| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | BYRAM HEALTHCARE CENTERS, INC. | SALT LAKE CITY | 880 | $47K |
| 2 | HEALTH WEST, INC. | NORTH LOGAN | 29 | $991.64 |
| 3 | NIELSON'S PHARMACY, INC | CASTLE DALE | 31 | $83.26 |
| 4 | WALGREEN CO | ST GEORGE | 41 | $0.00 |
| 5 | WALGREEN CO | SYRACUSE | 12 | $0.00 |
| 6 | WALGREEN CO | PLEASANT GROVE | 324 | $0.00 |