Small Smiles Update from Roberta Baskin 6-16-2008

6-16-2008
WJLA TV's I-Team Reporter, Roberta Baskin, has an update on her Small Smiles Investigation:

-WJLA SCRIPT-

ANCHOR:
TONIGHT FROM THE ABC 7 I-TEAM, DRAMATIC NEW DEVELOPMENTS TRIGGERED BY OUR EXCLUSIVE SMALL SMILES INVESTIGATION OF THE NATION'S LARGEST PROVIDER OF DENTAL CARE FOR MEDICAID CHILDREN.

FOLLOWING OUR INVESTIGATION...MEDICAID AND SEVERAL PRIVATE INSURERS LAUNCHED THEIR OWN INVESTIGATIONS AND NOW, THEY'VE BEGUN TO TAKE ACTION.

THE I TEAM'S ROBERTA BASKIN IS HERE WITH MORE REACTION TO HER EXCLUSIVE REPORTS... ROBERTA?

ROBERTA BASKIN:
MEDICAID SUB-CONTRACTS TO THOSE PRIVATE INSURERS TO PROVIDE DENTAL CARE TO CHILDREN IN NEED. SMALL SMILES HAS BEEN THE BIG BENEFICIARY OF THAT ARRANGEMENT... UNTIL TODAY.

STORY:

The Small Smiles clinic in the District is turning away patients today and like the other four Small Smiles clinics in the area, cancelling most of its June appointments..

"Following audits by private insurance companies discovered hundreds of thousands of dollars in unnecessary dental work. One company reported finding "teeth may have been pulled unnecessarily."

This father doubts his 7 year old son's teeth needed the work Small Smiles recommended.

"He have good teeth so I don't know why they say, fill it up with something."

Doral Dental USA has now terminated four of the 20 Small Smiles dentists in our area from its network and suspended its GROUP practices pending further review.

Colette Phoenix: "I honestly didn't know that they were being audited or even investigated for this." "It does raise some concerns so I'll definitely check into it."

Neither Doral nor Small Smiles will tell us the names of those dentists and declined to be interviewed…but the suspensions affect thousands of families who receive dental care at the chain's five clinics in the district and Maryland.

"After today, you know, I am look into see if I can find another dental clinic for her to go to, for both of them to go to."

Health insurance providers tell us they are contacting families to find new dentists for them.

ROBERTA BASKIN-"Is it difficult for you to find a dentist?"

Mom: "Yeah, yeah, it's difficult."

Our investigation in November exposed callous treatment of children…separating them from parents…strapping them to papoose boards to increase productivity, performing unnecessary procedures, and using unlicensed x-ray technicians.
We also revealed how Small Smiles worked the taxpayer funded Medicaid system.

Dr. Aldred Williams: "They threw up the white flag and said, "Okay, you don't have to preauthorize anything. Just do the work. So we flooded the system."

Doral Dental had suspended Small Smiles for three months following our investigation but has told the state of Maryland is has discovered even more irregularities. It will be another 4-6 weeks for Doral to complete its investigation.

ROBERTA BASKIN IN STUDIO:

UNITED HEALTHCARE, ONE OF THE LARGER INSURANCE COMPANIES CONTINUES TO REFER FAMILIES TO SMALL SMILES DESPITE FINDING MORE THAN A QUARTER OF A MILLION DOLLARS IN QUESTIONABLE TREATMENTS.

MEANWHILE, THE MARYLAND ATTORNEY GENERAL'S OFFICE HAS A CRIMINAL INVESTIGATION UNDERWAY.

WE CONTINUE TO HEAR FROM PATIENTS AND EMPLOYEES FROM AROUND THE COUNTRY ABOUT PROBLEMS WITH SMALL SMILES. KEEP CALLING AND GO TO OUR WEB SITE FOR LINKS AND RESOURCES:

WWW.WJLA.COM.

Click here and go to the bottom of the page to see Doral's Statement, Small Smiles Statement and Small Smiles Audit and Suspensions.

Small Smiles-FORBA-DeRose Update From Roberta Baskin, WJLA TV

More Damning Evidence Keep Pouring In to I-Team Investigation.

Don't forget, even though this local investigation mentions Small Smiles, they go under the Name Smile Starters Smile High, Medicaid Dental Centers, FORBA, DeRose Children's Dental Center, Small Smiles Center/Clinic of Pueblo, and others. And if you read below in my previous post, more of these Dental Offices catering to children are jumping on this same bandwagon! Beware!

February 28, 2008

Roberta Baskin, of WJLA TV, broke and continues to follow the Small Smiles Dental Abuse and Fraud Investigation. Here is the transcript of Roberta’s latest installment.

ANCHOR:

RESTRAINING CHILDREN, PERFORMING UNNECESSARY TREATMENTS, HIRING UNLICENSED XRAY TECHNICIANS... THESE ARE ALL EXAMPLES OF THE SUB-STANDARD DENTAL CARE OUR I-TEAM FOUND AT THE SMALL SMILES CLINICS IN THE WASHINGTON DC AREA, AND ACROSS THE COUNTRY. WE'VE BEEN TELLING YOU HOW THE CHAIN OF CLINICS PLACES PROFIT OVER COMPASSIONATE CARE FOR MEDICAID CHILDREN. NOW ROBERTA BASKIN AND THE I-TEAM HAVE UNCOVERED MORE.... ROBERTA?

ROBERTA BASKIN:

SOME OF YOU WHO SAW OUR EARLIER REPORTS HAVE COME FORWARD WITH NEW EVIDENCE OF THE SMALL SMILES SCHEME TO BILL THE TAXPAYER-SUPPORTED MEDICAID PROGRAM FOR WORK THAT WASN'T NEEDED - OR WASN'T EVEN DONE.

STORY: Six year old Kayla Mason brushes her teeth day and night.



She's never had any cavities. That's why her mother, LaTasha Mason, was dismayed when dentists at Small Smiles in Oxon Hills said they found THREE.

LaTasha Mason-"I was like, oh my goodness, I was surprised, I really was. And they were like, well, the lady that called me back, she was like, well that's nothing compared to what we usually see."

She then had Kayla examined by a different dentist.

Mason-" And she gets up to leave and I'm like , well, what about the cavities?"

Turns out, there weren't any.

Mason-"I was really astonished, to say the least."

Mason is upset Small Smiles planned to drill into her daughter's teeth for no other reason than to profit from it.

Mason- "It's, it's just sickening." "(that's) the only thing I can think of, why they would want to drill in these baby's mouths, is for money."

Particularly upsetting is her feeling that Small Smiles lied to her.

Mason- "One maybe, that could have been an honest mistake. But three? Absolutely not. Three is not a mistake, I'm sorry."

And when this family went to Small Smiles for a check-up, dentists saw four girls - and apparently 24 cavities.

Cheryl -" I felt like a bad mother." Cheryl assumed her children hadn't been brushing.

Roberta -"Were you in trouble?"

Rachelle -"Yes"

Cheryl -"I told them all of their teeth were going to fall out if they don't listen to me and brush their teeth. I called them "yuck mouths."

Roberta -"Yuck mouths?

Cheryl-"Yuck mouths."
Most of the work was completed, except on Rachel, who was told to come back for several more fillings. In the meantime, Rachel's mom heard about our Small Smiles investigation, and switched to Dr. Robert Camps.

Dr. Robert Camps - "I'm glad it wasn't done, because it shouldn't have been done. Roberta -"Four fillings that she would have gotten on teeth that are perfectly fine."

Dr. Camps -"Correct."

And that's not all. When Dr. Camps examined Rachel and her sister Rebecca, he realized - Small Smiles didn't DO all the work they charged for.

Rebecca's chart shows 8 cavities filled…but that's not what she remembered. "I didn't see any drill or hear any drill.

Roberta -Did they numb you?

Rebecca -"I didn't feel a numbing (or anything)."

And Dr. Robert Camps didn't see the work either. "these are not fillings." "I feel like they did more like a sealant, (where they didn't really drill into the tooth)." To be sure, Dr. Camp took x-rays.

Plea from I-Team, asking the public to keep the stories coming I, please help I-Team help the children. You are the eyes and ears! click here

ABC 7, WJLA TV is in the Washington, DC area, so all of our law makers watch this news.

Report by phone at 703-236-9559

Interview with the Journalist Who Broke This Story in Washington DC Area

Interview with Reporter, Roberta Baskin from WJLA-TV, in Washington DC who brought the use of Papoose Boards to the attention of the public.

Thanks to Poynter's Online
An Investigation

WJLA-TV investigative reporter Roberta Baskin aired a story Monday night about the nation's largest chain of for-profit dental clinics. With 66 clinics nationwide, Small Smiles makes a good living off Medicaid. (Watch the story. Warning: It is hard to watch.)

WJLA said it found x-ray technicians who were not licensed to perform the work they were doing, and the station said young children were sometimes children-strapped to "papoose boards" that kept the kids immobile during uncomfortable procedures that their parents were not allowed to witness.
The station said the clinics also quoted former clinic workers who said they were pressured to push baby root canals as treatment because such treatments are lucrative.

I interviewed Baskin via e-mail to learn more about the investigation:

Roberta Baskin

Q. How did you find this story?

A. It began with picking up the phone and listening to a random caller. She was a dental assistant who said she'd been fired for complaining about how her clinic treated Medicaid kids. She went on to describe a bonus system, with daily financial goals, which she believed provided an incentive to do unnecessary procedures for more Medicaid money. At first she complained to the Maryland inspector general's office overseeing Medicaid. But they referred her to the Better Business Bureau. That riled her enough to call WJLA.

Q. What surprised you the most?

A. It surprised me most that the small policy clinics have a policy to separate children from their parents and say it's a privacy regulation under the Health Insurance Portability and Accountability Act (HIPAA). It surprised me even more that they let our cameras in the back, when they wouldn't allow parents in. It also surprised us how much access we got and how much video we were allowed to shoot of questionable practices. The dental staff is so used to doing what they're doing that they didn't seem to think there was anything unusual about their treatment of Medicaid families. It's just the way those Small Smiles clinics we videotaped do business.

Q. How did you get access to patients?

A. We brought patient consent forms in English and Spanish and asked for permission. Some families said yes, others declined.

Q. How were you able to prove the story to be true, given that you are dealing with HIPAA, Medicaid and medical board oversight?

A. It's a complex system. In addition, there are managed care agencies between the clinics and the state, each with their own rules of engagement. We interviewed more than 100 people: dentists, associations, dental boards, inspectors general, Medicaid, dental assistants, on and on. There are other former employees of Small Smiles we interviewed who were afraid to go on camera, but their stories laid out the same issues.

Q. Just the topic of dentistry, little kids getting root canals and being tied up in "papoose boards" all sounds disturbing. Did you have any concerns that people wouldn't watch it?

A. Yes. It's not a pretty subject. A newsroom employee outside editing was in tears just listening to the children cry. Another production staffer was sobbing after seeing it. We had an extraordinary response in e-mails and calls from viewers. Most were angry at the practices, some were upset by what they saw. And yes, a few were angry at me. We needed to show what we saw so people would see what they otherwise couldn't. We also made an effort not to show shots in the mouth or too many faces. The photojournalist purposefully shot Miguel's feet because that told a lot of the story.

Q. What did you learn when investigating this story that other journalists should know?

A. The most important stories are always the hardest. This one was a challenge on many levels. But tenacity and patience eventually pay off. Also, you don't have to shoot on hidden camera. Going through the front door is always best. A child had died in Maryland from a brain infection caused by untreated tooth decay. It highlighted the fact that four out of five dentists refuse to take Medicaid kids. Small Smiles has a business model that exclusively handles those kids. We just asked to see how they do it.