| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | MARENGO MEMORIAL HOSPITAL | 52361 | 13 | 16,357 | $1.91M |
| 2 | WILLIAMSBURG DENTAL HEALTH CLINIC INC | 52361 | 6 | 2,477 | $37K |
| 3 | GRIER, MEGAN | 52361 | 4 | 1,149 | $28K |
| 4 | SCHMIDT, TILLY | 52361 | 4 | 111 | $2K |
| 5 | STRIEGEL, RYAN | 52361 | 1 | 23 | $1K |
| 6 | WILSON, BRITTANIE | 52361 | 1 | 73 | $1K |
| 7 | KAPPLE DENTAL ASSOCIATES, P.C. | 52361 | 2 | 26 | $651.77 |
| 8 | RUDOLPHI, TARA | 52361 | 2 | 42 | $501.54 |
| 9 | HARTIG DRUG CO CORP | 52361 | 1 | 18 | $363.28 |