Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

JOHN RALPH FIRTH

Dental Providers Dentist Orthodontics and Dentofacial Orthopedics

NPI
1063743300
CMS profile
1162459
Location
SUNSET HILLS, MO

General Payments · PY2019–2025

$5,202.01

  • Reported across 87 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$1,993.52

27 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $488.23 5
PY2020 $89.85 4
PY2021 $146.71 11
PY2022 $658.75 13
PY2023 $935.19 15
PY2024 $889.76 12
PY2025 $1,993.52 27

Payment records · PY2025 (27)

Sorted by paying entity, then date · as published by CMS

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Align Technology, Inc. $120.97 01/11/2025 Food and Beverage Undisputed 06/30/2026 1254043405 CMS
Align Technology, Inc. $118.76 02/20/2025 Food and Beverage Undisputed 06/30/2026 1254042917 CMS
Align Technology, Inc. $124.30 03/04/2025 Food and Beverage Undisputed 06/30/2026 1254043989 CMS
Align Technology, Inc. $60.00 09/25/2025 Education Undisputed 06/30/2026 1254078046 CMS
Align Technology, Inc. $8.70 09/25/2025 Gift Undisputed 06/30/2026 1254078048 CMS
Align Technology, Inc. $158.96 09/25/2025 Food and Beverage Undisputed 06/30/2026 1254078050 CMS
Align Technology, Inc. $211.15 09/26/2025 Food and Beverage Undisputed 06/30/2026 1254078052 CMS
Align Technology, Inc. $174.84 09/27/2025 Food and Beverage Undisputed 06/30/2026 1254078054 CMS
Align Technology, Inc. $31.56 10/14/2025 Food and Beverage Undisputed 06/30/2026 1254024887 CMS
Align Technology, Inc. $45.48 10/21/2025 Food and Beverage Undisputed 06/30/2026 1254031516 CMS
Align Technology, Inc. $119.18 10/21/2025 Food and Beverage Undisputed 06/30/2026 1254043015 CMS
Align Technology, Inc. $24.93 10/22/2025 Food and Beverage Undisputed 06/30/2026 1254018816 CMS
Align Technology, Inc. $48.18 10/24/2025 Food and Beverage Undisputed 06/30/2026 1254032234 CMS
Align Technology, Inc. $34.74 11/04/2025 Food and Beverage Undisputed 06/30/2026 1254027031 CMS
Align Technology, Inc. $125.00 11/13/2025 Food and Beverage Undisputed 06/30/2026 1254044151 CMS
Align Technology, Inc. $39.99 11/14/2025 Food and Beverage Undisputed 06/30/2026 1254029596 CMS
Align Technology, Inc. $119.05 11/15/2025 Food and Beverage Undisputed 06/30/2026 1254042959 CMS
Align Technology, Inc. $47.34 11/20/2025 Food and Beverage Undisputed 06/30/2026 1254031988 CMS
American Orthodontics Corporation $68.33 07/20/2025 Gift Undisputed 06/30/2026 1186435008 CMS
American Orthodontics Corporation $26.08 08/07/2025 Food and Beverage Undisputed 06/30/2026 1186437786 CMS
Envista Holdings Corporation $31.63 10/23/2025 Food and Beverage Undisputed 06/30/2026 1243832026 CMS
LIGHTFORCE ORTHODONTICS, INC. $12.48 01/16/2025 Food and Beverage Undisputed 06/30/2026 1253062399 CMS
LIGHTFORCE ORTHODONTICS, INC. $52.37 10/07/2025 Food and Beverage Undisputed 06/30/2026 1253064199 CMS
LIGHTFORCE ORTHODONTICS, INC. $125.00 10/20/2025 Food and Beverage Undisputed 06/30/2026 1253063081 CMS
LIGHTFORCE ORTHODONTICS, INC. $24.07 11/07/2025 Food and Beverage Undisputed 06/30/2026 1253063659 CMS
LIGHTFORCE ORTHODONTICS, INC. $21.25 11/07/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1253064265 CMS
LIGHTFORCE ORTHODONTICS, INC. $19.18 11/11/2025 Food and Beverage Undisputed 06/30/2026 1253064279 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.