| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | COAL COUNTRY COMMUNITY HEALTH CENTER | 58523 | 7 | 5,279 | $983K |
| 2 | ERICKSON CHIROPRACTIC PC | 58523 | 1 | 1,053 | $42K |
| 3 | BEULAH VISION PC | 58523 | 1 | 286 | $4K |
| 4 | JACKSON, ORLAN | 58523 | 2 | 64 | $2K |
| 5 | BEULAH DENTAL WEISS PC | 58523 | 1 | 37 | $765.31 |