| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | FDG SERVICIOS DENTALES, PSC | 00690 | 17 | 97,867 | $1.83M |
| 2 | GAVILANES - MENDEZ, RAFAEL | 00690 | 12 | 18,449 | $1.08M |
| 3 | ABDULRAHMAN, GAMIL | 00690 | 14 | 30,845 | $586K |
| 4 | MARIA L CRESPO | 00690 | 19 | 11,434 | $115K |
| 5 | CRESPO, MARIA | 00690 | 27 | 12,462 | $97K |
| 6 | MARIA L CRESPO | 00690 | 18 | 3,136 | $28K |
| 7 | GUEVARA, FRANCISCO | 00690 | 4 | 116 | $2K |
| 8 | GUEVARA, NATALIA | 00690 | 2 | 47 | $604.92 |
| 9 | VEGA PAGAN, WILFREDO | 00690 | 6 | 181 | $0.00 |