| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | ALAMO NAVAJO SCHOOL BOARD, INC. | ALAMO, NM | 27 | $519.00 |
| 2 | OMG SMILES PLLC | NORTHBOROUGH, MA | 30 | $0.00 |
| 3 | MAGAZINE DENTAL ASSOCIATES, LLC | NEW ORLEANS, LA | 541 | $0.00 |
| 4 | JOSEPH R. LACOSTE, JR., DDS, APDC | RACELAND, LA | 94 | $0.00 |
| 5 | HAMMOND DENTAL OFFICE OF JOSEPH R. LACOSTE, JR., DDS | HAMMOND, LA | 51 | $0.00 |
| 6 | US HEALTH DEPT OF HEALTH & HUMAN SERVICES | FORT WASHAKIE, WY | 16 | $0.00 |
| 7 | MCBETH DMD PLLC | PHOENIX, AZ | 27 | $0.00 |
| 8 | LAMBOY AND RUBIO, DDS, PA. | ASHEBORO, NC | 32 | $0.00 |
| 9 | WHITE EARTH INDIAN HEALTH CENTER | OGEMA, MN | 17 | $0.00 |