Theninclude not generating joins

var query = this.practicesDbContext.ServiceTransactionToClaims
        .Include(x => x.ClaimEntity)
            .ThenInclude(x => x.Carrier)
        .Include(x => x.ServiceTransaction)
            .ThenInclude(x => x.PersonAccountMember)
            .ThenInclude(x => x.PatientProfile)
            .ThenInclude(x => x.Location)
        .Include(x => x.ServiceTransaction)
            .ThenInclude(x => x.PersonAccountMember)
            .ThenInclude(x => x.PatientProfile)
            .ThenInclude(x => x.PatientBenefitPlans.Where(y => y.IsDeleted == false))
            .ThenInclude(x => x.BenefitPlan)
        .Include(x => x.ServiceTransaction)
            .ThenInclude(x => x.CreditTransactionDetails)
            .ThenInclude(x => x.CreditTransaction)

SELECT *
FROM [ServiceTransactionToClaim] AS [s]
INNER JOIN [ClaimEntity] AS [c] ON [s].[ClaimId] = [c].[EntityId]
INNER JOIN [ServiceTransaction] AS [s0] ON [s].[ServiceTransactionId] = [s0].[EntityId]
INNER JOIN [PersonAccountMember] AS [p] ON [s0].[AccountMemberId] = [p].[EntityId]
INNER JOIN [PatientProfile] AS [p0] ON [p].[PersonId] = [p0].[EntityId]
LEFT JOIN [Carrier] AS [c1] ON [c].[CarrierId] = [c1].[EntityId]
LEFT JOIN [Location] AS [l] ON [p0].[PreferredLocation] = [l].[EntityId]

public class PatientProfile : BaseEntity<guid>
{
    public List<patientbenefitplan> PatientBenefitPlans { get; set; }
    public List<patientgroup> PatientGroups { get; set; }
    public List<patientphoneinfo> PatientPhoneInfos { get; set; }
    public List<personaccountmember> PersonAccountMembers { get; set; }
    public List<personaccountmember> ResponsiblePersonAccountMembers { get; set; }
}

public class PatientBenefitPlan : BaseEntity<guid>
{
    public Guid BenefitPlanId { get; set; }
    public Guid BenefitPlanDto { get; set; }
    public BenefitPlan BenefitPlan { get; set; }
    public bool DependentChildOnly { get; set; }
    public DateTime? EffectiveDate { get; set; }
    public bool? EligibleEPSDTTitleXIX { get; set; }
    public decimal IndividualDeductibleUsed { get; set; }
    public decimal IndividualMaxUsed { get; set; }
    public bool IsDeleted { get; set; }
    public Guid PatientId { get; set; }
    public Guid PolicyHolderId { get; set; }
    public Guid PolicyHolderBenefitPlanId { get; set; }
    public string PolicyHolderStringId { get; set; }
    public int Priority { get; set; }
    public PatientProfile PatientProfile { get; set; }
    public string RelationshipToPolicyHolder { get; set; }
}