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

DAVID A LITTLE

Dental Providers Dentist

NPI
1508997198
CMS profile
68047
Location
SAN ANTONIO, TX

General Payments · PY2018–2024

$778,647.74

  • Reported across 232 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$74,054.46

36 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

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Zest Holdings, LLC $73,449.32 23
BioHorizons Implant Systems Inc. $605.14 13

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $283,068.20 54
PY2019 $230,587.51 43
PY2020 $36,207.96 9
PY2021 $33,449.15 17
PY2022 $33,520.27 34
PY2023 $87,760.19 39
PY2024 $74,054.46 36

Payment records · PY2024 (36)

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

Program year 2024 201820192020202120222023 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
BioHorizons Implant Systems Inc. $13.20 03/13/2024 Food and Beverage Undisputed 01/23/2026 1129399108 CMS
BioHorizons Implant Systems Inc. $18.98 04/01/2024 Food and Beverage Undisputed 01/23/2026 1129399078 CMS
BioHorizons Implant Systems Inc. $118.56 04/04/2024 Food and Beverage Undisputed 01/23/2026 1129399106 CMS
BioHorizons Implant Systems Inc. $58.74 04/07/2024 Food and Beverage Undisputed 01/23/2026 1129399050 CMS
BioHorizons Implant Systems Inc. $10.76 04/08/2024 Food and Beverage Undisputed 01/23/2026 1129399096 CMS
BioHorizons Implant Systems Inc. $34.07 04/09/2024 Food and Beverage Undisputed 01/23/2026 1129399060 CMS
BioHorizons Implant Systems Inc. $31.26 04/12/2024 Food and Beverage Undisputed 01/23/2026 1129399044 CMS
BioHorizons Implant Systems Inc. $85.12 04/18/2024 Food and Beverage Undisputed 01/23/2026 1129399046 CMS
BioHorizons Implant Systems Inc. $14.33 04/18/2024 Food and Beverage Undisputed 01/23/2026 1129399090 CMS
BioHorizons Implant Systems Inc. $95.41 06/11/2024 Food and Beverage Undisputed 01/23/2026 1129399126 CMS
BioHorizons Implant Systems Inc. $53.67 06/11/2024 Food and Beverage Undisputed 01/23/2026 1129399128 CMS
BioHorizons Implant Systems Inc. $48.90 12/18/2024 Food and Beverage Undisputed 01/23/2026 1129399176 CMS
BioHorizons Implant Systems Inc. $22.14 12/20/2024 Food and Beverage Undisputed 01/23/2026 1129399178 CMS
Zest Holdings, LLC $1,055.32 01/30/2024 Travel and Lodging Undisputed 01/23/2026 1154417812 CMS
Zest Holdings, LLC $4,000.00 01/30/2024 Honoraria Undisputed 01/23/2026 1154417976 CMS
Zest Holdings, LLC $500.00 02/21/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1153801508 CMS
Zest Holdings, LLC $1,500.00 03/13/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1153801510 CMS
Zest Holdings, LLC $22,500.00 04/22/2024 Honoraria Undisputed 01/23/2026 1153801570 CMS
Zest Holdings, LLC $1,336.43 07/02/2024 Travel and Lodging Undisputed 01/23/2026 1154417816 CMS
Zest Holdings, LLC $4,500.00 07/02/2024 Honoraria Undisputed 01/23/2026 1154417980 CMS
Zest Holdings, LLC $565.39 08/02/2024 Food and Beverage Undisputed 01/23/2026 1153803034 CMS
Zest Holdings, LLC $82.32 08/02/2024 Food and Beverage Undisputed 01/23/2026 1153803036 CMS
Zest Holdings, LLC $1,378.98 08/06/2024 Travel and Lodging Undisputed 01/23/2026 1154417820 CMS
Zest Holdings, LLC $9,000.00 08/06/2024 Honoraria Undisputed 01/23/2026 1154417984 CMS
Zest Holdings, LLC $49.68 08/07/2024 Food and Beverage Undisputed 01/23/2026 1153803038 CMS
Zest Holdings, LLC $1,011.91 09/10/2024 Travel and Lodging Undisputed 01/23/2026 1154417824 CMS
Zest Holdings, LLC $4,500.00 09/10/2024 Honoraria Undisputed 01/23/2026 1154417988 CMS
Zest Holdings, LLC $72.60 10/10/2024 Food and Beverage Undisputed 01/23/2026 1153803040 CMS
Zest Holdings, LLC $1,413.08 10/10/2024 Travel and Lodging Undisputed 01/23/2026 1154417832 CMS
Zest Holdings, LLC $9,000.00 10/10/2024 Honoraria Undisputed 01/23/2026 1154417996 CMS
Zest Holdings, LLC $742.15 10/24/2024 Travel and Lodging Undisputed 01/23/2026 1154417836 CMS
Zest Holdings, LLC $4,000.00 10/24/2024 Honoraria Undisputed 01/23/2026 1154418000 CMS
Zest Holdings, LLC $122.20 11/01/2024 Food and Beverage Undisputed 01/23/2026 1153803042 CMS
Zest Holdings, LLC $1,119.26 11/07/2024 Travel and Lodging Undisputed 01/23/2026 1154417828 CMS
Zest Holdings, LLC $4,000.00 11/07/2024 Honoraria Undisputed 01/23/2026 1154417992 CMS
Zest Holdings, LLC $1,000.00 12/09/2024 Honoraria Undisputed 01/23/2026 1153801572 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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