firouzian feels the agency is part of the practice team and knows the staff personally. DesignRush, 26 April 2024
- Dr. Jeffrey Haddad says most new patients come directly from the website. DesignRush, 29 April 2024
- Dr. Rod Strober says the practice consistently ranks at the top of Google searches. Agency website
- Cetta Adkisson says Pro Impressions changed how the practice interacts with patients. Agency website
- Heidi Jayne praises the agency's dental-field expertise. Agency website
How the DSA Score Breaks Down
Points earned: 63.7 of 100 (profile 58 × 0.8 + client feedback 17.3). DSA Score: 93/100
Key Strengths
- Works closely with practice staff so the agency feels part of the dental team
- Optimizes practices for AI answers through generative engine optimization
- Offers video SEO and YouTube SEO for treatment and practice videos
- Manages websites, social media and blogs for multi-office practices
At a Glance
| Services | Dental SEO, websites, PPC, social media, reputation, ProView Analytics |
|---|---|
| Hourly Price Range | $150/hr (DesignRush) |
| Project Price Range | $1,000-$10,000 (DesignRush) |
| Top Clients | Rochester Advanced Dentistry (MI), Country Club Dentistry |
| Ratings We Checked | DesignRush 4.8 (6 reviews) · Trustpilot 4.0 TrustScore (4 reviews) · UpCity 5.0 (7 verified reviews) |
Ratings, testimonials and figures on this page come from each agency’s public review profiles, Google reviews republished on directories, the agencies’ own websites and their published case studies, reviewed for the November 2026 rankings. We feature the client feedback that best shows each agency’s strengths, summarised in our own words; follow each link to see the original review profile. Contact each agency directly to confirm current pricing before signing a contract.
Dental SEO in North Dakota: Frequently Asked Questions
How much does dental SEO cost in North Dakota?
Published retainers on our North Dakota list start at $2,000 a month, and agencies listing hourly rates charge $70 to $150. Fargo is the most competitive market. Practices in smaller towns can often do well with a lighter plan.
Is SEO worth it in small North Dakota towns?
Yes. Most dentists practice in Fargo, Bismarck, Grand Forks or Minot, and patients in small towns may drive an hour or more. Being the practice that shows up first across a wide area can keep your schedule full.
How do practices in the Bakken reach new residents?
Williston, Dickinson and Watford City have attracted workers and families from all over. Many look for a dentist online when they arrive, so a complete Google profile and quick replies to reviews can bring in a lot of new patients.
How do Fargo practices compete with Moorhead?
Patients can easily cross into Minnesota. Strong reviews, clear insurance information and convenient booking help Fargo practices stay visible.
Can a national agency work for my North Dakota practice?
Yes, if they focus on your area. There are very few dental marketing specialists in North Dakota. Ask for examples of work in small or rural markets.
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