| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | SMILE WORKSHOP UNIVERSAL CITY, PLLC | 78148 | 18 | 7,539 | $125K |
| 2 | FENNELL, LAWANDA | 78148 | 2 | 1,232 | $107K |
| 3 | ALBA WELLNESS INCORPORATED | 78148 | 1 | 683 | $53K |
| 4 | THURMAN, KARRIEM | 78148 | 4 | 192 | $11K |
| 5 | WAL-MART STORES TEXAS, LLC | 78148 | 1 | 14 | $668.00 |