In highly competitive markets, multiple orthodontists may be vying for top ad placements in LSA. This can lead to increased bidding costs and potentially lower ad visibility if not managed strategically. LSAs are designed to target specific geographic areas, which can be restrictive if your practice serves a wider region or if neighboring areas have higher demand. Balancing local targeting with broader service area needs careful consideration. Qualifying for LSAs requires thorough verification of licenses, insurance, and background checks. Meeting these stringent requirements can be time-consuming and may delay the launch of your LSA campaigns.