| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | SANBORN REGIONAL SCHOOL DISTRICT | 03848 | 7 | 61,435 | $403K |
| 2 | SHUMAN, BRIAN | 03848 | 8 | 1,546 | $32K |
| 3 | KINGSTON FAMILY DENTAL | 03848 | 8 | 1,513 | $22K |
| 4 | KINGSTON DENTAL ARTS PLLC | 03848 | 2 | 34 | $793.48 |
| 5 | NEW CREATION HEALING CENTER, INC | 03848 | 1 | 17 | $539.37 |