| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | NOT TSOO GAH NEE INDIAN HEALTH | 83203 | 24 | 14,474 | $4.52M |
| 2 | SHOSHONE BANNOCK TRIBES, INC | 83203 | 7 | 4,439 | $1.74M |
| 3 | SHOSHONE BANNOCK TRIBES, INC | 83203 | 6 | 1,360 | $556K |
| 4 | SHOSHONE BANNOCK TRIBES, INC. | 83203 | 3 | 1,093 | $183K |
| 5 | BRONCHO, KRISTY | 83203 | 1 | 191 | $20K |