I'm young and I work alone, out of Slemani, a city in the Kurdistan region. I've been running paid ad accounts for two years. Nobody around me does this kind of work, so I taught myself, mostly off YouTube and a stack of paid courses I had no business affording at the time. This is the work I'm building my future on, and I take exactly one client at a time so that one client gets all of it.
I picked dentistry because the math is honest. A new patient in your ZIP is worth around $1,800 the first year, several thousand over the relationship. A good campaign brings them in for somewhere between $40 and $90 each. The gap between $90 and $1,800 is the entire reason this works. There's no trick. There's only paying attention, and most agencies stopped doing that a while ago because they have too many accounts to actually watch.
I picked Des Moines because Iowa is independent-heavy, the corporate chains are pushing in fast, and one solo dentist with good ads can hold their ZIP for years. I want one practice here for my first real case study. The only honest way to get there is to work 30 days for free, until I've actually proven I can do what I'm saying. If it works, we keep going. If it doesn't, you didn't lose anything you wouldn't have spent anyway.
If we end up working together, you won't be passed to an account manager. You won't be in a queue. You'll be the entire queue. That's the only honest version of this.