| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | BURWELL FAMILY PRACTICE PC | 68823 | 4 | 2,644 | $348K |
| 2 | BURWELL DENTAL CLINIC, P.C. | 68823 | 9 | 6,108 | $129K |
| 3 | LOUP BASIN PUBLIC HEALTH DEPARTMENT | 68823 | 15 | 3,400 | $51K |
| 4 | VALLEY COUNTY HOSPITAL | 68823 | 1 | 14 | $1K |
| 5 | COMMUNITY MEMORIAL HOSPITAL, INC. | 68823 | 1 | 35 | $0.00 |