| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | SACRED HEART HEALTH SERVICES | 68729 | 29 | 12,643 | $273K |
| 2 | SACRED HEART HEALTH SERVICES | 68729 | 6 | 3,791 | $215K |
| 3 | KNOX COUNTY CHIROPRACTIC, P.C. | 68729 | 1 | 1,223 | $34K |
| 4 | SACRED HEART HEALTH SERVICES | 68729 | 1 | 148 | $11K |
| 5 | FAMILY FIRST DENTAL ASSOCIATES OF WAUSA, P.C. | 68729 | 3 | 181 | $4K |