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How Many Google Reviews Do You Actually Need? (The Real Answer)

January 9, 2025|6 min read

“How many reviews do I need?” It's one of the most common questions dental practice owners ask about local SEO. The honest answer is: more than your competitors. But let's dig into the data to give you specific targets and understand why reviews matter so much.

The Numbers: What Data Tells Us

Research on local search rankings reveals clear patterns:

Average Review Counts by Ranking Position

  • #1 position: Average of 51 reviews
  • #2 position: Average of 46 reviews
  • #3 position: Average of 41 reviews
  • #4-10: Average of 25-35 reviews

Note: These are averages. Your specific market may vary significantly.

However, raw numbers don't tell the whole story. A practice with 30 five-star reviews will often outrank one with 50 reviews averaging 3.8 stars.

Review Thresholds That Matter

The Minimum Viable Number: 5 Reviews

Google displays your star rating once you reach 5 reviews. Before that, you appear without a rating—a significant disadvantage since patients filter by star rating.

Goal: If you have fewer than 5 reviews, this is your immediate priority.

The Trust Threshold: 10-15 Reviews

Research shows patients become significantly more trusting around 10-15 reviews. Below this number, people may assume the reviews could be from friends and family.

Goal: Reach 15 reviews to establish baseline credibility.

The Competitive Threshold: 25-50 Reviews

This is typically where you become competitive for top-3 rankings in most markets. You have enough reviews to appear established and trustworthy.

Goal: Reach at least 25 reviews to compete for local pack positions.

The Dominant Position: 75+ Reviews

At this level, you're signaling to both Google and patients that you're a well-established, high-volume practice. This creates a significant moat against competitors trying to catch up.

Quality Matters as Much as Quantity

Don't obsess over numbers alone. These quality factors matter just as much:

Star Rating

  • 4.5+ stars: Ideal range for patient trust
  • 4.0-4.4 stars: Acceptable but improvable
  • Below 4.0: Patients often filter you out

Review Recency

Google values fresh reviews. A practice with 100 old reviews may rank lower than one with 30 reviews that includes recent activity.

  • Aim for at least 2-4 new reviews per month
  • Consistent review flow signals an active, healthy practice
  • A sudden spike followed by silence can look suspicious

Review Content

Reviews that mention specific services help with keyword relevance:

  • “Great experience with my teeth whitening” helps you rank for whitening searches
  • “Dr. Smith did my dental implants” boosts implant-related visibility
  • Detailed reviews with specific experiences appear more authentic

How to Set Your Target

Your review target should be based on your specific competitive landscape:

  1. Check top 3 competitors for your main keyword (e.g., “dentist [city]”)
  2. Note their review counts and average ratings
  3. Set your target at the highest count plus 20%
  4. Calculate your monthly goal based on realistic collection rates

Example Calculation

  • Top 3 competitors have: 45, 38, and 52 reviews
  • Your target: 52 + 20% = ~63 reviews
  • You currently have: 22 reviews
  • Gap to close: 41 reviews
  • At 4 reviews/month: ~10 months to reach target
  • At 6 reviews/month: ~7 months to reach target

Realistic Review Collection Rates

How many reviews can you realistically collect? It depends on your patient volume and request process:

  • Without a system: 1-2 reviews per month (organic)
  • Manual asking: 3-5 reviews per month
  • Systematic approach with follow-up: 6-10 reviews per month
  • High-volume practice with automated system: 10-20+ reviews per month

The Bottom Line

There's no universal magic number. The right answer for your practice is:

  • More than your top competitors
  • With a rating of 4.5+ stars
  • Growing consistently each month
  • Including recent reviews (within the last 30 days)

Focus on building a sustainable review generation system rather than chasing a specific number. Consistent effort compounds over time.

What's your number?

See your current review count compared to the top 3 competitors in your market — and calculate your gap.

See my review count vs. competitors