Apolinar Madrigal
General Practice · Ceres, CANPI 1083123939
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $288,467 of the $419,226 with a category attached, or 68.8%. Den-mat Holdings, LLC accounts for 98.7% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2021 at $129,633 and has fallen 95.4% since, to $5,906 in 2025. Among general practice clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,255 payments — averaging $334.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Den-mat Holdings, LLC$414K
- Straumann USA LLC$3K
- Garrison Dental Solutions$2K
- Dentsply Sirona Inc$42
- Kerr Corporation$21
- Nobel Biocare USA$21
- plus $10 from 1 others
What the payments were for
- Consulting fees$18,1974%
- Speaking & faculty fees$288,46769%
- Travel & lodging$14,0663%
- Food & beverage$2,4601%
- Education$2500%
- Gifts$95,78623%
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 |
|---|---|---|
| Den-mat Holdings, LLC | 1,238 | $413,608 |
| Straumann USA LLC | 10 | $3,101 |
| Garrison Dental Solutions | 2 | $2,423 |
| Dentsply Sirona Inc | 2 | $42 |
| Kerr Corporation | 1 | $21 |
| Nobel Biocare USA | 1 | $21 |
| Align Technology, Inc. | 1 | $10 |
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.
- Lumineers$267,223
- Implant$18,680
- Lumizir$12,775
- LD Lumineers$9,552
- Snap-On Smile$8,480
- Lumizir Bridge$5,465
- Lumizir Crown$5,223
- LD Crown$4,668
- Lumizir Implant$3,500
- Case Plan$3,180
- ART$1,700
- PerioRestore Tray$1,360
- PerioTray$1,190
- Perio Restore$1,150
- A.R.T. Additive Reductive Sys$1,000
- LD Bridge$891
- Inlay/Onlay$834
- Standard Case Plan$795
- Mouthguard$720
- LD Inlay/Onlay$695
How this compares
$419,226 in reported general payments places this provider in the 95th percentile of 12,963 general practice providers in California.
Other general practice in Ceres
- Nathan LiLancaster$5.2M
- Milton McCollSan Jose$4.9M
- Frederic MollRedwood City$2.5M
- Bradley ChingUpland$1.4M
- Eric BrassTorrance$755K
- Marc GeissbergerGreenbrae$583K
- Robert CampbellLong Beach$501K
- Varo BoyerNorth Hills$482K
- Michael MiyasakiSacramento$464K
- Deepak ShettySan Jose$387K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.