Daniel Perez, DDS
Oral and Maxillofacial Surgery · Roanoke, VANPI 1508097817
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (53.0%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Kls-martin L.p. at 58.3% of the total. Reporting peaked in 2024 at $3,760 and has fallen 87.2% since, to $480 in 2025. Among oral and maxillofacial surgery clinicians in VA 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 47 payments — averaging $216.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kls-martin L.p.$6K
- Nexus CMF, LLC$3K
- Johnson & Johnson$402
- Axogen$241
- Zimmer Biomet$161
- Straumann USA LLC$124
- plus $51 from 2 others
What the payments were for
- Consulting fees$2,00020%
- Travel & lodging$5,39653%
- Food & beverage$2,77027%
- Gifts$190%
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 |
|---|---|---|
| Kls-martin L.p. | 26 | $5,939 |
| Nexus CMF, LLC | 6 | $3,267 |
| Johnson & Johnson | 3 | $402 |
| Axogen | 3 | $241 |
| Zimmer Biomet | 3 | $161 |
| Straumann USA LLC | 4 | $124 |
| Mission Medical Distribution, LLC | 1 | $26 |
| Geistlich Pharma, North America, Inc. | 1 | $25 |
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.
- McCain Arthroscopy System$3,214
- TRUMATCH$402
- MATRIXORTHOGNATHIC$402
- MATRIXMANDIBLE$261
- AVANCE NERVE GRAFT$209
- MATRIXMIDFACE$138
- MATRIXWAVE$138
How this compares
$10,185 in reported general payments places this provider in the 90th percentile of 231 oral and maxillofacial surgery providers in Virginia.
See all oral and maxillofacial surgery providers in Virginia →
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 |
|---|---|---|
| Pentoxifylline | 18 | $643 |
| Chlorhexidine Gluconate | 100 | $380 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 31 | $248 |
| Amoxicillin | 42 | $95 |
| Ibuprofen | 23 | $62 |
| Tramadol Hcl | 29 | $36 |
Paid to pharmacies, not to this prescriber.
Other oral and maxillofacial surgery in Roanoke
- James NelsonRichmond$163K
- Joseph NiamtuMidlothian$71K
- Mohamed HakimArlington$52K
- David BitontiNorfolk$44K
- Leonel PerezAnnandale$41K
- Ali PashapourArlington$40K
- Daria HamrahMc Lean$36K
- Joseph ArzadonGainesville$19K
- Amro ShihabiBurke$17K
- Kanyon KeeneyHenrico$16K
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.