Where the patients actually are
Maryland's population, and its dental search volume, is heavily concentrated. The Baltimore metro carries close to 2.9 million people, and the Maryland suburbs of Washington across Montgomery and Prince George's counties add roughly 2 million more. Together those two corridors hold the bulk of the state's search volume, the most competition, and the hardest local rankings. Hagerstown, Salisbury, Lexington Park, and Cumberland form a clear second tier of smaller, more winnable markets.
Your budget should be shaped by that spread. Competing in Bethesda or downtown Baltimore is a different game than competing in Salisbury or Cumberland, and a strategy that ignores the difference wastes budget in both directions.


