Derby City Visibility is the local search, Google Business Profile, content, and reviews partner for medical, dental, and legal practices that plan to dominate their zip code for the next decade, not the next quarter.
No pitch deck. No fake "free audit." A 15-minute call to see if we're a fit. If we're not, we'll tell you.
A mother types "pediatric dentist near me" into Google. She calls the practice on Shelbyville Road. Not you.
A man searches "DUI attorney Louisville" from the back of a cruiser. He hires the firm at the top of the results. Not you.
A woman looks up "Invisalign Louisville". She books the dentist who ranks first in the Google 3-pack. Not you.
This happened yesterday. It will happen tonight. It will happen every night next week until you do something about it.
Patients and clients do not shop around. They call the first practice that shows up and looks credible. If you are not that practice, you never had a chance. They never knew you existed.
Four systems. Run in parallel. Every month. For twelve months. On one practice per niche per zip code.
Your GBP is the single most valuable piece of digital real estate your practice owns. We post weekly, refresh photos monthly, respond to every review in your voice, answer Q&A within 24 hours, and maintain full attribute, service, and product coverage. We monitor for competitor suspension attacks and fake review attacks. Both are rising in Louisville. We handle both.
Keyword research focused on Louisville and Kentuckiana zip codes. On-page optimization of your core service pages. Citation building across 50+ directories. Schema markup, page speed fixes, and strategic internal linking. We track 50+ keywords per account and show you exactly where you move every month.
Two pieces of published content per month. Service pages, neighborhood pages, and educational articles written for your actual buyers, optimized for Google. Every piece is edited by a US-based human before it goes live. No offshore content mills. No AI slop with your name at the bottom.
Automated review request systems built into your patient workflow. We respond to every review, positive and negative, in your voice, with HIPAA-aware language for medical and dental practices and bar-compliant language for law firms. Target: 5 to 10 new verified Google reviews per month. You approve anything sensitive before it posts.
Primary care, pediatrics, OB/GYN, dermatology, med spa, plastic surgery, chiropractic, physical therapy, concierge medicine, mental health. Independent owner-operators and small groups. We do not work with hospital systems.
Cosmetic, general, orthodontic, pediatric, oral surgery, periodontics, implants, endodontics. Independent and owner-operated practices. We do not work with Aspen, Heartland, or corporate chains.
Personal injury, family law, criminal defense, estate planning, immigration, employment, workers' comp, bankruptcy, real estate. Solo practitioners and small partnerships. We do not work with national ambulance chasers.
Most SEO agencies serving your practice are running a template. They have 400 clients across 50 cities. A cosmetic dentist in Sacramento gets the same content plan as a cosmetic dentist in Louisville. The "Louisville neighborhood page" is a find-and-replace job. It lists the wrong landmarks, references the wrong zip codes, and signals to Google that the agency writing it has never actually set foot in your market.
We are Louisville. We know the difference between the Highlands and St. Matthews. We know Oldham County patients will drive 35 minutes into the city for the right provider and we write every service page with that patient in mind. We know a cosmetic dentist in 40207 targets a different buyer than one in 40214, and the pages don't get written the same way.
This is not branding. This is a structural advantage that a national agency cannot replicate regardless of how much they spend on software, offshore labor, or AI tooling.
We look at your current Google presence live, on the call. You will learn more in 15 minutes than most agencies tell you in six months.
If we're a fit, we map your first 90 days of work in writing before you sign a single thing. You see exactly what you're buying.
You treat patients, argue cases, and close deals. We handle your rankings, your profile, your content, and your reviews.
Calls tracked. Rankings tracked. Reviews counted. Next month's plan spelled out in plain English. No vanity metrics. No smoke.
No setup fees. No per-keyword nickel and diming. No surprise upsells six months in. Investment is determined by practice specialty, current Google standing, and competitive density in your zip code. Quoted on your strategy call, then locked for the full engagement.
Why this structure? Local SEO is not a weekend project. Anyone promising page-one rankings in 30 days is either lying or using black-hat tactics that will get your website penalized and your Google Business Profile suspended. So we structure it the only honest way: a 90-day benchmark with our name on it, in writing. Verified ranking movement, measurable Google Business Profile lift, and new reviews on your live profile by day 90, or we work free until we deliver. The compounding comes after the proof. We only take practices serious about the full cycle.
Once we take you on, we do not take your direct competitor. Not during our engagement. Written into your contract in black and white.
We put our money where your mouth is.
By day 90 of our engagement, we commit to three measurable wins:
If we fail to deliver all three by day 90, we work for free until we do.
No negotiation. No weasel words. It goes in the contract.
No pay-per-lead schemes reselling the same lead to three of your competitors.
No bait-and-switch "free audit" that's a disguised sales pitch.
No recycled blog content published under your name and 39 other dentists' names in 39 other cities.
No offshore SEO playbook from 2014 that gets your site flagged by Google in 2026.
No month-to-month chaos where the agency pauses work the second renewal gets shaky.
No dashboards full of vanity metrics that never translate to a ringing phone.
No surprise invoices. No scope creep. No sudden price hikes at renewal.
Activity in the first 30 days. Early signal in months 2 and 3. Meaningful keyword rankings in months 4 and 5. Compounded dominance in months 6 through 12. Our 90-day benchmark guarantee locks in the first-quarter commitments. If you need patients next Tuesday, you need paid ads, not SEO, and we will refer you to a paid specialist we trust.
No. One practice per niche per zip code. If we take on a cosmetic dentist in 40204, we will never take on another cosmetic dentist in 40204 for the length of our engagement. Written into your contract.
Because we put it in writing. 90-day benchmark guarantee. Zip code exclusivity. No offshore content. US-based strategist on every account. A Louisville team you can meet in person. If any promise on this page fails to deliver, you have a signed contract to point at.
We track and report everything. If a campaign is off track, we tell you first and fix it. The 90-day benchmark covers the launch phase. After that, every number lives in your monthly report and your strategist has a direct line to you.
No. We do not run trial runs. Local SEO requires a 12-month runway to compound properly, and we only partner with practices committed to that runway.
Not inside the core retainer. Some of our clients layer Google Ads on top of the SEO work to accelerate results. We can discuss on the call if it's a fit for your practice.
Our team. Your account has a dedicated US-based strategist and a Louisville-trained fulfillment team. No mystery offshore handoffs. No disappearing project managers.
Most of our clients renew. If you don't, you walk away owning every page we built, every ranking we earned, and every review we generated. Everything transfers to you. No hostage games.
Yes. Our review response language, content workflows, and data handling are built to be HIPAA-aware for medical and dental practices. For law firms, our work is structured around Kentucky Bar advertising rules. Compliance is not an afterthought.
Louisville has exactly one #1 Google ranking for "cosmetic dentist." One for "personal injury attorney." One for "pediatrician Highlands." One for every high-intent keyword your patients are typing into Google tonight.
Those rankings belong to somebody. The only question is whether it's you or the practice three blocks away who hired an agency first.
We take a maximum of three new Louisville practices per month. Once your niche and zip code are claimed, they are locked for the length of the engagement. When they're gone, they're gone.
15-minute call. Zero pressure. If we're not a fit, we'll tell you.