PerformancePPX Reviews & Agency Profile

Houston paid-search and local SEO agency for private dental and healthcare practices

Houston, Texas, USA DSA Score: 85/100

About PerformancePPX

PerformancePPX, also written Performance PPX or PPX, is a Houston advertising agency for private healthcare practices. Most of its clients and testimonials come from dentistry. The firm is an option for independent practices that do not want a large agency or a corporate healthcare marketing firm. It is a certified healthcare ads specialist, focused on measurable gains in leads, new patients and patient retention.

The founder, Tony, has more than 20 years in market research, digital marketing and online advertising. His past roles include head of performance at GroupM, presales director at Dentsu, and senior positions at comScore and Nielsen. He received a Google Premier Partner award in 2019. No other staff are named, and no founding year is published.

Paid media is the agency's core work. It runs Google campaigns across Search, Maps, Display, Discover, Gmail and YouTube, plus Facebook, Instagram and TikTok ads. Alongside this it offers local search optimisation, technical SEO, Apple Business Connect listings, conversion-rate work and email campaigns. Its blog, Dentist Near Me, covers topics such as Google Ads for dental practices. Seasonal and promotional campaigns are rotated through the year to stop audiences tiring of the same ads.

The main published proof is a case study for Houston Dental Oasis, a general, cosmetic and restorative practice that opened in 2019. PPX combined local search work, targeted PPC, social media and content. User traffic reached 8 times the launch level in month one and 14 times in month two. Revenue was 70 and 90 percent above the same months the previous year. By month three, new patients had tripled and the practice had its best months since opening.

Testimonials on the homepage come from Dr. Amelia Wang, DMD, Dr. Felicia Pranata, DDS, Dr. Sehej Patel, DDS, a registered dental assistant and a dental office manager. Common themes are better local visibility, more calls and bookings, and steady contact with Tony. For one reviewer, revenue doubled and new patients tripled in six months.

The agency suits solo and small group practices that want ad-led growth and are willing to commit for six months. Ad budgets are set with forecasting tools, and the agency's fee is either a retainer or a share of ad spend. Campaigns usually go live within two weeks of creative approval. After the first six months, contracts run month to month.

PerformancePPX's Website

Screenshot of PerformancePPX's website
Screenshot of performanceppx.com/

PerformancePPX at a Glance

HeadquartersHouston, Texas, USA
LeadershipTony (Founder)
LanguagesEnglish
PricingNo published rates; ad budgets set with real-time forecasting tools; agency fee is a retainer or a percentage of ad spend depending on budget and complexity
Contracts & reportingInitial 6-month commitment, then month-to-month; launch typically within 2 weeks of creative approval; months 1-2 build audience traffic, months 3-4 optimise strategy, later months focus on acquisition efficiency
Tools & partnershipsGoogle Ads; Google Premier Partner award (founder, 2019); Meta Ads; TikTok Ads; Apple Business Connect; YouTube

Dental Marketing Services

  • Google Ads PPC (Search, Maps, Display, Discover, Gmail, YouTube)
  • Facebook, Instagram and TikTok ads
  • local search optimisation
  • technical SEO
  • Apple Business Connect
  • conversion optimisation
  • email campaigns
  • content and social media marketing
  • brand awareness campaigns

Practice Types They Work With

  • General dentistry
  • cosmetic dentistry
  • restorative dentistry
  • private healthcare practices

Dental Clients & Results

  • Houston Dental Oasis: 8x user traffic and 70% year-on-year revenue gain in month 1, 14x traffic and 90% revenue gain in month 2, 3x new patients by month 3

Dental Practices They Have Worked With

  • Houston Dental Oasis

Why Dentists Choose PerformancePPX

  • Dental-only agency
  • Named Houston dental client
  • Month-to-month after six months
  • Content written for local patients
  • Suited to solo practices
Key Strengths
  • Works only with dental practices on SEO, content and reputation
  • Writes content aimed at local patients to turn searches into bookings
  • Moves practices to month-to-month terms after an initial fixed plan
  • Helps solo practices build their first online presence

Awards & Recognition

  • Google Premier Partner Award 2019 (founder)

How the DSA Score Breaks Down

Client reviews4/20
Experience7/20
Client portfolio6/20
Published results0/20
Transparency12/20
Client feedback0/20

Points earned: 23.2 of 100 (profile 29 × 0.8 + client feedback 0). DSA Score: 85/100

Where PerformancePPX Is Listed

Questions Dentists Ask About PerformancePPX

What is PerformancePPX strongest at?

Paid advertising is their core, run across Google Search, Maps, YouTube and Display plus Meta and TikTok. They pair it with local search optimisation and technical SEO.

How long is the contract?

There is an initial six-month commitment, after which work continues month to month. Campaigns normally launch within two weeks of creative approval.

How are fees calculated?

No public price list exists. The agency fee is either a retainer or a percentage of ad spend, depending on budget and how complex the campaign is.

Do they have dental results?

Yes. Houston Dental Oasis reached 14 times the launch traffic by month two and three times the new patients by month three.

Who runs the accounts?

The founder, Tony, has more than 20 years in digital advertising, with past roles at GroupM, Dentsu, comScore and Nielsen. Testimonials from dentists mention working with him directly.

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