Norma Ramirez
General Practice · Chula Vista, CANPI 1760670418
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (52.0%), education and gifts — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Dentsply Sirona Inc at 26.9% of the total. Reporting peaked in 2023 at $4,600 and has fallen 56.2% since, to $2,013 in 2025. Among general practice clinicians in CA 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 87 payments — averaging $124.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Dentsply Sirona Inc$3K
- Lumenis BE Inc$2K
- Sirona Dental, Inc.$2K
- Ultradent Products Inc$886
- Patterson Companies, Inc.$864
- A-dec, Inc.$854
- plus $2K from 15 others
What the payments were for
- Speaking & faculty fees$160%
- Food & beverage$5,64952%
- Education$2,79926%
- Gifts$1,80917%
- Entertainment$5005%
- Charitable contribution$901%
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 |
|---|---|---|
| Dentsply Sirona Inc | 27 | $2,924 |
| Lumenis BE Inc | 1 | $1,987 |
| Sirona Dental, Inc. | 2 | $1,500 |
| Ultradent Products Inc | 6 | $886 |
| Patterson Companies, Inc. | 2 | $864 |
| A-dec, Inc. | 6 | $854 |
| Straumann USA LLC | 7 | $521 |
| Henry Schein, Inc. | 7 | $445 |
| Align Technology, Inc. | 9 | $308 |
| Zimmer Biomet | 3 | $120 |
| GC America Inc. | 2 | $79 |
| Dental Imaging Technologies Corp. | 1 | $70 |
| Envista Holdings Corporation | 2 | $66 |
| Orapharma, A Division Of Bausch Health US, LLC | 3 | $59 |
| Premier Dental Products Company | 2 | $52 |
| 3M Company | 2 | $43 |
| Philips North America LLC | 1 | $19 |
| Implant Direct Sybron International LLC | 1 | $19 |
| Ortho Organizers, Inc. | 1 | $18 |
| Benco Dental Supply Co. | 1 | $16 |
| Kulzer, LLC | 1 | $11 |
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.
- M22$1,987
- ORTHOPHOS$1,500
- CEREC$1,500
- CAD/CAM Software$750
- Opalescence$746
- Dental Equipment$603
- CEREC Tessera$334
- Convergent Dental, Inc.-Laser,Solea,Model 3,Basic$300
- Convergent Dental, Inc.-Laser,Solea,Model 2,Prem+$150
- Convergent Dental, Inc.-Laser,Solea,Model 3,Prem+$150
- Convergent Dental, Inc.-Laser,Solea,Model 2,Rfrb$150
- Solea$114
- Dental and Orthodontic supplies$113
How this compares
$10,863 in reported general payments places this provider in the 95th percentile of 12,963 general practice providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Chlorhexidine Gluconate | 34 | $132 |
| Amoxicillin | 17 | $45 |
Paid to pharmacies, not to this prescriber.
Other general practice in Chula Vista
- Sam HalaboChula Vista$359K
- Uri GuefenChula Vista$79K
- Nathan LiLancaster$5.2M
- Milton McCollSan Jose$4.9M
- Frederic MollRedwood City$2.5M
- Bradley ChingUpland$1.4M
- Eric BrassTorrance$755K
- Marc GeissbergerGreenbrae$583K
- Robert CampbellLong Beach$501K
- Varo BoyerNorth Hills$482K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.