Rankings · US · the PixelCrayons Index

Best Dental SEO Companies in the US
(October 2026)

By The PixelCrayons team · Updated 12 October 2026 · 10 firms scored

October 2026 edition

SmartSites leads with 95.4 out of 100, followed by Elit-Web and WebFX. We scored 10 firms from 19 candidates on the same public evidence: Clutch reviews, dental SEO case studies, published pricing, track record and recent work. PixelCrayons publishes this list and is scored the same way.

The ranking

10 firms,
one method.

Scored out of 100 by the PixelCrayons Index from 19 candidates. Open a firm's scorecard for every source and the date we checked it.

Best Dental SEO Companies in the US: rank, firm, PixelCrayons Index score, Clutch rating and reviews, minimum project, hourly rate and headquarters
#	Firm	Index score	Clutch	Min project	Hourly	HQ
1	SmartSites Dental practices that want SEO, PPC and website design together; Clutch lists dental at 15% of its industry focus	95.4out of 100	4.9 · 368 reviews	$1,000+	$100 - $149	Paramus, NJ, United States
2	Elit-Web Dental practices that want SEO and PPC at a lower hourly rate; Clutch lists dental at 15% of its industry focus	74.4out of 100	5.0 · 88 reviews	$1,000+	$25 - $49	Arlington Heights, IL, United States
3	WebFX Dental practices that want SEO, local SEO, PPC and content from one large US agency; Clutch lists dental at 15% of its industry focus	66.9out of 100	4.9 · 450 reviews	$1,000+	Not shown	Harrisburg, PA, United States
4	Thrive Internet Marketing Agency Dental and orthodontic practices that want SEO with review generation and PPC	65.4out of 100	4.6 · 112 reviews	$1,000+	$100 - $149	Arlington, TX, United States
5	Straight North Dental practices that want local SEO and paid advertising from a general US agency	62.6out of 100	4.7 · 142 reviews	$1,000+	$100 - $149	Chicago, IL, United States
6	Practice Cafe Dental practices, including start-ups, that want SEO, websites and print marketing from a dental-only firm	56.3out of 100	5.0 · 3 reviews	Not shown	Not shown	Austin, TX, United States
7	Delmain Dental practices that want local SEO, PPC and websites from a dental-only agency	51.0out of 100	No profile	Not shown	Not shown	Portland, OR, United States
8	Golden Proportions Marketing Dental practices that want SEO alongside print, video, signage and referral marketing from a dental marketing firm	46.5out of 100	No profile	Not shown	Not shown	Milton, PA, United States
9	Lasso MD Dental practices that want a packaged marketing plan with website, SEO and patient-tracking software	42.3out of 100	No profile	Not shown	Not shown	San Diego, CA, United States
10	Progressive Dental Marketing Practices focused on implant and other high-value cases that want marketing plus coaching	42.2out of 100	No profile	Not shown	Not shown	Clearwater, FL, United States

1SmartSites
95.4out of 100
Dental practices that want SEO, PPC and website design together; Clutch lists dental at 15% of its industry focus
Clutch
4.9 · 368 reviews
Min project
$1,000+
Hourly
$100 - $149
HQ
Paramus, NJ, United States
2Elit-Web
74.4out of 100
Dental practices that want SEO and PPC at a lower hourly rate; Clutch lists dental at 15% of its industry focus
Clutch
5.0 · 88 reviews
Min project
$1,000+
Hourly
$25 - $49
HQ
Arlington Heights, IL, United States
3WebFX
66.9out of 100
Dental practices that want SEO, local SEO, PPC and content from one large US agency; Clutch lists dental at 15% of its industry focus
Clutch
4.9 · 450 reviews
Min project
$1,000+
Hourly
Not shown
HQ
Harrisburg, PA, United States
4Thrive Internet Marketing Agency
65.4out of 100
Dental and orthodontic practices that want SEO with review generation and PPC
Clutch
4.6 · 112 reviews
Min project
$1,000+
Hourly
$100 - $149
HQ
Arlington, TX, United States
5Straight North
62.6out of 100
Dental practices that want local SEO and paid advertising from a general US agency
Clutch
4.7 · 142 reviews
Min project
$1,000+
Hourly
$100 - $149
HQ
Chicago, IL, United States
6Practice Cafe
56.3out of 100
Dental practices, including start-ups, that want SEO, websites and print marketing from a dental-only firm
Clutch
5.0 · 3 reviews
Min project
Not shown
Hourly
Not shown
HQ
Austin, TX, United States
7Delmain
51.0out of 100
Dental practices that want local SEO, PPC and websites from a dental-only agency
Clutch
No profile
Min project
Not shown
Hourly
Not shown
HQ
Portland, OR, United States
8Golden Proportions Marketing
46.5out of 100
Dental practices that want SEO alongside print, video, signage and referral marketing from a dental marketing firm
Clutch
No profile
Min project
Not shown
Hourly
Not shown
HQ
Milton, PA, United States
9Lasso MD
42.3out of 100
Dental practices that want a packaged marketing plan with website, SEO and patient-tracking software
Clutch
No profile
Min project
Not shown
Hourly
Not shown
HQ
San Diego, CA, United States
10Progressive Dental Marketing
42.2out of 100
Practices focused on implant and other high-value cases that want marketing plus coaching
Clutch
No profile
Min project
Not shown
Hourly
Not shown
HQ
Clearwater, FL, United States

Clutch figures as shown on each firm's Clutch profile on the date in its scorecard. Profiles: SmartSites, Elit-Web, WebFX, Thrive Internet Marketing Agency, Straight North, Practice Cafe, Delmain, Golden Proportions Marketing, Lasso MD, Progressive Dental Marketing.

What the data shows

The market,
in six numbers.

Computed from the 10 firms on this list as checked on 12 Oct 2026. They change when the figures do.

4.9
Median Clutch rating across the firms listed: 127
Median number of Clutch reviews per firm: 5 of 10
Firms that publish prices on their own site: 5 of 5
Firms with a Clutch minimum project under $5,000: 9 of 10
Firms with a dedicated dental SEO service page: 10 of 10
Firms with dated work or news in the last 12 months

How to choose

Start from
what you need.

The score ranks firms overall; your project decides which fit. This list is written for US dental practices and groups that want new-patient enquiries from search.

A single practice: Look for local SEO and Google Business Profile work for one location.
A group or DSO: Look for multi-location dental case studies and reporting by practice.
Specific treatments (implants, Invisalign): Look for treatment-page content in the firm's dental work.

Scorecards

Every score,
with its sources.

What each firm scored on each pillar, who it suits, one thing to check before you choose, and the pages we read.

1SmartSites
95.4 / 100
Client evidence
32.1/35
Discipline depth
30.0/30
Transparency
15.0/15
Track record
8.3/10
Recent activity
10.0/10
Best for
Dental practices that want SEO, PPC and website design together; Clutch lists dental at 15% of its industry focus
Check before you choose
Published local SEO plans start at $2,600/month; Clutch rate $100-$149/hr
Team
US-based team
Sources
Clutch profile: 4.9 from 368 reviews (adjusted 4.88), checked 12 Oct 2026
Service page for dental SEO on smartsites.com
8 dental SEO case studies counted on the firm's site, for example case 1, 2, 3
Most recent: Clutch review published, 19 Sept 2026
Published pricing: Local SEO page states plans start at $2,600 a month for 40 hours of SEO work at $65 an hour
SmartSites: full profile and score history
2Elit-Web
74.4 / 100
Client evidence
32.9/35
Discipline depth
16.3/30
Transparency
8.0/15
Track record
7.2/10
Recent activity
10.0/10
Best for
Dental practices that want SEO and PPC at a lower hourly rate; Clutch lists dental at 15% of its industry focus
Check before you choose
Dental is 15% of its Clutch industry focus, behind gambling (25%) and eCommerce (20%)
Team
Clutch lists HQ in Arlington Heights, IL
Sources
Clutch profile: 5.0 from 88 reviews (adjusted 4.93), checked 12 Oct 2026
Service page for dental SEO on elit-web.com
3 dental SEO case studies counted on the firm's site, for example case 1, 2, 3
Most recent: Clutch review published, 11 Mar 2026
No prices published on the firm's own site.
Elit-Web: full profile and score history
3WebFX
66.9 / 100
Client evidence
32.2/35
Discipline depth
10.8/30
Transparency
4.0/15
Track record
10.0/10
Recent activity
10.0/10
Best for
Dental practices that want SEO, local SEO, PPC and content from one large US agency; Clutch lists dental at 15% of its industry focus
Check before you choose
Its dental page lists plans starting at $3,000/month, and one dental case study is shown
Team
US-based team
Sources
Clutch profile: 4.9 from 450 reviews (adjusted 4.89), checked 12 Oct 2026
Service page for dental SEO on webfx.com
1 dental SEO case study counted on the firm's site, for example case 1
Most recent: Case study published (roofing; SEO, local SEO, GEO), 14 Sept 2026
No prices published on the firm's own site.
WebFX: full profile and score history
4Thrive Internet Marketing Agency
65.4 / 100
Client evidence
24.4/35
Discipline depth
13.5/30
Transparency
8.0/15
Track record
9.5/10
Recent activity
10.0/10
Best for
Dental and orthodontic practices that want SEO with review generation and PPC
Check before you choose
Clutch does not list a dental industry share, and its two dental case studies are orthodontic-focused
Team
US-based team
Sources
Clutch profile: 4.6 from 112 reviews (adjusted 4.58), checked 12 Oct 2026
Service page for dental SEO on thriveagency.com
2 dental SEO case studies counted on the firm's site, for example case 1, 2
Most recent: Clutch review published, 27 Aug 2026
No prices published on the firm's own site.
Thrive Internet Marketing Agency: full profile and score history
5Straight North
62.6 / 100
Client evidence
26.8/35
Discipline depth
8.3/30
Transparency
8.0/15
Track record
9.5/10
Recent activity
10.0/10
Best for
Dental practices that want local SEO and paid advertising from a general US agency
Check before you choose
No dedicated dental service page found, and dental is 5% of its Clutch industry focus
Team
US-based team
Sources
Clutch profile: 4.7 from 142 reviews (adjusted 4.67), checked 12 Oct 2026
No dedicated dental SEO service page found.
3 dental SEO case studies counted on the firm's site, for example case 1, 2, 3
Most recent: Clutch review published, 13 Aug 2026
No prices published on the firm's own site.
Straight North: full profile and score history
6Practice Cafe
56.3 / 100
Client evidence
14.5/35
Discipline depth
16.3/30
Transparency
7.0/15
Track record
8.5/10
Recent activity
10.0/10
Best for
Dental practices, including start-ups, that want SEO, websites and print marketing from a dental-only firm
Check before you choose
Regular dental SEO rate stated as $895/month; 3 Clutch reviews
Team
US-based team
Sources
Clutch profile: 5.0 from 3 reviews (adjusted 4.46), checked 12 Oct 2026
Service page for dental SEO on practicecafe.com
3 dental SEO case studies counted on the firm's site, for example case 1
Most recent: Blog post published, 13 Aug 2026
Published pricing: Pricing page states a regular dental SEO rate of $895 a month and a one time $360 hosting fee
Practice Cafe: full profile and score history
7Delmain
51.0 / 100
Client evidence
7.5/35
Discipline depth
19.0/30
Transparency
7.0/15
Track record
7.5/10
Recent activity
10.0/10
Best for
Dental practices that want local SEO, PPC and websites from a dental-only agency
Check before you choose
Minimum project of $5,000+ on Clutch and no Clutch reviews
Team
US-based team
Sources
No Clutch profile, so no client-evidence points.
Service page for dental SEO on delmain.co
4 dental SEO case studies counted on the firm's site, for example case 1, 2, 3
Most recent: Blog post published, 1 Oct 2026
Published pricing: Investments page lists SEO tiers at $575, $1,100 and $1,500 a month, ad management fees of $650 to $975 a month, and a custom website at $6,500
Delmain: full profile and score history
8Golden Proportions Marketing
46.5 / 100
Client evidence
7.5/35
Discipline depth
13.5/30
Transparency
7.0/15
Track record
8.5/10
Recent activity
10.0/10
Best for
Dental practices that want SEO alongside print, video, signage and referral marketing from a dental marketing firm
Check before you choose
SEO is 15% of its Clutch service lines, its Clutch profile has no reviews, and its case studies date from 2023
Team
US-based team
Sources
No Clutch profile, so no client-evidence points.
Service page for dental SEO on goldenproportions.com
2 dental SEO case studies counted on the firm's site, for example case 1, 2
Most recent: Blog post published, 27 Mar 2026
Published pricing: Dental SEO page states its dental SEO services start as low as $750 a month
Golden Proportions Marketing: full profile and score history
9Lasso MD
42.3 / 100
Client evidence
7.5/35
Discipline depth
13.5/30
Transparency
7.0/15
Track record
4.3/10
Recent activity
10.0/10
Best for
Dental practices that want a packaged marketing plan with website, SEO and patient-tracking software
Check before you choose
Published plans run $750 to $2,000/month; Clutch profile has no reviews
Team
US-based team
Sources
No Clutch profile, so no client-evidence points.
Service page for dental SEO on lassomd.com
2 dental SEO case studies counted on the firm's site, for example case 1, 2
Most recent: Blog post published, 1 Oct 2026
Published pricing: Pricing page lists plans at $750, $1,250, $1,500 and $2,000 a month, plus add ons such as Premium SEO at $750 a month
Lasso MD: full profile and score history
10Progressive Dental Marketing
42.2 / 100
Client evidence
7.5/35
Discipline depth
16.3/30
Transparency
0.0/15
Track record
8.5/10
Recent activity
10.0/10
Best for
Practices focused on implant and other high-value cases that want marketing plus coaching
Check before you choose
SEO is 10% of its Clutch service lines, and its Clutch profile has no reviews
Team
US-based team
Sources
No Clutch profile, so no client-evidence points.
Service page for dental SEO on progressivedentalmarketing.com
3 dental SEO case studies counted on the firm's site, for example case 1, 2, 3
Most recent: Blog post published, 8 Oct 2026
No prices published on the firm's own site.
Progressive Dental Marketing: full profile and score history

How this list is made

Our interest,
stated plainly.

PixelCrayons publishes this list and is a dental SEO firm itself. It is not on this list: it has no published dental SEO case study yet, and every firm needs one to be listed. ValueCoders, our sister company in the Vinove group, is left out of every list so the group never holds two places.

No firm paid to be listed or asked to be. We considered 19 firms and scored those with enough public evidence to score fairly. Every figure links to the page we read it from, with the date.

Read the full PixelCrayons Index method, or download this list as CSV. A listed firm can correct its data: email hello@pixelcrayons.com with Rankings correction in the subject line.

If you are weighing PixelCrayons too: Marketing for dental practices.

Questions

Frequently
asked.

Patients search locally and by treatment, so a practice needs strong local rankings and pages for each treatment. Health content also has to be accurate and reviewed, which is why dental specialists check clinical claims before publishing.

Every firm is scored out of 100 by the PixelCrayons Index: client reviews on Clutch, depth of dental SEO work, published pricing, track record and recent activity. The weights are fixed and published, and no firm paid to be listed.

Only where it qualifies like any other firm: it must offer the service and show at least one case study in it. When it's listed, it's scored on the same evidence and weights as everyone else and sits wherever that score puts it.

Every month. Each firm's figures are checked again, the scores are recalculated, and the changelog on this page says what moved and why.

Yes. Any listed firm can send a correction with a source to hello@pixelcrayons.com with Rankings correction in the subject line. We check it, update the figure and log the change on this page.

Changelog

What changed,
and when.

Updated every month. Each edition is checked again from the sources.

12 Oct 2026First edition: every firm scored on figures checked on 12 October 2026.

More rankings

10 firms,one method.

The market,in six numbers.

Start fromwhat you need.

Every score,with its sources.

Our interest,stated plainly.

Frequentlyasked.

What changed,and when.

Same method,other lists.