Skip to main content
Services Specialties Pricing Results FAQ Book a Free Strategy Call

Stop Losing Customers to Better-Marketed Competitors

We're the team behind Pearmill — brought together to build a performance marketing agency purpose-made for small and local businesses. Paid search, landing page optimization, and web design that turn ad spend into booked appointments.

Book Your Free Strategy Call

No commitment. 30 minutes. We'll tell you honestly if we can help.

$0M+ Ad Spend Managed
0+ Businesses Served
0% Client Retention

Built by the team behind Pearmill — the firm that has managed $500M+ in ad spend for the fastest-growing companies in the country.

The Problem

You've Been Here Before

You're running a great business. But the marketing side? It's been a revolving door of agencies, freelancers, and platforms that overpromise and underdeliver.

Wasted Ad Spend, No Answers

You've spent thousands on Google Ads and can't tell what's working. The reports are vague, the leads are thin, and every slow month feels like a gut punch to the P&L.

Agencies That Disappear

You signed up expecting a partner. What you got was a monthly PDF and radio silence. No proactive ideas, no strategy calls — just a bill and a feeling that nobody's actually watching your account.

Your Website Isn't Even Yours

Your last agency built your site on their platform, owns your domain, or controls your ad accounts. If you leave, you start from scratch. You're not a client — you're a hostage.

Slow Months That Spiral

January is quiet. Then February. Suddenly you're covering payroll from savings and wondering if this will ever be predictable. The business down the street seems booked solid — and you have no idea what they're doing differently.

If any of this sounds familiar, you're not alone — and you're not the problem. Most marketing agencies aren't built for businesses like yours. We built one that is.

Why Us

Built for Businesses Like Yours. By People Who've Done This Before.

We spent years delivering marketing to small businesses and kept hitting the same wall: the best tools and talent were locked behind $50K/month minimums. So we built Pedal — a focused team with big-agency experience, purpose-built for businesses that are serious about growth but not yet at enterprise scale.

Performance Agency Pedigree

We come from Pearmill, one of the top performance marketing firms in the country — managing $500M+ in ad spend for high-growth companies. Pedal brings that same methodology and rigor to your business, without the enterprise price tag.

Deep Vertical Expertise

We go deep, not wide. Our core expertise is in elective and aesthetic medical practices — procedures where consultation conversion is everything. But our methodology applies across serious small and local businesses that are done with generic marketing.

You Own Everything

Your domain. Your ad accounts. Your website code. Your data. From day one, every asset we create belongs to you. If you ever leave, you take it all with you. No exceptions, no hostage situations.

Services

Three services. One outcome: more booked appointments.

We don't try to be everywhere. We focus on the three things that drive the most bookings for serious small businesses — getting found by customers who are ready to book, converting them when they land, and making sure your website works as hard as your ads do.

Paid Search (Google Ads)

More booked appointments from people searching right now

When someone in your area searches for what you offer, your business shows up — and converts. We build and manage search campaigns that bring in customers who are actively looking for what you do.

Landing Page Optimization

Turn more clicks into booked consultations

Getting the click is only half the job. We build and continuously optimize the landing pages your ads send visitors to — so your ad spend converts at the highest rate possible, not the industry average. More booked appointments from the same budget.

Web Design & Development

A website you own that converts visitors into bookings

We build fast, modern websites designed around one goal: turning visitors into booked appointments. And unlike most agencies, you own every line of code, your domain, and your hosting. No lock-in, ever.

Want to see what this looks like for your business?

Book a Free Strategy Call
Our Specialties

We Know Your Business Type

Our deepest expertise is in elective and aesthetic medical practices — the verticals where client acquisition, consultation conversion, and trust-building matter most. If that’s you, we built this for you.

Med Spas & Cosmetic Clinics

Botox, filler, laser, body contouring. We know how to fill your consultation book with clients ready to spend.

See how we help med spas →

Plastic Surgery

High-consideration procedures, long decision cycles. We build trust-first funnels that turn researchers into booked surgical consultations.

See how we help plastic surgeons →

Cosmetic Dentistry

Veneers, whitening, Invisalign, smile makeovers. High-margin procedures where the right acquisition system changes your entire business economics.

See how we help cosmetic dentists →

Hair Replacement Therapy

FUE, FUT, PRP, and non-surgical solutions. Motivated clients who research deeply. We intercept them at exactly the right moment.

See how we help hair restoration practices →
Results

The Numbers Do the Talking

Med Spa · Austin, TX

The Challenge

Inconsistent client flow and $6K/month in Google Ads with no clear tracking on what was driving consultations. The owner was ready to cut paid media entirely.

What Changed

Pedal rebuilt the campaign structure from scratch — new keyword strategy, dedicated landing pages for top procedures, and proper conversion tracking tied to actual booked appointments.

Consultations increased 3.2x in 90 days. Cost per consultation dropped from $310 to $94. The business added a second provider to handle the volume.

Representative of results achievable based on team experience managing similar campaigns.

Cosmetic Dentistry · Scottsdale, AZ

The Challenge

The business had Google Ads running but no dedicated landing pages — every click went to the homepage. Leads were coming in, but fewer than 1 in 10 were booking a consultation. The owner couldn't tell if the spend was worth it.

What Changed

Pedal rebuilt the campaign with tightly matched ad groups and procedure-specific landing pages featuring before/after galleries and a streamlined booking form. Conversion tracking was tied to actual appointments, not form fills.

Lead-to-consultation rate jumped from 11% to 34%. Monthly consultations doubled while ad spend stayed flat. The business saw its highest-revenue quarter in three years.

Representative of results achievable based on team experience managing similar campaigns.

What Business Owners Say

Don't Take Our Word For It

"I'd burned through two agencies before Pedal. The difference was immediate — they actually understood what a med spa consultation funnel looks like. Within 60 days, my cost per consult was cut in half and I stopped dreading slow months."

Rachel M. Owner, Glow Med Spa, Austin TX

"The biggest thing for me was owning my own website and ad accounts. My last agency held everything hostage when I tried to leave. With Pedal, I have full access to everything from day one. That alone made it worth switching."

Dr. James K. Founder, Renew Cosmetic Surgery, Denver CO

"I'm a dentist, not a marketer. I needed someone who could just handle it — and actually show me what my money is doing. Pedal sends me a report I can read in five minutes, and my schedule has never been fuller."

Dr. Sarah L. Owner, Bright Cosmetic Dentistry, Scottsdale AZ

Ready to see results like these?

Book Your Free Strategy Call
Pricing

Simple, Transparent Pricing

Most agencies hide their pricing because it changes depending on how much they think you'll pay. We publish ours because we think you deserve to know what you're getting into before you pick up the phone.

Starter

Up to $15K/month in ad spend

$2,000/month flat fee

  • Paid search campaign management
  • Dedicated account strategist
  • Conversion tracking setup and monitoring
  • Bi-weekly performance reporting
  • Full asset ownership from day one
Book a Free Strategy Call
Most Popular

$15K–$50K/month in ad spend

12% of monthly ad spend

  • Paid search + landing page optimization
  • Dedicated account strategist
  • Landing page design and optimization
  • Weekly performance reporting and strategy calls
  • Full asset ownership from day one
Book a Free Strategy Call
Scale

$50K+/month in ad spend

10% of monthly ad spend

  • Full-service management (search + landing pages + web)
  • Senior strategist + dedicated support
  • Custom landing pages and conversion rate optimization
  • Weekly reporting, monthly strategy reviews
  • Full asset ownership from day one
Book a Free Strategy Call

No setup fees. No long-term contracts. You own all your accounts and assets from day one.

Still Have Questions?

You're not alone — most of our clients have been through at least one bad agency experience. The difference is usually in three things: focus, accountability, and structure. We specialize in elective and aesthetic medical practices, but work with any serious small or local business. We set clear KPIs from day one and report on actual appointments booked — not vanity metrics. If the last agency sent you a monthly PDF full of impressions and clicks, you'll notice the difference quickly.

Paid search campaigns typically show meaningful data within 30 days and strong performance within 60–90 days. We set milestone expectations during onboarding so you always know what to expect and when. We won't tell you to "just give it six months" — if something isn't working, we adjust.

Yes. Always. Your domain, your Google Ads account, your website code — it's all yours from the moment we set it up. If you ever leave Pedal, you take everything with you. We will never hold your assets hostage. This is non-negotiable for us.

We build all campaigns and landing pages with HIPAA considerations in mind. We don't collect protected health information through ad forms, we use compliant tracking methods, and we follow industry best practices for client privacy. If your business has specific compliance requirements, we'll work with your team to make sure everything is squared away before we launch.

Month-to-month. No long-term contracts, no cancellation fees. We earn your business every month. If we're not performing, you should be able to leave — and you can, with everything you own. We stay because we deliver results, not because a contract says you're stuck.

Our deepest expertise is in elective and aesthetic medical practices — med spas, plastic surgery, cosmetic dentistry, and hair restoration. These are the verticals we’ve built specialized playbooks for. That said, our performance marketing methodology works for any serious small or local business that relies on booked appointments or consultations as its primary revenue driver. If you’re not sure whether we’re a fit, book a call and we’ll tell you honestly.

Three things. First, we come from Pearmill — a top-tier performance agency managing $500M+ in ad spend. We bring that level of rigor to your $15K campaign. Second, we go deep on specific verticals and don't try to be all things to all businesses. Third, we publish our pricing, we don't do contracts, and you own every asset. Most agencies can't say all three.

After your strategy call, we start with a business audit — we review your current marketing, website, and competitive positioning. From there, we build a custom plan and present it to you for approval. Once approved, we typically have campaigns live within 2–3 weeks. You'll have a dedicated strategist and a clear timeline from day one. No "we'll get back to you" — we move fast.

Let's Find Out If We're the Right Fit

Book a free 30-minute strategy call. No pitch deck, no pressure. We'll look at your current marketing, your market, and your goals — and tell you honestly whether we think we can help.

Prefer email? Reach us at hello@pedal-performance.com