Skip to main content

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 24 practices got named. 13 of them never came up once.

Market
Ithaca, NY
Practices
24
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 — 11 practicesNever named — 13 practices

54.2%

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 8 best-ranked practices in Ithaca, 5 got named by an AI engine 62.5%. Of the 8 ranked lowest, 2 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 Maps5 of 862.5%
The middle third4 of 850%
The bottom third2 of 825%

Finding 02

How many local businesses actually appear in AI answers?

Very few, and the ones that do take most of it. Of 24 practices measured, 11 were named at least once and 13 were never named. The three most-named practices took 55.2% of every mention in the market.

The most-named practice came up in 53% of answers; the fourth came up in 52%; everything below that was 32% or less. A short shelf at the top, and a long floor underneath it.

Practice A53%
Practice B53%
Practice C52%
Practice D52%
Practice E32%
Practice F20%
Practice G10%
Practice H10%
Practice I2%
Practice J1%
Practice K1%
13 practices0%

Finding 03

Are the best-reviewed practices invisible to AI?

Often, yes. Take the 6 strongest practices in Ithaca — the top 25% once you combine Google rank, star rating and number of reviews — and 3 were never named by any engine. That is 50% 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. One of them ranks 9th on Maps with 4.9 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 practices with the most to gain are the 3 practices that earned a top-25% reputation and get 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 4.43 stars, and the ones it never named average 4.58 stars. The better-rated practices are the ones getting left out.

11 practices here were named by at least one engine, rating between 3.8 and 5.0 stars. 12 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 thepractices they named — and the furthest apart pair agreed on just 46.7%.

Each engine surfaced a different slice of the market: Gemini named 15, Perplexity named 13, ChatGPT named 12, Claude named 10, Google AI Overview named 9. Showing up in one does not mean showing up in the others, so checking yourself against a single assistant tells you very little.

How often two engines named the same business
Engine pairAgreed on
ChatGPT & Gemini80.0%
Claude & Perplexity76.9%
Gemini & Perplexity75.0%
Claude & Gemini66.7%
Gemini & Google AI Overview60.0%
Claude & Google AI Overview58.3%
Perplexity & Google AI Overview57.1%
ChatGPT & Perplexity56.2%
ChatGPT & Google AI Overview50.0%
ChatGPT & Claude46.7%

How we measured it

We pulled every Cosmetic / Implant Dentistry practice Google Maps returns for Ithaca24 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.

Who is in it
24 practices, from everything Google Maps returns for "implant dentist" in Ithaca, NY. A practice with more than one listing is counted once.
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 — 24 practices
What we measuredHow closely it trackedWhat that means
Google Maps rank−0.371A slight connection
Review count−0.09No connection
Star rating−0.187No real 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.