| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | BENSON FAMILY DENTISTRY, LLC | 68853 | 13 | 4,214 | $92K |
| 2 | VALLEY COUNTY HOSPITAL | 68853 | 3 | 421 | $48K |
| 3 | ROGER C. MC CARTNEY, O.D.,AND BRANDON A. BLAIR, O.D.,P.C. | 68853 | 5 | 406 | $10K |
| 4 | CENTRAL NEBRASKA COMMUNITY SERVICES, INC. | 68853 | 9 | 379 | $6K |