| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | ST MARY'S REGIONAL HEALTH CENTER | 56464 | 15 | 8,012 | $849K |
| 2 | IND SCHOOL DIST 821 | 56464 | 1 | 14,302 | $691K |
| 3 | GREEN PINE ACRES NURSING HOME | 56464 | 7 | 285 | $15K |
| 4 | RESTEMAYER FAMILY DENTISTRY, PC | 56464 | 4 | 212 | $6K |
| 5 | DONAHUE-SHARSTROM, DEBRA | 56464 | 1 | 59 | $4K |