Many of them are scams, but most are obviously so, and easy to avoid.
Looking at BP/Cincinnati/Escorts right now, there are 40 ads with photos on page 1 with a breakdown (by sight) as follows:
7 are known rip-off artists.
18 are using obviously fake photos.
12 are mystery girls. These are maybes at this point.
1 Tgirl (who is probably legit, but has a cock... so...)
2 legit providers which I know have some okay reviews, neither is particularly attractive to me, but...
That is all just looking, not researching. If we searched we could maybe clear up a few of the mystery girls. It's like looking at the matrix, after awhile you don't even see the known scammers and the obviously fake photos.
I sent you a PM, with some more info to help you