| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | SOUTH LINCOLN HOSPITAL DISTRICT | 83101 | 4 | 2,018 | $141K |
| 2 | SOUTH LINCOLN HOSPITAL DISTRICT | 83101 | 2 | 32 | $11K |
| 3 | COUNTY OF LINCOLN | 83101 | 4 | 266 | $7K |
| 4 | SOUTH LINCOLN HOSPITAL DISTRICT | 83101 | 1 | 105 | $7K |
| 5 | SOUTH LINCOLN HOSPITAL DISTRICT | 83101 | 1 | 12 | $1K |
| 6 | ROBINSON, KARL | 83101 | 1 | 13 | $507.00 |
| 7 | DIAMOND G DENTAL LLC | 83101 | 1 | 13 | $416.00 |