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

Covered recipient · General Payments record

DAVID A LITTLE

Dental Providers Dentist

NPI
1508997198
CMS profile
68047
Location
SAN ANTONIO, TX

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2022 · Entire year

$33,520.27

34 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

Other CMS categories — not shown on this page

Ownership and Investment Interests

CMS also publishes Ownership and Investment Interests as a separate dataset. This site does not currently mirror it, and no ownership figure is shown on this page. This provider appears in that dataset.

Ownership and investment interests are reported as the value of an interest held, not as a payment received. They are a different measure from the payment total on this page and are never combined with it.

These records are published by CMS and can be viewed on this provider’s official CMS record. View this provider on CMS Open Payments ↗

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2022 · entire year · sorted by reported total

Nature of paymentAmountRecords
Honoraria $28,500.00 10
Compensation for serving as faculty or as a speaker for a medical education program $4,000.00 1
Food and Beverage $1,020.27 23

By paying entity

PY2022 · entire year · sorted by reported total

Paying entityAmountRecords
Zest Holdings, LLC $32,986.38 12
BioHorizons Implant Systems Inc. $446.90 20
ZIMVIE INC. $86.99 2

Payment records · PY2022

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

34 matching records · $33,520.27 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 34 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–34 of 34.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Zest Holdings, LLC $2,500.0011/27/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026908056689 CMS
BioHorizons Implant Systems Inc. $75.7810/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002339 CMS
Zest Holdings, LLC $2,500.0009/21/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026908037259 CMS
BioHorizons Implant Systems Inc. $13.7909/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002387 CMS
BioHorizons Implant Systems Inc. $9.8909/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002393 CMS
BioHorizons Implant Systems Inc. $1.7909/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002399 CMS
BioHorizons Implant Systems Inc. $21.3709/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002375 CMS
BioHorizons Implant Systems Inc. $5.4609/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002381 CMS
BioHorizons Implant Systems Inc. $9.4109/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002369 CMS
Zest Holdings, LLC $486.3808/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026907958879 CMS
Zest Holdings, LLC $5,500.0008/25/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026907964231 CMS
BioHorizons Implant Systems Inc. $16.8808/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002211 CMS
BioHorizons Implant Systems Inc. $9.0908/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002315 CMS
BioHorizons Implant Systems Inc. $33.0808/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002253 CMS
BioHorizons Implant Systems Inc. $8.8708/18/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002121 CMS
Zest Holdings, LLC $3,000.0007/21/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026907958857 CMS
BioHorizons Implant Systems Inc. $13.7007/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002165 CMS
BioHorizons Implant Systems Inc. $118.8707/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002291 CMS
ZIMVIE INC. $48.0607/07/2022 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026955443637 CMS
Zest Holdings, LLC $2,500.0004/01/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026907946051 CMS
Zest Holdings, LLC $4,000.0003/30/2022 Compensation for serving as faculty or as a speaker for a medical education program No dispute reported Delay: No
Change: UNCHANGED
06/30/2026907927483 CMS
Zest Holdings, LLC $2,000.0003/26/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026907895221 CMS
Zest Holdings, LLC $2,500.0003/16/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026907876123 CMS
BioHorizons Implant Systems Inc. $25.5003/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002241 CMS
BioHorizons Implant Systems Inc. $30.3603/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002247 CMS
BioHorizons Implant Systems Inc. $5.3903/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002297 CMS
BioHorizons Implant Systems Inc. $11.4003/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002327 CMS
BioHorizons Implant Systems Inc. $9.0503/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002309 CMS
BioHorizons Implant Systems Inc. $21.7503/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002229 CMS
ZIMVIE INC. $38.9303/09/2022 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026955443555 CMS
BioHorizons Implant Systems Inc. $5.4703/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026921002303 CMS
Zest Holdings, LLC $2,500.0002/22/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026905555485 CMS
Zest Holdings, LLC $3,000.0001/26/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026905555477 CMS
Zest Holdings, LLC $2,500.0001/25/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026905555471 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
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
PY2025 $16,118.40 19

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 and profile matching
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.

Cite this record.

Plain
DAVID A LITTLE, NPI 1508997198. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1508997198.
APA 7
IndustryPayments. (2026). DAVID A LITTLE, NPI 1508997198 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1508997198
Bluebook
DAVID A LITTLE, NPI 1508997198, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1508997198.

Source: Centers for Medicare & Medicaid Services, Open Payments.