Alex Dandashly, DPM
Foot & Ankle Surgery · Dearborn, MINPI 1538658877
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (36.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 35 manufacturers reported payments, led by Pinnacle, Inc at 39.9% of the total. Reporting peaked in 2022 at $12,626 and has fallen 96.0% since, to $501 in 2025. Among foot & ankle surgery clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 148 payments — averaging $134.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pinnacle, Inc$8K
- Paragon 28, Inc.$5K
- Stryker$1K
- Novastep Inc.$1K
- Integra Lifesciences Corporation$768
- Johnson & Johnson$631
- plus $3K from 29 others
What the payments were for
- Travel & lodging$5,58628%
- Food & beverage$7,13936%
- Education$7,21836%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Pinnacle, Inc | 14 | $7,959 |
| Paragon 28, Inc. | 20 | $5,199 |
| Stryker | 15 | $1,461 |
| Novastep Inc. | 5 | $1,250 |
| Integra Lifesciences Corporation | 8 | $768 |
| Johnson & Johnson(2 entities) | 16 | $631 |
| Acumed LLC | 3 | $389 |
| Kerecis Limited | 11 | $322 |
| Smith+Nephew | 8 | $237 |
| Acera Surgical, Inc. | 2 | $162 |
| Aroa Biosurgery Incorporated | 2 | $157 |
| Organogenesis Inc. | 2 | $128 |
| Biotissue Holdings Inc. | 1 | $126 |
| Treace Medical Concepts, Inc. | 2 | $125 |
| Anika Therapeutics, Inc. | 1 | $123 |
| Solventum Corporation | 5 | $109 |
| Averitas Pharma Inc. | 3 | $90 |
| KCI USA, Inc. | 2 | $90 |
| Cardiovascular Systems Inc. | 2 | $83 |
| Amgen | 3 | $70 |
| Epsfl, LLC | 1 | $62 |
| Orthofix Medical, Inc. | 4 | $56 |
| Paratek Pharmaceuticals, Inc. | 3 | $54 |
| Nevro Corp. | 2 | $41 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $31 |
| Axogen | 2 | $31 |
| AbbVie | 1 | $27 |
| Urgo Medical North America, LLC | 1 | $25 |
| Omeza LLC | 1 | $24 |
| Mimedx Group, Inc. | 1 | $22 |
| Polynovo North America LLC | 1 | $21 |
| Reprise Biomedical, Inc. | 1 | $19 |
| Osteomed LLC | 1 | $18 |
| Convatec Inc. | 1 | $18 |
| Trice Medical, Inc. | 1 | $14 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Product Portfolio$3,746
- INTEGRA$1,287
- PECA Bunion Correction System$1,170
- APEX3D$782
- EX-FIX$457
- AUGMENT INJECTABLE$451
- INTEGRA DERMAL REGENERATION TEMPLATE$429
- PRIMATRIX$429
- ACUMED$385
- PROstep$303
- INBONE$295
- TENOGLIDE$161
- Restrata Wound Matrix$134
- Ankle Plating System$132
- OsteoMed$129
- NEOX$126
- CLARIX$126
- TACTOSET$123
- PROPHECY$122
- PuraPly$109
How this compares
$19,944 in reported general payments places this provider in the 90th percentile of 384 foot & ankle surgery providers in Michigan.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ketoconazole | 286 | $8,191 |
| Ammonium Lactate | 74 | $1,513 |
| Methylprednisolone | 15 | $114 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Dearborn
- Nicole BrouyetteDearborn$71K
- Benjamin GetzDearborn$24K
- Alaa MansourDearborn$16K
- George KardoussDearborn$12K
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$854K
- Karl DunnClinton Twp$434K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
- John MaskillGrand Rapids$202K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.