| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | PESHTIGO SCHOOL DISTRICT | 54157 | 4 | 14,851 | $198K |
| 2 | MAGNICARE, INC. | 54157 | 2 | 4,653 | $139K |
| 3 | VANWINKLE, CARRIE | 54157 | 2 | 6,467 | $121K |
| 4 | OCONTO HOSPITAL & MEDICAL CENTER, INC. | 54157 | 10 | 2,212 | $71K |
| 5 | TDR, INC. | 54157 | 2 | 2,570 | $45K |
| 6 | BROSTOWITZ, DAVID | 54157 | 4 | 189 | $4K |
| 7 | DAVID R. BROSTOWITZ, DDS, SC | 54157 | 3 | 236 | $4K |
| 8 | OMER, WALID | 54157 | 1 | 32 | $842.22 |
| 9 | LAURIN, KATE | 54157 | 4 | 97 | $0.00 |