Central KY Commercial Real Estate Blog: NAI Isaac Brings Kool Smiles Dentistry to Elizabethtown, KY

Central KY Commercial Real Estate Blog: NAI Isaac Brings Kool Smiles Dentistry to Elizabethtown, KY

WARNING to Elizabethtown, Kentucky residents; it looks like you are about to become the unwitting prey of a Kool Smiles dental center. 

Danger to your children awaits.  Remember the dental mill mantra “Patients may be hard to increase, but billable procedures are not!”  Creative dentistry at its best.

I feel Kool Smiles operates illegally in Kentucky under the statues of a Professional Service Corporation (PSC) where by the person owning and directing the “professional service” must be licensed by the “professional” board of the state, in this case the Kentucky Board of Dentistry and the person MUST perform those services. KRS 313.060 (3) no person shall conduct dental practice in their name unless he or she personally performs services as a dentist is such office.  Not less then 1/2 of the officers of a PSC and ALL of the officers other than the secretary and the treasurer shall be qualified persons to perform the professional services. See KRS 274.027 and 274.045 

Why the KY Dental Board ignores its own laws, rules and regulations is beyond me. 

 

See many more Kool Smiles reports by clicking here.

 

Not letting Dr. Edward Dove off the hook, fathers drive to remove the dentist continues.

Today, Chris Cook, the father who created the Facebook page exposing the atrocities of Dr. Edward Dove of Bakersfield, California made an appearance on the Scott Cox, radio program.  Scott Cox is on KERN Newstalk Radio in Bakersfield.

 

 

Chris has also created a Petition asking parents to people to sign and plans to pass it along to the California Dental Board.

You can sign the petition here.

Pictures are from the latest protest of Dr. Dove.

You can join Chris’s Facebook group here.

 

 

 

 

 

Friday is Conscious Sedation day at Dr. Dove’s.  A protest has been planned Friday, September 30 · 6:30am - 2:00pm  at the Chatsworth Office

Edward Dove's Chatsworth Office
20523 Devonshire St
Chatsworth, CA

Incidents and Allegations:

The Real Cheaters

Boston Herald Monday September 26, 2011

The cheating done by food stamp recipients is peanuts compared to vendor fraud (“Life’s a beach on EBT street,” Sept. 22).

Most fraud is done by pharmacies, doctors, dentists, nursing homes, hospitals and sellers of medical equipment. The government recovered $2.5 billion in overpayments for Medicare in 2009 as the Obama administration focused attention on fraud enforcement efforts in the health industry.
Click here to read the full story
The Real Cheaters

Inside the mind of a corporate dentist who is paid based on production.

Here is what happens to a dentist working at a dental mill when they don’t produce. Names and dates have been changed.
I believe this is a letter from a “lead” dentist at a dental mill clinic sent to their “regional manager". It’s apparent production is the only goal and is precisely why getting a bonus and/or a piece of the pie for compensation is more than wrong! It’s criminal! This is exactly why under Quality of Care Corporate Integrity Agreements, employee compensation or bonuses are NOT to be based on “production” goals.

Dear Regional Manager,

This letter is in regards to the production levels of Dr. F. As you know the clinic was approximately $500 away in production from the $300/3000 Bonus for the month. This is one of MANY examples of Dr. F not completing the majority of the treatment on the patients she sees on a daily basis. The patient, RH, was seen on 12-1-2010 by Dr. F and the only treatment done was a facial composite on the #C and the rest of the treatment to be performed was dismissed because the patient was nervous and he wanted the dental visit to be easy.
The clinic missed out on the possible $425.96 of production because he wanted to make the visit EASY? I find this very upsetting because I strive to work at my full potential and lead by example to my fellow doctors and employees to work hard regardless if I want to make a dental appointment easy.
If I wanted to make the appointment easy for every nervous patient, I believe a strong majority of our parents would be upset that they would have to continuously keep coming back because the patient was nervous. RH was my patient today and I completed the majority of the treatment except the extractions (per mom) and yes the patient was initially nervous, but did great for the injections and treatment. In conclusion, my question is how many more patients are to be dismissed or partial work completed because they were nervous and how many production goals must be compromised because of Dr. F’s lack of effort?
Sincerely,
Dr. X Ray Fraud

As you can see, Dr. X Ray Fraud would have done all the extractions had mom not spoken up and refused.

Jim Moriarty “Only a human can practice dentistry” “No corporation is allowed to practice dentistry.”

by BYRON HARRIS
Bio | Email
WFAA
Posted on September 23, 2011 at 11:15 PM

WFAA's Byron Harris has investigated dental organizations that have charged the government millions for children's braces. Here is the latest from the on-going News 8 investigation which includes a statement from Texas attorney, Jim Moriarty. 

E-mail bharris@wfaa.com

 

Related:

• Feds investigate Texas dental Medicaid program  
• Questions surround lucrative Medicaid dental business
• Tax money for unneeded braces goes to hedge funds
• Texas taxpayers pay big for straight teeth

See all photos »

Don’t become part of the crime and cover-up–Report it!

This goes out to any Small Smiles or Church Street Health Management employees.

The Office of Inspector General and Health and Human Services take Corporate Integrity Agreements seriously, especially Quality of Care CIA’s and even more important the agreements that have to do with the treatment of children.

I know many of you are afraid to speak up about the violations and breaches of the Corporate Integrity Agreement.  I know many of you are concerned about other misdeeds happening at the dental centers as well as at corporate headquarters. 

I encourage each of you to report any and all violations.  If you don’t feel comfortable using the Hotline that is set up, and I understand that completely, then at least report directly to the OIG/HHS. 

You may direct complaints of suspected Medicaid fraud to
OIG's Hotline1-800-HHS-TIPS (1-800-447-8477) or directly to a

State Medicaid
Fraud Control Units

If the monitor is visiting your center, please talk to the monitor.  I’m sure all reports and allegations are taken seriously.  If you can’t talk freely right then, surely you can find a way to get the monitor’s attention to slip them a phone number or a note or something.  Get the name of the monitor and contact them later….do something.

Heck do all of the above if you don’t feel comfortable talking to the monitor and your concerns swept under the rug.  Even though I doubt that is the case.  But I understand just about every one of you are terrified. 

You guys are the first line of defense against children being mistreated and Medicaid fraud prevention.  Please do the right thing.  For example, if you see procedure being coded and billed improperly, please report it, please.  Don’t become part of the crime and cover-up.

Dr. James Crow sentenced to prison for Medicaid Fraud - using wrong billing codes

Medicaid Fraud and Perjury by Brownwood, Texas Dentist. Perjury(emphasis added).

Who at these Medicaid mills are willing to leave your family, newborns, sick parents and head off to prison? Better be thinking about it.
_____________

September 21, 2011
SAN ANGELO, Texas — A Brownwood dentist convicted in federal court in San Angelo of defrauding Medicaid has been sentenced to 70 months in prison and ordered to pay more than $1.6 million in restitution.

James Crow, 67, was ordered by U.S. District Judge Sam Cummings to surrender to the Bureau of Prisons on or before Oct. 26. He also was ordered to pay $1,653,474 to Texas Medicaid and forfeit that amount in cash, a truck, several Harley Davidson motorcycles, a residence in Brownwood and additional real estate elsewhere in Brown County, a camper, a boat and a trailer.

Cummings also issued a finding that Crow had committed perjury during the two-week, May 2011 trial in San Angelo.

Crow was convicted on evidence that he filed claims to Medicaid for services he didn't perform and for services billed under improper billing codes. Crow billed Medicaid for resin-based fillings when the service weren't performed or services were performed that were not reimbursable under Medicaid.

The case was prosecuted by the U.S. Attorney's office in Lubbock using investigations conducted by the Texas Medicaid Fraud Control Unit and the FBI.

Obit sheds light on DeRose family tree

Grove, Jean P.
Jean P. Grove - Pueblo Chieftain - March 12, 2001 - Longtime Pueblo resident, passed away March 9, 2001. Preceded in death by husbands, Frank G. Palladino and Arthur E. Grove; sister-in-law, Veronica DeRose; and brother-in-law, Bruno DeRose. Survived by nieces and nephews, Dr. Edward J. and Neta DeRose, Sel and Vivian Elizondo, Dr. Rudy and Berni Padula, Alfred J. and Rose Schiavoni, Mary Lou Keating; and sister in-law, Jada Willard. Mrs. Grove resided in Pueblo for 50 years and was a loyal member of Sacred Heart Cathedral and St. Pius X churches. Service will be held at Sacred Heart Cathedral on March 13 at 10 a.m. The family respectfully requests the omission of food and flowers. Contributions may be made to the Fellowship of Christian Athletes, 7 Glen Eagle Court, Pueblo, CO 81001, in memory of Mrs. A.E. Grove. Interment, Roselawn Cemetery.

How to slow the child abuse, tortuous dental overtreatment and fraud

If states want to stop the influx of these substandard dental mills; if states want to end the continued overtreatment and child torture perpetrated on the poorest and most vulnerable of our citizens; if states want to cut the Medicaid fraud by same dental mills by billions; the solution may be as simple as slowing down the reimbursements.

Many think they gravitate to states with the highest reimbursement rates or those states that pay for more procedures, but that’s not always true.  If you were to ask an exec at one of the mills, you may well be told it’s actually how fast the money flows into their coffers.

Look at the states who are slow to pay; you won’t find many dental mills there.  Take Illinois for example, they are considered to be slow to pay; no Small Smiles or Kool Smiles there. 

Of course that’s just one of the factors considered, but it’s a huge one!  Other factors could be:

How quickly dentists can be credentialed
How quickly dentists can be licensed with the state dental board
Who they know and can control at the state dental associations

Just Saying….

Being lectured about wasting taxpayer dollars by a Medicaid Fraudster is off the chart ridiculous.  Just saying….

Attorney Tom Crosley Taking The Smile Center Cases–Was your child injured?

SAN ANTONIO - More than 70 parents are preparing to sue a local company of dental clinics called The Smile Center.  A News 4 WOAI Trouble Shooters investigation unleashed a flood of complaints by parents who say their children got poor dental treatment at the San Antonio clinics.  The San Antonio clinics have made millions on work paid for by Medicaid
.
Tom Crosley runs the firm that is preparing to file suit. “In the last few weeks we've been approached by the families of 60 or 70 children to investigate whether their kids were victims of unnecessary dental work, shoddy dental work, excess dental treatment," said Crosley.

The Smile Center handed out letters to potential new patients that state the allegations are gross misrepresentation of the facts. The Smile Center also claims they are saddened and shocked that we would report this story without telling their side of the story.
 
See video and further story information here

Tom Crosley, Attorney At Law
2632 Broadway St
Suite 101 South
San Antonio, TX 78215
210-354-4500, 877-535-4529
Fax: 210-244-2744
info@crosleylaw.com

The Smile Center in San Antonio, Texas Under Investigation

WOAI TV

Published: 9/07 4:05 pm

Updated: 9/08 10:04 am


The Smile Center Investigation
Posted on 09/08/2011 by bcollister
A criminal investigation is underway into a chain of dental clinics here in San Antonio that targets children on Medicaid.  This comes after I uncovered complaints of poor treatment at The Smile Center.
The Texas Attorney General now confirms it has launched criminal and civil investigations into The Smile Center.
The Attorney General’s office wants to know if the clinics defrauded Medicaid by billing for dental work that did not need to be done.  I’ve been reporting since February about complaints from parents who say the clinics did unnecessary and shoddy work on their children.
These parents were unhappy with dental work done on their children and paid with millions of your tax dollars through Medicaid.
A representative from the Attorney General’s office confirms it’s Medicaid fraud control unit has 180 bankers boxes of records taken from The Smile Center locations here in San Antonio.  The agency’s civil Medicaid department has also filed a complaint in civil court against the business. But we don’t know what’s in that complaint because it’s sealed.

Medicare fraud strike force charges 91 individuals for approximately $295 million in false billing

 

FOR IMMEDIATE RELEASE
September 7, 2011

Contact: HHS Press Office
(202) 690-6343

Medicare fraud strike force charges 91 individuals for approximately $295 million in false billing

WASHINGTON – Attorney General Eric Holder and Health and Human Services (HHS) Secretary Kathleen Sebelius announced today that a nationwide takedown by Medicare Fraud Strike Force operations in eight cities has resulted in charges against 91 defendants, including doctors, nurses, and other medical professionals, for their alleged participation in Medicare fraud schemes involving approximately $295 million in false billing. 

Attorney General Holder and Secretary Sebelius were joined in the announcement by FBI Executive Assistant Director Shawn Henry, Assistant Attorney General Lanny A. Breuer of the Justice Department’s Criminal Division and HHS Inspector General Daniel R. Levinson.

Busy week for wasteful and abusive dentistry in the news–Corporations should be feeling the heat about now

In Rick Perry's Texas: Medicaid Is Wasting Millions -- On Braces

Sat, 09/03/2011 - 12:22am — Joe Conason

Republican presidential frontrunner Rick Perry complains constantly about Washington’s “culture of runaway spending,” wasteful government programs, and federal intrusions into the affairs of the states. In Fed Up, the book he published last year, the Texas governor bitterly criticizes Medicare (which he terms “unconstitutional”) as well as the health care reforms passed by President Obama and by Mitt Romney in Massachusetts, which he regards as infringements on freedom.

Before Perry goes after Romney and Obama on medical spending, however, perhaps he ought to try putting his own state’s government in order first. According to a new investigation by a Dallas television station, the Medicaid program in Texas – overseen by Perry – is wasting millions of dollars annually on orthodontic braces for children who may not even need them.

But the story gets worse: Texas Medicaid wasting big money on unnecessary braces due to lax regulation by the state –and those millions are going straight to for-profit clinics owned by hedge funds.

Reviewing Dallas ABC affiliate WFAA’s investigation, health care expert Trudy Lieberman explains in the Columbia Journalism Review how the teeth of poor children in Texas became a golden opportunity for wealthy investors on Wall Street. Last year, the state spent more than $184 million to provide braces for 120,000 children – many of whom apparently did not qualify for orthodontic care under the state’s own criteria, according to WFAA investigative reporter Byron Harris. That is more than twice as much as Texas spent on the same program three years ago –and the same amount as all of the other 49 states combined.

“Judging by the increased payouts,” Harris noted, “the teeth of Texas children are growing more crooked each year.”

Read complete story here

Corporate dentistry receiving a lot of press lately isn’t it?

Columbia Journalism Review:

Golden Teeth
Dallas’s WFAA shows crooked Medicaid spending on orthodontia
by Trudy Lieberman

These days it’s rare for local TV stations to produce anything resembling an expose. With their steady diet of crime, weather, and canned medical news, there just isn’t room for the hard reporting. WFAA, the ABC affiliate in Dallas, has earned a reputation as a notable exception. Throughout the summer, the station and its investigative reporter Byron Harris have taken on the Texas Medicaid agency and its spending spree for braces for poor kids.

Now there’s nothing wrong with these children getting braces. Many, no doubt, will benefit in the long run. The problem, Harris reported, is that last year the state paid more than $184 million—nearly double the amount it spent in 2008—to supply braces for 120,000 kids, some of whom may not have met the state’s criteria for orthodontic work.

Read the full article at CJR

Kids Dental Place in Phoenix Arizona–Moses’ story

On Thursday morning of August 12, 2011 I received this email.  It was sent from a frantic mom.  No one can tell the story better than she can, so his is Moses’ story. Moses was seen by Dr. Joseph Nielson.

Moses O

You are God sent!  I found your blog last night while I was googling dentist torture. I need your help and advise. 
Yesterday while I was at work my mother took my son to the dentist (Kids Dental Place on Indian School Road, Phoenix, AZ 85016) He had NINE root canals, not to mention crowns and other unnecessary work that was preformed.

 His face and lips are swollen and he is all bruised up inside and outside his mouth. He also has scratches on his arms and imprints on his arm from where they strapped him down. 
I had NO IDEA that no parents are allowed in the back or else I wouldn't have brought him there!  My mother thought she was coming in for a couple of fillings turned into NINE root canals.  I am so horrified.

Can you give me some wisdom or guidance on what to do?
I spoke to the office manager and she was basically like "who cares" and he does Nine root canals all the time, like it is no big deal!!!  This is so unacceptable, who sits and get nine root canals in one sitting?? My poor baby. 

My son also told me that they did not give him any pain medication that he as crying the whole time! And that the densest was very mean!  My son does not lie either and is a vey smart boy for his age (4).
Thanks a million!

I asked Moses’ mom if she could send me any pictures of his injuries and asked if she had gotten his charts from Kids Dental Place. 

Parents Protest in front of Dr. Edward Dove’s office

 

This exact same thing is happening to 1,000’s of children every day in the Medicaid dental mills such as Small Smiles, Kool Smiles and the like!  The less fortunate children deserve a voice too, that’s why this site is here.

I’d love to see the masses at these clinics!

Parents telling their horror stories of Dr. Edward Dove after dad creates Facebook page and Dr. Bicuspid promoted it. Thanks to everyone who helped get this out to the masses.

Reposting the stories from the facebook page, just incase they magically disappear! 

Holly Cordova
On Wednesday August 24th I took my 6 year old son to Dr. Dove's office. He drank their "kiddie martini" and 9:40 in the morning and I was told they would take him back in 30 minutes. An hour went by and I asked if they had forgotten us.

The lady informed me no they hadn't forgotten us that things had come up. Almost another hour went by and they finally took him back. He didn't seem very sedated at all anymore. They called my name 30 minutes later to get him. He was crying a lot and I could tell something was wrong.

When we started driving away we were trying to comfort him and let him know everything was ok now. He managed to choke out that Dr. Dove was mean to him.

He said every time he would cry Dr. Dove would yell at him to quit crying. Later that evening he asked my daughter at the dinner table if she wanted to know what else they do at that dental office and he said they hurt you.

Akasmse Rose Tecumseh died in August 2010, Brayden was the lucky one that day. Here is Brayden's story.

Brayden’s mom sent me this yesterday, August 30, 2011 and asked that I tell this story and help how ever I can.  With that said, here is her son’s brush with death.

Brayden

Hello my name is Ashley and I am writing in hopes that you might be able to inform your readers and possibly direct me as to where to go . You see my son Brayden was also having work done on his teeth Aug. 12,  2010 at Dr. Charles Keithline's office, Tulsa Oklahoma,  although it was not Dr. Keithline that did Brayden’s or the little girls procedure.  He was supposed to but decided last minute to go on some sort of retreat with his wife also his office manage .

Dr. Ryan Roberts, Dr. Keithline’s associate in the office performed the procedures,  There was only 2 patients they were seeing that day her and my son. I can not get that day out of my head no matter how hard I try. The little girl was already in the room having her teeth worked on but I seen her being carried out by her mother and she was soooo- limp ...... I blame myself as well because I had a nagging feeling to just cancel his appointment and go home but I thought it is his first year in school and I wouldn't want him to have to miss school better to get it over with ( I will NEVER not listen to my instincts again ).