Donita Dyalram, MD
Oral & Maxillofacial Surgery · Baltimore, MDNPI 1013107572
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $84,113 of the $112,079 with a category attached, or 75.0%. Stryker accounts for 91.9% of it on its own, with 4 other manufacturers making up the rest. 2025 is the largest year on record at $45,742, 6.6 times the $6,963 reported in 2019. Among oral & maxillofacial surgery clinicians in MD 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 146 payments — averaging $767.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$103K
- Axogen$8K
- Kls-martin L.p.$669
- 3d Systems$57
- Baxter Healthcare$42
What the payments were for
- Consulting fees$84,11375%
- Speaking & faculty fees$5,6635%
- Travel & lodging$16,73615%
- Food & beverage$5,5685%
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 |
|---|---|---|
| Stryker | 112 | $102,963 |
| Axogen | 22 | $8,348 |
| Kls-martin L.p. | 9 | $669 |
| 3d Systems | 1 | $57 |
| Baxter Healthcare | 2 | $42 |
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.
- NA$79,733
- VSP SYSTEM, VSP CRANIAL$76,617
- MEDPOR TITAN$8,400
- AxoGuard Nerve Protector$7,643
- AxoGuard Nerve Connector$7,643
- PATIENT-FITTED TMJ RECONSTRUCTIVE PROSTHESIS SYSTEM$7,638
- UNIVERSAL NEURO 2$5,432
- VSP RECONSTRUCTION$1,750
- AVANCE NERVE GRAFT$1,398
- MEDPOR$440
- CUSTOMIZED MANDIBLE RECON$169
- SMARTLOCK$150
- VSP ORTHOGNATHIC$143
- AXOGUARD HA+ NERVE PROTECTOR$105
- AxoGuard Nerve Cap$105
How this compares
$112,079 in reported general payments places this provider in the 95th percentile of 173 oral & maxillofacial surgery providers in Maryland.
See all oral & maxillofacial surgery providers in Maryland →
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 |
|---|---|---|
| Triamcinolone Acetonide | 11 | $338 |
| Oxycodone Hcl | 13 | $111 |
Paid to pharmacies, not to this prescriber.
Other oral & maxillofacial surgery in Baltimore
- Gary WarburtonBaltimore$330K
- John CaccameseBaltimore$3K
- Cameron LeeBaltimore$3K
- David BastackyBaltimore$2K
- Zahid AfzalBaltimore$2K
- Ghassan SinadaBaltimore$2K
- Jeffrey PosnickChevy Chase$90K
- Kiara BrownCatonsville$28K
- Leonardo MenendezBowie$19K
- Michael WillIjamsville$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.