| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | DICKINSON COUNTY HEALTHCARE SYSTEM | IRON MOUNTAIN, MI | 59 | $62K |
| 2 | RESTORE RX INC | BRUNSWICK, TN | 33 | $4K |
| 3 | OWENSBORO HEALTH MEDICAL GROUP, INC. | LEITCHFIELD, KY | 45 | $0.00 |
| 4 | HARBOR COMMUNITY CLINIC INC. | SAN PEDRO, CA | 24 | $0.00 |
| 5 | V V L S PHARMACY LLC | TREVOSE, PA | 17 | $0.00 |