@AI00IROBOTIt means the doctor owes him (Stan?!) 40,000 US dollars.
be into somebody = [American Englishinformal]to owe someone money: e.g. He's into me for $50. (Source: Longman Dictionary)
large (noun) = [slang, plural: large] A thousand dollars. e.g. Getting a car tricked out like that will cost you 50 large. (Source: Wiktionary)