| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | MONUMENT HEALTH NETWORK, INC. | 57730 | 84 | 27,358 | $643K |
| 2 | MONUMENT HEALTH NETWORK, INC | 57730 | 1 | 64 | $91K |
| 3 | PREMIER FAMILY EYE CARE, PC | 57730 | 5 | 2,101 | $73K |
| 4 | CUSTER SCHOOL DISTRICT | 57730 | 2 | 1,124 | $45K |
| 5 | MONUMENT HEALTH NETWORK, INC | 57730 | 3 | 2,716 | $44K |
| 6 | CUSTER AMBULANCE SERVICE INC | 57730 | 1 | 70 | $2K |
| 7 | BOLEN DENTAL PC | 57730 | 1 | 12 | $478.27 |