NCDR - Kool Smiles changing it’s management structure Jan 2013.

It appears either

1. There is pressure on NCDR & Kool Smiles to ditch the traveling trainers.
2. Strapped for cash and need to increase the bottom line in hopes of a sale.
3. Planning to hang the clinical leaders out to dry.
4. All of the above

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Friday December 7, 2012
Dear NCDR, Kool Smiles and Resolution Dental colleagues:

We continue to make great progress toward our dream of creating a world of happy, healthy smiles through access to quality dental care.

In the middle of this year, we launched a cultural initiative, developed with your constructive input during 2011, to create balance within our offices. To that end, our Kool Smiles and NCDR employees worked together to create an action plan for their vision of their office, or department. As you have seen for the last year, we have made many big steps toward achieving that vision, which include:

• The roll out of SmileOn, our new dream, mission and the Priority Pledge;
• Improved office level decision tools and responsibility; and
• Stronger focus on patient satisfaction and retention.

Today, we are announcing that NCDR is reorganizing its field leadership team to better support the evolving needs of the Kool Smiles and Resolution dental offices.

Effective January 14, 2013, the Kool Smiles and Resolution Dental clinical leaders will assume additional responsibilities over their respective offices. These changes will unify field leadership into a single structure in an effort to improve communication and local accountability for your offices.

Just saying...

The Ontario Teachers Union is to Heartland Dental as the Teamsters Union was to the Mob - bankrolling illegal business.

Actually if you think about it the DSO is modeled much like a mafia organization. They steam roll over your business, telling the people, the state agencies, the dental associations and the dentist exactly what they want to hear. But as soon as they have infiltrated, it's their way or the highway. Laws? What laws? They are the Mob.

This is the Dental Service Organization! This IS the DSO!

The DSO model mostly originated in Pueblo, Colorado; rich is mafia bloodlines and history. So what else should be expected?

Moody rates Heartland Dental

http://www.finanzen.net/nachricht/anleihen/Heartland-Dental-Care-LLC-Moody-s-assigns-B2-CFR-to-Heartland-Dental-B1-and-Caa1-to-proposed-1st-and-2nd-credit-facilities-respectively-2174193

Morgan Stanely’s Reachout Healthcare Mobile Dental Clinics continue breaking new rules put in place to protect children from their abuse of children

I realize it’s hard to believe someone, i.e. R. Kirk Huntsman, convinced Morgan Stanley that driving up to schools, sending criminally incompetent dentists and employees inside to zap them with as much radiation as possible, restrain children and perform dental procedures with or without consent, then bill the taxpayer was a great idea. But it happened.

Below is an update on the lawsuit filed by Darren and Stacey Gagnon on behalf of their son, who was traumatized by Reachout Healthcare mobile dental clinic employees in Arizona. Imagine the stuff that was too “hot” to include in the following piece.

WATCH this video!

Don’t forget to comment here and over at My Fox Phoenix here

PHOENIX – December 3, 2012

As we first reported back in June, a mobile dentistry operation is being sued by an Arizona family. They allege their special needs son received unnecessary dental work at school.

Tonight, we revisit the Gagnons, to see how their son Isaac is doing, and update a case that may have already forced the state to make changes in the way dentists do business.

The first time we met the Gagnons, Isaac was kept from our cameras because they might scare him.

This time, we got a chance to watch Isaac color a picture for his friend's birthday party.

Isaac gets night terrors after what happened to him.

"He was diagnosed with post-traumatic stress disorder… he was a very fragile emotionally child in the first place," says mom Stacey Gagnon.

Fragile in the first place because Isaac was adopted after surviving severe shaken baby syndrome.

"He was horribly injured as an infant including five skull fractures."

But Isaac had come a long way with the Gagnons.

"We saw this little boy emerge who loved tractor trucks and run and play in the dirt."

That ended about a year ago.

"October 4th, Isaac was seen by a dentist at school," says dad Darren Gagnon.

A dentist from Big Smiles, a part of Reachout Healthcare America, treated Isaac inside his school's art room.

"He says you know the dentist man got me… we didn't know what had happened."

Reachout paperwork in Isaac's backpack showed the boy had been given two pulpotomies - or baby root canals - and 10 X-rays. Something his parents say they never approved. Isaac's mother called Reachout for an explanation.

"They told me it was a training error on their part," says Stacey.

Everything the Gagnons allege is part of this lawsuit they filed against Reachout, Big Smiles, and two dentists.

It alleges among other things, battery, fraud, intentional infliction of emotional distress and racketeering.

"We found out from the school they had actually held Isaac down for somewhere in the neighborhood of 40 to 45 minutes, that they physically restrained him to do the work on him because obviously he was in a lot of pain," says Darren.

The two dentists named in the lawsuit include Doctor Ralph Green who works at Reachout Corporate offices in north Phoenix -- and Doctor Alvin J. Coon, who performed the work on Isaac.

Children’s Dentistry of Rome bills taxpayers $13,407,134.34 in less than 4 years

Bet’cha some these folks used to (or still does!) work for Small Smiles, Kool Smiles, Ocean Dental maybe… or one of the other Medicaid dental mills?

At least in Georgia, the police departments are using the tools in their toolbox. -O.C.G.A. Title 16, Section 16-5-70, Cruelty to Children. #dentalboardsareuselessinprotectingpatients

UPDATE December 4, 2012 – 9:42 AM

Office bills $13 million in Medicaid claims since ’08

by Lauren Jones, Staff Writer

After numerous allegations of child abuse and fraudulent activity flooded the Rome Police Department over the weekend, detectives are continuing their criminal investigation into Children’s Dentistry of Rome, officials said on Monday.

According to the search warrant affidavit filed in Floyd County Superior Court, MCG Management Inc., doing business as Children’s Dentistry of Rome, billed more than $13 million in Medicaid claims since 2008, and some victims and other dentists alleged that dental work provided by the doctors and hygienists was unnecessary.

Employees from the dentist office issued the following statement on Monday evening: “The dentists operating their practice at the MCG facility care about patients and provide quality care. Dental visits are not always pleasant, but we believe that the practitioners will be able to show they exercised sound judgment and compassion when treating young patients with significant dental problems.”

Following complaints of improper use of restraints and improper or unnecessary performance of dental work on children, agents with the Department of Health and Human Services Office of the Inspector General and Rome Police Department investigators executed a warrant on Thursday and searched the office for billing and medical records pertinent to the criminal investigation.
No arrests have been made in the case and Rome police Lt. Gary Clayton declined to comment on the number of reports the detectives division has received.

The affidavit listed more than 300 patients with Medicaid whose records are being thoroughly investigated.

Medicaid claims
The affidavit, written by detective Joe Costolnick, lists 11 reports of excessive dentistry work performed on 14 children that resulted in serious medical problems and trauma. Reports recounted that children left the office traumatized, scratched and bruised.

Some children were allegedly tied down on papoose boards for unnecessary dental work, and some children needed additional medical attention for improperly done dental work they received at Children’s Dentistry of Rome.

Costolnick, who is specially trained with regard investigating criminal violations relating to cruelty and abuse to children, is working with Special  Agent Connie Murray with the Department of Health and Human Services who investigates Health Care fraud.

Murray obtained a summary of the dental office’s Medicaid claims data from January 2008 to August 2012, the affidavit reported.

The Georgia Medicaid program provides health services to beneficiaries who qualify based on financial need or other circumstances.

In providers’ contracts, the provider agrees to abide by state and federal laws when submitting claims and the Medicaid program requires that providers not bill for services not performed or delivered, and not to submit false or inaccurate claims.

Providers must maintain records to fully disclose the extent of services provided to members for a minimum of five years and the records must also explain the medical necessity for the services provided.

Since 2008, the company billed Medicaid for a total of
$13,407,134.34.

• $3,146,084.38 in 2008,
• $3,215,831.81 in 2009,
• $2,908,993.61 in 2010,
• $2,395,811.79 in 2011
• $1,740,412.75 as of August of 2012

Unnecessary dental work?
In the affidavit, some reports by parents of children who received dental work at Children’s Dentistry of Rome claimed that children went in to the office for routine checkups but left having had more dental work performed, as well as traumatized and in tears.

Parents not surprised over raid of Rome, Georgia dental office

ROME, Ga. - Police are investigating allegations of abuse at a children's dental office in Rome. Authorities say that MCG Management, Inc., doing business as Children's Dentistry in Rome, is under criminal investigation.

According to the district's attorney's office, the investigation began with allegations of Medicaid fraud. The Rome Police Department executed a search warrant last Thursday based on the criminal investigation, as well as complaints from parents that their children may have been improperly restrained. There were also allegations that some of the children they have had improper, if not necessary, dental work done.

Police seized several crates and boxes from the office in the raid. One woman told FOX 5's Patty Pan that she wasn't surprised to hear of the Medicaid allegations. "I took my daughter to the dentist office and they basically told me that she had one cavity. And took her back four days later to have her one cavity filled and they billed her insurance for nine cavities total," said the woman, who asked not to be identified.

Mary Bodkin, whose grandkids have been going to the dentist office for years, said that she doesn't believe the accusations. "It breaks my heart because they take wonderful care of both my granddaughter and a lot of other people. This is wrong," said Bodkin. Authorities say that no criminal charges have been filed. They say it is an ongoing going investigation. Anyone with claims is urged to download a form from the Rome News Tribune website, fill it out and bring it to the Rome Police Department.

---

 

Website
Children’s Dentistry of Rome
204 Redmond Rd NW,
Rome, GA 30165
Ph: 706 291-2550 - Fax: 706 291-8349

 

Dr. Maheshvar Patel DDS Bio from website

“Truly it is a privilege and honor to educate my community about oral health. Along with improving oral health, it is essential that my patients feel comfortable and enjoy coming to our office. In today’s society a clean, healthy smile gives us more confidence. My motto is to live life to the fullest… Carpe Diem.“

Dr. Patel, a Georgia native, raised in Cartersville, Ga and graduated Cass High School in 2002. His scholastic abilities earned him the Etowah Foundation and Mercer University scholarship. He was awarded his Bachelor of Science degree in Biology from Mercer University in 2006. Then he continued on to earn his Doctor of Dental Surgery degree from New York University in 2010. Dr. Patel was in the Honors program for Orofacial Pain/TMD Management clinic for two consecutive years at New York University. This experience allowed him to receive an award from the Academy of Orofacial Pain for providing excellence in the diagnostic and treatment aspects of orofacial pain. Along with his scholastic achievements he was a great leader among his peers. Dr. Patel served as President for two consecutive years at a highly acclaimed NYU Dental organization. Being a leader allowed him to be what he is great at, which is the ability to help others and motivate his colleagues.

After gaining world class education from NYU Dental, he pursued interest in treating children. With his knowledge and experience in treating anxious pediatric patients, he has acquired the ability to give them a healthy and beautiful smile. Dr. Patel’s charismatic personality allows his patients to feel comfortable and relaxed. His focus is to provide the best quality of dental treatment.

Professional Organizations:
American Dental Association
Academy of General Dentistry
Georgia Dental Society
Northwestern District Dental Society
Georgia Dental Association

In his spare time, Dr. Patel enjoys playing volleyball, golf, painting, playing with his nephew and nieces, and supporting the Atlanta Falcons. On the weekends you can find him barbequing with his friends and family

 

MCG Management Articles of Incorporation

CFO Robin Guice
204 Redmond Rd.
Rome GA 30165

CEO Christy Mcstotts
204 Redmond Rd.
Rome GA 30165

Secretary Robin Guice
204 Redmond Rd.
Rome GA 30165

More than 300 complaints of “cruelty to children” and 11 counts of unnecessary treatment spurred raid on MCG Dental Management’s Children’s Dentistry of Rome (Rome. Georgia)

Update December 3. 2012

 

 

Ga. dental office raided amid child cruelty charges

By DrBicuspid Staff

December 3, 2012 -- A dental office in Rome, GA, has been searched after numerous complaints were filed about the practice's alleged overuse of child restraints and the performance of unnecessary dental work on children, according to a press release sent to media outlets by Lt. Gary Clayton of the Criminal Investigations Division of the Rome Police Department (RPD).

Police investigators, in conjunction with the Department of Health and Human Services Office of Inspector General, executed a search warrant on Children's Dentistry of Rome, under the management of MCG Management, to obtain dental records pertaining to a criminal investigation. No charges have been filed.

According to an article in the Rome News-Tribune, there are more than 300 Medicaid patients named on the search warrant affidavit filed in Floyd County Superior Court. The affidavit also contains 11 reports of unnecessary treatment being performed, sometimes with the use of papoose boards, on 14 children in which trauma resulted.

As a result, authorities believe there is probable cause for investigating the practice's dentists, hygienists, and owners (if I could make these three words flash in neon, I would) for cruelty to children and payments that they were not entitled to, the article stated.

In May 2011, RPD Detective Joe Costolnick received a complaint from the parent of a 3-year-old allegedly injured during treatment at the practice and an investigation was launched. Shortly thereafter, Costolnick learned of other police reports containing abuse allegations going back to 2008.

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So Mr. or Ms. Dentist, how did you decide to treat your patient this morning?

Speedy service not always good service in dentistry

BRIAN SODOMA
SPECIAL TO LAS VEGAS REVIEW-JOURNAL

Posted: Dec. 2, 2012 | 7:43 p.m.

We all love speedy service. But we shouldn't when it comes to our dental care. In tough times, all service industries are forced to watch expenses and get the most out of staff. Dental offices, unfortunately, are no exception. But a quick cleaning could mean cut corners and oral health problems down the road.

John Hunt, attorney for the Nevada State Board of Dental Examiners, has seen firsthand how the economy has affected dental offices. Unnecessary dental work is at a "rampant" level in the valley, he says. It's the primary concern he deals with among the thousands of annual complaints that come into the board of dental examiners either as phone calls or in writing.

Hunt notes there are far fewer complaints about hygienists than dentists. But that's not to say they don't exist. And many patients may not realize the care they received wasn't satisfactory until long after it happened, usually after trying a new dental office some six months later.

"That's how you hear about it," he says. "They (patients) go to someone else and it's a case of 'They did what?' "

Hunt highlighted a recent case in which a hygienist had a license taken away after admitting to doing 36 root paling and scaling procedures in a day. The standard, per the board of dental examiners, is 45 minutes to 60 minutes for one paling and scaling procedure.

Is Chad Hoecker and Ocean Dental getting a piece of the Texas orthodontic pie?

Ocean Dental and Sun Orthodontix are right next door in Corpus.

Ocean Dental in Corpus Christi, Texas:
http://www.dexknows.com/business_profiles/ocean_dental_corpus_christi-l902708722

Sun Orthodontix in Corpus Christi, TX:
http://www.dexknows.com/business_profiles/sun_orthodontix-l906080244

.Dr "Bad" Chad Hoecker's operation is Ocean Dental.

Dr Jack Vondrack is owner of the Orthodontix outfits

Feds raid Georgia children’s dental office over accusations of child endangerment–improper use of restraints

Georgia, being the “Capitol” of corrupt and child abusing dental clinics, the “shit is on” as they say, when officials start raiding clinics in that state. (Yes, I realize Texas and Colorado are alternate choices, but I choose Georgia.)

To each and every dentist working for these dental clinics, such as Kool Smiles, Small Smiles, and a whole host of other “Smiles”, here is the deal:

1. If you spent last week tied children up in papoose boards for dental care, you should drop to your knees in prayer. This is no longer going unnoticed and unreported.

2. There are people out here who are determined to see that you pay dearly for your crimes against children.

Personally, I’d like to see each and everyone of you dentists UNDER the jail – each corporate head, like Al Smiles and Michael Lindley of Small Smiles, Michael and Dan DeRose as well. Jeff Lane and Dale Mayfield, of Kool Smiles - Drs. Tran and Pham too. Each and every “regional manger” should be horse whipped in my opinion.

3. Monday, when you head in to work, you better think long and hard before you try to meet those production goals - really long and really hard. This is just a wild guess, but I bet you are someone’s “list”, and it’s not Santa’s “Nice” list either. In case you need a refresher on the AAPD guidelines here they are – AAPD Guideline on Behavior Guidance  (yeah, I realize the some of the folks who wrote these are up to their eyeballs in breaking every one of them) 

 

ROME, Ga. - Federal agents and police raided a northwest Georgia dentist office, saying they were responding to complaints about the improper use of restraints and concerns about dental procedures on children.

Rome police said in a statement that they executed a search warrant at the children's dentistry practice in Rome on Thursday to obtain records in an ongoing criminal investigation. Police say the U.S. Department of Health and Human Services was also involved in the search.

A search warrant affidavit in Floyd County Superior Court says the probe began in May 2011, when the mother of a 3-year-old girl told police her daughter was tied down and injured during an appointment.

The Rome News-Tribune reports (http://bit.ly/X8kjMd) that the case involves several other families and children.

Police said no charges have been filed.

Information from: Rome News-Tribune, http://www.romenews-tribune.com

---

Restraining children for dental treatment guidelines from the AAPD were drastically changed in 2006, to warn dental professionals it is dangerous and risky, to say the least. If you have been doing it other than by these guidelines, I hope you…  well never mind.

Aspen settles with former employee who was assaulted by her supervisor

By Tony Lystra / The Daily News

Columbia, Oregon

Aspen dental, former employee reach settlement on eve of trial

A Longview dental clinic has reached a settlement with a former employee who claimed that she had a mental breakdown after her supervisor assaulted her in the workplace.

The settlement, the terms of which were not disclosed, came on Monday, the day the case was scheduled for a civil jury trial in Cowlitz County Superior Court.

Crystal M. Manes, who had been working as a dental assistant in Aspen Dental’s Ocean Beach Highway branch, sued the company, saying her supervisor slapped her on the arm on April 21, 2010. Manes said she had come to work early that day and, at around 5 p.m., informed the supervisor, Jessica Scruggs, that she was leaving for the day. Scruggs became angry because there were still patients waiting to be seen and, with an open palm, struck Manes in the left arm declaring, “Well then, go home,” according to the suit.

Aspen Dental’s attorneys contended that Scruggs may have touched Manes only while gesturing and that the impact could not have been enough to cause an injury.

Manes, however, said a black and blue bruise appeared on her arm that evening. Manes also said that she was later prescribed Xanax for panic attacks, according to court documents. On May 8, 2010, Manes was admitted to St. John Medical Center after “the combination of panic attacks and a reaction to the Xanax medication caused (her) to have a mental breakdown,” according to Manes’ lawsuit.

Manes, who was diagnosed with post traumatic stress disorder resulting from the incident, sued Aspen Dental for medical expenses, lost wages and “general damages,” court documents said.

Manes’ attorney, David Nelson of Longview, declined to disclose the terms of the settlement. Aspen Dental’s attorney, Douglas Parker of the firm Littler Mendelson in Portland, did not return a phone call Wednesday.

Aspen Dental is a national chain of dental offices with 340 branches in 22 states, according to the company’s public relations department.

Dr. Sang Hyuk Park arrested for more sexual assaults day before court appearance.

Dentist pleads not guilty in sex abuse case

By VICTOR A. PATTON - vpatton@mercedsunstar.com

MERCED -- Merced dentist Sang Hyuk Park pleaded not guilty Wednesday in Merced County Superior Court to allegations that he sexually abused four women.

Dressed in a business suit, Park, 43, left the courtroom after the brief hearing, declining questions from reporters.

Merced police arrested Park, a Stockton resident, at his 3040 Park Ave. office Tuesday afternoon on five counts of sexual battery and one count of sexual penetration. He was released from jail after posting bail Tuesday evening.

Sang Hyuk Park

After Wednesday's hearing, Park's attorney Thomas Johnson said his client is a highly competent dentist who's innocent of the charges. Johnson questioned why his client was arrested on Tuesday, when he was already scheduled to appear in court today for his arraignment hearing.

"Dr. Park is not guilty of the charges and the investigation has been unusual, at best," he said. "Everything the office of the district attorney is doing seems like a thinly veiled attempt to get him into custody prior to the case being heard."

In response to Johnson's claim about the investigation, Chief Deputy District Attorney Rob Carroll said his office is very confident with the evidence police obtained.

Private Equity Firms warn Texas Dental Association to leave our “glory hole” alone

AUSTIN, Texas, Nov. 27, 2012 /PRNewswire via COMTEX/ -- Stressing the need for Texas dentists to work together to help public officials curb Medicaid fraud and expand access to affordable, high-quality dental care, dentists from throughout Texas recently sent a letter to the Texas Dental Association (TDA) concerning its recent testimony before the Texas House Public Health Committee.

The letter, signed by more than 60 Texas dentists from across the state, takes issue with the October 15th testimony of Dr. Richard Black before the committee. Dr. Black, on behalf of TDA, made what the dentists characterized as "troubling" and "unsubstantiated statements" pertaining to Texas dentists' 30-year history of utilizing non-clinical administrative support services that enable them to spend more time with patients and less time on administrative tasks.

"As one might expect," the letter says, "the committee members pressed Dr. Black for evidence that would substantiate his accusations. Rather than offer any, Dr. Black instead called for legislation that would impose additional regulations and restrict dentists' access to non-clinical administrative support services."

Like the medical support services provided to physicians for decades, the letter explains, dental support services include facility maintenance, supply procurement, scheduling support, as well as accounting and marketing services: "Contracting for such non-clinical administrative services enables dentists like us to devote more time to the delivery of high-quality, cost-effective dental care to patients and spend less time on administrative duties. In addition, contracting with DSOs enables us to benefit from their economies of scale and bring state-of-the-art technology to our patients and communities, thereby improving patient access, safety, outcomes and convenience."

Gentle Dental in more hot water

New Jersey State Comptroller Statement

November 20, 2012 -- The New Jersey Office of the State Comptroller (OSC) is seeking recoveries from a dental practice that forged Medicaid reimbursement documents to conceal that its owner, who was no longer physically able to treat patients, had been replaced with a dentist who was debarred from the Medicaid program.

Anicia Cruz-Sledge assumed control of the Gentle Dental Group in East Orange in 2007 after her husband, the owner and primary dentist for the practice, suffered a medical condition that left him incapacitated and no longer able to treat patients, according to a notice filed by the OSC's office.

The investigation by OSC's Medicaid Fraud Division found that Gentle Dental submitted Medicaid reimbursement claims using the individual Medicaid provider number of her husband, Edward Sledge, DMD; signatures purporting to be from Dr. Sledge; and certification forms stating that Dr. Sledge had performed the medical services in question.

However, those services were actually provided by Carl McGloster, DDS, a dentist hired by Cruz-Sledge to treat patients at the dental practice although he was debarred from participating in the Medicaid program. According to the OSC, Cruz-Sledge admitted to OSC investigators that she signed her husband's name on the reimbursement claim forms submitted to the state even though her husband did not treat the patients. OSC investigators also determined that Cruz-Sledge continued to order new prescription pads under her husband's name long after he became incapacitated.

Read the entire story - http://www.drbicuspid.com/index.aspx?sec=sup&sub=pmt&pag=dis&itemId=312051

Former dentists, Gary Anusavice in a hole of no return? It’s looking like.

NORTH KINGSTOWN, R.I. (AP) — North Kingstown officials say FBI agents will be joining local authorities in investigating a fire at a vacant million-dollar home whose last two owners were charged with fraud.

The 8,100-square-foot house on Potter Road was gutted in Friday's fire. The cause isn't clear yet. One firefighter who responded was taken to a hospital with chest pains, but was later discharged.

Fire Chief Fenwick Gardiner Jr. told The Providence Journal (http://bit.ly/Tm3mKw ) that FBI officials will be helping with the investigation. He didn't elaborate.

The home's last owner was a company controlled by Gary Anusavice, a former dentist now awaiting trial in an alleged $20 million Medicaid fraud scheme. The owner before Anusavice was Antonio Giordano, who was sentenced to one year in prison in 2007 for embezzling from nursing homes.

___

Information from: The Providence Journal, http://www.providencejournal.com

Read more: http://www.sfgate.com/news/crime/article/FBI-to-join-probe-of-North-Kingstown-fire-4065070.php#ixzz2DMWPxnq7

Former employee of dentist arrested on bad checks charges speaks out

http://wtkr.com/2012/11/21/former-employee-of-dentist-arrested-on-bad-checks-charges-speaks-out/

Video included

Dentist Derrick Broadaway is facing four felony bad checks charges.

It is a direct result of Andrea Ross and another former employee taking action to press charges.

Ross came to NewsChannel 3 when thousands of dollars’ worth of paychecks from Broadaway’s dentistry kept bouncing after close to 17 years there.

The dentistry’s former business manager says she quit when Broadaway wouldn’t make good on the checks.

Friday, Broadaway turned himself in to Chesapeake police.

Authorities released him on bond.

NewsChannel 3 began investigating Broadaway for the bounced checks.

Our investigation into Broadaway’s bad checks led us to his checkered history with the Board of Dentistry. 

This summer, the board suspended him for 60 days and fined him 20,000 dollars. The decision was made partially because of questionable root canal work done on Rosemary Rogers.

We have also learned that Broadaway is facing three medical malpractice lawsuits.

Former patients claimed he left them “disfigured” and “permanently injured.”

Related:

Chesapeake dentist accused of giving out bad checks turns himself in to police

Former patient of suspended Chesapeake dentist speaks out

Employees take action against dentist accused of handing out bad checks

Chesapeake dentist faces millions in medical malpractice lawsuits

Chesapeake dentist blasted for bounced paychecks

More glaring evidence the California Dental Board is useless

http://losangeles.cbslocal.com/2012/11/20/cbs2-investigation-patients-claim-oc-dentist-didnt-give-them-care-they-paid-for/

NEWPORT BEACH (CBS2) – Several patients are accusing an Orange County dentist of charging them thousands of dollars for dental implants and subsequently never responding to their calls for help.

CBS2 investigative reporter David Goldstein discovered those patients never knew the California Dental Board filed a complaint last year against Dr. Thomas Teich. He was also found negligent this May in a medical malpractice lawsuit where the patient died.

That’s not all: Teich had served time in prison for mail fraud.

The dentist refused to comment on the allegations and the dental board’s complaint.

“Doctor, we’ve talked to a number of your patients who say they’ve been abandoned by you after paying you tens of thousands of dollars. How can you do that? How can you abandon these people?” Goldstein said.

Several patients who went to Teich’s Newport Beach office said the experience was nothing to smile about.

Sexual Assault at Kool Smiles–Lilburn, GA

http://lilburn.patch.com/articles/lilburn-police-blotter-city-of-lilburn-nov-11-nov-17

What’s Moodys got to say about Aspen Dental?

http://www.moodys.com/researchdocumentcontentpage.aspx?docid=PR_204721

"Aspen affiliates with its dentists through two models: the staffing model and the practice ownership program ("POP"). Under the staffing model (~55% of offices), dentists are at-will employees of affiliated PCs, where the PCs own the medical records, patient lists, and operating records. Under the POP model (~45% of offices), dentists purchase the medical records from the PC to essentially own their own practice. The company's audited financials do not consolidate the POP practices. Audited revenues for the twelve months ended December 31, 2009 approximated $260 million. The consolidated (unaudited) revenues for all Aspen branded dental offices, including POP offices, approximated $322 million over the same period."

Note: Moodys reports approx 55% of Aspen Dental offices have dentists as employees ("staffing model"). Moodys reports approx 45% operate under the POP model, where dentists purchase the "medical records". Although these doctors "essentially own their own practice", they can't freely sell this practice, nor dismiss Aspen Dental as a DMO, as might a true owner. There exists a serious difference between "essential ownership", versus true & valid ownership.

When Leonard Green purchased Aspen Dental they utilized GE Capital.

http://www.bloomberg.com/news/2012-03-06/aspen-dental-s-loan-for-leonard-green-dividend-rises-in-trading.html

The same GE Capital which runs CareCredit, which operates the consumer 3rd party payment system for Aspen Dental. This seems like a pretty tight relationship, & something which may merit further investigation?

From Aspen Dental corporate marketing on POP:

http://www.aspendental.com/news/2009/09/17/aspen’s-practice-ownership-program-pop-has-dr-timothy-owczarzak-in-a-“perfect-situation”/

An Aspen Dental President & "owner" of 2 Aspen Dental clinics, Dr Owczarak comments, "...Owning your own practice is a totally different animal. When you’re in private practice it seems like it’s 20% dentistry and 80% business. I simply became tired of it.”.

He later goes on to say about his POP position w/ Aspen Dental, "This has been a winning situation all the way around. I own a practice...". In reality, he doesn't own a practice.  Dr Owczarak may own a practice under the definition of ownership of Aspen Dental, but not true & valid ownership, under the legal definition of ownership. This misrepresentation proffered to dentists in this Aspen Dental marketing effort isn't very subtle nor sophisticated.

How cocky are Medicaid dental mill dentists feeling these days? Robin Lockwood of Ocean Dental–Stillwater, OK fought the law, and the law won.

ATTN: All Corporate Dentists

She had all the goods to be successful in life. Lockwood is a dentist; once was a promising inventor, she actually has a brother in Arkansas who is a minister. But she is STUPID!

This woman, decided it was better to abuse children, tie them up in papoose boards, do unnecessary dental procedures with little to no anesthesia and steal every penny should could from each taxpayer in America, instead of caring for her family and being the medical professional her parents sacrificed for her to become.

She chose to commit Medicaid fraud for her employer - Chad Brandon Hoecker, DDS. She chose abusing children, strapping them to papoose boards, over-treating and much worse to help her boss fuel his jet and live “high on the hog” as they say.

She also chose Federal prison. Robin Lockwood is going to be spending 18 very long months in Federal prison, plus pay $375,000 in restitution. Why? Because she bought into the corporate dental scam that has infected damn near every state. 

This was a plea deal, so imagine the goods they have on this woman!

Even the most hardened criminals have trouble stomaching those who abuse children. Pretty as she is, and ripe for the picking, I’m betting her cellmates are not going to like what she’s done to low income children. Many of whom may belong to her new cellmates. 

November 15, 2012

OKLAHOMA CITY—Robin R. Lockwood, 44, a dentist from Oklahoma City, was sentenced last week to serve 18 months in federal prison after pleading guilty to committing health care fraud, announced Sanford C. Coats, United States Attorney for the Western District of Oklahoma. In addition, Lockwood was ordered to pay $375,672.27 in restitution to Medicaid.

Lockwood is a dentist licensed to practice in the state of Oklahoma and was employed under contract by Ocean Dental at offices located at 1610 Southwest 74th Avenue in  Oklahoma City. Ocean Dental’s dentists provided dental care to Medicaid-eligible children. The Medicaid Program is a cooperative program that provides federal and state funds to pay for health care benefits for individuals with insufficient incomes to meet the costs of necessary medical expenses. In Oklahoma, Medicaid is administered as “SoonerCare” by the Oklahoma Health Care Authority (OHCA), a state governmental agency. Ocean Dental submitted claims to the OHCA for reimbursement of dentists’ services based on patient treatment notes created by the dentists. Ocean Dental paid Lockwood a percentage of the funds that OHCA reimbursed to Ocean Dental for services she personally rendered.

The information alleged that from July 1, 2007 through December 31, 2010, Lockwood engaged in a scheme to defraud Medicaid by submitting claims for dental services that she did not provide. Specifically, Lockwood recorded in the patient’s treatment notes that she had placed dental restorations on certain teeth when, in fact, she had not treated the teeth at all. On other teeth, Lockwood recorded that she had placed dental restorations on more surfaces of the tooth than she had, in fact, restored or recorded that she had placed a dental restoration on the tooth when, in fact, she had placed on the tooth a type of treatment that is non-reimbursable by Medicaid. Lockwood used the proceeds of the fraud for her own personal benefit.

Lockwood pled guilty on July 11, 2012.

This case was the result of an investigation conducted by the Federal Bureau of Investigation, the Department of Health and Human Services-Office of Inspector General, and the State of Oklahoma Attorney General’s Office, Medicaid Fraud Control Unit. The case was prosecuted by Assistant U.S. Attorney Amanda Maxfield Green.

Related:

Robin Lockwood, DDS

Derrick Broadaway, DDS–Millions in Medicaid Fraud

Chesapeake, Va. (WTKR) – After NewsChannel revealed former employees of Chesapeake dentist Derrick Broadaway are upset over bounced paychecks, investigator Jessica Larche uncovered millions in medical malpractice lawsuits against him.

One former patient claimed he “left a drill inside a tooth while performing a root canal” and did not tell the patient. Another said she has been “disfigured” and is “permanently injured” by dental implants Broadaway installed.

Meanwhile, Broadaway is on the heels of a $20,000 fine from the Virginia Board of Dentistry and a 60 day suspension of his license that ended in August. The sanctions, according to public records are for Broadaway’s questionable dental work. In August, his paychecks to employees kept bouncing. NewsChannel 3 confronted him about it Monday.

Chesapeake dentist blasted for bounced paychecks

“Why doesn’t he feel the need to pay me?” asked former employee Andrea Ross, who said Broadaway owes her $3,800.

According to the Board of dentistry’s records, Broadaway has had problems dating back to 1998. Over the years, the board found that Broadaway performed “incomplete extractions of teeth.” Records say he “drilled too deep into a tooth” causing the patient to have a root canal. Documents also say Broadaway billed a patient’s dental insurance for work he never did.

However, the board is allowing him to stay in business under a stayed indefinite suspension, as long as he meets certain guidelines.

Broadaway has met several of the stipulations that could lead the board to revoke his license, but they have not.

All of Broadaway’s malpractice lawsuits go to trial next year.

Broadaway Board of Dentistry Document

Are disciplinary actions against DMSOs on the rise?

Are disciplinary actions against DMSOs on the rise?

By Michael W. Davis, DDS , DrBicuspid.com contributing writer

November 13, 2012 -- More than 30% of disciplinary actions discharged by the New Mexico Board of Dental Health between June 27, 2011, and August 7, 2012 involved dental professionals affiliated with dental management service organizations (DMSOs).

According to the state regulatory board's website, 24 different entities were sanctioned during this time period. One violator, which accumulated five different sanctions, was recorded as a single violator. No other violator generated more than a single dental board sanction.

Violators were divided into four categories:

• Nonprofit (public health clinic, Veterans Affairs clinics, native tribal clinic, teaching facility, etc.)
• Solo private practice
• Small group practice (three doctors or fewer)
• Interstate DMSO

Each violating entity was assigned a lettered designation, although the identity is public record information. DMSOs were likewise assigned a lettered designation. Tracking down the employment association at the time of violation was sometimes available within the dental board's formal complaint. However, often an Internet search was required.

Violations ran the gamut from alcohol and chemical abuse to advertising violations and breaches in standard of care, and everything in between. No attempt was made to correlate the type of violation to the employment association of the offender.

Interestingly, there were no disciplinary actions discharged against nonprofit entities or their dentists, during this time frame. The largest group generating disciplinary actions was assigned to solo private practicing dentists (54.2%). However, according to the ADA's 2010 Survey of Dental Practice-Employment of Dental Practice Personnel, solo practitioners comprised 69.6% of all dentists employed in private practice for 2009.

The statistic of concern is the 33.3% of disciplinary actions involving employment association with interstate DMSOs. According to the 2008 Health Policy Resources Center, only 3% of dentists are associated with very large group practices (20 or more dentists; ADA News, April 9, 2012). This represents a statistical order of magnitude of one, or approximately 10 times.

This finding was confirmed by Lili Reitz, executive director of the Ohio State Dental Board, who reported for a "Frontline"interview that in 2011 25% of complaints filed with the dental board (140 complaints in all) were against dentists at corporate chains.

The data in this report may be of interest to state regulatory dental boards, state and federal regulators of dental Medicaid, overseers of fraud and abuse for private insurance carriers, and state and federal prosecutors. But the findings of this report should also prompt concern for the general public and dental consumers in particular.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mom’s complaining Kool Smiles are still up to their same old tricks–Papoose Boards and False Cavities

Posted November 6, 2012

-- MOM # 1  Ok so I made an appointment for my 3 yo at Kool Smiles for a cleaning a couple weeks ago I wanted to get it done before the new baby came so it would be one less thing I had to do.

Anyways my DH went back with my 3 yo because they were doing Xrays. I called my mother while I was waiting she said I meant to tell you not to take him to Kool Smiles.

She took my brother who was only 6 years old to the same Kool Smiles and they said he had 3 cavities...so she took him somewhere else and he had none!

Kool smiles was going to strap my 6 year old brother down to fill cavities that he didn't have... I thought wow that's crazy no one could possibly do that. I wouldn't be able to live with myself knowing I put a child though all that pain for no reason but to get some money.

Then I thought maybe it will not be that way cause we do not have Medicaid we pay for insurance.  After they were done my DH informs me we need to make him another appointment to get work done. They said he had 3 cavities!!! (the same number they said my brother had)

They said my 3 year old had 3 cavities. I was soo upset I cried. I felt like the worst mom in the world! I'm 26 years old and only ever had one cavity and my little boy already had 3. He brushes his teeth and I brush behind him and he doesn't eat a lot of sweets.

I didn't make him another appointment. We just left. I'm taking him somewhere else. Has anyone had any problems like this? How do they get away with this sort of thing. It's terrible

--MOM # 2 Yes, it has happened to me. I had a gut feeling I didn't have a cavity (bc I never do) and I just didn't trust the guy. Went for a second opinion and I was right! Drs prob think that they "need" the $ and ins us paying for it anyways.

-- MOM # 3 -Be careful they will keep calling you!!! I took my son last year for his first appt and hated it, I told them I would schedule his next one when I looked at my calendar (lie, I was trying to be nice).

For the last 6 months they call from 3 or 4 diff numbers as early as 7 am and as late as 8pm. I even told them they had the wrong number and they keep on. Told them to stop calling and they still keep on! Hate them!

--MOM # 1 So funny you said that cause they actually called me today to confirm an appointment that they set for my son without me or my husbands permission. I will never bring my children there again the is actually a pediatrician in my area that has a sign posted saying not to bring your children to Kool Smiles.

More legal troubles for Dr. Stephen M. Stein, but still no criminal charges or personal injury cases. Why?

DENVER (CN) - A dentist's history of "getting high before performing surgeries" and reusing needles ruined his partner's dental practice, the partner claims in court.
     Neil G. Dobro, D.M.D., sued Stephen M. Stein, D.D.S., in Denver County Court.
     Dobro claims Stein concealed his troubled history to persuade Dobra to form the New Image Dental Implant Center with him.
     Eventually, Dobro says, he uncovered disturbing allegations about his partner, including that the Colorado Dental Board had recently "voted to summarily suspend Dr. Stein's license to practice dentistry."
     "Among other things, Mr. Stein had been stealing medications from patients and Dr. Dobro realized that Mr. Stein would eventually face criminal charges," the complaint states. "With this inevitable and damaging public disclosure on the horizon, Dr. Dobro proposed a means by which Mr. Stein could smoothly exit the practice of dentistry-Dr. Dobro would buy all of Mr. Stein's dental practice assets (equipment, supplies, etc.), together with Mr. Stein's putative membership interest in New Image."
     Dobro says he prepared an asset purchase agreement for this, in November 2011.

 

Why aren’t corporate executives arrested for practicing dentistry without a license?

If people can be arrested for practicing dentistry without a license as they were in Houston recently,then pray tell why can’t these folks:

Jeff Lane  - NCDR dba Kool Smiles

Douglas W. Brown – Affordable Dentures

Michael Dell – DentalOne Partners

James Ferrell – ImmediaDent

David R. Wilson – CSHM dba Small Smiles

Stephen Thorne – Pacific Dental

Robert (Bob) Fontana – Aspen Dental

Greg Serrao – JLL Partners – American Dental Partners

James W. Leech – Ontario Teachers Pension Plan (OTPP) – Heartland Dental (if sale is completed)

Is it because the private equity owners hide behind 3-4 shell corporations and layers of regional managers? You bet it is.

For instance, Jeff Lane of FFL Partners has his office in Atlanta in the same building as National Children’s Dental Research (NCDR) - Kool Smiles. In fact Lane’s office and Dale Mayfield’s office are adjacent to one another. Mayfield is NCDR-Kool Smiles Chief Dental Officer.

Why does the private equity firm, who is supposedly “acting like a bank” – according to Kool Smiles regional manager Dr. Diane Earle – need one of their partners inside NCDR-Kool Smiles headquarters in Atlanta, basically sleeping with Dale Mayfield. Heck they have to walk by each other’s office to get to the bathroom!

According to Kool Smiles Holding Corporation Form D at the SEC the executives and directors of Kool Smiles are mostly FFL Partners executives. They are as follows:

Tully M. Friedman  - Director
David L. Lowe  -  Executive Officer and Director
Aaron S. Money – Executive Officer and Director
Doug Brown – Director
William R. Brody, MD – Director
Paul Walker, DDS – Director
Kevin Miller – Director
Thomas S. Nance – Executive Officer, Director and Promoter
Brian Bouma – Director
Joseph Mello – Director

Fake Dentists arrested in Houston, Texas

by Jeff McShan / KHOU 11 News
khou.com
Posted on November 2, 2012 at 10:51 PM
Updated Friday, Nov 2 at 11:00 PM

 

HOUSTON—Armed with tips and a undercover camera, the Houston Police Department’s Major Offenders Division has been investigating and arresting people suspected of impersonating dentists.

During one undercover investigation detectives met Gilberto Ulloa. HPD captured Ulloa on video giving an examination and investigators said he offered to pull teeth and replace them for $1,500. He was arrested minutes later.

Outside in his driveway police boxed up the evidence that included dozen of dental tools that appeared to be un-sanitized.

In the last several weeks KHOU 11 News tagged along with investigators targeting nearly a dozen suspects. All of them were charged with practicing medicine without a license.

One of them was Julio Contento. Inside his apartment police said they found an entire dental office set up in the living room. He had dozens of tools, an air compressor and unfinished molds for patients he was allegedly treating.

In these tough times, many people with no health insurance can’t find affordable dental care and that’s why this phony dentistry is on the rise.

In Harris County low-cost service is available, but you must apply for it first through the county. We learned, after you apply, quick appointments are hard to come by. Many uninsured people who are in extreme pain end up going to hospital emergency rooms only to find out there are no dentists there.

The need for care is so great that some people waited in line all night recently to receive free dental care in Pasadena. The event was called Dentistry From the Heart.
By dawn, nearly 200 people registered hoping to be seen by one of just five dentists and their staff who volunteered their time.

“When my husband died I lost everything and I had to start over. I had no idea how difficult it was to get health insurance,” Trish Perry said.  Perry had come to the free event seeking help with her teeth.

Her story was just one of many we heard from all kinds of people who’ve fallen on hard times.

A large tent was the waiting room where the old and young were evaluated.

“A lot of people said I’ve waited to get this fixed for two years,” said Dr. Kimber Homes.

Homes is a hero among the villains who prey on people in need.

“Oh sweet girl, that’s an infection on your gum around a crowded tooth,” Homes told one patient.

After each exam was done under the tent the patients were sent inside to see the other dentists. There was also an oral surgeon on hand. One patient had his wisdom teeth taken out, but events like this are very rare.

That’s why the black market dental trade is thriving here feeding on the demand for care.

WFTV’s 9 Investigates - Undercover investigation of Aspen Dental scam in Lake County = Aspen Dental Fail

 

WFTV Website

Monday November 6, 2012
LAKE COUNTY, Fla. —

A Lake County woman claims a major dental chain wanted to collect a few thousand dollars for some treatments she didn't need.

Action 9's Todd Ulrich found many other consumers have claimed the company's offer for a free exam can really end up costing them.

Cheryl Gifford had a cracked tooth and expected to pay something at the Aspen Dental clinic in Mt. Dora.

Gifford said she was blown away when the dentist handed her a $3,700 treatment plan to fix her tooth and treat gum disease. She claims the clinic wanted to get her signed up that day.

"And then it was like, 'You really need to get this done now,'" Gifford said.

Gifford said she questioned all the periodontal work since she routinely had her teeth cleaned. After insurance, she would have owed $1,800 and told the clinic she couldn't afford it.

According to Gifford, the clinic said it could all be financed.

"They had a finance program they could put me into and I could get signed up right now," she said.

 

Ontario Teachers Union Pension Plan “takes control” of Heartland Dental–Anyone Thrilled?

Wasn’t it this same union who invested heavily in some dental clinics in NY a few months ago? No, it was Ontario Municipal Employees’ Retirement System (OMERS )and GEDC Super Holdings Inc., who bought 170 Great Expressions dental clinics.

WOW, that’s two Canadian pension plans who are invested in American’s dental care to the tune of 545 dental clinics!! Is anyone concerned about this at all? Buehler?

I don’t see the words: sell, sold, bought, but rather “take control” in the Heartland take over. I’m told it is all about Heartland’s ESOP plan.

November 6, 2012

Reuters – Ontario Teachers Acquires Control of Heartland Dental

Ontario Teachers’ Pension Plan has agreed to take control of Heartland Dental Care Inc in a deal that values the US dental practice management firm at about $1.3 billion, writes Reuters. Ontario Teachers is buying a majority stake in Heartland, while founder and chief executive Rick Workman will retain a minority stake along with management and employees.

Reuters – Ontario Teachers’ Pension Plan said on Monday it has agreed to take control of Heartland Dental Care Inc in a deal that values the U.S. dental practice management firm at about $1.3 billion, according to a person familiar with the matter.

Sharon O'Steen, Florida Dentist, Allegedly Used Laughing Gas In Front Of Patients

By VICTOR A. PATTON - vpatton@mercedsun-star.com

Sharon O'Steen, Florida Dentist, Allegedly Used Laughing Gas In Front Of Patients 

The Huffington Post  |  By Alexis Kleinman Posted: 11/02/2012 12:12 pm EDT Updated: 11/05/2012 8:10 am EST

Going to the dentist ranks among Americans's greatest fears, and many swear by nitrous oxide -- you know, laughing gas -- to get through the procedures. Now imagine if the tables turned.

That's right. Dentist Sharon O'Steen of DeBary, Florida, has been accused of inhaling laughing gas in front of patients before performing procedures on them. In a no-brainer move, Florida health officials have suspended O'Steen's license.

Dental malpractice is considered highly difficult to prove, though patients have been awarded millions of dollars in dental malpractice suits in the past.

Take Aspen Dental, a large corporate-dental chain in Denver that was sued a few weeks ago for allegedly overcharging patients, performing unnecessary treatments and forcing patients who could not afford dental treatments into debt.

Another story of dental malpractice shocked Floridians in 2010, when Tampa dentist Ralph Eichstaedt allegedly left a drill bit embedded in a patient's jaw. After months of nosebleeds and sinus infections, the patient finally discovered the bit.

California Dental Board failed to keep creep away from patients

By VICTOR A. PATTON - vpatton@mercedsun-star.com

A Merced dentist was arrested on Tuesday by police, accused of sexually assaulting a patient under sedation.

Sang Hyuk Park, 43, was taken into custody around 10 a.m. after the patient contacted Merced police, reporting an alleged incident of assault by Park that happened while receiving dental work. The victim reported being in and out of consciousness, and awakening with his or her pants down and Park exposing himself, according to Lt. Tom Trindad.

Police haven't released the gender or age of the victim.

The alleged victim reported the incident on Oct. 23 and police arrested Park after serving a search warrant Tuesday at his 3040 Park Ave., Suite H office. While serving the warrant, police seized a photograph from Park's office that "helped out" with their investigation, Trindad said, although he wouldn’t elaborate further about the evidence.

Park was booked into the Merced County Jail on suspicion of felony sexual battery involving a restrained person and misdemeanor sexual battery. He was released after posting bail, police said.

No one was at Park's office on Wednesday. A sign posted on the front door said the office is closed until Thursday. Efforts to reach Park for comment were unsuccessful.

According to records from the state's Department of Consumer Affairs, the state had considered revoking Park's license in May 2009 after a variety of alleged violations surfaced against him, including unprofessional conduct, like subjecting patients to procedures they didn't need -- and even extracting teeth when it wasn't necessary.

Rather than revoke Park's license, however, the state placed Park on probation for a period of three years. According to state documents, Park had previously garnered the nickname "Speedy Gonzales" when working for Hatch Dental between January and April 2001, because he could perform more dental procedures on more patients in a shorter amount of time than his fellow dentists.

According to the state documents, Park was also accused of insurance fraud, and "charting, documenting, billing and submitting claims for and/accepting payment for dental work that was in excess of what could reasonably be accomplished by a competent dentist" during his time at Hatch Dental.

Police are asking anyone who believes they may have been a victim, or has information about the case to call Detective Raquel Rios at (209) 388-7766. Residents can text a tip to TIP411 (847411) using "comvip" as the first word in the message. Tips are kept confidential, and those providing tips can remain anonymous.

City Editor Victor A. Patton can be reached at (209) 385-2431 or vpatton@mercedsun-star.com.

Factoids from the Texas House Hearing on Public Health October 15 2012

Statement to committee by TSBDE Executive Director,Glenn Parker

Total number of dentists accepting Medicaid

4687 in August 2007

7399 in August 2012
Increase of 57%

Total number of Orthodontists accepting Medicaid

142 in August 2007

368 in August 2012

226% increase in providers

Civil Orthodontia "Whistleblower" Lawsuits

20 cases involving 400+ potential dentist defendants

8 convictions so far

2 plea agreements so far

4 indicted currently 

9 awaiting the Grand Jury

Credible Allegations of Fraud (CAF) Payment Holds

• 89 for non-orthodontic services
• 26 Orthodontic services

Criminal Medicaid Fraud Cases

153 total criminal cases (dentists, support staff,private equity investors)

45 are orthodontia related
         30 % orthodontic are fraud cases

27 orthodontic provider investigation completed

$229,000,000 of probable fraud

93% is the average of cases where patients did not qualify for braces. Ranging from 39% to 100% of records checked so far.

$154,000,000 in general dentistry of probable fraud

55% is the average of overutilization - billing fraud; overtreatment. Ranging from 25% by some providers to 99% by other providers.

Office of Inspector General & TMHP

August 2008 audit of TMHP revealed problems

2011 was follow-up on 2008 audit

12 investigation in 2011

108 so far in 2012

Time needed to complete an investigation

4 years in 2011

8 weeks by end of 2012

How do the new DMO's (MCNA & DentaQuest) in Texas negotiate to enroll providers?

Individual dentists - if the own their own clinic

Management, i.e. NCDR, LLC and CSHM - in the case of group practices.

TSBDE cases turned over to district attorneys

200 in 10 years - of individuals practicing dentistry without a license

3rd degree felony

5 convicted and jail time

if acted upon, most have plea agreements and board is not notified

Curbing illegal corporate practice of dentistry and patient shopping

DentaQuest -  Cease and Desist Letters

Texas State Board Dental Examiners (TSBDE) -

Forward to AG's office for investigation

Could but have not sent Cease and Desist Letters.

Look if someone is working for a non-dentist owner and take action against that dentist

Non-dentist may not influence or attempt to influnce a dentist in treatment, doing so is practicing dentistry without a license.

i.e. Doug Brown - Kool Smiles

i.e. David Wilson - Small Smiles

i.e. Stephen Thorne - Pacific Dental

i.e. Michael Dell – Affordable Dental

Have had cases where dentist being investigating said he or she was influenced by a Office Manager or other employee of a DSO.

5 dentists reported such in last 2 years

Took action against the dentist

# of Dental Practices or Dental Management Organizations

Unknown by TSBDE

Acronyms for illegal operating dental management companies

DSO – Dental Service Organization

DMSO – Dental Management Service Organizations

NDOE – Non Dentist own entities

Indicator of fraud

Billboards offering Free Braces

OIG re: Jail Time:

There will be, and there are, and it’s a parade of horrors. We don’t see the end of the parade but we are going to make sure that every body that participated in the parade gets to be evaluated to see if we can criminally prosecute them. We’re going to make sure that if there’s an ability to recover under the Texas Medicaid Fraud Prevention Act we will pursue that.

We are coordinating with the Office of Inspector General through our task force, if we find that the quickest way to get resolution and recover the money from them is to go through the Office of the Inspector General processes, through SOA, we will do that. So we are trying to attempt to anything and everything to facilitate the quickest resolution and get the state of Texas money that has been stolen from it, back.

It’s the “quickest resolution” that gives me pause.

Could they survive without Medicaid?

I’m talking about the private equity firms.

Just for the heck of it, let’s say, one of these dental mills were cut from the Medicaid program in Texas.

Let’s say they have 35-40 clinics and gross about $70 million dollars a year.

Taking the fact they are operating illegally out of the equation.

Without a scam like Aspen, rename their clinics, turn them into private pay-adults and children- and still survive?

Is DentalSmart designed to attract foreign investors?

There is a chain of clinics in South Carolina, called DentalSmart. It appears they are set up to attract foreign investors through, what is called an EB-5 Immigrant Investor program. (see bottom of post) I say this because it has entities set up described as EB5 Investment companies. Of course I could always be wrong.

DentalSmart
2020 Savannah Highway
Charleston, SC 29407
P. 1-843-735-6727

http://dentalsmartus.com/index.php

Trademark Registered May 12, 2011 by National Dental Centers of America, Inc.

National Dental Centers of America, Inc is a Delaware Corporation

South Carolina filings -
National Dental Centers of America, Inc
Brian Schleifer
17 Lockwood Dr. TE 401
Charleston, SC 29401
Filed 10-26-2010

DentalSmart EB5 Investment V, LLC
Registered Agent:
EB5 Investment Managers, LLC
301 Augusta Street
Greenville, SC 29601
Filed 9-6-2012

Judge Sally Montgomery and Richard J. Malouf birds of a feather? Neither seem to care too much about the law.

Judge Sally Montgomery, ranked one of Texas’s worst judges in 2006, still sucks.

Below is a story that should scare the hell out of every American. A Texas judge doesn’t care about the laws, she says exactly that. Sally is trying to silence free speech and especially whistleblowers.

It is an undisputable fact that if people like Byron Harris, Candace Evans, Jim Moriarty, myself and others weren’t talking about this scandal in dentistry and dental clinics like Malouf’s All Smiles clinics, where do you think we would be right now?

Would anyone be paying attention in Austin?

Just last week, at a hearing on Public Health Texas Rep. Lois Kolkhorst, said, ‘thank goodness for the Bill of Rights, because that’s really what brought it to a head.’

But for Harris and WFAA’s reporting there would be no joint task force in Texas and taxpayers would still be bleeding millions of dollars by the day.

Would anyone be paying attention in Washington?

In March, at a hearing in DC, it was recognized that it took a reporter in Texas to uncover the massive orthodontic fraud.

Would anyone be paying attention to the child abuse happening behind closed doors in these dental offices. That answer is NO!

Evidently, Judge Sally Montgomery of Dallas County Court, is not too fond of our “Bill of Rights.” She doesn’t care too much about Texas’s Citizens Participation Act either, a law passed unanimously in 2011.

It’s clear time has come to put Sally Montgomery out to pasture, and elect someone else to Dallas County Court No. 3.

 

 

 

Case against Candy Evans, Laura Wilson and WFAA gets nuttier thanks to power-hungry judge

 

By Teresa Gubbins

10.26.12 | 10:03 am

The lawsuit filed against real estate reporter and CultureMap contributor Candy Evans, Channel 8 WFAA and Laura Wilson by Strait Lane residents Richard and Leanne Malouf has moved into mediation, a process that begins on Friday.

Malouf, a dentist who's been accused of Medicare fraud, and his wife, Leanne, filed a lawsuit October 16 alleging that Evans et al trespassed on their property; invaded their privacy; and defamed, libeled and slandered them after publishing photos of the Maloufs' backyard with its ongoing construction of a massive waterpark.

"The parties have agreed to mediate the case, and we'll begin that process [Friday]," says Larry Friedman, who is representing Evans.

​The Maloufs filed a lawsuit October 16 alleging that Evans, Laura Wilson and WFAA trespassed on their property; invaded their privacy; and defamed, libeled and slandered them.

On October 19, Judge Sally Montgomery of Dallas County Court at Law No. 3 issued a temporary restraining order for two weeks, forbidding anyone from stepping onto the Maloufs' property. That put the case on hold and gave the parties an opportunity to mediate a solution rather than going back to court.

Texas DentaQuest–3 and 4 surface restoration reimbursement–Up. General anesthesia and IV sedation reimbursement–Up

Texas Stakeholders Meeting – October 26, 2012

Fee Changes by DentaQuest:

3 and 4 surface fillings are up, some more than double. For instance 4 surface amalgam's up from $60.02 to $125, 4 surface composites $75.06 to $135 – effective September 1, 2012.

Being the cynic I am, is this to make up the difference if it is finally decided stainless steel crowns have to be pre-approved?

Is to help keep the fraudsters stay out of hot water and still in the dough? Stainless steel crowns are $153, now 4 four surface amalgams just slightly less, where before they were dang near $100 less.

The sedation fees disturb me a slight bit. Of course none of it would disturb me if not for the lack of regard of children’s health and wellbeing these days.

Effective October 1, 2012 -

D9220 – General Anesthesia was $85.75 now, $125 first 30 min.
D9920 – GA each additional 15 min, was $30.63, now, $35.00

D9230 – Nitrous Oxide – NO CHANGE

D9241 – IV-Sedation was $119.44, now up slightly to $125 for the first 30 minutes.
D9242 – IV – Sedation was $28.44, now up slightly to $35 for each addition 15 min.

D9248 – Non- IV Sedation was $183.75, huge drop to $125.00.