Marat Koyfman
General Practice · Orlando, FLNPI 1033203229
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.1% of the total across 282 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Biohorizons Implant Systems Inc. accounts for 64.2% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2021 at $2,059 and has fallen 61.2% since, to $800 in 2025. Among general practice clinicians in FL 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 282 payments — averaging $21.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biohorizons Implant Systems Inc.$4K
- Implant Direct Sybron International LLC$673
- Ultradent Products Inc$542
- Biolase, Inc.$322
- Dentsply Sirona Inc$180
- Sprintray Inc$142
- plus $318 from 6 others
What the payments were for
- Food & beverage$5,53891%
- Gifts$5429%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Biohorizons Implant Systems Inc. | 203 | $3,903 |
| Implant Direct Sybron International LLC | 51 | $673 |
| Ultradent Products Inc | 4 | $542 |
| Biolase, Inc. | 1 | $322 |
| Dentsply Sirona Inc | 10 | $180 |
| Sprintray Inc | 1 | $142 |
| Orapharma, A Division Of Bausch Health US, LLC | 6 | $111 |
| Straumann USA LLC | 1 | $94 |
| Zimvie Inc. | 1 | $40 |
| Nobel Biocare USA | 1 | $32 |
| Kulzer, LLC | 2 | $28 |
| Ivoclar Vivadent, Inc. | 1 | $14 |
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.
How this compares
$6,080 in reported general payments places this provider in the 95th percentile of 6,901 general practice providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Amoxicillin | 142 | $585 |
| Clindamycin Hcl | 28 | $243 |
| Ibuprofen | 69 | $201 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 60 | $199 |
| Chlorhexidine Gluconate | 31 | $158 |
Paid to pharmacies, not to this prescriber.
Other general practice in Orlando
- Ross EnfingerOrlando$53K
- Jose MarcanoOrlando$52K
- Thomas LacyOrlando$15K
- Amy HertzOrlando$13K
- Robert VogelPalm Beach Gardens$1M
- Bruce OuelletteWest Palm Beach$724K
- Caley CasteleinMiami Beach$586K
- Sarah JockinTampa$308K
- Mario RomeroSarasota$275K
- Robert RitterJupiter$233K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.