Office of Inspector General Reports Wide Spead Fraud In Dental Medicaid Payment-September 2007

To All Dentist and Dental Corporations Exploiting and Abusing Our Children and Stealing Our Tax Dollars For Your Personal Gain and Lavish Life Styles: Big Brother Is Watching As Is This Blogger.

Download and Read The Report Here

Improper Medicaid payments for dental services have been identified periodically by State Medicaid Fraud Control Units (MFCU). In 2004, a MFCU investigation determined that dentists were reimbursed $4.5 million for unnecessary dental services. In 2000, another MFCU identified a widespread fraud scheme by dentists who recruited children to receive Medicaid-reimbursable services, many of which were unnecessary or were not provided.

Thirty-one percent of Medicaid pediatric dental services in the five States resulted in improper payments. In the five States we reviewed, improper payments for pediatric dental services provided during calendar year 2003 totaled an estimated $155 million, of which the Federal share was approximately $96 million.

Medicaid Program, abusing children and elders, and intentionally inflicting bodily injury.

The dentists unnecessarily performed root canals, drilled into patients’ healthy teeth, and completed as many as 20 medically unnecessary filling procedures on the same patient, defrauding the Medicaid program of $4.5 million.

In 2000, Florida’s MFCU investigated a widespread Medicaid fraud scheme by dentists who recruited children to receive Medicaid-reimbursable services. Many of the services were found to be unnecessary or not provided.

In fiscal year 2006, the Centers for Medicare & Medicaid Services (CMS) implemented a program designed to estimate and monitor State and national improper payment rates in the Medicaid program.

In this report, they analyzed Medicaid pediatric dental services provided during calendar year 2003 in five States (Idaho, Indiana, Massachusetts, North Carolina, and Texas).