| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | UTAH NAVAJO HEALTH SYSTEM, INCORPORATED | MONTEZUMA CREEK, UT | 27 | $8K |
| 2 | JUST FOR KIDS DENTAL GROUP KINGMAN, PLLC | KINGMAN, AZ | 16 | $522.68 |
| 3 | ADVANTAGE DENTAL GROUP, PC | BEND, OR | 115 | $18.90 |
| 4 | BOUMERHI, ALEXANDER | HOUTZDALE, PA | 28 | $0.00 |
| 5 | WHITE, SHAUN | GOLDSBORO, NC | 30 | $0.00 |
| 6 | EAKER, GWEN | SPRING BRANCH, TX | 28 | $0.00 |
| 7 | SIGG, BRYAN | INDIANAPOLIS, IN | 65 | $0.00 |
| 8 | PROFESSIONAL DENTAL ALLIANCE, LLC | MIDDLEBURG HEIGHTS, OH | 95 | $0.00 |
| 9 | RICHARDSON, EUGENE | PETERSBURG, VA | 27 | $0.00 |
| 10 | PROFESSIONAL DENTAL ALLIANCE OF WARREN, LLC | WARREN, OH | 37 | $0.00 |
| 11 | PROFESSIONAL DENTAL ALLIANCE OF TENNESSEE, PLLC | CHATTANOOGA, TN | 26 | $0.00 |
| 12 | GUILLEN RIVERA, GERARDO | EL PASO, TX | 12 | $0.00 |