| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | GOOD SAMARITAN HOSPITAL ASSOCIATION | 58368 | 32 | 7,052 | $376K |
| 2 | GOOD SAMARITAN HOSPITAL ASSOCIATION | 58368 | 5 | 3,274 | $366K |
| 3 | RUGBY DENTAL OFFICE, P.C. | 58368 | 13 | 7,140 | $267K |
| 4 | MKL LLC | 58368 | 1 | 3,562 | $224K |
| 5 | NODAK SECURITY ALARM ENTERPRISES LLC | 58368 | 2 | 4,221 | $155K |
| 6 | SARA L KLEVEN DDS PC | 58368 | 13 | 3,087 | $106K |
| 7 | GOOD SAMARITAN HOSPITAL ASSOCIATION | 58368 | 5 | 828 | $33K |
| 8 | MCCABE FAMILY CHIROPRACTIC, P. C. | 58368 | 1 | 20 | $1K |