Monday, April 21, 2008

Dr. Michael DeRose, Dr. Ed DeRose-are not pediatric dentists

If you go to the American Acadamy of Pediatric Dentistry there is NO Dr. Michael A. DeRose nor Dr. Edward DeRose listed as being pediatric dentists, HOWEVER here is where they are listed as Pedodontists! Aren't they only supposed to report themselves as General Dentistry for children?

Click here for this Denver Provider List.

MassHealth Small Smile/Kool Smiles Charted Increase In Claims

Sorry but this is hard to make out under these conditions but you can view it personally at this link: click here

In the following chart filed in a Remediation Monitors Report that has to do with recommendations with MassHealth and dental reimbursements. Note the number of dentist from 2003 and 2006 are 842 and 845 respectively: a difference of 3 providers.

In the second chart please note the great increase in claims! 302,469 was noted for Small Smiles/Kool Smiles in 2006. It was such an increase and large portion of the claims it was worth noting separately! That's a whole lot of unnecessary work don't you think!

Root Dental Management-FORBA Smell The Same

Ryan Patrick Root is another cohort of Michael A. DeRose, period.

Notice the rdm in the email address, Root Dental Management. Ryan Patrick Root is just Michael A. DeRose's front man, who in the end will take the fall.

I don't understand how this ugly man sways so many people in so many states to do so much of his dirty work by allowing him to use their names! Just blows my mind!
Here is an ad placed 3-29-07 linking Ryan Root-Root Dental Management to SmileStarters:

Contact: Roger Walters

SmileStarters

c/o Root Dental Mgmt

Phone: 704-395-6000

Email:

walters.rdm@gmail.com


Associate Dentists – Opportunities available in several areas of North Carolina in state-of-the-art general practices treating under served children and young adults. A desire to work in a positive, team oriented environment a must. Full-time positions in a number of our seven NC locations. Excellent salary and benefits package.

New grads encouraged, a great place to start your career!!!


I've also showed you where Ryan Root is the contact person for Michael A. DeRose, DDS, PC in New York, I even included a link to see for yourself.


Does Root Dental Management smell like FORBA, LLC Dental Management? Of course it does.

We know FORBA, LLC (Small Smiles) is the child of Michael, Ed, and Dan DeRose.

Small Smiles-Smile Starters, Carolina Dental Clinic, Smile High, and more are all children of the DeRose gang of outlaws.


They are releasing information saying Smile Starters is under new management. Where?

What new management?

Dr. Raf Rivera? Well, no! He's been with them for years! Root? No, he's been with Michael for years too!


Just another name change for Michael A. DeRose.

Root Dental Management was formed 3-21-07

It is a corporation formed in Delaware

Wanna take a guess where it's principal mailing address is:

PUEBLO, COLORADO!


Question is, who is Daren R. Root, his name is appearing on some of these documents.

Daren Root is an account with Rice Root





Who Is Dan DeRose-Cashing In On Kids-Another Disgusting DeRose

Ed (Eddie) DeRose, Michael DeRose and Dan DeRose are your children's worse Nightmare!

I'll say one thing:
"These DeRose's have cornered the market Cashing In On Kids!"

Dan, pictured right, is the man who puts the junk food in our schools. As put in one article "Dan DeRose will go down in nutrition infamy", what they didn't know what his part in the trauma and torture of children at the hand of the dental clinics he, his father, Ed, and his brother Michael owned.

Marketing to Children and Young People
(Excerpts from Fast Food Nation by Eric Schlosser, pp. 42-46; 51-57. Sections in blue print are paraphrases and summaries. Words in bold print are important marketing vocabulary.)

Like other school systems in Colorado, District 11 faced revenue shortfalls, thanks to growing enrollments and voter hostility to tax increases for education. The initial Burger King and King Scooper ad contracts were a disappointment for the district, gaining it just $37,500 a year – little more than $1 per student. In 1996, school administrators decided to seek negotiating help from a professional, hiring Dan DeRose, president of DD Marketing, Inc. of Pueblo, Colorado. DeRose assembled special advertising packages for corporate sponsors. For $12,000, a company got five school-bus ads, hallway ads in all fifty-two of the district's schools, ads in their school newspapers, a stadium banner, ads over the stadium's public-address system during games, and free tickets to high school sporting events.
Within a year, DeRose had nearly tripled Districts 11's ad revenues. But his greatest success was still to come. In August of 1997, De Rose brokered a ten-year deal that made Coca-cola the district's exclusive beverage supplier, bringing the schools up to $11 million during the life of the contract (minus DD Marketing's fee). . . .
District 11's marketing efforts were soon imitated by other school districts in Colorado . . . Administrators in Colorado Springs did not come up with the idea of using corporate sponsorship to cover shortfalls in a school district's budget. But they took it to a whole new level, packaging it, systematizing it, leading the way. Hundreds of public school districts across the United States are now adopting or considering similar arrangements. Children spend about seven hours a day, one hundred and fifty days a year, in school. Those hours have in the past been largely free of advertising, promotion and market research – a source of frustration to many companies. Today the nation's fast food chains are marketing their products in public schools through conventional ad campaigns, classroom teaching materials, and lunchroom franchises, as well as a number of unorthodox means.
The proponents of advertising in the schools argue that it is necessary to prevent further cutbacks; opponents contend that schoolchildren are becoming a captive audience for marketers, compelled by law to attend school and then forced to look at ads as a means of paying for their own education. America's schools now loom as a potential gold mine for companies in search of young customers. "Discover your own river of revenue at the school house gates," urged a brochure at the 1997 Kids Power Marketing Conference. "Whether it's first-graders learning to read or teenagers shopping for their first car, we can guarantee an introduction of your product and your company to these students in the traditional setting of the classroom."
Dan DeRose tells reporters that his work brings money to school districts that badly need it. By pitting one beverage company against another in bidding wars for exclusive deals, he's raised the prices being offered to schools. "In Kansas City they were getting 67 cents a kid before," he told one reporter, "and now they're getting $27." The major beverage companies do not like DeRose and prefer not to deal with him. He views their hostility as a mark of success. He doesn't think that advertising in schools will corrupt the nation's children and has little tolerance for critics of the trend. "There are critics to penicillin," he told the Fresno Bee. In the three years following his groundbreaking contract for School District 11 in Colorado Springs, Dan DeRose negotiated agreements for seventeen universities and sixty public school systems across the United States . . .
Want to know more and how Dan ended up mentioned in the explosive movie Fast Food Nation, search Dan DeRose Coke.

Sunday, April 20, 2008

Michael A. DeRose-Fingers in the New York Medicaid Pot?

Why does Michael A. DeRose need to be an "elector" of New York's State Health Care Reform Act?

What "health care" is he providing in New York under the name of one of his many corporations "Michael A. DeRose, DDS PC that he must "participate in the funding of these initiatives"??

Is there any state Michael A. DeRose is NOT trying to scam money from, or train young naive dentists to torture and traumatize children? Why? "cause Michael Needs The Money" all in the name of poorer families not having access to dental care??

Honestly, the cause sounds noble doesn't it? However anyone who has taken the time to read this blog knows if it's got the stamp of approval from Michael DeRose, Ed DeRose, William A. Mueller or Dan DeRose it's not anything close to a noble cause.
HCRA is a major component of New York State's Health Care financing laws which governs hospital reimbursement methodologies and targets funding for a multitude of health care initiatives. The law also requires that certain third-party payors and providers of health care services participate in the funding of these initiatives through the submission of authorized surcharges and assessments.



Saturday, April 19, 2008

Another Child Files Law Suit Against Smile Starters-Medicaid Dental Centers-Tish Ballance-Michael DeRose-Heather Berkhiemer

April 19, 2008

Child sues dentists over care: Lawsuit alleges malpractice in treatment at Medicaid practice

Karen Garloch
Apr 19, 2008 (The Charlotte Observer - McClatchy-Tribune Information Services via COMTEX) --

A Charlotte child who got 14 "baby root canals" and stainless steel crowns on the same day in 2003 has sued three dentists with Medicaid Dental Center, claiming dental malpractice.

The suit against the privately owned chain of dental clinics was filed a week after the clinics' owners agreed to pay $10 million to resolve allegations that they made fraudulent claims to the N.C. Medicaid program for unnecessary dental work on poor children.

In the suit filed Friday in Mecklenburg Superior Court, Antavia Digsby, through her mother, Angela, alleged the treatment by dentist Heather Berkheimer "fell below the accepted standards of dental care."

Digsby also sued Letitia Ballance of Mooresville and Michael Anthony DeRose of Pueblo, Colo., dentists and co-owners of Medicaid Dental Center, alleging its policy was to "perform as much treatment as possible in one appointment."

Medicaid Dental Center, now called Smile Starters, has clinics in Charlotte, Raleigh and Winston-Salem.

Antavia was 5 on May 9, 2003, when her mother took her to the Charlotte clinic to have her teeth cleaned. Antavia, now 9, was insured by Medicaid, the state-federal health program for low-income and disabled residents.

On that day, the suit says, Berkheimer performed 14 pulpotomies, similar to root canals, and mounted 14 steel crowns on the child's baby teeth.

Employees at the center restrained Antavia by tying her down on "a papoose board" and refused to allow her mother to be in the room, the suit says. Berkheimer documented that Antavia was "very uncooperative and could not follow directions," the suit says.

Berkheimer, who lives in Southern Pines, could not be reached for comment.

Charlotte attorney James Wyatt, who represents Medicaid Dental Center and its owners, said the suit is "utterly without merit. All the dental work that was done was not only necessary but imperative."

He said the child's mother "consented to all of the work. The real question that needs to be asked is why a parent would bring a child in with her teeth in that condition."

Wyatt said last week that his clients agreed to the $10 million settlement to avoid expensive litigation, but they did not admit the government's allegations.

In 2003, WCNC-TV, now the Observer's news partner, revealed allegations that Medicaid Dental Center had performed unnecessary dental work on children.

In 2005, the N.C. Board of Dental Examiners disciplined nine dentists after an investigation of the clinics.

Ballance and DeRose were placed on probation for three years.

Berkheimer and six other dentists who worked in the clinics received written reprimands that will remain permanently in their N.C. files and with the National Practitioner Data Bank.

The other dentists are: John Lyons, Jeffrey Zieziula and Erron Brady, all of Charlotte; Lori Petree and Christopher Ballinger of Winston-Salem; and Michelle Wilkerson of Raleigh.

According to board documents, at least eight children, some as young as 4, had multiple teeth pulled and root canals performed during single appointments at MDC clinics. Some had as many as 16 pulpotomies and stainless steel crowns during the same visit.

Darren Dawson, a Greenville, N.C., lawyer who filed the Digsby suit, said he represents nine families of children treated at MDC clinics in Charlotte and Winston-Salem, and says he'll file more suits claiming that excessive and unwarranted dental work was done.

Board investigators have made unannounced inspections at each of the MDC clinics since 2005, and authorities said they have been "substantially in compliance" with standards.

I would think it might be a bit difficult for the attorney's for Medicaid Dental Center and The DeRose clan to get them out of this mess, since this blogger alone can tract these exact same kind of complaints and allegations dating back years in the DeRose past and current connection to Small Smiles/FORBA, LLC.

With that, and the vast number of complaints that will likely be coming soon against Small Smiles/FORBA maybe finally the DeRose Reign of Terror demise and not one minute too soon!!

Michael A. DeRose is now and always has been directly associated with Small Smiles, as is his father, Dr. Ed DeRose, his brother, Dan DeRose and Dr. William Mueller just to name a few on the short list.

I hope soon to hear that the State of North Carolina and it's Dental Association have ran Tish Ballance, Dr. Michael DeRose and each dentist in the news report above out of the state on a rail. At the least I call on the state to remove, revoke, and ban these dentist from ever practicing dentistry in this state or any other for that matter.

As I have posted on this very blog, Tish Ballance and "others" as well as Dr. Michael DeRose are advertising for employees right this minute to come work at yet another clinic, Access West and more Smile Starters, designed to do exactly for what they are now being sued!




Thursday, April 17, 2008

Australia's Policy Statement on Corporate Dentistry-It's Frowned Upon

ADA Policy Statement 4.3 Page 1 of 2 November 21/22, 2002
AUSTRALIAN DENTAL ASSOCIATION INC.
POLICY STATEMENT
CORPORATE OWNERSHIP

1 Introduction

1.1 The Australian Dental Association [ADA] believes that the oral health needs of the
community are best met by a clinically efficient and ethically conducted dentist-owned
practice. This model provides community-based care with adequate opportunity for
continuity of care and patient records [single patient record]. It is possible to facilitate
quality and efficiency gains within the existing framework of dentist-owned practices, and
without the need for equity investment by non-dentists or corporate owners.

1.2 The existing dental workplace landscape includes non-dentist owned facilities for
provision of dental services, including health fund clinics and mutual organizations,
which, in the main, are not-for-profit entities.

1.3 Recent changes to some Australian State and Territory Dental Acts provide opportunities
for the ownership of dental practices by non-dentists and/or corporate entities.

1.4 The ownership of dental practices by entities other than dentists raises significant issues.
2 Community and Professional Interest Issues

2.1 It has been claimed that corporation's will deliver improved economies of scale,
improved patient focus and increased competition. The existing practice profile in
Australia already addresses these areas.

The introduction of an additional management layer and the need to give a return on
shareholder or owner equity -
! could compromise the individual dentist’s ability to practice patient-centered
dentistry, including the formulation of treatment plans and referral of patients,
! could compromise the ethical standards of an individual dentist and patient
treatment outcomes by requiring an agreed turnover, thus affecting the quality
and time needed to be spent with patients,
! could see the achievement of a return on shareholders’ funds or owners’ equity
being placed above the interests and needs of the patient, and
ADA Policy Statement 4.3 Page 2 of 2 November 21/22, 2002
! could result in the development of vertical and horizontal integration structures
and the resultant tendency to inappropriately refer patients and thus increase
the cost base to patients.
2.2 Rural and remote areas with lower population densities could be disadvantaged by the
loss of dentists deciding to work for corporations in larger population centres. This is of
particular concern where patients, because of age, access or equity reasons, would find
difficulty utilising dental services.
3 Primary Legal and Accounting Advice Required Prior to Selling a Dental
Practice to a Corporate Entity
The ADA strongly recommends that any dentist considering the sale of a dental practice to a
corporate entity should seek independent legal and accounting advice. Experience has
highlighted a number of risks when selling a practice to a corporate entity, especially where the
sale is for shares in that entity, or when the dentist contracts to continue to provide dental
services for a new owner.
„„„„„„„„„„„
Policy Statement 4.3
Adopted by Federal Council, November 21/22, 2002.

Trish Ballance and Michael DeRose: North Carolina's Responsibility To Their Citizens

Now that the state of North Carolina is fully aware that Tish (Letitia) Ballance and her partner in crime Michael DeRose are clearly still trying to open and operate more dental clinics will nip that idea of theirs in the bud!

It would most certainly be a HUGE miscarriage of justice to let these two or any of those involved in their crimes back into the business from which they were fined $10 Millions Dollars.

These clinics are designed specifically to entice low income children into their lair for strapping down and drilling out teeth "at will" all for no other reason than to see how much money they can once again defraud from the federal-state medicaid system.

After this blogger found and alerted the media, surly goodness and mercy the people of North Carolina lay down their swords and say enough!

If these two are allowed to treat children and again be allowed to dip their greedy fingers or have access to North Carolina state dental insurance program, well it would just be beyond outrageous!

And anyone with a brain would have to question why they even investigated these two crooks in the first place! Why waste even more tax dollars to investigate for at least 4 years something that you are once again going to turn your back on and pretend didn't happen.

It is unbelievable that these two are only on probation for their cruelty to children, yet allowed back in public to continue their quests. If you've kept up with this blog at all you can see there is a very wide and very very long trail of this kind of behavior from Dr. Michael DeRose, he's not going to change his spots! He and his father and brother, among others created a whole multi-million dollar industry doing this!

These two are no better than any sexual predators that society insists be tracked and kept as far away from children as possible!

Beware of The Following Dentists in North Carolina:

BEWARE of These Dentists:

Dr. Michael DeRose

Dr. Letitia Ballance

Dr. John Lyons

Dr. Jeffery Zieziula

Dr. Erron Brady

Dr. Lori Petree

Dr. Christopher Ballinger

Dr. Heather Berkheimer

Dr. Michelle Wilkerson

Small Smiles FORBA Abuses 188,000 Children Each Year

If FORBA Dental Management treats 750,000+ children across the nation in various clinics under various names like it says it does. (that was in 2006)

And according to reports from former dentist and dental assistants, 25% of the time they use papoose boards and other various torturing methods, do you realize that is

188,000
children abused, tortured and traumatized
every year
by this company alone!

Dan DeRose and His Connection To Small Smiles/FORBA


Cagey looking character isn't he? That's is Dan DeRose (left).

Besides having his name all over many of the Corporate documents associated with Small Smiles FORBA, a "Confidential Document" on the Internet for all to see, (here) (copy at bottom of post) clearly shows that DD Marketing is representing themselves as FORBA, LLC..
(Small Smiles, Smile High...DeRose Dental Dynasty, whatever you want to call them today...)

See Todd Cruse's email address in document as well as the physical address.

So why is his dad, Ed (Edward) and his brother, Mike (Michael) taking all the heat for the years of abuse of children in their various dental clinics?

I was sent an email by Mr. Cruse and invited to tour one of their facilities just the other day, so Mr. Cruse must still work for who....? FORBA or DD Marketing? I bet if you ask him it would depend on what day or letter head was in his printer and to what "hat" he was wearing on any given day.

Anyway, Mr. Cruse gave me a wonderful idea. After talking it over with my mate we've decided to use our summer time off to travel a bit. We are going to visit as many Small Smiles and Kool Smiles in the East and South East as we can. I'm going to take my personal Papoose Board, go to the clinics, ask parents there if their child was strapped down in one of them, do some serious interviews, filming etc. I think this is just a wonderful idea!

Thanks a bunch Todd!



CONFIDENTIAL DOCUMENT SUBMITTED TO THE DEPARTMENT OF HUMAN SERVICES, IOWA MEDICAID ENTERPRISE

March 2, 2006

Response to:

RFI: MED-06-025

Vendor Information:

FORBA, LLC

415 North Grand Avenue

Pueblo, CO 81003

719 546 3333

Vendor Business Background:

FORBA, headquartered in Pueblo, CO, identifies, develops and manages clinics that provide dental care to children who are enrolled in Medicaid and the State Child Health Insurance Program (“SCHIP”). The Company’s history began with a solo dental practice in Pueblo, CO in 1928. Over the past 40 years, the Company has focused on children’s dentistry, including serving children eligible for Medicaid. The Clinic in southern Colorado was the first practice in the state to see Medicaid children when dental became a Medicaid benefit for children in 1967. In 1995, the Company expanded beyond Pueblo and opened a Medicaid-only children’s dental clinic in Colorado Springs. The Company’s early expansion was in support of the State of Colorado’s effort to improve access to dental care for the State’s Medicaid-eligible children. Due to the successes of reaching the underserved population from the Colorado clinics, FORBA was formed to develop children’s Medicaid/SCHIP dental clinics throughout the United States. The Company successfully manages dental clinics in fifteen states. The Company currently manages 41 clinics, which in aggregate have approximately 750,000 patient visits per year.

Identification of Services

Expected Outcome: “Medicaid eligible children 12 years of age and under to receive age appropriate dental care by having an established dental home for each child.”

We believe a successful Vendor or provider should provide at a minimum all preventive services contained in the definition of the federal EPSDT standard. In addition to providing the screenings and diagnostics required by EPSDT, a successful Vendor of dental services should have the capacity and experience required to perform restorative services necessary to improve a child’s oral health.

Realizing the geographical challenges within the state of Iowa that a Vendor may encounter when trying to establish a dental home for all children under the age of 12, a Vendor should establish regional general dental clinics and then either establish a mobile dental strategy to reach out to outlying rural areas or establish partnerships with single operating dentists in such rural areas.

KEEP IN MIND, OUR DEFINITION OF A VENDOR IS A PROVIDER AND NOT A MANAGED CARE ORGANIZATION (MCO) OR THIRD PARTY ADMINISTRATOR (TPA) who have to contract with organizations such as ourselves and/or individual dentists to fill out a network.

Local Partnerships

A successful provider of dental services should establish partnerships with local health clinics, school districts, Head Start programs, Title V contractors and other third parties identified as part of the local public health system. The partnerships would require local public health establishments to help the vendor communicate available services by providing mailing lists and prospective patient information to the vendor, in the spirit of access to care, in an electronic format. The Vendor agrees to not share any prospective patient information to ensure confidentiality. The partnership should also encourage members identified as part of the local health system to apply for grants and public funds that would be able to assist with public outreach and awareness of the new services provided by the Vendor.

In addition to any public grant monies made available, the Vendor would be responsible for outreach to the underserved population through direct mailings, social caseworker coordination and on-site periodic screenings in the public school system. Direct mail pieces that would be used to inform the eligible population about the services available would also help to educate parents and children through written oral hygiene information and reminders as to the importance of regular visits to their dental home.

Once a child attends an appointment with the vendor, sufficient time must be invested for an exam, x-rays, prophylaxis, fluoride treatment, preventative education and consultation with parent or guardian regarding further treatment needed. Appointments for restorative work and six month recalls will be made and it will be the Vendor’s responsibility to confirm these appointments and get them rescheduled if the appointments are broken by the patient.

How Service Shows Fulfillment/Progress

The dental services articulated above will fulfill the expected outcome of receiving appropriate dental care by definition of providing preventive, diagnostic and restorative work on the child’s teeth.

The regional dental clinics of approximately 8000 square feet will provide the dental home contemplated by the RFI itself and settle the issue of geographical challenges mentioned above. We know Iowa is divided up into quadrants and it is possible we could put 1 clinic in each quadrant in a population center and then work our regional rural strategy out of the main clinics in each quadrant [the mobile van and partnerships with single dentists in rural areas]. This provides a physical dental home for each child under the age of 12 throughout the state of Iowa.


How Vendor Shows Fulfillment/Progress

In order to measure the progress of a program that includes a network of regional dental facilities and local public health system partnerships, a study of the number of children receiving patient visits prior to the “roll out” of a successful Vendor’s program would need to be conducted by the state of Iowa. Using that report as the benchmark starting point it would then need to be compared on a semi annual basis to data provided by the Vendor of those patients who actually experienced a dental visit once the program had commenced. The study should include information based on age band and regional residence of the patient population, in addition to general oral health conditions. This reporting will prove out the dental home statistics needed by the State of Iowa for compliance purposes. We understand the state of Iowa attached data in this regard to this RFI and we would request this data to be updated as often as possible over the ensuing months and years as it will be necessary to measure progress on achieving the expected outcome outlined in the RFI.

The actual construction of the dental clinics will show progress toward the expected outcome. Once financing of the dental clinics is put in place and the location is decided upon, ground breaking to opening can happen in less than 120 days. The full scope including the front end work can be done in 6 months, beginning to end. There would be obvious overlap if the clinics were not built all at the same time. If one contractor was used, all four clinics could be built within 12 months.

We realize that we represent a different business model than a MCO or TPA and that any proposal from us ultimately would be different from such MCO or TPA.

Vendor Contact Information

Todd R. Cruse

FORBA, LLC

415 N Grand Ave.

Pueblo, CO 81003

Chief Development Officer

719-546-3333 work

719-546-3334 fax

tcruse@ddmktg.com

Kevin G. Reilly

FORBA, LLC

415 N Grand Ave.

Pueblo, CO 81003

Director Special Projects

719 546 3333 work

719 546 3334 fax

kreilly@ddmktg.com