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The Local AI Visibility Index

Ithaca Cosmetic / Implant Dentistry

We asked 5 AI answer engines 10 questions a prospective patient would actually ask, then measured which of the market’s 17 practices got named. 10 of them never came up once.

Market
Ithaca, NY
Practices
17
Questions
10
Engines
5
Measured
July 2026

Every practice in the market · one dot each · ordered by Google Maps rank · lit = named by at least one engine

Named by AI — 7 practicesNever named — 10 practices

58.8%

of Cosmetic / Implant Dentistry practices in Ithaca were named in none of the 50 AI answers we collected.

Finding 01

Does ranking well on Google mean AI recommends you?

It helps, and it is nowhere near enough. Of the 5 best-ranked practices in Ithaca, 4 got named by an AI engine 80%. Of the 7 ranked lowest, 1 did. The single most-named practice in this market ranked 3rd on Maps, coming up in 53% of answers.

Google rank and AI answers are decided by two different systems looking at different things. Your map position comes from how close you are, what category you are in, and how people engage with your listing. Whether an AI names you depends on whether it can find, read and trust a description of your practice in the sources it pulls from. Ranking first buys you better odds. It does not buy you the answer.

Google Maps rank vs getting named — Ithaca
Where they rank on Google MapsNamed by AIShare
The 1st third — best ranked on Maps4 of 580%
The middle third2 of 540%
The bottom third1 of 714.3%

Finding 02

How many local businesses actually appear in AI answers?

Very few, and the ones that do take most of it. Of 17 practices measured, 7 were named at least once and 10 were never named. The three most-named practices took 80.6% of every mention in the market.

The most-named practice came up in 53% of answers; the fourth came up in 20%; everything below that was 10% or less. A short shelf at the top, and a long floor underneath it.

Practice A53%
Practice B52%
Practice C32%
Practice D20%
Practice E10%
Practice F2%
Practice G1%
10 practices0%

Bar length is the share of all 50 answers, so a full bar would mean every answer named them.

Practice A is one organization — 2 Google Maps listings that share its website, counted once because AI engines cite the organization’s site rather than any individual listing.

Practice B is one organization — 2 Google Maps listings that share its website, counted once because AI engines cite the organization’s site rather than any individual listing.

Practice E is one organization — 2 Google Maps listings that share its website, counted once because AI engines cite the organization’s site rather than any individual listing.

Practice G is one organization — 2 Google Maps listings that share its website, counted once because AI engines cite the organization’s site rather than any individual listing.

Finding 03

Are the best-reviewed practices invisible to AI?

Some are. Take the 4 strongest practices in Ithaca — the top 25% once you combine Google rank, star rating and number of reviews — and 1 was never named by any engine. That is 25% of the best practices in town, missing from every answer.

One of them ranks 6th on Maps with 4.8 stars, and was named zero times across all 50 answers. Their patients rate them highly and Google ranks them well. The AI engines do not know they exist.

Why this matters more than who came first. The practices at the top of this market are already competitive. The practice with the most to gain is the 1 practice that earned a top-25% reputation and gets none of the benefit of it in AI answers.

Finding 04

Do Google reviews affect whether AI recommends you?

Not the way you would expect. In Ithaca the practices AI named average 4.37 stars, and the ones it never named average 4.58 stars. The better-rated practices are the ones getting left out. The stars come from real patients; whether an AI repeats a practice’s name turns on what the engines can find and trust about it, and that is a different signal than the rating itself.

7 practices here were named by at least one engine, rating between 3.8 and 4.9 stars. 10 were named by none, rating between 2.8 and 5.0. The two groups overlap, and the better-rated group is the one being left out.

Reviews do real work in the map pack and in how patients choose. This measures something narrower: whether they are what makes an AI say your name. In Ithaca the answer is what the numbers above say it is, and it is not the same answer in every market we measured.

Finding 05

Do ChatGPT, Gemini and Perplexity recommend the same practices?

No. Asked the same questions about the same market, the closest any two engines came to agreeing was 80% of the practices they named — and the furthest apart pair agreed on just 40%. Each engine reads its own mix of sources, so showing up in one assistant says little about whether the others will say your name.

Each engine surfaced a different slice of the market: Gemini named 10, Perplexity named 9, ChatGPT named 8, Claude named 6, Google AI Overview named 6. Checking yourself against a single assistant therefore tells you very little about the rest.

0012026ChatGPTGeminiPerplexity
Of the 11 practices named by any of the three, all three agreed on 6.
How often two engines named the same business
Engine pairAgreed on
ChatGPT & Gemini80.0%
Gemini & Perplexity72.7%
Claude & Perplexity66.7%
Claude & Gemini60.0%
Gemini & Google AI Overview60.0%
ChatGPT & Google AI Overview55.6%
ChatGPT & Perplexity54.5%
Claude & Google AI Overview50.0%
Perplexity & Google AI Overview50.0%
ChatGPT & Claude40.0%

How we measured it

We pulled every Cosmetic / Implant Dentistry practice Google Maps returns for Ithaca17 of them, after combining duplicate listings of the same practice — then asked 5 AI answer engines the same 10 patient questions and recorded which ones each engine named. Every question was kept identical across ChatGPT, Claude, Gemini, Perplexity and Google’s AI Overview, and every number on this page comes from this market alone.

Who is in it
17 practices, from everything Google Maps returns for "implant dentist" in Ithaca, NY. A practice with more than one listing is counted once. 14 listings that share the websites of 7 organizations are counted as those organizations, because AI engines cite the organization's site rather than any individual listing.
What we asked
10 questions a patient would actually ask, kept identical across ChatGPT, Claude, Gemini, Perplexity and Google's AI Overview. 50 answers in total, July 2026.
How we scored it
The share of answers that named or cited a practice, weighted by how many people use the engine that named it.
How we ranked reputation
Google Maps position, star rating adjusted for how many reviews back it up, and review count on a sliding scale that levels off around a thousand.
Scope
One market, one category. Every number on this page describes Ithaca and comes from that market alone — results differ between markets and we do not carry them across. We never name individual practices. AI engines change over time; this describes July 2026.

For anyone who wants the statistics

The findings above are counts, which is how most people want to read them. Here are the same relationships as correlations, for readers who prefer them.

Reputation signals vs getting named — 17 practices
What we measuredHow closely it trackedWhat that means
Google Maps rank−0.394A slight connection
Review count−0.017No connection
Star rating−0.088No connection

Reading the middle column: 0.0 means the two things had nothing to do with each other. 1.0 would mean they moved together perfectly. A minus sign means they moved in opposite directions. Anything under about 0.2 either way is noise.

The Local AI Visibility Index — Ithaca, July 2026. Published by Moonline AEO GEO.