| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | MOGHADDAM RAD, LEILA | 78734 | 13 | 11,459 | $292K |
| 2 | KING SMILES II, P.A. | 78734 | 17 | 6,497 | $155K |
| 3 | BIR JV LLP | 78734 | 5 | 2,533 | $1K |
| 4 | KING SMILES | 78734 | 5 | 70 | $946.68 |
| 5 | BARBARA MIJARES, DIEGO | 78738 | 1 | 12 | $310.20 |
| 6 | LUQMAN, MOHAMMAD | 78738 | 1 | 21 | $298.80 |
| 7 | LAKE TRAVIS FAMILY & COSMETIC DENTISTRY PLLC | 78734 | 2 | 28 | $161.70 |