| Christine L. Dearth DDS Inc. | Health Care and Social Assistance | $42,250 | $42,519 | 6 | <$5M | AI Deep Dive |
| Mountain Top Heating and Cooling LLC | Construction | $41,806 | $42,224 | 6 | <$5M | AI Deep Dive |
| Mountain Top Heating and Cooling LLC | Construction | $40,615 | $40,937 | 7 | <$5M | AI Deep Dive |
| Total Family Care, Pllc | Health Care and Social Assistance | $40,600 | $40,973 | 6 | <$5M | AI Deep Dive |
| Groves Insurance Agency, L.l.c. | Finance and Insurance | $40,137 | $40,435 | 4 | <$5M | AI Deep Dive |
| Preston Country Club INC | Arts, Entertainment, and Recreation | $38,647 | $39,010 | 10 | <$5M | AI Deep Dive |
| Hovatters Wildlife Zoo, LLC | Arts, Entertainment, and Recreation | $37,976 | $38,266 | 4 | <$5M | AI Deep Dive |
| Shay & Yoho, Pllc Attorneys at Law | Professional, Scientific, and Technical Services | $37,900 | $38,262 | 3 | <$5M | AI Deep Dive |
| Everhart, Brown & Associates Lc | Professional, Scientific, and Technical Services | $37,200 | $37,535 | 4 | <$5M | AI Deep Dive |
| Filtersource, INC | Wholesale Trade | $37,100 | $37,393 | 6 | <$5M | AI Deep Dive |
| Peaslee Service Center LLC | Other Services (except Public Administration) | $36,700 | $37,165 | 8 | <$5M | AI Deep Dive |
| Cool Springs LLC | Retail Trade | $36,400 | $29,675 | 8 | <$5M | AI Deep Dive |
| Preston Machine, Inc. | Manufacturing | $36,200 | $36,539 | 5 | <$5M | AI Deep Dive |
| Preston Machine Inc. | Manufacturing | $36,200 | $36,375 | 6 | <$5M | AI Deep Dive |
| David A. Childs, L.l.c. | Retail Trade | $35,452 | $35,799 | 7 | <$5M | AI Deep Dive |
| David Childs | Retail Trade | $35,452 | $35,778 | 7 | <$5M | AI Deep Dive |
| Crown Homes LLC | Construction | $33,200 | $33,608 | 6 | $6.8M | AI Deep Dive |
| Snyder Heating and Cooling LLC | Construction | $31,263 | $31,477 | 4 | <$5M | AI Deep Dive |
| State-Of-The-Art-Roofing, L.l.c. | Construction | $29,745 | $30,008 | 6 | <$5M | AI Deep Dive |
| Anthony F. Pellegrino Inc. | Accommodation and Food Services | $29,238 | $29,362 | 7 | <$5M | AI Deep Dive |
| Smith Insurance Agency of West Virginia Inc. | Finance and Insurance | $27,400 | $27,650 | 3 | <$5M | AI Deep Dive |
| Roth & White, A.c. | Professional, Scientific, and Technical Services | $26,872 | $27,162 | 3 | <$5M | AI Deep Dive |
| D. & J. Service & Supply Corporation | Construction | $26,500 | $26,747 | 4 | <$5M | AI Deep Dive |
| K & a Contracting LLC | Construction | $23,640 | $23,774 | 5 | <$5M | AI Deep Dive |
| Preston County Economic Development Authority | Public Administration | $23,153 | $23,313 | 2 | N/A | AI Deep Dive |