| # | Provider | ZIP | Codes | Claims | Total Paid |
| 1 |
MONUMENT HEALTH NETWORK, INC. |
57717 |
21 |
14,768 |
$879K |
| 2 |
HEARTLAND HOME HEALTH LLC |
57717 |
3 |
9,701 |
$654K |
| 3 |
BELLE FOURCHE COUNSELING - LLC |
57717 |
4 |
5,470 |
$482K |
| 4 |
BLACK HILLS OPTICAL LLP |
57717 |
4 |
4,232 |
$246K |
| 5 |
BELLE FOURCHE SCHOOL DISTRICT 9-1 |
57717 |
3 |
4,055 |
$198K |
| 6 |
PAIN & MOVEMENT SOLUTIONS, LLC |
57717 |
6 |
11,855 |
$189K |
| 7 |
JUDY'S ASSISTED LIVING |
57717 |
1 |
118 |
$170K |
| 8 |
BLACK HILLS VISION CARE PROF LLC |
57717 |
4 |
3,006 |
$133K |
| 9 |
TRI-STATE CHIROPRACTIC, PC |
57717 |
2 |
4,197 |
$91K |
| 10 |
NEHL DENTAL, INC. |
57717 |
5 |
1,975 |
$56K |
| 11 |
NASH VISION PLLC |
57717 |
3 |
615 |
$31K |
| 12 |
BUTTE COUNTY AMBULANCE SERVICE |
57717 |
2 |
487 |
$24K |
| 13 |
SPEARFISH VISION WORKS, P.C. |
57717 |
5 |
565 |
$22K |
| 14 |
MONUMENT HEALTH NETWORK, INC. |
57717 |
11 |
1,850 |
$14K |
| 15 |
MAVERICK HEALTH CARE, PROF. LLC |
57717 |
1 |
353 |
$7K |
| 16 |
TRI STATE MEDICAL CENTER PLLC |
57717 |
2 |
76 |
$868.87 |
| 17 |
DAKOTAMART INC |
57717 |
1 |
28 |
$0.00 |