David Little
Dentist · San Antonio, TXNPI 1508997198
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $416,341 of the $511,698 with a category attached, or 81.4%. 13 manufacturers reported payments, led by Osteoready LLC at 44.6% of the total. Reporting peaked in 2019 at $230,588 and has fallen 93.0% since, to $16,118 in 2025. Among dentist 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 197 payments — averaging $2597.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Osteoready LLC$228K
- Zest Holdings, LLC$198K
- 3shape Inc$34K
- Carestream Dental, LLC$22K
- DMG America LLC$20K
- Kulzer, LLC$5K
- plus $4K from 7 others
What the payments were for
- Consulting fees$41,3738%
- Speaking & faculty fees$416,34181%
- Travel & lodging$10,6352%
- Food & beverage$17,2933%
- Education$3,5421%
- Entertainment$4050%
- Other$22,1094%
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 |
|---|---|---|
| Osteoready LLC | 29 | $228,247 |
| Zest Holdings, LLC | 70 | $198,420 |
| 3shape Inc | 1 | $33,873 |
| Carestream Dental, LLC | 3 | $22,135 |
| DMG America LLC | 3 | $19,792 |
| Kulzer, LLC | 8 | $4,767 |
| Biohorizons Implant Systems Inc. | 72 | $3,796 |
| Keystone Dental Inc. | 3 | $405 |
| Zimvie Inc. | 3 | $101 |
| Dentsply US Prosthetics LLC | 1 | $85 |
| Straumann USA LLC | 1 | $34 |
| Philips North America LLC | 2 | $26 |
| Pacira Pharmaceuticals Incorporated | 1 | $18 |
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.
- TRIOS 5$33,873
- HONIGUM PRO$18,750
- TEMPOCEM ID$18,750
- LUXATEMP$12,500
- LUXACROWN$12,500
- LUXAGLAZE$12,500
- LUXATEMP ULTRA$6,250
- BIOHORIZONS$2,433
- LUXABITE REFILL KIT$1,042
- LUXAGLAZE KIT$1,042
- ECOSITE BULK FILL SYRINGE INTRO KIT$1,042
- LUXACROWN A2$1,042
- BioHorizons Dental Implants- BTA4212$1,006
- BioHorizons Dental Implants- BTA4210$1,006
- BioHorizons Dental Implants- TRX3810$1,006
- BioHorizons Dental Implants- TRX4610$1,006
- BioHorizons Dental Implants- TRX3812$1,006
- BioHorizons Dental Implants$388
How this compares
$511,698 in reported general payments places this provider in the 95th percentile of 4,816 dentist providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Cephalexin | 18 | $286 |
Paid to pharmacies, not to this prescriber.
Other dentist in San Antonio
- Joshua AustinSan Antonio$1.1M
- Nasser BarghiSan Antonio$106K
- John GuidrySan Antonio$32K
- Monique GarciaSan Antonio$21K
- Kevin DonlySan Antonio$17K
- Jonathan FuSan Antonio$14K
- Ahmed SabbahSan Antonio$12K
- Xavier SaabHouston$1.5M
- Kyle Ranta StraitAustin$828K
- Chad DuplantisFort Worth$327K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.