Start with the receipt
Most articles about press release distribution are written by people selling press release distribution. This one starts with an actual placement report from an actual dental practice release, and every number in it comes from that report.
Nine hundred and fifty placements for three hundred and ninety-nine dollars. Forty-two cents each.
That is a real number and it is the reason this is worth writing about. It is also the number that gets used to sell something that is not quite what it appears to be, so the next section deals with that before anything else.
The honest version, before we go any further
Press release distribution is sold to dental practices as link building. That pitch is wrong, and if you buy on that basis you will be disappointed and you will blame the wrong thing.
- "900 dofollow backlinks"
- "Instant domain authority increase"
- "Guaranteed first page rankings"
- "Google counts these as editorial links"
- "AI engines will recommend you"
- 950 indexed mentions, most links nofollow
- Brand and entity signals, not link equity
- No ranking guarantee, from anyone, ever
- Google's spam policy says the opposite
- AI citation of news content is real but small
What Google actually says
This is not a matter of interpretation. Google names press releases specifically in its spam policy.
Read the two quotes together and the position is clear. A paid press release link that passes ranking credit violates the policy. A nofollowed one does not violate the policy and also passes no ranking credit.
PressRanger's own documentation states that most of their links are nofollow. That is them complying with the rules, which is the correct thing for them to do. It also means the link building pitch was never the real value.
John Mueller of Google put it more bluntly in a 2018 discussion: Google tries to ignore links from press releases, because companies put the press releases out themselves.
So what is the $399 actually buying?
Five things. All of them real, none of them link equity.
The first two are the ones that matter most and they are worth expanding, because they are the least understood.
Entity signal, explained without jargon
Search engines and AI systems do not just index pages. They build a model of things in the world, and one of those things is your practice. That model is assembled from repeated mentions across many sources.
When nine hundred and fifty pages appear on the same day, all containing your practice name, your city, your services and your phone number, in consistent wording, that is a substantial amount of new evidence about who you are and where you are. It is not a vote for your rankings in the way a link is. It is corroboration of your existence and your context.
For a local business this matters more than for a national one, because Google names prominence as one of its three local ranking factors, and describes it as being based partly on how well known a business is across the web.
Credibility, which is not a soft benefit for a dentist
A patient considering a full arch implant case is making a five figure decision about their own body. They will search your name. What they find shapes what they decide.
A practice whose name appears on Yahoo Finance, Business Insider, and a dozen broadcast network affiliate sites reads differently from one whose entire online presence is its own website and a Yelp page. That is not a ranking factor. It is the thing that happens after the ranking, which is the part that actually produces revenue.
The top 25 placements from a real $399 distribution
This is the table people ask for. It comes from the placement report of a single Gold tier distribution for a dental practice, ranked by the monthly audience of the publishing domain.
| # | Publisher | Type | Authority | Monthly traffic |
|---|---|---|---|---|
| 1 | YouTube | Podcast | 99 | 253B |
| 2 | Google News | Article | 98 | 85B |
| 3 | Amazon Music | Podcast | 96 | 1B |
| 4 | Apple Podcasts | Podcast | 97 | 500M |
| 5 | Spotify | Podcast | 95 | 500M |
| 6 | Yahoo! Finance | Article | 92 | 245.9M |
| 7 | Substack | Article | 94 | 154M |
| 8 | Apple News | Syndication | 80 | 145M |
| 9 | WGN-TV (WGN Channel 9) | Article | 82 | 25.8M |
| 10 | KSNT-TV (27 KSNT) | Article | 71 | 22.1M |
| 11 | Boomplay | Podcast | 77 | 20M |
| 12 | KTLA-TV (KTLA 5) | Article | 83 | 10.1M |
| 13 | Benzinga | Article | 87 | 9M |
| # | Publisher | Type | Authority | Monthly traffic |
|---|---|---|---|---|
| 14 | WJW-TV (Fox 8 Cleveland) | Article | 79 | 8.3M |
| 15 | WFLA-TV (NewsChannel 8) | Article | 80 | 8M |
| 16 | WFRV-TV (Local 5) | Article | 72 | 7.1M |
| 17 | WIVB-TV (News 4 Buffalo) | Article | 75 | 6.9M |
| 18 | WXIN-TV (Fox 59) | Article | 79 | 6.6M |
| 19 | WJZY-TV (Queen City News) | Article | 67 | 6.5M |
| 20 | KNWA-TV (KNWA Fox 24) | Article | 73 | 6M |
| 21 | Business Insider | Article | n/a | 5.9M |
| 22 | KTVI-TV (Fox 2 St. Louis) | Article | 79 | 5.7M |
| 23 | KXAN-TV (KXAN Austin) | Article | 81 | 5.5M |
| 24 | KDVR-TV (Fox31 Denver) | Article | 80 | 5.3M |
| 25 | WTAJ-TV (WTAJ) | Article | 64 | 4.3M |
Two things worth noticing.
First, five of the top six are the podcast syndication network. That is included in the $399 Gold tier and not in the $299 Premium tier. If you are choosing between them, that difference is the whole argument.
Second, from position nine downwards it is overwhelmingly local broadcast affiliate sites. WGN, KTLA, the Fox and ABC and NBC affiliates across a couple of dozen markets. Those are real regional news domains with real audiences and genuine authority, and your practice name is now published on all of them.
And the part nobody shows you
The top twenty-five is not the whole report. Here is the full distribution of all nine hundred and fifty.
Roughly two thirds of the placements sit on domains with no measurable traffic at all. The report even contained a dozen placements on randomly generated hosting subdomains that exist purely to host syndicated content.
This is completely normal for wire distribution and it is how every service in this category works. It is also the thing nobody in the industry mentions, which is why practice owners feel misled when they eventually look at the report.
The honest framing: you are not buying 950 placements. You are buying roughly 124 placements with real audience, plus 826 indexed mentions that contribute to entity signal and nothing else. At $399, the 124 cost about $3.20 each, and the other 826 come along for free.
That is still a good deal. It is just a different deal from the one on the sales page.
Choosing a tier
| Premium | Gold | |
|---|---|---|
| Price per release | $299 | $399 |
| Claimed outlets | 400 plus | 500 plus |
| Distribution channels | 3 of 6 | All 6 |
| Images and video | 2 images, 1 video | 2 images, 1 video |
| AI indexing layer | Not guaranteed | Included |
| Podcast syndication | No | Spotify, Apple, Amazon, YouTube and more |
| Financial terminals | No | Bloomberg, Dow Jones Factiva, Thomson Reuters |
| Reporting | On publish | On publish, plus 24 and 48 hours |
For a dental practice, the recommendation is Gold at $399. The extra hundred dollars buys the podcast network, which produced five of the top six placements in the table above, and the AI indexing layer.
A note on the AI claims
Every press distribution service now markets AI visibility. PressRanger's version is called AIWire and it is included in the Gold tier. The claim is that distributed content becomes part of the knowledge base that AI chatbots draw on.
The mechanism is plausible. The scale is smaller than the marketing suggests, and it is worth seeing the real numbers before you make it your reason to buy.
Pew analysed nearly sixty-nine thousand searches and found news websites made up five percent of sources cited in AI Overviews. Exactly the same five percent they represent in normal search results. News is not an outsized AI citation source.
The Tow Center ran sixteen hundred queries across eight AI search tools and found they answered more than sixty percent incorrectly, and that they frequently cited a syndicated copy of a story rather than the original.
Treat AI visibility as a bonus that may compound over the next few years, not as a reason to spend today. The entity and credibility arguments stand on their own.
The part that actually determines whether this works
Everything so far has been about distribution. Distribution is the cheap part and the easy part. The angle is what decides whether nine hundred and fifty placements do anything at all.
The newsworthiness test
- "Leading dental practice offers quality care"
- "Practice announces commitment to patient comfort"
- "Dr. Smith is passionate about smiles"
- A rewritten version of your homepage
- Anything with no date, number, or named person
- Practice named in a regional "top dentist" list
- First in the county to offer a specific technology
- Free screening day for a local school district
- Published data from your own patient records
- A new location, a new associate, an award
The test in one sentence: could a local reporter write a story from this without adding anything?
If the answer is no, the release will still be distributed and still be indexed. It just will not be read by a human being, which removes four of the five benefits and leaves you with entity signal alone. Entity signal alone is worth something, but it is not worth what you could get.
Twelve angles a dental practice can genuinely use
The fifth category on that list, data you own, is the one almost nobody uses and the one that most reliably produces real coverage.
A practice that can look across its own patient records and say something true and specific has a story no competitor can copy and no wire service can manufacture. How many emergency appointments happen in the week after a public holiday. What proportion of patients in the area delayed treatment for more than a year. How many cracked teeth the practice sees during a particular sport's season.
Report it anonymously and in aggregate, obviously. But a local reporter with a column to fill will take a local data story over a practice announcement every single time.
Writing it
A press release has a fixed structure. It is not a creative format and deviating from it is the fastest way to get rejected or ignored.
Media contact Name, title, phone, email. A real one that a reporter can actually reach.
Paragraph by paragraph
The inverted pyramid, and why it exists
Everything in a release is ordered by importance, descending. Most important facts in the first paragraph, context next, background last.
The reason is practical and it is about a hundred and fifty years old. An editor with a column of space cuts from the bottom. If your most important fact is in the last paragraph, it gets cut. If your release is structured so that any bottom portion can be removed and the story still works, it survives editing.
Formatting conventions that signal you know what you are doing
- Dateline in the format CITY, State abbreviation, followed by a dash, then straight into the lead. For example: SPRINGFIELD, Ill. followed by the first sentence.
- "For Immediate Release" at the top, or a specific embargo date if you have a reason for one. If you use an embargo, make both the date and the required action unambiguous.
- Under one page. Purdue's guidance is explicit that anything past two pages starts reading as a news article rather than a release, which is a category error.
- Media contact block with a name, a title, a phone number and an email. Not a general enquiries address.
- Identical boilerplate every single time. This is the detail that turns a series of releases into a consistent entity signal rather than a series of unrelated documents.
What gets a release rejected
Submitting it
This is the mechanical part and it is the easy part. Budget half an hour.
Registering, step by step
- Go to pressranger.com and create a free account. There is no cost and no card required. Wholesale distribution pricing is only visible once you are signed in, which is why the public pages show retail figures of $699 and $1,099.
- Verify the email and complete the company profile. Practice name, website, contact details. This becomes the sender identity on your releases so get the spelling right.
- Open the distribution section and choose your tier. The comparison table earlier in this guide covers what separates them.
- Paste or upload the release. Plain text works. Keep the formatting simple, because the wire strips most of it anyway.
- Add the two images. A real photograph of the practice, the team or the person in the story. Not a stock photo of a model with perfect teeth, which is what the wire is full of and what a reporter will ignore.
- Add the video link if you have one. YouTube is accepted and it is a reasonable place to put a thirty second practice tour.
- Set the dateline location to your actual city and state. This is a genuine local signal and people get it wrong by defaulting to the nearest big city.
- Submit and pay. Editorial review follows.
What else is on the platform
PressRanger also sells a media database as a subscription, separate from distribution. It is worth knowing about because it solves the local reporter problem described later in this guide.
The database claims several hundred thousand journalist profiles and a large publisher index, searchable by beat and region. For a dental practice, the honest use case is narrow: once, at the start, to build a list of the five or six local reporters who cover health, business or community news in your area. After that you do not need it, because the list does not change much.
Their pricing for that sits at $79 and $149 a month. One month, build the list, cancel, is a sensible pattern. Or spend twenty minutes reading bylines on your local news site and get most of the same list for nothing.
The link decision, in detail
You get to include links. How you use them matters more than how many you use.
- Two links is plenty. One to your homepage, one to the single most relevant service page.
- Use plain anchor text. Your practice name, or a natural phrase like "the practice website". Not "best dental implants in [city]".
- The reason is directly in Google's spam policy, which names "links with optimized anchor text" in press releases specifically. Optimised anchors in a paid release are the pattern the policy describes.
- Do not link to a page that is not ready. A release sends a small amount of real traffic and a larger amount of scrutiny. Both land on whatever page you pointed at.
Using the placements, which is where the value actually is
The most common failure is not a bad release. It is a perfectly good release that gets distributed and then forgotten about.
| Asset | What to do with it | Where it pays off |
|---|---|---|
| The top placements | Build an "as featured in" strip on your homepage, linking to the real articles | Conversion rate on the highest value service pages |
| The full report | Keep it. Show it when a patient or a referrer asks about the practice | Trust, particularly for large case work |
| The release itself | Republish it on your own site as a news post | A page you control, that you can optimise, that links internally |
| The local angle | Email the release directly to two or three local reporters, personally | This is where real editorial coverage comes from |
| The profile post | Turn it into a Google Business Profile update with a Learn more button | Profile freshness and a measurable click path |
| The social proof | One post per channel, linking to the most recognisable placement | Cheap, and it makes the spend visible to existing patients |
The fourth row on that table is worth more than the other five combined, and it takes fifteen minutes.
Building the "as featured in" strip properly
This is the single most durable asset that comes out of a distribution, and most practices build it badly or not at all.
- Pick five to eight placements from the report. Choose by recognisability, not by authority score. A local viewer knows what Fox and NBC look like. They have no idea what a domain authority of 87 means.
- Use the outlet name or logo, and link each one to the actual published article, not to the outlet homepage. A strip that links nowhere reads as decoration. A strip that links to real articles reads as proof.
- Place it below the fold on the homepage and, more importantly, on your highest value service pages. Somebody researching implants needs the reassurance more than somebody looking for a cleaning.
- Label it accurately. "Featured in" or "In the news" is fine. "As recommended by" is not, because they did not recommend you, they published your release.
- Check the links once a year. Placements do disappear, and a broken credibility strip is worse than no strip.
Measuring whether it did anything
Press distribution is the hardest marketing activity to measure honestly, which is exactly why so much nonsense gets claimed about it. Here is what you can actually observe.
| What to measure | Where | What a result looks like |
|---|---|---|
| Branded search volume | Search Console, filter queries containing your practice name | A step up in impressions in the weeks after distribution |
| Referral traffic | GA4, Traffic acquisition, Referral | Small. Tens of visits, not hundreds. That is normal |
| Direct traffic | GA4 | A modest lift, from people who saw the name and searched it later |
| Indexed mentions | Search your practice name in quotes and note the result count before and after | This is the entity signal, made visible |
| Local coverage | Whether any reporter actually wrote something | The one that matters most, and the one the wire does not produce |
Set a baseline the week before you distribute. Branded impressions, direct sessions, and the quoted name result count. Without that you have nothing to compare against, and the temptation to attribute every good thing that happened that month to the release becomes irresistible.
The local reporter email, in detail
The wire gets your story onto aggregator sites. It does not put it in front of a human who might write about it. That requires a person emailing a person.
- Find two or three reporters who cover business, health or community news for your local paper, local news site or regional magazine. Their bylines are on the site.
- Email each one individually. Not a group email, not a blast.
- Two sentences on why this matters to their readers specifically, then the release pasted below. Not attached. Pasted, so they can read it without opening anything.
- Offer the thing a wire cannot: an interview, a photograph, a walk through of the practice, access to the data behind the story.
- Do it on the day the release goes live, while it is still new.
Cision surveyed over three thousand journalists across nineteen markets and found that seventy-two percent named press releases as the most useful thing a PR contact can provide. They also found that eighty-six percent will immediately reject a pitch that is not aligned with their beat or audience.
Both halves of that matter. Reporters want releases. They reject ones that are not relevant to them. Which means the personalised email to the right person beats the untargeted blast every time, and it is the only part of this process that can produce a genuine editorial link.
Why local pickup is worth chasing
Pew found that eighty-five percent of Americans consider local news outlets at least somewhat important to their community, and seventy-one percent say their local outlets report the news accurately.
That trust is the thing a paid wire placement cannot buy and a genuine local story can. It is also the only route in this entire guide that produces an editorial link Google would actually count.
Putting it in context
The last question is whether $399 on a press release beats $399 spent another way. Here is the comparison honestly.
| Spend | What you get | Duration |
|---|---|---|
| $399 press release | 950 indexed mentions, 124 on real audience domains, a report you can show patients | Most placements persist indefinitely |
| $399 of Google Ads | Roughly 40 to 80 clicks in a competitive dental market at $5 to $10 a click | Stops the day the budget stops |
| $399 on one blog post | One page, well researched and written, that may rank within six months | Compounds, if it ranks |
| $399 on directory listings | A handful of citations on sites patients rarely visit | Persists, low value |
| $399 on "link building" | Typically 3 to 5 links of unknown provenance on sites of unknown quality | Risk of a manual action |
These are not substitutes. They do different jobs on different timescales.
The ads produce patients this week and nothing the month after you stop. The blog post produces nothing this quarter and then compounds for years if it ranks. The release produces no direct patients at all, and produces credibility, entity signal and an asset you can show people.
A practice doing only one of those three is leaving something on the table. A practice doing the press release first, before the website and the profile are in order, has the order wrong.
An annual rhythm that works
Four releases a year at $399 is $1,596. For most fee for service practices that is a sensible annual line item, and four genuinely newsworthy things do happen in a practice every year if somebody is looking for them.
The discipline is in the "if somebody is looking". Awards get won and nobody writes them up. New equipment arrives and nobody mentions it. An associate joins and it appears only on the website team page. Each of those was a release and each one passed unused.
Before you spend the money
- You have nothing newsworthy and are hoping the wire will fix that
- Your website is not ready for the traffic or the scrutiny
- Your Google Business Profile is incomplete
- You have no tracking on the site to see what happens
- Someone told you it would fix your rankings
- You have a genuine, specific, datable piece of news
- Your site and profile are already in good shape
- You have a plan for the placements after distribution
- You will personally email two local reporters the same day
- You understand you are buying credibility, not links
The order of operations is the thing to get right.
A press release amplifies whatever someone finds when they look you up. If what they find is a slow website, a half finished Google Business Profile and eleven reviews from 2021, you have paid $399 to send more people to a worse first impression than they would otherwise have had.
Fix the foundations first. The tracking guide, the keyword guide and the profile guide in this series are all cheaper than this one and all produce more this quarter. The release still works next quarter, and it works better when the thing it points at is ready.
And the summary, in four lines
- $399 buys roughly 950 indexed placements, about 124 of which sit on domains with real audience.
- The links are mostly nofollow, by design and by policy, and they will not move your rankings.
- What they will do is establish your practice as a consistent, corroborated entity and give you credibility that matters at the point a patient is deciding on expensive treatment.
- The fifteen minute personal email to a local reporter on the day of distribution is worth more than the other nine hundred and fifty placements put together, and it is free.
Also in this series: the tracking setup that proves any of this worked, the keyword strategy that decides which pages to build, and the Google Business Profile guide.