Currently, this ad network serves billions of impressions per month in 190 countries. What differentiates them from other network is the fact that you can get money from clicks as well as conversions generated by visitors on the Adsterra ads. Both Adsterra and Adsense ads can co-exist on your site without any issues because they work hand in hand. To have your site qualified under Adsterra you need to have 50,000 impressions per month. It is a very strict company; any form of fraudulent activities like fake traffics would only get you banned. They only work with reputable publishers. Small sites that are still developing cannot register under Adsterra.