| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES | 72714 | 13 | 3,119 | $86K |
| 2 | CITY OF BELLA VISTA AMBULANCE SERVICE | 72714 | 3 | 1,159 | $69K |
| 3 | WILLIAM LAWRENCE YOOS, O.D.,P.A. | 72714 | 5 | 1,459 | $68K |
| 4 | RIVER DENTAL BELLA VISTA PLLC | 72714 | 5 | 376 | $9K |
| 5 | DALLISON, NOBLE | 72714 | 4 | 264 | $8K |
| 6 | CORNERSTONE PHARMACY OF BELLA VISTA LLC | 72714 | 4 | 574 | $5K |
| 7 | RICHARD W WIKE O D PA | 72714 | 4 | 97 | $3K |
| 8 | ARKANSAS CVS PHARMACY, L.L.C. | 72714 | 2 | 88 | $28.39 |
| 9 | WALGREEN CO | 72714 | 2 | 53 | $0.00 |