| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | LUXEMBURG CASCO SCHOOL DISTRICT | 54217 | 5 | 54,542 | $566K |
| 2 | SCHOOL DISTRICT OF ALGOMA | 54217 | 4 | 16,781 | $258K |
| 3 | BREDAEL, WILLIAM | 54217 | 1 | 638 | $18K |
| 4 | DAWALT, GUY | 54217 | 1 | 302 | $7K |
| 5 | KIRCHMAN CHIROPRACTIC, LLC | 54217 | 1 | 288 | $7K |
| 6 | BELLIN MEMORIAL HOSPITAL INC | 54217 | 2 | 166 | $6K |
| 7 | ROGGE, NICHOLAS | 54217 | 1 | 21 | $463.64 |
| 8 | NINNEMANN, KAYLEE | 54217 | 1 | 19 | $302.68 |