| Grayson Truck & Trailer, Inc. | Other Services (except Public Administration) | $98,002 | $98,816 | 8 | <$5M | AI Deep Dive |
| Rural Rehabilitation INC | Health Care and Social Assistance | $94,000 | $94,676 | 11 | <$5M | AI Deep Dive |
| W. Jeffrey Scott, Psc | Professional, Scientific, and Technical Services | $90,000 | $90,598 | 9 | <$5M | AI Deep Dive |
| W. Jeffrey Scott Psc | Professional, Scientific, and Technical Services | $90,000 | $90,525 | 9 | <$5M | AI Deep Dive |
| Tres Hermanos Nunez, LLC | Accommodation and Food Services | $88,018 | $88,631 | 14 | <$5M | AI Deep Dive |
| Water Dogs Construction LLC | Construction | $87,177 | $88,209 | 7 | <$5M | AI Deep Dive |
| All Creatures Veterinary Care, Psc | Professional, Scientific, and Technical Services | $86,282 | $86,982 | 15 | <$5M | AI Deep Dive |
| Grayson Sanitation, Inc. | Administrative and Support and Waste Management | $83,022 | $83,470 | 16 | <$5M | AI Deep Dive |
| Sbs, Inc. | Accommodation and Food Services | $80,000 | $80,504 | 36 | $6.4M | AI Deep Dive |
| Melissa's Cocina LLC | Accommodation and Food Services | $74,205 | $74,701 | 10 | <$5M | AI Deep Dive |
| Economy Shoes Inc. | Retail Trade | $72,400 | $72,712 | 12 | <$5M | AI Deep Dive |
| Economy Shoes, Inc. | Retail Trade | $72,400 | $72,855 | 10 | <$5M | AI Deep Dive |
| Northeast Kentucky Excavating Co in | Wholesale Trade | $72,327 | $72,816 | 6 | <$5M | AI Deep Dive |
| Northeast Kentucky Excavating Co. Inc. | Construction | $72,327 | $72,709 | 6 | <$5M | AI Deep Dive |
| Whitley, Gahm & Rayburn Cpa's Pllc | Professional, Scientific, and Technical Services | $71,284 | $71,697 | 9 | <$5M | AI Deep Dive |
| Roger D. Fannin, Od, Psc | Health Care and Social Assistance | $70,890 | $71,361 | 9 | <$5M | AI Deep Dive |
| Roger D. Fannin Od Psc | Health Care and Social Assistance | $70,890 | $71,146 | 9 | <$5M | AI Deep Dive |
| Woods Realty & Investment Company | Real Estate and Rental and Leasing | $69,425 | $69,965 | 5 | <$5M | AI Deep Dive |
| Fraley, Miller & Company Cpas Pllc | Professional, Scientific, and Technical Services | $68,965 | $69,503 | 6 | <$5M | AI Deep Dive |
| Gibbs Hardware of Grayson Inc. | Retail Trade | $68,567 | $69,125 | 15 | <$5M | AI Deep Dive |
| Justice Family Dentistry | Health Care and Social Assistance | $67,260 | $67,595 | 7 | <$5M | AI Deep Dive |
| Justice Family Dentistry | Health Care and Social Assistance | $67,260 | $67,579 | 7 | <$5M | AI Deep Dive |
| Tres Hermanos Nunez Paintsville, LLC | Accommodation and Food Services | $62,491 | $62,926 | 12 | <$5M | AI Deep Dive |
| Tres Hermanos Nunez Cannonsburg, LLC | Accommodation and Food Services | $61,928 | $62,359 | 10 | <$5M | AI Deep Dive |
| Henry G Adkins MD Psc | Health Care and Social Assistance | $61,600 | $62,039 | 5 | <$5M | AI Deep Dive |