Pedro Franco
Oral and Maxillofacial Surgery · Irving, TXNPI 1073574760
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (57.2%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. Stryker accounts for 78.8% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $25,655 and has fallen 86.6% since, to $3,426 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 183 payments — averaging $498.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$72K
- Nobel Biocare USA$6K
- Kls-martin L.p.$6K
- Pacira Pharmaceuticals Incorporated$4K
- Orthofix Medical, Inc.$1K
- 3d Systems$750
- plus $379 from 3 others
What the payments were for
- Consulting fees$52,15057%
- Speaking & faculty fees$10,96012%
- Travel & lodging$20,70023%
- Food & beverage$6,0757%
- Other$1,3301%
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 | 101 | $71,918 |
| Nobel Biocare USA | 24 | $6,361 |
| Kls-martin L.p. | 34 | $6,023 |
| Pacira Pharmaceuticals Incorporated | 14 | $4,444 |
| Orthofix Medical, Inc. | 4 | $1,341 |
| 3d Systems | 1 | $750 |
| Acera Surgical, Inc. | 2 | $295 |
| Axogen | 2 | $55 |
| Straumann USA LLC | 1 | $29 |
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.
- VSP SYSTEM, VSP CRANIAL$63,440
- NA$24,030
- VSP ORTHOGNATHIC$21,748
- PATIENT-FITTED TMJ RECONSTRUCTIVE PROSTHESIS SYSTEM$9,975
- UNIVERSAL MANDIBLE$8,750
- VSP RECONSTRUCTION$8,750
- UNIVERSAL MID-FACE$8,750
- NOBELPARALLEL$5,650
- NOBELACTIVE$5,650
- EXPAREL$4,068
- SMARTLOCK$3,206
- IPS,SUPPLEMENTAL MODEL, HALF, 00006, LP,QTY:001 EA$1,330
- Trinity ELITE$1,312
- MANDIBULAR RECON$659
- MEDPOR$525
- Restrata Wound Matrix$295
How this compares
$91,215 in reported general payments places this provider in the 95th percentile of 591 oral and maxillofacial surgery providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Amoxicillin | 137 | $400 |
| Clindamycin Hcl | 34 | $273 |
| Ketorolac Tromethamine | 20 | $241 |
| Tramadol Hcl | 19 | $38 |
Paid to pharmacies, not to this prescriber.
Other oral and maxillofacial surgery in Irving
- Dean SpingolaIrving$18K
- 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).
- Identity: NPPES NPI Registry, July 2026.