| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | ELGIN HEALTH CENTER LLC | 97827 | 5 | 1,723 | $104K |
| 2 | GRANDE RONDE HOSPITAL, INC | 97827 | 5 | 3,898 | $46K |
| 3 | GRAY, KALI | 97827 | 12 | 971 | $379.00 |
| 4 | ELGIN FAMILY DENTAL LLC | 97827 | 15 | 3,415 | $278.94 |
| 5 | ELISHA MAYES, DDS, PC | 97827 | 17 | 3,261 | $0.00 |