| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | POWERS PARK HEALTHCARE, INC. | SANTA BARBARA, CA | 15 | $579.64 |
| 2 | CHILDREN'S HOSPITAL OF ORANGE COUNTY | ORANGE, CA | 22 | $0.00 |
| 3 | VIBRA HOSPITAL OF SAN BERNARDINO, LLC | SAN BERNARDINO, CA | 131 | $0.00 |
| 4 | CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE | POMONA, CA | 15 | $0.00 |