Zarc Files
Payments companies reported to CMS as associated with Zarc Files. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Zarc Files, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Zarc Files
These are the largest totals companies reported as associated with Zarc Files. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Richard Munaretto | River Forest, IL | Endodontics | $15,437.05 |
| Ryan Walsh | Pearland, TX | Family Medicine | $12,625.46 |
| Nicholas Pappas | The Woodlands, TX | Endodontics | $10,800.77 |
| Sameer Jain | Woodland Hills, CA | Endodontics | $4,585.23 |
| Matthew Lucero | Aurora, CO | Pediatric Dentistry | $4,400.14 |
| Bruno Azevedo | Louisville, KY | Oral and Maxillofacial Radiology | $641.86 |
| Antonio Berto | Irving, TX | Endodontics | $504.45 |
| Patrick Sofer | Dallas, TX | Dentist | $435.57 |
| Cory Malagise | Waco, TX | Endodontics | $390.66 |
| Obadah Attar | Southlake, TX | Endodontics | $334.13 |
Prescribed Zarc Files?
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.