“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:
- Check top 3 competitors for your main keyword (e.g., “dentist [city]”)
- Note their review counts and average ratings
- Set your target at the highest count plus 20%
- 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