| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | CAROLINA FAMILY AND URGENT CARE | LUMBERTON, NC | 14 | $0.00 |
| 2 | FORT THOMPSON INDIAN HEALTH SERVICE | FORT THOMPSON, SD | 16 | $0.00 |
| 3 | ROSEBUD INDIAN HEALTH SERVICE | ROSEBUD, SD | 29 | $0.00 |
| 4 | CORTLAND PLACE REHAB CENTER LLC | GREENVILLE, RI | 47 | $0.00 |