The map pack decides it, and most practices have never touched theirs
A patient types dentist near me, looks at three map results, checks the star rating and the review count, and calls. The website gets visited after the call as often as before it. Practices spend on redesigns and leave the Google Business Profile with wrong hours, one category, and four photos from 2019.
Proximity is the strongest factor in the local pack and you cannot change your address. What you can change is category selection, service coverage, review velocity, photo freshness, and whether your profile answers the insurance question before the patient dials.
In a suburban market, moving from the third map result to the first is worth new patients per month at map position 1 vs position 3 — verify with Tim.