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The Journal · AI SEO buyer guide

Best AI SEO and GEO Agencies for Dental, Med Spa and Law Practices in 2026

WTM Studio ranks first by our scoring, but the best fit depends on your practice and the terms you need.

Read the short answerHow we ranked

By Ray Hussain, founder and creative director of WTM Studio
Published October 22, 2026 · Updated October 22, 2026

The short answer

Which AI SEO and GEO agency is best for your practice?

WTM Studio ranks first by our scoring, followed by First Page Sage and SmartSites, tied on points. The best fit depends on the buyer. WTM suits practices that want a written refund term and work on their current site. First Page Sage may suit buyers who want more published research and month to month terms. SmartSites may suit those who want a big agency with many services and a long public review record. Checked October 22, 2026.

Disclosure: WTM Studio wrote this post and is one of the firms ranked. We set the scoring rules and scored ourselves by the same rules. Check our sources and judge for yourself.

Why do written terms matter here?

Written terms help you check what a firm offers. A refund tied to results differs from a promise of fast replies. A guide to average prices differs from a price for the firm's own work.

WTM Studio wrote this post and ranks itself first by the stated scoring method, with 11 of 16 points. First Page Sage and SmartSites each score 6. The criteria include written terms a buyer can check, which WTM also publishes. Readers should weigh that when they use this ranking.

How do the firms score?

As of October 22, 2026. Scores come only from each firm's own public pages, linked below.

Scores out of 16. Each check is scored 0, 1 or 2 from the firm's own public pages, checked October 22, 2026.
RankFirmTotalPrice on its own siteWritten refund guaranteeSigns a BAAPages for practicesFree first stepMonth to monthService page built for AI answersOwn research
1WTM Studio11 of 1602222021
2First Page Sage6 of 1600020202
3SmartSites6 of 1600011022
4Directive4 of 1600010012
5Siege Media4 of 1600001012
6Searchbloom3 of 1600010011
7iPullRank2 of 1600000011

What does each firm offer?

1. WTM Studio, 11 of 16

Best for: Dental, med spa and law practices that want SEO and AI search work with a written refund term, on the site they already have.

Watch for: No posted SEO price and no published month-to-month term. Far less published research than First Page Sage or Siege Media.

What its own pages say:

  • SEO and AI SEO are quoted per project; no SEO price is posted.
  • Written refund if SEO work brings no new patients or leads within 180 days of the first changes going live.
  • Says it signs BAAs when a practice needs one.
  • Has AI search pages for dentists and for law firms.
  • Free roadmap for website, SEO and AI search; no commitment required.
  • Says rankings and AI mentions are not promised.

Sources:

2. First Page Sage, 6 of 16

Best for: Companies that want a large SEO and GEO team with lots of its own published research.

Watch for: No price for its own work and no refund guarantee on the pages we checked.

What its own pages say:

  • Says everything runs month to month, with no long-term contract.
  • Has SEO and GEO pages for healthcare and for law firms.
  • Publishes a large research center and pricing surveys.

Sources:

3. SmartSites, 6 of 16

Best for: Businesses that want a big agency with a long public review record and many services.

Watch for: No price and no refund guarantee on the pages we checked.

What its own pages say:

  • Offers a free proposal.
  • Its page shows 368 Clutch reviews at 4.9 and 908 Google reviews at 4.9.
  • Has medical and legal industry pages.

Sources:

4. Directive, 4 of 16

Best for: B2B and software companies that want AI search as part of a larger B2B program.

Watch for: Built for B2B, not local practices. No price or refund guarantee found.

What its own pages say:

  • Calls itself a B2B marketing agency.
  • Has an LLM SEO service page.
  • Has a healthcare and pharmaceuticals industry page.

Sources:

5. Siege Media, 4 of 16

Best for: Brands that want content and digital PR aimed at being cited in AI answers.

Watch for: No practice-specific pages found. No price for its own work.

What its own pages say:

  • Offers a free assessment.
  • Publishes an SEO pricing guide with industry averages, not its own prices.
  • Says guaranteed rankings are a red flag.

Sources:

6. Searchbloom, 3 of 16

Best for: Businesses that want a detailed AI SEO framework and fast replies.

Watch for: No price or refund guarantee found on the pages we checked.

What its own pages say:

  • Has an AI SEO hub built around five pillars.
  • Has dentist SEO and law firm SEO pages.
  • Says it guarantees a 24-hour response time.

Sources:

7. iPullRank, 2 of 16

Best for: Large sites that need deep technical SEO and content engineering.

Watch for: No practice pages, price, refund guarantee or free first step found.

What its own pages say:

  • Services include technical SEO, content strategy, content engineering and audience research.

Sources:

How did we rank these firms?

Last checked October 22, 2026. Ray Hussain set the method and checked the scores.

Who we picked: firms that show up when buyers search for this service, and firms named in other published "best of" lists, in October 2026.

What we scored: each check is worth 0, 1 or 2 points.

  1. Price on its own site. 2 = a price range or flat price for SEO or AI search work. 1 = a starting price. 0 = none found.
  2. Written refund guarantee. 2 = a written money-back or refund guarantee tied to results. 0 = none found.
  3. Signs a BAA. 2 = says it signs business associate agreements. 0 = not found.
  4. Pages for practices. 2 = its own page on SEO or AI search for dental, med spa or law. 1 = a practice SEO page or a general healthcare or legal industry page. 0 = none found.
  5. Free first step. 2 = a free first step with no commitment stated. 1 = a free proposal or assessment. 0 = none found.
  6. Month to month. 2 = says month to month or no long contract. 0 = not stated.
  7. Service page built for AI answers. Counts 4 checks on its AI SEO service page: FAQPage schema, a dateModified date in the page code, at least one H2 asked as a question, and an llms.txt file. 2 = all 4. 1 = 2 or 3. 0 = 1 or none.
  8. Own research. 2 = 20 or more research or report pages in its sitemap. 1 = 1 to 19. 0 = none.

What the method favors: these are written terms a buyer can check before signing. WTM Studio publishes all of them, which is why it scores well. Weigh that.

What we did not score: design quality, results, portfolio size and review counts. We could not check review sites the same way for every firm on the same day.

  • "Not found" means we did not find it on the pages we checked. It does not mean the firm does not offer it. Ask them.
  • Ties are listed in alphabetical order.
  • Own research counts sitemap addresses with research, report, study or survey in them, read on October 21 and 22, 2026. It is a rough count.
  • If a firm sees a mistake, email ray@wtmstudio.agency with a link to the page that shows it, and we will fix it.

How should you use this list?

Use the table to compare the terms that matter to your practice. Read each firm's best fit and watch points as well as its score. Where we say a term was not found, that means it was not found on the pages checked.

On each call, ask for the price, contract length, refund terms and scope in writing. Ask what the free first step includes. Ask to see pages for your type of practice. If your practice needs a BAA, ask whether the firm will sign one.

Before you decide

A few good questions.

Does the top score make WTM Studio the best fit for every practice?

No. WTM suits dental, med spa and law practices that want a written refund term and work on their current site. First Page Sage may suit buyers who want month to month terms and more research. SmartSites may suit buyers who want many services and a long public review record.

Can I compare these firms by their posted SEO prices?

No price for their own SEO or AI search work was found on the pages checked. WTM quotes SEO and AI SEO per project. First Page Sage publishes pricing surveys. Siege Media's pricing guide gives industry averages, not its own prices. Ask each firm for a quote.

What does WTM Studio's refund term cover?

WTM has a written refund term if its SEO work brings no new patients or leads within 180 days of the first changes going live. It says rankings and AI mentions are not promised. Searchbloom's 24-hour response guarantee concerns reply time, not results or a refund.

Which firm says it will sign a BAA?

WTM Studio says it signs business associate agreements when a practice needs one. If your practice needs a BAA, ask each firm to confirm that it will sign one.

Which firm offers month to month terms?

First Page Sage says everything runs month to month, with no long-term contract. WTM has no published month-to-month term. Ask each firm for its contract length in writing. A free first step does not state the terms of paid work.