Pune searches with the city name have real volume. Keyword tools show more than 100 searches a month each for orthopedic, Ayurvedic, homeopathy, hair, skin, IVF and fertility doctors in Pune, and many start with "top 10" or "best". Hospitals, chains and directories fill those results, and paying to compete there is expensive.
Neighbourhood searches are different. Terms like "skin doctor in Hadapsar", "orthopedic doctor in Hadapsar", "ENT doctor in Hadapsar" or "lady doctor in Hadapsar" each get fewer than 100 searches a month, but there are dozens of them in every area, and few clinics write for them. That's where a single clinic can be the answer, on Maps and on its own website.
Pune patients also check Practo, which lists 382 dentists in the city compared with 46 in Bareilly. Your Practo, Justdial and Google details need to match, or patients and AI search tools see three different clinics.