Dental
Gilstrap Services LLC
Gilstrap Services LLC was paid $44K by Medicaid between Aug 2024 and Dec 2024, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.
33Billing provider infoGILSTRAP SERVICES LLC
BROKEN ARROW, OK 74012
BROKEN ARROW, OK 74012
33aNPI1588400873assigned 07/05/2024
33bProvider typePediatric Dentist
28Total paid$44K
24GClaims1,333
24DCodes billed14
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Oklahoma
Rank by total paid#26 of 32
Median peer was paid$804K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 1,333 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 31% | 115 | 59 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 217 | 217 | $7K |
| D1206 | Topical application of fluoride varnish | 13% | 315 | 315 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 245 | 245 | $5K |
| D0272 | Bitewings - two radiographic images | 5.2% | 125 | 125 | $2K |
| D1110 | Prophylaxis - adult | 4.6% | 45 | 45 | $2K |
| D1351 | Sealant - per tooth | 4.4% | 80 | 29 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 61 | 56 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 28 | 18 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 22 | 15 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 30 | 30 | $914.70 |
| D0274 | Bitewings - four radiographic images | 1.7% | 25 | 25 | $731.76 |
2 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGILSTRAP, MARK (OWNER)