| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | DEWITT HOSPITAL & NURSING HOME, INC. | 72042 | 61 | 52,343 | $607K |
| 2 | DEWITT HOSPITAL & NURSING HOME, INC. | 72042 | 17 | 14,948 | $210K |
| 3 | DEWITT SCHOOL DISTRICT | 72042 | 5 | 6,570 | $189K |
| 4 | VAN M DUNN | 72042 | 3 | 3,106 | $130K |
| 5 | WEST HAVEN VILLAGE, LLC | 72042 | 1 | 1,169 | $107K |
| 6 | MID-DELTA HEALTH SYSTEMS, INC. | 72042 | 1 | 351 | $82K |
| 7 | DANA'S HOUSE, INC. | 72042 | 5 | 900 | $56K |
| 8 | TRACY FAMILY PRACTICE CLINIC PA | 72042 | 4 | 1,932 | $55K |
| 9 | WEST, DEBRA | 72042 | 1 | 19 | $806.40 |
| 10 | TOMMYS REXALL DRUG COMPANY INC | 72042 | 2 | 45 | $0.00 |