Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

NATHAN JAMES FLESHER

Dental Providers Dentist

NPI
1417350174
CMS profile
1280468
Location
PANTEGO, TX

General Payments · PY2019–2024

$656.41

  • Reported across 12 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$177.53

4 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $102.53 3
Consulting Fee $75.00 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Align Technology, Inc. $108.27 2
Straumann USA LLC $69.26 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $67.35 1
PY2021 $12.93 1
PY2022 $137.44 2
PY2023 $261.16 4
PY2024 $177.53 4

Payment records · PY2024 (4)

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

Program year 2024 2019202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Align Technology, Inc. $33.27 03/05/2024 Food and Beverage Undisputed 01/23/2026 1153209011 CMS
Align Technology, Inc. $75.00 05/14/2024 Consulting Fee Undisputed 01/23/2026 1153239167 CMS
Straumann USA LLC $15.97 11/15/2024 Food and Beverage Undisputed 01/23/2026 1112021027 CMS
Straumann USA LLC $53.29 11/25/2024 Food and Beverage Undisputed 01/23/2026 1112022586 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2019, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2019 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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