| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | ROBERTSON, SANDY | 22958 | 2 | 151 | $9K |
| 2 | SHANNON, KRISTINE | 22958 | 1 | 143 | $5K |
| 3 | RUCKER, TINSLEY | 22958 | 2 | 108 | $4K |
| 4 | HEIM, STEVEN | 22958 | 2 | 83 | $3K |
| 5 | DALRYMPLE, SARAH | 22958 | 1 | 16 | $608.77 |
| 6 | JAMES E RICE DDS PA | 22958 | 17 | 2,942 | $0.00 |