| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | SUMNER COUNTY HOSPITAL DISTRICT NO 1 | 67022 | 4 | 1,054 | $40K |
| 2 | INTEGRIS BASS BAPTIST HEALTH CENTER | 67022 | 3 | 1,231 | $29K |
| 3 | HAROLD A SMALL DDS PA | 67022 | 4 | 481 | $11K |
| 4 | SMALL, HAROLD | 67022 | 4 | 301 | $8K |
| 5 | USD 360 CALDWELL SCHOOLS | 67022 | 1 | 37 | $832.87 |
| 6 | SUMNER COUNTY HOSPITAL DISTRICT NO 1 | 67022 | 4 | 366 | $242.00 |
| 7 | CALDWELL PHARMACY INC | 67022 | 1 | 13 | $0.00 |