| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | BETHANY MANOR INC | 50248 | 3 | 8,882 | $797K |
| 2 | HOY, JESSICA | 50248 | 1 | 209 | $15K |
| 3 | DENALI DENTAL PLLC | 50248 | 8 | 462 | $7K |
| 4 | COOK, MICHELLE | 50248 | 2 | 119 | $3K |
| 5 | THOMPSON, SCOTT | 50248 | 3 | 110 | $3K |
| 6 | NUDAK VENTURES, LLC | 50248 | 2 | 30 | $672.00 |