AI Optimization Case Study: Orthodontics Clinic in Miami, Florida
AI-powered Search Results
Strong Google presence but invisible in AI-powered search results
The client — a trusted orthodontics clinic in Miami, Florida — was already doing well on Google Maps via their Google Business Profile (GBP). We tested it for queries like:
- "Best orthodontists in Miami"
- "Top Invisalign clinics near Coral Gables"
- "Affordable braces Miami near me"
As is the case in these results provided by Google, post GBP, results were of some good websites doing well on SEO & Yelp.
🔍 The AI Gap Discovery:
However, when we tested same queries on how AI platforms like ChatGPT responded to these local queries — the clinic was nowhere to be found in ChatGPT's answers. Instead, ChatGPT consistently cited Yelp listings, Reddit threads, and informational articles from sites like Quora, Healthgrades, and even Medium.
This made it clear: AI platforms like ChatGPT are not just crawling Google – they rely on Bing and use alternative sources.
Critical gaps in AI visibility despite strong Google performance
Google vs. AI Disconnect
Despite ranking locally on Google, the clinic's GBP was never referenced in ChatGPT responses.
Bing Index Dependency
ChatGPT relied on Bing's index, which showed Yelp, Reddit, and discussion forums like Quora and Medium instead.
Poor Bing Performance
The clinic's website was underperforming on Bing and didn't appear in ChatGPT's source references.
Missing Platform Presence
No Reddit mentions, Yelp was outdated, and they had no presence on Bing-ranking platforms.
Strategic focus on AI visibility, not traditional SEO
We focused purely on AI visibility, not traditional SEO. Our goal was to make the clinic show up in AI-generated responses and Bing-powered search tools used by ChatGPT.
1. Bing Visibility Enhancement (Not Google)
- Content Optimization: Rewrote critical service pages to match Bing's content preferences: long-form, human-first tone, clear subheadings, and structured layout
- Technical Optimization: Improved site rendering and mobile compatibility for Bingbot
- Webmaster Tools: Submitted and verified Bing Webmaster Tools, monitored crawl behavior and index status
- Structured Approach: Ensured all pages were crawlable and used descriptive, schema-supported headings (not just H1 overload)
2. Multi-Platform Content Publishing (on Bing-ranking sources)
We researched which platforms already rank high on Bing for "orthodontist in Miami" queries and published helpful content there:
Yelp:Fully optimized profile, services, media, review responses
Reddit:Posted in r/miami and r/askdentists with insights
Quora:Answered niche questions with clinic links
Medium:Published educational articles about orthodontics
Healthgrades:Updated doctor profile and procedures
Alignable:Business listing in Miami category
3. Structured Data Implementation for AI Parsing
- Schema Implementation: Added FAQPage, LocalBusiness, and BreadcrumbList schema
- AI-Readable Content: Focused on using clear, AI-readable content structure
- FAQ Optimization: FAQs with conversational phrasing
- Structured Format: Bullet points for pros/cons, highlights and definitions to match prompt-based queries
- Validation: Verified using Schema.org and Rich Results Test
4. ChatGPT Prompt Testing & Refinement
AI Testing Process:
- Real-time Testing: Conducted prompt tests across ChatGPT 4, Bing Chat, and Google Gemini to observe what was being cited
- Source Tracking: Tracked appearance of Reddit and Yelp links and then strategically placed content there to feed into those answers
- Results Monitoring: After our updates, re-asked same questions and saw the clinic's name appearing via Yelp and Reddit references
Significant improvements in AI visibility and platform presence
Before vs. After Performance
| Metric | Before | After | Outcome |
|---|---|---|---|
| ChatGPT Mention for "Best Orthodontist Miami" | Not listed | Mentioned via Yelp & Reddit | Visible in AI response |
| Bing Organic Visibility (Service Pages) | Low | Moderate | Indexed and crawled fully |
| Yelp Review Count | 2 | 12 | Boosted visibility |
| Reddit Mentions | 0 | 4 organic posts | Now part of AI source set |
| Medium & Quora Articles Indexed on Bing | None | 3 on Page 1–2 | Cited by ChatGPT |
| GBP in AI Responses | Ignored | Still ignored | Reinforces AI ≠ Google |
Key Achievement:
The clinic now appears in ChatGPT responses when users ask about "best orthodontists in Miami" or "Invisalign providers near Coral Gables" - cited through our strategically placed Yelp and Reddit content that AI models trust and reference.
Key insights about AI search optimization vs. traditional SEO
- AI ≠ Google: ChatGPT does not use Google search — it uses Bing and relies on content from platforms like Yelp, Reddit, Quora, Healthgrades, and Medium
- GBP Limitations: GBP rankings alone will not guarantee AI visibility
- Content Structure Matters: Structured content, FAQs, and bullet-based formatting help AI models like ChatGPT parse and cite content more reliably
- Training AI Models: AI optimization is about training LLMs what to see, not just keyword ranking
💡 Core Learning:
The future of search is shifting toward AI-powered responses. Businesses that only optimize for Google while ignoring AI platforms will miss an increasingly important source of discovery and trust-building with potential customers.
Your business may rank on Google, but if you don't show up in AI-generated answers, you're missing a growing source of traffic and trust. We help local businesses like orthodontic clinics in Miami get discovered in the new world of AI search — through Bing-first optimization, content placement on AI-trusted platforms, and intelligent structured data.
Start Your AI Visibility Audit Today