Dean Spingola, DMD
Oral and Maxillofacial Surgery · Irving, TXNPI 1588615108
Payments from drug & device makers
What this record shows
This record is dominated by other: $16,976 of the $18,121 with a category attached, or 93.7%. Kls-martin L.p. accounts for 93.9% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2022 at $17,101 and has fallen 99.9% since, to $17 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 38 payments — averaging $476.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kls-martin L.p.$17K
- Straumann USA LLC$716
- Nobel Biocare USA$316
- Geistlich Pharma, North America, Inc.$37
- Pacira Pharmaceuticals Incorporated$18
- Zimvie Inc.$17
What the payments were for
- Speaking & faculty fees$2001%
- Food & beverage$5473%
- Education$2752%
- Gifts$1231%
- Other$16,97694%
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. | 6 | $17,016 |
| Straumann USA LLC | 14 | $716 |
| Nobel Biocare USA | 14 | $316 |
| Geistlich Pharma, North America, Inc. | 2 | $37 |
| Pacira Pharmaceuticals Incorporated | 1 | $18 |
| Zimvie Inc. | 1 | $17 |
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.
- BIEN AIR,PM 1221 STRT HANDPIECE,1:2,RATIO, FOR 45MM BUR, W/DISPOSABLE NOSE CONES$8,250
- BIEN AIR, CA 20141, CONTRA-,ANGLED HANDPIECE, 20:1 RATIO WITH LIGHT, MICRO SERIE$5,480
- BIEN AIR, CA 20141 CONTRA-,ANGLED HANDPIECE, W/LIGHT, 20:1 RATIO,QTY:001 EA$2,740
- BUR GUARD COLLAR W/O IRRIGATION,,BIEN AIR,QTY:001 EA$360
- CARBIDE BUR, #703,2.1MM HEAD,#2 SHANK, 51MM LENGTH,10/PKG, STERILE, SINGLE USE O$146
How this compares
$18,121 in reported general payments places this provider in the 95th percentile of 591 oral and maxillofacial surgery providers in Texas.
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 |
|---|---|---|
| Chlorhexidine Gluconate | 266 | $997 |
| Amoxicillin | 203 | $393 |
| Clindamycin Hcl | 15 | $79 |
| Dexamethasone | 41 | $71 |
| Doxycycline Hyclate | 15 | $60 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $40 |
Paid to pharmacies, not to this prescriber.
Other oral and maxillofacial surgery in Irving
- Pedro FrancoIrving$91K
- James MelvilleHouston$239K
- Fayette WilliamsFort Worth$74K
- Craig BuchmannKeller$69K
- John ZunigaDallas$61K
- David AlfiHouston$58K
- Herman KaoFort Worth$41K
- John ShroyerArlington$41K
- Craig PearlHouston$38K
- Edward EllisSan Antonio$33K
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.