| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|
| 1 |
TETON COUNTY HOSPITAL DISTRICT |
83001 |
9 |
6,093 |
$551K |
| 2 |
SANTANA, ANGELA |
83002 |
2 |
7,991 |
$538K |
| 3 |
THOMAS, HEATHER |
83001 |
1 |
1,697 |
$491K |
| 4 |
LA FAMILIA COUNSELING SERVICES |
83001 |
1 |
3,166 |
$419K |
| 5 |
TBT, LLC |
83001 |
3 |
7,529 |
$362K |
| 6 |
ROBERTS, MARY |
83001 |
1 |
907 |
$268K |
| 7 |
KARIN L KLEE MD |
83001 |
9 |
2,903 |
$145K |
| 8 |
BRADOF, JENNIFER |
83001 |
1 |
421 |
$136K |
| 9 |
PAINTBRUSH PEDIATRICS, LC |
83001 |
11 |
1,809 |
$77K |
| 10 |
TETON ORAL AND MAXILLOFACIAL SURGERY |
83001 |
4 |
886 |
$75K |
| 11 |
GRAND TETON EYE & OPTICAL |
83002 |
6 |
1,713 |
$72K |
| 12 |
JACKSON FAMILY DENTISTRY |
83001 |
6 |
2,061 |
$65K |
| 13 |
LA FAMILIA COUNSELING SERVICES |
83001 |
1 |
558 |
$30K |
| 14 |
TETON PATHOLOGY, PC |
83001 |
2 |
255 |
$17K |
| 15 |
JACKSON PEDIATRIC ASSOCIATES, LLC |
83001 |
8 |
708 |
$15K |
| 16 |
HAYSE, BRUCE |
83001 |
1 |
386 |
$13K |
| 17 |
ONE22 INC |
83001 |
1 |
412 |
$13K |
| 18 |
KLEE, KARIN |
83001 |
4 |
177 |
$9K |
| 19 |
NATHAN TANNER PC |
83001 |
3 |
163 |
$5K |
| 20 |
FREDSTROM, O'ANN |
83001 |
2 |
52 |
$4K |
| 21 |
OWENS, SHANNON |
83001 |
1 |
13 |
$4K |
| 22 |
TANNER, NATHAN |
83001 |
3 |
112 |
$4K |
| 23 |
TETON PEDIATRICS PC |
83001 |
1 |
58 |
$3K |
| 24 |
PETERSON, DANIELA |
83001 |
1 |
26 |
$2K |
| 25 |
LARSEN FAMILY DENTISTRY, P.C. |
83001 |
3 |
98 |
$2K |
| 26 |
ELK RIDGE DENTAL |
83001 |
2 |
67 |
$2K |
| 27 |
ORTHOPAEDICS OF JACKSON HOLE PC |
83001 |
1 |
39 |
$2K |
| 28 |
TETON COUNTY HOSPITAL DISTRICT |
83001 |
1 |
26 |
$1K |
| 29 |
WOMENS HEALTH & FAMILY CARE, LLC |
83001 |
1 |
26 |
$1K |
| 30 |
RJ SMILES, LLC |
83001 |
1 |
26 |
$912.60 |
| 31 |
LUPINE MENTAL HEALTH AND INTEGRATIVE PSYCHIATRY LLC |
83001 |
1 |
15 |
$821.50 |
| 32 |
OVERMYER, CATHIE |
83001 |
1 |
14 |
$747.25 |
| 33 |
COUNTY OF TETON |
83001 |
5 |
128 |
$628.58 |
| 34 |
TETON ORAL & MAXILLOFACIAL SURGERY |
83002 |
1 |
13 |
$600.00 |
| 35 |
RAMSAY, WILLIAM |
83001 |
1 |
25 |
$488.25 |
| 36 |
TETON COUNTY HOSPITAL DISTRICT |
83001 |
2 |
42 |
$0.00 |