| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | SGOH ACQUISITION INC | 72736 | 139 | 249,592 | $10.82M |
| 2 | GRAVETTE SCHOOL DISTRICT | 72736 | 5 | 3,734 | $61K |
| 3 | CITY OF GRAVETTE | 72736 | 2 | 251 | $10K |
| 4 | EVANS, ARTHUR | 72736 | 4 | 291 | $9K |
| 5 | GRAVETTE DENTAL ASSOCIATES PLLC | 72736 | 2 | 65 | $2K |
| 6 | DAY, FREDERICK | 72736 | 1 | 126 | $1K |
| 7 | TEASLEY DRUG INC | 72736 | 2 | 44 | $880.00 |
| 8 | AUSTIN DRUGS INC | 72736 | 3 | 85 | $657.06 |
| 9 | LOWRY, TRACY | 72736 | 1 | 14 | $512.40 |