Friday, May 23, 2008

Ocean Dental/Chad Hoecker Update

Per a Comment:

Per the Ohio Dental Board actions against Chad Hoecker he is on probation for a year in Ohio and can't only accept children, since he is a general dentist. I am not sure what happened in the Oklahoma meeting because he wasn't in the minutes.

More importantly he comes from a long line of legal dodgers: His dad is a dentist who still has his license after exposing himself to a patient.

Case Detail http://www.odcr.com/detail.php?Case=036NCRF%208600258&County=036N

County:
Kay (Newkirk) - County Last Updated: 05/20/2008 09:00

Case:
CRF-86-00258

STATE OF OKLAHOMA vs. HOECKER, GLEN RAY

Date Filed:
08/19/1986


Offense

INDECENT EXPOSURE (FEL)

Parties

Defendant
HOECKER, GLEN RAY


09/22/1986

Date Action: ST GUILTY PLEA Completed : 09/22/1986

Glen Hoecker not only still has his licenses, there are no actions against him listed in his online dental record file.

Once again, another dental board letting the public down.

Small Smiles @ Trademark Office

Word Mark: SMALL SMILES
Good & Services:
IC 035. US 100 101 102. G & S:
Provision of business management services for dental office development and operations.

Serial Number:
78953016

Filing Date: 10-16-2006
Published for Opposition:
June 12, 2007

Owner:
Sanus Holdings, LLC LIMITED LIABILITY COMPANY DELAWARE Suite 201 1114 17th Avenue South Nashville TENNESSEE 37212

Attorney of Record:
Robert P. Felber, Jr.
Dead/Live: Live
____________________________________________________________________









Word Mark:
Small Smiles

Goods and Services:

IC 044. US 100 101. G & S: Dentist services. FIRST USE: 20070917. FIRST USE IN COMMERCE: 20070917
Serial Number: 77295476
Filing Date: October 3, 2007
Published for Opposition: March 18, 2008
Owner: Forba Holdings, LLC LTD LIAB CO DELAWARE Suite 520 618 Church Street Nashville TENNESSEE 37219
Attorney of Record: Robert P. Felber, Jr.
Dead/Live: Live

____________________________________________________________________
Word Mark: Small Smiles
Good & Services:
IC 044. US 100 101. G & S: Dentist services. FIRST USE: 20070917. FIRST USE IN COMMERCE: 20070917
Serial Number: 77295429
Filing Date: October 3, 2007
Published for Opposition:
March 18, 2008
Owner: Forba Holdings, LLC LTD LIAB CO DELAWARE Suite 520 618 Church Street Nashville TENNESSEE 37219
Attorney Of Record: Robert P. Felber, Jr.
Dead/Live: Live
______________________________________________________________________

Word Mark: FORBA
Goods and Services:
IC 035. US 100 101 102. G & S: Personnel recruiting services for dental offices. FIRST USE: 20010500. FIRST USE IN COMMERCE: 20010500
Serial Number: 77156357
Filing Date: April 13, 2007
Published for Opposition: September 4, 2007
Owner: FORBA Holdings, LLC LTD LIAB CO DELAWARE Suite 520 618 Church Street Nashville TENNESSEE 37219
Attorney of Record: Robert P. Felber, Jr.
Dead/Live: Live

I tell ya what, that Church Street address in Nashville just keeps showing up again and again. In various documents I personally found at the Colorado SOS website that addess is associated with Sanus, Smile High, FORBA, DeRose Children's Dental Center and more.

Tuesday, May 20, 2008

Kentucky Should Close Down, Small Smiles, Ocean Dental and Kool Smiles, They Are Operating Illegal Clinics

I would say Small Smiles and Ocean Dental and apparently Kool Smiles, since it's planning on opening up a clinic as well, in Louisville are walking a fine line according to KAR (Kentucky Administrative Regulations) Title 201.


201 KAR 8:006 prohibits a dentist from using
false, misleading, or deceptive advertising and also
establishes the rules for dentists to advertise as
specialists or as being especially qualified in any
area of dentistry.


All dental advertisements shall contain the name of
each licensed dentist providing services within that
practice.

Further, a dentist shall not use the name of a
dentist who does not have an ownership interest or
any association in the dental practice. A dentist
who purchases the dental practice of another
dentist shall not use the name of the seller for
more than one (1) year after the purchase of the
practice. Also, a dentist shall not use the name of
another dentist who formerly practiced as a
partner, after the termination of that partner’s
ownership interest in the dental practice.

Any licensed Kentucky dentist may submit their
proposed advertising to the Kentucky Board of
Dentistry for written approval prior to using the
advertising.


Plus according to other rules, a dentist is Kentucky must actively participate, and something tells me the owners of these clinics don't actively participate in the practice of dentistry in Kentucky.


Kentucky Dental Association Stops Small Smiles from Patient Shopping

November 2007


Dr. Jim Allen, DMD moved to disapprove Dr. Tony Quiroa’srequest for Board approval for hygienists from Small Smiles of Louisville to conduct dental screening services at various elementary schools. Dr. Gaskill seconded the motion. All were in favor.


Kudo's to the Kentucky Dental Board but should Small Smiles even be in the state. If they weren't, there would be no need to stop them from sending out a hygienists to patient shop as they have been found to do in other states.

I realize this is was last fall however the Kentucky Dental Board has not issued another newsletter at this time. They meet in Spring and Fall of each year.


Saturday, May 17, 2008

Hawaii's HB 2301 Leaves Dental Mills On The Main Land.

It appears Hawaii is doing all it can to protect their citizens from Medicaid dental mills such as Small Smiles, Kool Smiles, Ocean Dental, and Western Dental.
Hawaii has a law in place that says “a dentist must own, maintain or operate an office for the practice of dentistry.” However the laws as they stand now do leave a “loop hole”, as in other states, that people like Michael DeRose of Small Smiles and Dr. Tran Pham of Kool Smiles seem to find a way to slither through.

Majority Leader Kirk Caldwell's HB 2301 bill to prohibit "interference in the practice of dentistry by an unlicensed person or entity" and prohibit "the practice of dentistry in a commercial or mercantile establishment"

Jeffrey Miyazawa, D.D.S., Chair of the Board of Dental Examiners opposes the bill, no big surprise there, but other dentists of Hawaii fully support it.
Dr. Miyazawa argues that passing this law would not give the board any power to enforce it, and I’m saying to myself, "why the hell not?"
Dr. Miyazawa also says “HRS 448-17(a)(12) provides for sanctioning "any other improper, unprofessional, or dishonorable conduct in the practice of dentistry.”
Provisions like this or something close is on the books in most all states, and it hasn’t done one thing to stop these Medicaid dental mills, slowed them down one bit, or even caused them to pause for a split second despite the hundreds and hundreds of complaints and reports.
Hawaii’s HB 2301 would amend HRS 448-A to include as follows:
(a) No person or entity without a license issued pursuant to this chapter shall direct or interfere with a licensed dentist's judgment and competent practice of dentistry.
(b) No dentist licensed pursuant to this chapter who engages in the practice of dentistry in any form, shall permit a person or entity, other than a dentist licensed pursuant to this chapter, to direct, participate in, or interfere with the licensee's practice of dentistry.
Section B above certainly would limit that quota and bonus system that the dental mills have established in other states now wouldn’t it?
HB 2301 would also add 448-B to read as follows:
No person licensed pursuant to this chapter shall engage in the practice of dentistry in a commercial or mercantile establishment, or advertise, either in person or through any commercial or mercantile establishment, that the person is a licensed practitioner and is practicing or will practice dentistry in a commercial or mercantile establishment.


This section shall not prohibit the rendering of professional services to the officers and employees of any person, firm, or corporation by a dentist, whether or not the compensation for the service is paid by the officers and employees, or by the employer, or jointly by all or any of them. For the purposes of this section, the term "commercial or mercantile establishment" means a business enterprise engaged in the selling of commodities or services unrelated to the practice of dentistry or other healing arts.

I think this is a great beginning to an end of the dental mills and I would suggest everyone who reads this and its language to get with their state law makers and get something like this or close to it passed in their respective states.
One thing that is not addressed in this bill is the use of papoose boards. I understand people think the Dental Board would regulate this since the ADA and the AAPD have "guidelines" however leaving things like this to "Boards" of dentists' own peers simply isn't working.
I’ve already started that quest in my state and I can’t urge my many loyal readers enough to do it in your own.

update 3-2010:
I've written to Rep. Caldwell, who at present is running for Mayor of Honolulu to see what happened to his bill.

I did find this:

HB 2301 HD1, Relating To Dentistry
Majority Leader Kirk Caldwell's bill to prohibit "interference in the practice of dentistry by an unlicensed person or entity" and prohibit "the practice of dentistry in a commercial or mercantile establishment" was characterized on the Floor by Rep. Gene Ward as "the anti-Wal Mart, anti-Big Box bill" who went on to say that it was a premature, misplaced constraint of trade. The bill passed, with Rep. Ward as the only no vote.



Kool Smiles Terra Haute Ex Employee's Comment

If you have had issues with the Kool Smiles in Terra Haute, IN clinic contact me at cckaddie@yahoo.com.

Here an ex-employee comment on that clinic:

I just want to say that the same treatment and experiences that have happened in Atlanta are somewhat identical to the office in Terre Haute, Indiana. The CTL isn't x-ray certified, along with the other dental staff are not x-ray certified.(So how can she train those who aren't?) Looks like someone didn't do their homework!! Deadlines for xray certifications is running out!!

The CTL was also caught rough handling a 3 yr child approx. 2 months ago in front of the parent, Office Manager and other dental staff, but nothing was done.The Office Manager loves to lie to HR. Their day will soon come!

Michael DeRose and the Root Dental Management-Rafael Rivera, DDS, PLLC Connection

Root Dental Management is part of the so called "new owner's/new management of Smile Starters" in North Carolina. There are current ads throughout the internet for dentists, assistants and other office personnel wanted for Smile Starters that is under this laughable "new owner's/new management" concept they (being the DeRose's) are trying to sell to the good citizens of North Carolina.

Here is the contact info for applying for a job with Smile Starters:

Roger Walters
SmileStarters
2211 - E Executive Street
Charlotte, NC 28208
704-395-6000
walters.rdm@gmail.com


Same physical Address as Root Dental Management and note the email address: rdm-Root Dental Management. I bet Roger Walters could tell some stories don't you guys?

Root Dental Management is owned by Ryan Root of Pueblo, Colorado. At the North Carolina Secretary of State's website if you search for Root Dental Management this is what you get:

Registered in North Carolina: 3/21/07
Formed in Delaware: 2/20/2007
President: Ryan P. Root
Agent is: Ryan P. Root
Registered Address is:
2211-E Executive St
Charlotte NC 28208

Principal Office is:
2211-E Executive St
Charlotte NC 28208

Principal Mailing Address is:
PO Box 816
Pueblo CO 81002

For those of you who don't remember, Ryan Root and the exact same address is the contact for Michael A. DeRose, DDS, PA on the Health Care Reform Act List of Electors in New York State.

See Here

Rice Root Accounting in Pueblo is the old accounting firm for the DeRose's until they got big enough to need an in-house accountant. That's when Ryan slithered on over to work solely on DeRose stuff.

One person sticking up for Rafael Rivera, Jr. who is supposed to be the new "owner" of Smile Starters (whom I think was closely related to Raf, said on this very blog, Raf had worked for SmileStarters as far back as 2002 or there about.

If someone could get their hands on a copy of that "sale contract" with Dr. Rafael Rivera, Jr., Dr. Michael A. DeRose, and Tish Ballance (which would be the sale between Ballance DeRose, DDS, PA and Rafael Rivera, Jr. DDS, PLLC-formed 2/18/2008) you are going to find that Michael DeRose is a "consultant" of sorts and will be getting a hefty fee for his laughable and knowledgeable input!

And next year on Michael A DeRose's many tax returns there should be a fee listed from Rafael Rivera, Jr. DDS, PLLC dba Smile Starters or there is some very creative bookkeeping going on!

Of course it will probably be listed as pass thru income (yeah, passing through umpteen million) LLC, Corporations and PA before it lands on his and his wife's person tax return. But I guarantee it will be on there somewhere, just like a few other corporate dental organizations "consulting fees".

Here's another thought:
It's customary when there is a sale of a company like this between two professionals (sorry...peed my pants laughing...when I typed the word professional) for there to be a "non compete" clause. Yet, here we have Tish Ballance already (even prior to the official signing of the documents) opening up Access West, another medicaid dental practice not far from Dr. Rivera's Smile Starters.

You know, when something stinks it stinks no matter how you twist and turn it, flip or flop it or try to hide it doesn't it?






Thursday, May 15, 2008

Small Smiles Temp Dentist Speaks-Reposted From A Dental Forum

I just returned from a 6 week assignment from a temporary agency to a small smiles clinic. (Assignment cut short because FORBA decided not to use doctors that were not credentialed with medicare) In any event, The biggest question I had was....Why mom or dad were not back here learning how to care for the children's teeth. Then I find they are not allowed back there. I was disgusted with the way the children were treated. I wouldn't take a dead snake to that place.

While my office is being built, I decided to make a little money in the interim. I happened to use a temp. service that put me in a small smiles clinic. I was informed by the lead dentist that this was the last place many of the patients could go for dental services, "that we had to do what was necessary to get the job done." This sort of tugged at my heart to see these kids with so much decay and infection. Out of the five doctors that where available, I had the most experience with respect to years practiced. Most were recent grads.

We probably averaged 20 -25% usage of the papoose. It was a screaming frenzy for those few patients that did get the papoose. I did inquire "why oral sedation was not used" and was told that it was not a covered event for the Medicaid patient. From a business view point, they make a lot of cash. Even with the new doctors, it gave me the impression that it is sort of like an uncontrolled residency and a quick way of bringing your skills up to par before entering the "outside world".

They train their own assistants for the most part, because of the high turnover rate. Compensation to them is minimal. They do get enticed with a monthly bonus. I was told that they average 16K production a day. From what I saw, they must do most of that in Hygiene. I do not know what Assistants can or can not do with respect to polishing in that state, but that is used a lot. They work the assistants to the ground and they frequently have 10 hour exhaustive days. One day we saw 137 patients.

I have mixed emotions at the present time. It is obvious that a great deal of money is being made utilizing the government handout of these funds. I was told that not all states pay as well as others and that is why they are not in some of the states.

Whether or not this is true I have not investigated. They have apx. 80 offices with goals of close to 100 or so by 2009. I am not opposed to anybody making a profit. If this truly is the last stop for many of the patients, than they are performing a needed service.

Overall, you have the most inexperienced team, working on probably the hardest portion of the population. It is going to attract media attention at any given opportunity. What is the answer to the problem at hand? I can not tell you. Once again, I am grateful I am able to refer out any pediatric case.

Perhaps, instead of going to Africa, or South America all the time, we doctors can just stay home and donate our time and talents to the local community. I know that is not as glamorous as the "out of country" trip, but it certainly would be just as beneficial. Sorry, I guess I rambled at bit too much.

Kevin P. Ward, DDS-Back In Business

A New Jersey dentist, Dr. Kevin P. Ward's dental licenses were suspended November in 2000 after media reports of him breaking the leg of a child put pressure on the dental board. Until the media broke the story, the dental board had done nothing even though several other patients reported injuries and broken bones. His licenses were reinstated with limitations in 2005 according to records with the New Jersey Dental Board and in April 2007 dental board minutes I found the following:

Kevin P. Ward, DDS - Dr. Ward appeared before the Board with Richard Tanner, Esq., concerning a request for limited reinstatement of his New Jersey dental license. On July 20, 2005 Dr. Ward’s license was reinstated with restrictions. He was permitted to engage in the administrative practice of dentistry but not in the clinical practice of dentistry.
Dr. Ward discussed his administrative duties since the filing of the July 20, 2005 Order to the present. He also discussed his progress in therapy with Richard Reichbart, Ph.D., and discussed the evaluation performed by Alberto M. Goldwaser, M.D.
With regard to future plans, Dr. Ward indicated that if his license is reinstated, he would like to do part-time orthodontics on adolescent patients. He indicated that he has continually taken courses in orthodontics and sees it daily at the practice. The Board requested that he provide a copy of the proof of completion of the courses taken for this renewal period.
At the conclusion of all testimony by Dr. Ward and questions from the Board, the inquiry was ended.
The Board moved this matter to Executive Session for deliberation.
Upon returning to Public Session, the Board determined to table a decision pending receipt of a more complete report from Richard Reichbart, Ph.D. A copy of the transcript of today’s appearance will also be provided to the Board.
In October 2000 NBC's Dateline reporter Hoda Kotbe reported on Dr. Kevin Ward and the many children he had traumatized, broken bones, and even had one child, Kelly Givens, die while under his care.

By checking for his licenses it looks like he's back in business

Children's Dental Clinic,LLC is Really Small Smiles in Columbia, SC

Does anyone besides me find it just amazing at all the names FORBA/Small Smiles, Smile Starters, Medicaid Dental Centers, uses?

In Columbia, SC the IP Address leads you to Children's Dental Clinic, LLC at 3000 Two Notch Road, which when I was there Monday, had Small Smiles on the Building.

If you google Children's Dental Clinic Columbia, SC you once again get a listing for that name but the address is Small Smiles and the website listed is smallsmilesusa.com. See Here

According to a business search at the South Carolina Secretary of State's Website, the Small Smiles in Florence is Children's Dental Clinic of Florence, LLC.

The Children's Dental Clinic of Columbia, LLC (Small Smiles on Two Notch Road) filed a Domestic LLC company 2-21-2003 and is current in all it's filing. Prior to May 12, 2003 it's name was Children's Medicaid Dental of Charleston, LLC. On 8-17-2008 this was filed "
CHG AGT & ADD FR MICHAEL T SMITH".

Looks like one "Michael T. Smith" was once the registered agent for Children's Dental Clinic, (Small Smiles) as well as the Small Smiles in Florence and they were both changed to National Registered Agents, Columbia, SC.


As for the Small Smiles in Florence, SC. It was first established 1/23/2004 and it's first name was actually Florence's Children's Dental Clinic, LLC then changed it's corporate name to Children's Dental Clinic of Florence, LLC 3-5-2004, a short two months later.

In both cases, it appears these DeRose companies set up in a state as one name and with in 2-3 months change their business names. Then of course go on to operate under various other names.

Honestly, it must take an army to keep track of all of the names. I bet if you asked the employees who they worked for, they might be able to come up with some name, but it probably isn't the right one.



Does anyone on here remember Dr. Kevin P. Ward who amazingly had a child break his leg (the femur bone) while in a dental chair at the Children's Dental Center of Union City, New Jersey back in February of 2000? Another child came out of his office with a broken wrist. The state revoked his license for a short time for injuring 13 children. Look at the name of this clinic!


Tuesday, May 13, 2008

Ocean Dental's Chad Hoecker Desciplined in Ohio

Ohio Dental Board Disciplinary Action

CHAD B. HOECKER, D.D.S.
Motion by Dr. Kyger, second by Dr. Armstrong, to approve the proposed
consent agreement for Chad B. Hoecker, D.D.S., license number 30-022103, case
number 06-18-0603.

Motion carried.

I don't know what the complaint or disciplinary action was but the case number is listed above. Chad Hoecker is the owner of Ocean Dental Corporation, another medicaid dental mill.