| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | ALL SMILES DENTAL CARE L.C. | 67467 | 6 | 4,735 | $103K |
| 2 | USD 239 NORTH OTTAWA | 67467 | 2 | 3,188 | $86K |
| 3 | GREAT PLAINS OF OTTAWA CO, INC. | 67467 | 2 | 217 | $5K |
| 4 | COUNTY OF OTTAWA | 67467 | 3 | 196 | $2K |
| 5 | GREAT PLAINS OF OTTAWA CO INC | 67467 | 2 | 114 | $161.21 |
| 6 | MINNEAPOLIS KS OPCO LLC | 67467 | 3 | 50 | $0.00 |
| 7 | MINNEAPOLIS HEALTHCARE AND REHABILITATION CENTER LLC | 67467 | 2 | 26 | $0.00 |