David Alfi
Oral and Maxillofacial Surgery · Houston, TXNPI 1245424019
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $48,245 of the $57,751 with a category attached, or 83.5%. Medical Device Business Services, Inc. accounts for 75.4% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2024 at $26,272 and has fallen 66.1% since, to $8,906 in 2025. Among oral and maxillofacial surgery clinicians in TX 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 133 payments — averaging $434.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$44K
- Pacira Pharmaceuticals Incorporated$7K
- Kls-martin L.p.$2K
- Johnson & Johnson$2K
- Straumann USA LLC$2K
- Synthes USA Products LLC$335
- plus $830 from 10 others
What the payments were for
- Consulting fees$48,24584%
- Travel & lodging$4,8998%
- Food & beverage$4,3297%
- Education$2130%
- Gifts$650%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 19 | $43,548 |
| Pacira Pharmaceuticals Incorporated | 2 | $7,033 |
| Kls-martin L.p. | 17 | $2,222 |
| Johnson & Johnson | 26 | $2,152 |
| Straumann USA LLC | 47 | $1,631 |
| Synthes USA Products LLC | 5 | $335 |
| Baxter Healthcare | 4 | $281 |
| Biolase, Inc. | 3 | $133 |
| Biotissue Holdings Inc. | 1 | $109 |
| Nobel Biocare USA | 3 | $95 |
| Dentsply Sirona Inc | 1 | $71 |
| Benco Dental Supply Co. | 1 | $62 |
| Geistlich Pharma, North America, Inc. | 1 | $28 |
| Integra Lifesciences Corporation | 1 | $21 |
| Mimedx Group, Inc. | 1 | $17 |
| Acteon Inc | 1 | $13 |
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.
- TRUMATCH$10,294
- EXPAREL$7,000
- OSTENE$150
- MATRIXCOMBO$147
- NA$145
How this compares
$57,751 in reported general payments places this provider in the 95th percentile of 591 oral and maxillofacial surgery providers in Texas.
Other oral and maxillofacial surgery in Houston
- James MelvilleHouston$239K
- Craig PearlHouston$38K
- Frank FrishkeyHouston$17K
- Jonathan ShumHouston$10K
- Nagi DemianHouston$10K
- Tareq Izzat BeckHouston$10K
- Mark WongHouston$7K
- Pedro FrancoIrving$91K
- Fayette WilliamsFort Worth$74K
- Craig BuchmannKeller$69K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.