Google Ads setup

What you're setting up

Toothy connects to your existing Google Ads account via secure OAuth. You stay the owner of the account and billing relationship with Google. Toothy reads performance data and, when enabled by your Toothy team, can create or update campaigns in that account.

You do not need a separate “developer” or API project — that is handled by Toothy.

1. 1

   Sign in or create a Google account

   Go to ads.google.com and sign in with the Google account that should own the practice's ads.

   For multi-location groups, decide whether each location gets its own Google Ads customer account or whether you use one manager account (MCC) with child accounts per office. Either works with Toothy — we map each Google customer ID to the matching practice in Toothy.

   ScreenshotGoogle Ads welcome screen — “New to Google Ads? Start now” or sign in to an existing account.

2. 2

   Create your Google Ads account

   Follow Google's setup wizard:

   • Choose your main advertising goal (e.g. “Get more calls” or “Get more website visits”).
   • Enter your practice name and website URL.
   • Set your business location — use the address patients would recognize.

   ScreenshotGoogle Ads account creation — business name, website, and location fields.

3. 3

   Switch to Expert mode (recommended)

   In the top navigation, open the tools menu and confirm you can access Expert mode (full Ads interface) rather than only the simplified “Smart” view. Expert mode makes it easier to review campaigns Toothy publishes.

   ScreenshotGoogle Ads — Tools & Settings menu showing Expert mode / Switch to Expert Mode.

4. 4

   Add billing

   Go to Tools & Settings → Billing → Settings and add a payment method. Google bills ad spend directly; Toothy does not charge your card for clicks.

   Confirm the billing country and currency match where you run ads.

   ScreenshotGoogle Ads billing settings — payment method and billing profile.

5. 5

   Note your Customer ID

   In the top-right of Google Ads, you'll see a 10-digit Customer ID (often formatted as XXX-XXX-XXXX). You may need this on an onboarding call to confirm we connected the right account.

   ScreenshotGoogle Ads header — Customer ID in the top-right corner.

6. 6

   Multi-location? Consider a Manager account (MCC)

   If you operate several offices, Google's Manager account (formerly “My Client Center”) lets you link separate customer accounts under one login:

   1. Visit Google Ads Manager accounts.
   2. Create a manager account for your dental group.
   3. Link or create a customer account for each practice location.

   When connecting in Toothy, you'll map each customer ID to the correct practice.

   ScreenshotGoogle Ads Manager account — list of linked client accounts.

7. 7

   Connect Google Ads in Toothy

   Once your Google Ads account exists and billing is active:

   1. Sign in to Toothy → Settings → Practice.
   2. Under Connected Accounts, click Connect next to Google Ads.
   3. Sign in with the same Google account that has access to the customer account.
   4. Select the correct customer account if Google shows more than one.

   ScreenshotToothy practice settings — Connect Google Ads button and account picker after OAuth.

Troubleshooting