| Mcfall Excavating, Inc. | Construction | $422,100 | $425,195 | 35 | $13.1M |  Research |
| B. Q. Delivery Services, Inc. | Transportation and Warehousing | $336,985 | $465,931 | 32 | $7.5M | Research |
| Tri County Contractors, Inc. | Construction | $333,500 | $337,845 | 52 | $17.7M | Research |
| Johnson Chevrolet Buick INC | Retail Trade | $265,900 | $267,636 | 28 | $7.1M | Research |
| Stanco Equipment, Inc. | Real Estate and Rental and Leasing | $222,900 | $225,717 | 30 | $13.6M | Research |
| Hill Construction INC | Utilities | $153,060 | $153,855 | 19 | N/A | Research |
| Homemakers LLC | Health Care and Social Assistance | $151,250 | $152,649 | 47 | $8.1M | Research |
| Maria Trucking Company INC | Transportation and Warehousing | $144,364 | $141,720 | 12 | <$5M | Research |
| Dickenson County Ambulance Service, Inc. | Health Care and Social Assistance | $126,900 | $128,088 | 31 | $7.2M | Research |
| Maria Trucking Company Inc. | Transportation and Warehousing | $114,405 | $115,044 | 17 | <$5M | Research |
| West End Pharmacy INC | Retail Trade | $109,700 | $110,736 | 10 | <$5M | Research |
| Hill Construction INC | Construction | $106,873 | $107,535 | 13 | <$5M | Research |
| Dale Stanley Trucking, Inc. | Transportation and Warehousing | $87,300 | $88,011 | 9 | <$5M | Research |
| Greenwave Pharmacy, Inc. | Retail Trade | $86,500 | $87,079 | 8 | <$5M | Research |
| Dale Stanley Trucking Inc. | Transportation and Warehousing | $80,080 | $80,536 | 7 | <$5M | Research |
| Bb and T, Inc. | Health Care and Social Assistance | $77,600 | $78,393 | 13 | <$5M | Research |
| Davis Service and Towing LLC | Transportation and Warehousing | $76,082 | $76,938 | 10 | <$5M | Research |
| Davis Service and Towing LLC | Transportation and Warehousing | $69,000 | $69,471 | 9 | <$5M | Research |
| Boyd's Construction and Excavation Company, LLC | Construction | $64,348 | $64,731 | 11 | <$5M | Research |
| Newport Clintwood Management LLC | Accommodation and Food Services | $64,100 | $64,775 | 12 | <$5M | Research |
| Hancock-Lambert Pharmacy, INC | Retail Trade | $61,888 | $62,433 | 8 | <$5M | Research |
| Paul L. Phipps, P.c. | Professional, Scientific, and Technical Services | $58,500 | $51,528 | 6 | <$5M | Research |
| Dickenson Medical Clinic, P.c. | Health Care and Social Assistance | $56,000 | $56,705 | 5 | <$5M | Research |
| Bird Dog Distributors, LLC | Manufacturing | $54,600 | $55,154 | 7 | $6.9M | Research |
| La Casa Mexicana INC | Accommodation and Food Services | $54,346 | $55,169 | 9 | <$5M | Research |