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Revenue Disaggregation (Tables)
12 Months Ended
Dec. 31, 2018
Revenue from Contract with Customer [Abstract]  
Reconciliation of disaggregated revenue with reportable segment
The table below includes a reconciliation of disaggregated revenue with the Company’s reportable segment:
 
Year Ended December 31,
 
2018
 
2017
 
2016
 
Implant-based
 
Shipment-based
 
Total
 
Implant-based
 
Shipment-based
 
Total
 
Implant-based
 
Shipment-based
 
Total
United States
$
106,014

 
$
3,079

 
$
109,093

 
$
120,572

 
$
2,637

 
$
123,209

 
$
133,734

 
$
2,377

 
$
136,111

International
21,097

 
26,283

 
47,380

 
23,246

 
34,702

 
57,948

 
26,884

 
29,930

 
56,814

Total Revenue
$
127,111

 
$
29,362

 
$
156,473

 
$
143,818

 
$
37,339

 
$
181,157

 
$
160,618

 
$
32,307

 
$
192,925