Shane Costa
General Practice · Reston, VANPI 1407889306
Payments from drug & device makers
What this record shows
This record is dominated by gifts: $149,075 of the $174,422 with a category attached, or 85.5%. Align Technology, Inc. accounts for 99.2% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2023 at $149,507 and has fallen 99.6% since, to $673 in 2025. Among general practice clinicians in VA 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 106 payments — averaging $1645.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Align Technology, Inc.$173K
- Zimmer Biomet$684
- Zimvie Inc.$421
- Benco Dental Supply Co.$125
- Biohorizons Implant Systems Inc.$42
- Nobel Biocare USA$37
- plus $95 from 4 others
What the payments were for
- Consulting fees$560%
- Travel & lodging$5550%
- Food & beverage$3,1512%
- Education$1160%
- Gifts$149,07585%
- Charitable contribution$900%
- Other$21,37912%
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 |
|---|---|---|
| Align Technology, Inc. | 79 | $173,018 |
| Zimmer Biomet | 12 | $684 |
| Zimvie Inc. | 7 | $421 |
| Benco Dental Supply Co. | 1 | $125 |
| Biohorizons Implant Systems Inc. | 1 | $42 |
| Nobel Biocare USA | 1 | $37 |
| Sprintray Inc | 1 | $35 |
| Philips North America LLC | 2 | $29 |
| Envista Holdings Corporation | 1 | $18 |
| Kerr Corporation | 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.
- Itero$170,359
- Invisalign$1,238
- T3$233
- Diem2$221
How this compares
$174,422 in reported general payments places this provider in the 95th percentile of 2,591 general practice providers in Virginia.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Amoxicillin | 18 | $67 |
Paid to pharmacies, not to this prescriber.
Other general practice in Reston
- April KernReston$83K
- Diane FlexsenharReston$7K
- Maryam SabaSpringfield$811K
- Perry JonesRichmond$489K
- Nancy ReevesNorfolk$411K
- Adam HamidiSalem$177K
- Donald MurryPowhatan$157K
- Marcus YarbroughVirginia Beach$154K
- Adam FoleckNorfolk$149K
- David JonesVirginia Beach$126K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.