| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | ST. CROIX REGIONAL MEDICAL CENTER | 54893 | 15 | 11,416 | $387K |
| 2 | ST. CROIX TRIBAL COUNCIL | 54893 | 44 | 6,432 | $135K |
| 3 | SCHOOL DISTRICT OF WEBSTER | 54893 | 4 | 4,925 | $64K |
| 4 | MCKINLEY, BENJAMIN | 54893 | 11 | 1,151 | $25K |
| 5 | YELLOW RIVER PHARMACY INC | 54893 | 3 | 55 | $2K |
| 6 | BLOWERS, BENJAMIN | 54893 | 1 | 101 | $2K |
| 7 | ST. CROIX TRIBAL COUNCIL | 54893 | 1 | 21 | $851.40 |
| 8 | ST. CROIX DENTAL HEALTH, LLC | 54893 | 3 | 79 | $0.00 |