James Lutonsky
Dentist · Conroe, TXNPI 1083787790
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (49.8%), food and beverage and education — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Nobel Biocare USA at 38.1% of the total. Reporting peaked in 2023 at $6,880 and has fallen 66.6% since, to $2,297 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 144 payments — averaging $154.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nobel Biocare USA$8K
- Dentsply Sirona Inc$6K
- Dentsply IH Inc.$3K
- Dentsply LLC$3K
- Keystone Dental Inc.$1K
- Zimvie Inc.$376
- plus $421 from 7 others
What the payments were for
- Consulting fees$1,5007%
- Speaking & faculty fees$11,10450%
- Travel & lodging$1,9349%
- Food & beverage$4,77621%
- Education$2,17110%
- Gifts$520%
- Entertainment$7393%
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 |
|---|---|---|
| Nobel Biocare USA | 29 | $8,494 |
| Dentsply Sirona Inc | 83 | $5,506 |
| Dentsply IH Inc. | 3 | $3,125 |
| Dentsply LLC | 2 | $3,120 |
| Keystone Dental Inc. | 9 | $1,234 |
| Zimvie Inc. | 4 | $376 |
| Straumann USA LLC | 3 | $130 |
| Zest Holdings, LLC | 3 | $105 |
| Biohorizons Implant Systems Inc. | 4 | $81 |
| Dentalez, Inc. | 1 | $57 |
| Philips North America LLC | 1 | $18 |
| Kulzer, LLC | 1 | $17 |
| Colgate Oral Pharmaceuticals, 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.
- Implant Dentistry$7,322
- EDUCATION$4,888
- NOBELACTIVE$3,066
- NOBELPARALLEL$1,959
- ASTRA TECH Implant System$1,359
- TSX Implants$275
- NOBELSPEEDY$138
- NOBELREPLACE$138
- NOBELPROCERA$138
How this compares
$22,276 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 |
|---|---|---|
| Amoxicillin | 114 | $361 |
| Clindamycin Hcl | 28 | $202 |
| Doxycycline Hyclate | 12 | $194 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $130 |
| Chlorhexidine Gluconate | 24 | $91 |
Paid to pharmacies, not to this prescriber.
Other dentist in Conroe
- Xavier SaabHouston$1.5M
- Joshua AustinSan Antonio$1.1M
- Kyle Ranta StraitAustin$828K
- David LittleSan Antonio$512K
- Chad DuplantisFort Worth$327K
- Charles MaupinLubbock$311K
- Charles SauerAmarillo$304K
- Brett TitensorFlower Mound$228K
- Todd EhrlichAustin$199K
- Frank HigginbottomDallas$174K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.