Guide

How ChatGPT and Google AI pick a med spa, dentist or contractor

ChatGPT, Gemini, Perplexity and Google's AI features answer "who should I call" by searching the web and map data, reading the pages they find, and writing a short list. For dentists and home trades, studies find that Google Business Profile is the most cited source, followed by Yelp, with trade directories and the business's own website well behind. No company publishes its ranking rules, so what follows is evidence from outside studies, and no one can guarantee a place in the answer.

By Plato Belmont, founder of Magnet Mint, Boston. Updated

The short version: AI looks things up, then writes a list

When a customer types “best dentist near me” into ChatGPT, Gemini, Perplexity or Google’s AI Mode, the assistant does not recall a ranked list. It searches, reads what it finds, and writes a short answer with a few names. Google describes this for its AI features as “query fan-out”: the system runs multiple related searches across subtopics and data sources, then shows a broader set of links than classic search.

That means the businesses named are the ones whose information is easy to find and easy to confirm in the places the assistant looks. This page is part of our guide to how customers see you. It covers what the studies say about dentists, home trades (contractors, plumbers, roofers, HVAC) and med spas.

A caution first. No AI company publishes how it picks local businesses. Everything here comes from outside studies, many of them by firms that sell local marketing. They describe patterns, not rules.

Where each assistant looks

AssistantWhat the evidence says
Google AI Overviews and AI ModeGoogle says a page must be indexed and eligible to show with a snippet, and that no special markup is required. It also says Google Business Profiles can help businesses appear in AI responses.
ChatGPT searchOpenAI says its OAI-SearchBot crawler surfaces sites in ChatGPT search, and sites that opt out are not shown in answers. In Steady Demand’s test, ChatGPT cited directories far more often than business sites. OpenAI’s help page for ChatGPT Enterprise and Edu says those plans send search queries to Bing. OpenAI does not say the same for consumer ChatGPT, so treat Bing’s role there as reported, not confirmed.
GeminiSOCi’s 2026 index says Gemini relies solely on Google Maps for location information. In Steady Demand’s test it cited business websites in 49.6% of cases.
PerplexityTech press reported in March 2024 that it had added Yelp data (maps, reviews and photos) to local answers. Yext found Perplexity spreads citations across sources such as MapQuest and TripAdvisor.

The practical reading: no single listing wins everywhere. Your Google Business Profile, your website, Yelp and the directories for your trade all feed some assistant.

Dentists: Google and Yelp lead, healthcare directories trail

BrightLocal analyzed 1,967,762 citations from Google AI Overviews, AI Mode and ChatGPT for 1,355 locations in the US, UK and Australia (published August 2026). For dentists, the sector breakdown covered 25,005 citations.

SourceShare of dentist citations
google.com (Google Business Profile)57%
yelp.com15.4%
facebook.com1.9%
zocdoc.com1%
healthgrades.com0.5%

The sample for each trade is small, about 25 to 34 locations, so read the shares as a direction. Yext’s broader study of healthcare found listings made up 52.6% of citations, with directories such as WebMD and Vitals prominent. The two studies measure different things, so they are not in conflict, but neither proves that a given directory will get you named.

For a dental practice, that points to three jobs: a complete Google profile with services and insurance, a Yelp page that is claimed and accurate, and a website with a page for each treatment.

Contractors and home services: profile, Yelp and trade directories

BrightLocal published a plumber breakdown, the closest match for the home trades (26,672 citations).

SourceShare of plumber citations
google.com (Google Business Profile)54%
yelp.com13.8%
facebook.com3.1%
angieslist.com (Angi)2.2%
homeadvisor.com0.9%
bbb.org0.9%

Steady Demand’s study of 1,500 “best X near me” questions across 50 US metros and 10 local-service categories adds a trade-directory view. Angi, HomeAdvisor, BBB and ConsumerAffairs appeared in all 50 metros, and Thumbtack and Expertise.com in most. For ChatGPT, 46.0% of citations went to general business directories and 27.2% to local-service directories and marketplaces. The author runs a local SEO agency and calls the data a short-lived snapshot.

For a roofer, plumber or HVAC company, that points to: a complete Google profile with your service area, Yelp and Facebook pages that match, a claim on the one or two trade directories your customers use, and a website page for each service and each town you serve.

Med spas: no trade study, so test your own prompts

We could not find a study that measured how AI picks med spas. BrightLocal’s study had no med spa or beauty breakdown, and beauty, wellness and fitness businesses were only 2.05% of the locations it studied. Yext’s healthcare findings are the nearest evidence, and they cover healthcare broadly, not med spas.

So treat the med spa as a case where you test, not assume. Run the prompts in our 30-minute self-test for each treatment you sell (for example Botox or laser hair removal), and note which sites the assistants cite. Those sites are your directory list.

What the studies suggest you publish

These steps follow from the sources above. They are practical advice, not a formula.

Every trade

  1. A complete Google Business Profile: categories, services, hours, service area, photos. See the Google Business Profile checklist.
  2. The same name, address and phone number on your website and listings. SOCi’s report found hours and address errors in ChatGPT and Perplexity answers and says small inconsistencies can drop a business from consideration. See Apple Business Connect, Bing Places and Yelp.
  3. Reviews that keep coming. See do reviews affect AI recommendations.
  4. A site that search and AI crawlers can read, with text, not only images.

Dentist

  • A page per treatment (checkups, implants, emergency visits) with who it is for and what to expect.
  • Insurance plans you accept, new-patient steps and emergency hours in plain text.
  • Dentist names and credentials on the about page.

Contractor, plumber, roofer, HVAC

  • A page per service and per town you serve, with a “from” price or typical range if you can state one.
  • Licenses and insurance you hold, stated as facts.
  • Real project photos with the town and the job type.
  • Response times for emergency calls, if you can keep the promise.

Med spa

  • A page per treatment, with who performs it, what a first visit involves and who should not book it. Staff handle clinical questions, so keep medical advice off the page.
  • Prices or “from” prices for your most-asked treatments.
  • Provider names and credentials.
  • Booking link and cancellation policy in text.

The questions customers ask AI

Write your pages to answer the questions in the form customers type them. Examples:

  • “Who is an emergency dentist in [town] open on Sunday?”
  • “How much does a new roof cost in [town] and who can do it this month?”
  • “Is [med spa] safe for first-time Botox, and what does it cost?”
  • “Which HVAC company in [town] offers same-day repair?”

If your website has a clear answer to each one, an assistant has something accurate to quote.

What we do, and what nobody can promise

Nobody controls what ChatGPT, Google AI Overviews, AI Mode or Perplexity recommend. We cannot promise placement, and we would not trust anyone who does. What we do is check your website, your profiles and how you answer a test call and inquiry, record what the assistants say about you, and write up what we find. That is the check on how customers see you. Standard check: from $395. The deep check adds your competitors and a fix plan in priority order. A free demo is the shorter version.

Published . Updated .

Frequently asked questions

How does AI choose which local business to recommend?

Nobody outside the AI companies knows the exact rules. Studies show that assistants search the web and map data, then cite Google Business Profile, Yelp, directories and business websites. Businesses with more reviews, complete profiles and consistent information appear more often, but that is correlation.

Which sites does ChatGPT cite for local businesses?

In a BrightLocal analysis of about 2 million citations across Google AI Overviews, AI Mode and ChatGPT, Google Business Profile was 28.63% and Yelp 9.53%. For dentists, Google was 57% and Yelp 15.4% of sector citations. Results differ by assistant and change over time.

Does a dentist need a different strategy from a contractor?

The base is the same, with a complete profile, consistent listings, reviews and a clear website. The extra sources differ. Dentists see healthcare directories and Yelp. Home trades see Yelp, Facebook and directories such as Angi. A med spa sits between healthcare and beauty, and no study we found measured it.

Is there data on med spas?

Not that we could find. BrightLocal's citation study had no med spa or beauty breakdown, and Yext's study covered healthcare, not med spas specifically. Test your own prompts and look at which sites appear.

Does AI use my website or just directories?

Both, in different proportions. Steady Demand found Gemini cited the business's own website in 49.6% of local-service cases in September 2026, while ChatGPT cited directories far more often and the business's own site in 10.5%. Keep your site and your listings accurate.

Can I pay to be picked?

We know of no paid placement in these answers. Google says there is no way to request or pay for a better local ranking on Google. Nobody can promise a place in AI answers.

Sources

  1. BrightLocal: Where to get local citations for AI search, August 2026
  2. Steady Demand: What AI actually cites, 14,000+ local citations analyzed, September 2026
  3. Yext: AI citations research release, October 2026
  4. Localogy: SOCi's LVI report on AI and local search visibility, January 2026
  5. Google Search Central: AI features and your website, October 2026
  6. Google Search Central: Optimizing for generative AI features on Google Search, October 2026
  7. Google Business Profile Help: Tips to improve your local ranking on Google, October 2026
  8. OpenAI: Overview of OpenAI crawlers, October 2026
  9. OpenAI Help Center: ChatGPT search for Enterprise and Edu, October 2026
  10. Maginative: Perplexity enhances its AI search engine with direct Yelp data integration (March 2024), October 2026

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