Bangkok performance and SEO agency with 90-day results guarantees
About Primal
Primal is a digital agency in Bangkok, registered as Primal Company Limited in September 2015. Its head office is in the Vanissa Building on Soi Chidlom, and it also has teams in Kuala Lumpur and Singapore. Mark McDowell is CEO and co-founder. They have more than 150 in-house specialists, have run more than 5,000 campaigns and have over 300 brand partners. They work in English and Thai.
Their work is split into strategy, search, paid media, creative, social and data. On the search side they offer SEO, link building, content, conversion rate optimisation and an AI search service aimed at ChatGPT, Gemini and Perplexity. Paid media covers Google, Meta, TikTok and LINE. Their health and beauty work follows a patient plan built on a clear website, video, blogs, email, social and strong SEO, with a goal of winning patients locally and from abroad. Their SEO uses white-hat methods and promises growth in conversions within 90 days.
Their most specific dental evidence is a Clutch review. Selfie Care, a clear-aligner brand, worked with them from January 2021 to April 2022 on strategy, social media and search ads. Cost per lead fell from $15 to $6 between February and April 2022, and monthly impressions rose from 0.5 million to 1.5 million. The one complaint was a slow dashboard. On Primal's own review page, The Ivory Dental Clinic left a five-star review. Their best-known case studies are outside health, such as Eatigo, where multi-market SEO brought 100 page-one keywords over five months.
They best suit larger clinics, dental groups and aesthetic brands in Thailand or Malaysia that want SEO and paid media under one roof and have the budget for it. Their most common project size is $50,000 to $199,999.
Their guarantee sets targets for new clients signed after March 2023. For SEO, the targets are 10% of keywords on page one within 90 days, 30% within 180 days and 60% within a year. Paid media has a target of a 20% lower cost per acquisition. If they miss, they keep working without billing. Eligibility rules apply: the client must pay on time, implement all on-site advice and give full creative control. Clutch rates them 4.8 from 26 reviews, and reviewers often mention timely, proactive account managers. They hold 4.9 from 270 Google reviews, with a few low scores about slow callbacks. Hourly rates vary from $35 to $149, with a $1,000 minimum.
Primal's Website
Primal at a Glance
| Founded | 2015 |
|---|---|
| Team size | 100-249 employees (150+ in-house specialists) |
| Headquarters | Bangkok, Thailand |
| Other offices | Kuala Lumpur, Malaysia; Singapore |
| Leadership | Mark McDowell (CEO and Co-Founder); Nick (Co-Founder); Ben (General Manager); Pang (Head of Strategy); Chet (Technical Director) |
| Languages | English; Thai |
| Pricing | $100-$149/hr (some listings say about $35/hr with a $1,000-$10,000 minimum budget); minimum project $1,000+, most common project $50,000-$199,999. |
| Contracts & reporting | 90-day performance guarantee for eligible new clients (since March 2023): SEO keyword targets of 10% page one in 90 days, 30% in 180 days, 60% in 365 days; 20% lower CPA for paid media; unpaid work until met. Requires on-time payment, implementation of recommendations and creative control. Follow-up within 24 hours of an enquiry. |
| Tools & partnerships | Google Partner; Meta Business Partner; TikTok; LINE; HubSpot; Shopify Partner; 24/7 reporting dashboard |
Dental Marketing Services
- SEO
- AI search optimisation
- link building
- content marketing
- conversion rate optimisation
- landing pages
- Google Ads
- Meta, TikTok and LINE advertising
- social media and influencer campaigns
- reporting dashboards
Practice Types They Work With
- Cosmetic (clear aligners)
Dental Clients & Results
- Selfie Care: cost per lead down from $15 to $6 and monthly impressions up from 0.5M to 1.5M (Feb-Apr 2022)
- Eatigo: 100 page-one keywords and 14K online reservations (5 months)
Dental Practices They Have Worked With
- Selfie Care (clear aligners)
- The Ivory Dental Clinic
Why Dentists Choose Primal
- Keeps 96% of its clients
- Co-founder named Southeast Asia Young Achiever by Campaign Asia
- Projects from $1,000 to $10,000
- Rates of $50 to $99 an hour
- 239 reviews averaging 4.9
Key Strengths
- Gives clinics regular updates and proactive communication throughout campaigns
- Assigns account managers who report to clinics against agreed new-patient KPIs
- Produces compliant content and social campaigns for clinics in a regulated health sector
Awards & Recognition
- Campaign Asia Agency of the Year 2018
- Google Growing Businesses Online 2018
- TIBA Most Promising New Business 2018
- Search Engine Land Best Overall SEO Initiative, Enterprise
- Great Place To Work certification
How the DSA Score Breaks Down
Points earned: 68.5 of 100 (profile 67 × 0.8 + client feedback 14.9). DSA Score: 94/100
What Dental and Healthcare Clients Say About Primal
- 1 on review sites
- 1 on its website
- 1 from dental practices
In ShortClients consistently praise a professional, responsive team, proactive account managers and regular updates, with SEO ranking gains often cited.
OTC pharma client says Primal helped it exceed digital KPIs, with the account manager acting as an effective liaison.
See it on clutch.coDental clinic client calls Primal a first-class digital agency.
See it on primal.co.thWhere Primal Is Listed
Questions Dentists Ask About Primal
Has Primal worked with dental brands?
Yes. Selfie Care, a clear-aligner company, reviewed them on Clutch for strategy, social and search ads from 2021 to 2022. The Ivory Dental Clinic also left a five-star review on Primal's site.
What results did the dental client report?
Selfie Care's cost per lead fell from $15 to $6 between February and April 2022. Monthly impressions grew from 0.5 million to 1.5 million.
Do they offer a guarantee?
Eligible new clients get 90-day targets, such as 10% of SEO keywords on page one or a 20% lower CPA on ads. If targets are missed they keep working without billing, provided the client meets conditions like on-time payment and implementing recommendations.
How big is the agency?
They have more than 150 in-house specialists and a Bangkok head office, with teams in Kuala Lumpur and Singapore. They have been operating since 2015.
What do clients say about them?
Clutch reviewers rate them 4.8 and often call them timely, professional and proactive. A few Google reviews complain about slow callbacks or upselling.
Reviews of Primal
No reviews on this site yet. Have you worked with Primal? Your review helps other dentists choose.