| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | FRONTIER HOME MEDICAL, INC | 69130 | 29 | 31,551 | $1.25M |
| 2 | COZAD COMMUNITY HOSPITAL | 69130 | 13 | 11,885 | $1.22M |
| 3 | COZAD COMMUNITY HOSPITAL | 69130 | 34 | 12,691 | $597K |
| 4 | AMBER IDE DDS, LLC | 69130 | 12 | 4,221 | $198K |
| 5 | LEXINGTON FAMILY EYECARE | 69130 | 12 | 7,238 | $141K |
| 6 | IDE, AMBER | 69130 | 8 | 815 | $23K |
| 7 | DAVIS FAMILY DENTAL, LLC | 69130 | 4 | 445 | $10K |