Brian Dahl, MD
Orthopaedic Surgery · Bismarck, NDNPI 1659500718
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (58.4%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Lima USA, Inc. at 56.6% of the total. Reporting peaked in 2022 at $18,474 and has fallen 98.9% since, to $209 in 2025. Among orthopaedic surgery clinicians in ND 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 58 payments — averaging $535.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lima USA, Inc.$18K
- Limacorporate S.p.a.$11K
- Zimmer Biomet$982
- Stryker$425
- MML US, Inc.$175
- Heron Therapeutics, Inc.$110
- plus $503 from 14 others
What the payments were for
- Consulting fees$10,30033%
- Speaking & faculty fees$560%
- Travel & lodging$18,14858%
- Food & beverage$2,0897%
- Education$4912%
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 |
|---|---|---|
| Lima USA, Inc. | 6 | $17,584 |
| Limacorporate S.p.a. | 11 | $11,304 |
| Zimmer Biomet | 11 | $982 |
| Stryker | 4 | $425 |
| MML US, Inc. | 2 | $175 |
| Heron Therapeutics, Inc. | 2 | $110 |
| Smith+Nephew | 3 | $95 |
| Pfizer | 3 | $63 |
| CSL Behring | 2 | $49 |
| Bioventus LLC | 1 | $41 |
| Innovation Technologies Inc | 1 | $37 |
| Ipsen Biopharmaceuticals, Inc | 1 | $34 |
| Sanofi-aventis U.S. LLC | 2 | $31 |
| Johnson & Johnson | 1 | $31 |
| Pacira Therapeutics, Inc. | 2 | $27 |
| Rayner Intraocular Lenses Limited | 2 | $25 |
| Pacira Pharmaceuticals Incorporated | 1 | $22 |
| Amgen | 1 | $20 |
| Osiris Therapeutics Inc. | 1 | $14 |
| Omeros Corporation | 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.
- PHYSICA CR$17,822
- Delta Cup$8,765
- H-MAX SYSTEM$8,676
- MASTERSL$8,646
- Product Portfolio$2,400
- Promade$608
- SMR Shoulder$499
- MAKO$420
- Hips-None$305
- ReActiv8$119
- Persona Revision$119
- Vanguard 360$119
- ROSA$117
- Revision$117
- Persona$117
- Physica$108
- H-Max$108
- Master SL$108
How this compares
$31,083 in reported general payments places this provider in the 95th percentile of 61 orthopaedic surgery providers in North Dakota.
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 |
|---|---|---|
| Celecoxib | 106 | $2,273 |
| Meloxicam | 187 | $560 |
| Diclofenac Sodium | 17 | $525 |
| Amoxicillin | 290 | $357 |
| Clindamycin Hcl | 44 | $58 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Bismarck
- Anthony KaschBismarck$5K
- Timothy BoppBismarck$4K
- Laura BruseBismarck$4K
- Duncan AckermanBismarck$3K
- Brock NorrieBismarck$3K
- Derrick CoteBismarck$3K
- Timothy JuelsonBismarck$3K
- Troy PierceBismarck$3K
- Ian FyfeBismarck$1K
- Chad CarlsonBismarck$1K
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.