Toledo Blade April 2006-Small Smiles Comes To Town

The Blade ~ Toledo Ohio
Dental Clinic Opens On Broadway
Luke Shockman
Staff Writer

Here's a raving article in the Toledo Blade when Small Smiles opened there. 

Here's a great quote from the article:

“There must be a huge pent-up need here,” said Todd Cruse, a top executive overseeing the office’s opening. “I’ve opened 26 clinics like this, and this one looks to be on track to have the most appointments taken.”

(This was written in April before the so called buy out took place in Sept. 2006.  Mr. Cruse was employed with FORBA then, and Mr. Cruse is said to be Senior VP of Development now.  There are just too many people who were with Old FORBA for New FORBA to really be "New", other than having some office space in Nashville, -where Cruse now lives- and bringing in investors-under the name of FORBA Holding- for the cash needed to expand.)

More Snipits: 

The new office, 1520 Broadway, which opened yesterday, is the 42nd dental clinic opened since 2000 by the Colorado-based FORBA Management Co.

“There’s plenty of business. I don’t regard them as competition at all really,” said Dr. Paul Heinrichs, a dentist and board chairman of the nonprofit Dental Center of Northwest Ohio. “There are 60,000 Medicaid-eligible people in our area, and we’re seeing maybe about 20,000 of them, so there’s really a huge pool.”

In addition, this month the dental center added a state-of-the-art mobile dental clinic in a 40-foot bus that will be used to provide dental care throughout the region.  


The primary reason the dental center has been able to expand — and why the Small Smiles clinic decided to set up shop in Toledo — is few private dentists are willing to accept Medicaid patients, said Dr. Mark Siegal, chief of the bureau of oral health services for the Ohio Department of Health.

So why would Small Smiles want to tackle such a challenge? After all, unlike the Dental Center of Northwest Ohio, Small Smiles is a for-profit operation, meaning its owner expects to make money. To borrow a phrase, treating Medicaid children is all they do, and they do it well, said Mr. Cruse, chief development officer for FORBA.

For example, the six-chair setup for cleanings means they can get by on volume, he said. In addition, by having many exam rooms, a parent can bring all their children in at once for treatment, reducing the need for repeat trips, he said.

Dr. Supreeth Veeranna, lead dentist for Small Smiles, said he hopes the five-dentist clinic will be able to handle 100 patients daily.

Dr. Heinrichs said the fact that Small Smiles is for-profit doesn’t bother him. After all, his own private dental office is for-profit. 

I wish to HELL it had bothered Dr. Heinrichs!!  Wonder if the abuse and torture Small Smiles delivered to the children in Toledo bothers him yet!! (Dr. Heinrichs, you didn't care to have your name in print when you were welcoming them into your city, so don't get bent out of shape since it's mentioned now) 

Mr. Cruse declined to provide revenue or profit figures for FORBA. Small Smiles was built in a vacant CVS pharmacy building. The building is being leased by Dr. Rudy Padula, a Colorado dentist on the FORBA board. FORBA manages the clinic.

Duh!  Of course he didn't.  But he sure made it clear they would make money by volume and in any kind of medical practice, volume for profit is never a good thing!
The lease is in Dr. Edward (Dr. Eddie) DeRose's brother in law, Adolph (Rudy) Padula's name.  Dr. Rudy is Michael DeRose's uncle.

Why am I posting this today.  Well, I'm researching each and every dentist I can find who does or has worked for FORBA and it's Small Smiles clinics.  Today was Dr. Supreeth Veeranna's turn.  Dr. Veerann's been around in the company, Ohio being just one state.  Veeranna turns up in Massachusetts as well, along with Dr. Santhosh Veeranna.  BTW, Dr. Supreeth Veeranna started probation in Massachusetts in April 2009 (cause number 20080530DN168)  and there is no dated entered to show the probation has ended.  There's more info on Dr. Veeranna, but that will come later.  

It's taking forever to do this research.  Since one dentist's name can take me off track and the next thing you know an hour as passed and I've collected enough stuff they have to have their own folder.  ...  clearing throat, Dr. Sean Barnwell, Dr. Nearing... yep, got a file on you guys. 

Small Smiles Promo At Day Care Center

On February 6, 2010 a Small Smiles dental assistant, from the Mahoning Ave. clinic visited the kids at Poland Boardman Child Care Center in Youngstown, OH which on the surface seems completely innocent, right?  

The kids made hats that looked like smiles (small smiles I would guess), and some made hats that looked like toothbrushes.


According to the article, "students were told to brush twice a day, singing the ABC song twice to ensure two minuted of brushing".


There are two things that disturb me here.  The first is the children with their fingers in their mouths pretending to bush their teeth (wonder if they washed their hands first).  

The second thing is depicted in the picture here.  A close up of the picture shows nothing but pictures of the Small Smiles clinic, inside and out, pictures of the staff, and rooms of the clinic with toys and mascots.  They even brought the stuffed mascot with them to the presentation.  On this board there is NOTHING about the care of your teeth.  

Honestly this looks more like a board meeting at an advertising agency, presenting their idea's for advertising to FORBA executives.  Clearly this is NOT about teaching the children how to brush their teeth and keep them healthy because way too much Small Smiles promotion was presented.


(photo by Shaiyla Hakeem)

Passages From Moriarty-Leyendecker Comfort My Soul Today

This morning I've been reading articles over at Moriarty-Leyendecker  and I've found one paragraph that I absolutely loved and just had to share it in reference to FORBA Holding and their Small Smiles dental clinics.

Here ya go:

These are numbers that require more sedation than simple Novocaine.  Perhaps a large dose of Nitrous Oxide?  No, that is laughing gas and this is no laughing matter.  Moriarty Leyendecker and team are preparing to administer a painful dose of reality to FORBA, without medication.

(and to think, FORBA thought I was a bad dose of medicine...lol)

I found it in the article titled "Numbers and Novociane", you should take a minute to read it.

Here are other reports at Moriarty-Leyendecker worth reading:

Tiny Tot Terror

Excerpt:

Moriarty Leyendecker Law Firm has begun assembling its legal team to take action against Small Smiles on behalf of the children subjected to Small Smile's torturous practices. Moriarty Leyendecker is challenging the definition of quality care and compassionate caregivers, as identified on FORBA's web site: "This year, hundreds of thousands of children in underserved and low-income communities nationwide will receive quality care from the compassionate caregivers at our associated dental centers."

For the sake of the children, Moriarty Leyendecker is taking steps to ensure that no child will endure Small Smile's substandard compassion in the future.

When Drilling For Dollars Are More Lucritve Than Drilling For Oil

 Excerpt:

 These stories are like oil slicks on a clear blue pond.  Children so upset they vomit during procedures.  Radios played loud enough to cover up the screams.  Bewildered parents, who are not allowed to accompany the child during the treatments, discover their child with a mouthful of silver crowns instead of a simple filing.  Lifelong anxiety towards dentists and doctors for children and parents are a result.

Legal attention by the firm of Moriarty Leyendecker will begin a cleansing process for this oily and slick operation.  It is time to cap that investment reservoir and protect our children. 

Small Smiles of South Bend, LLC

While taking a look at Small Smiles Clinics in Indians I found the following for the Small Smiles of South Bend, LLC.

In searching the Indiana Dental Licenses I found the following:

Bridget Lynn Merritt-Brooks
Licenses Number 12011081B and 12011081A
(She is licenses to write prescriptions)

Small Smiles of South Bend, LLC
2332 Miracle Lane
Mishawaka, IN 46545-3012

Bridget Lynn Merritt-Brooks is also licensed in Michigan.
Number 2901016675


The Small Smiles dental clinic in South Bend Indiana has been reported to have all the same problems I've been reporting on this site for two years. However, here all kids get nitrous (well pretty much all) since Indiana medicaid pays for that. (Wonder if they pay for 'behavioral management' as well) We've seen in the past that if a state pays for behavioral management, the kids get strapped to a papoose board immediately.

From what I hear FORBA hired an associated dentist who just graduated from school as they often do and this dentist is more concerned with her iphone than her young patients. While not totally spending time in the hall ways on her iphone, she also spends a lot of time in the hallway reading her textbook to refresh her memory before she goes it to treat the children.

For Pete's Sake, parents stay away from Small Smiles. Nothing has gotten any better. Of course this is just my opinion, you do as you see fit.

New FORBA v. Old FORBA Dismissed; Mountain Dental and more...

Looks like FORBA Holding v. all the DeRose family and several of it's entities have reached an agreement, 'confidential' of course, and the case has been dismissed with prejudice. 

Crap! I was hoping for an all out war between the sleezeballs.  However knowing what I know, I didn't think FORBA Holding had a leg to stand on, but it sure did shed some insight to the corruption among these people.

Stipulation For Dismissal 

I'm thinking that they figure they better bury the hatchet, even if it is in each other's back, and not give any more ammo to the lawsuits that will be coming their way, via the Class Action in Ohio or the suits that I'm confident will come from Moriarty-Leyendecker on behalf of the children they abused.

I'm just doubting even with all these slimballs sticking together they will NOT be able to find a high moral ground no matter how high they stack attorneys or how many nose bleeds they get.  Even now they are breaking off into EEHC, Inc and moving forward.

And...  AND...  there is a Mike Lindley (really..how many Mike Lindley can there be in the corporate dental world..) who is a Director of ...  drum roll please.....

Mountain Dental, Inc.

Mountain Dental is the western division of Dr. Jeffery Moos's Midwest Dental company.

Officers of Mountain Dental are:
Dr. Jeffery Moos -President
James Myer - Secretary

Directors:
Peter Ehrich of Cressey & Company
Mike Lindley
David Schuppan of Cressey & Company

Yes, Cressey & Company have offices in .....drum roll...

Nashville.

FORBA's Arizona Clinic's Not Doing So Well

Today I've been looking into all the dentists who are or have been connected with FORBA clinics.  Although I have a long way to go, Arizona isn't looking very good.  Five (5) of the 12 I've looked at have either been sanctioned or have had complaints against them.

Tuscon's clinic is Children's Dental Clinic of Tucson, LLC and it's licenses for dentistry is F27, issued 11-28-2007

There is a clinic in Phoenix Children's Medicaid Dental Clinic, PC and it's licenses for dentistry is F124.  It's licenses expired almost 2 years ago. 

 Here's the list of dentists who are or have been associated with FORBA clinics in Arizona:

Dr. Robert F. Andrus #7206

Dr. Amy E. Ash #5741-Dr. Ash seems to have decided Small Smiles wasn't for her.  She went back to school to become a 'real' pediatric dentist and went to work for a more reputable clinic.  Clearly she stood back assessed the business and decided the Small Smiles way, wasn't for her.  She became part of the solution, not part of the problem.

Dr. Karen Leung Chu #5608

Dr. Mark T. Kelly #7183

Dr. Douglas Kerr #6332

Dr. Kenneth E. Knott #5318

Dr. Garrett Lum #7004

Dr. Navreet B. Kaur Luthera #6676

Dr. Mardelle R. Petersen #3591

Dr. Quentin L. Shaw #4764  (he's lic is a bit odd, says he was first licensed in 1997, but graduated in 1981.

Roanoke Virginia Small Smiles Report

WDBJ 7 Roanoke, Virginia
February 25, 2010

News7 has discovered a local dental clinic that caters to low-income children was at the center of a national fraud investigation.

The parent company of Small Smiles recently agreed to a $24 million settlement regarding those allegations.

A former Roanoke Small Smiles employee triggered the national investigation. This employee was one of three whistleblowers that lead to a two-year investigation.

Jan Broetsky believes her son, Stephen, may have been one of the victims.

She was surprised what a Small Smiles dentist recommended for her five-year-old son during a visit in September.

"They told me Stephen had three severe cavities. All three were so severe that they needed root canals and they would also need silver crowns," said Jan.

When Stephen was three-years-old, the same Small Smiles office performed two fillings on him.

"Of course I felt like a bad mom," said Jan.

So, Jan Broetsky decided to get a second opinion just days later from dentist David Bittel, who is not affiliated with Small Smiles. She also brought him Stephen's x-ray from Small Smiles.

"The medicaid was the reason I went to small smiles. For me to get that second opinion cost me 100 plus dollars. But I was just so convinced my son had been intentionally misdiagnosed and it turned out to be true," said Jan

In his report, Dr. Bittel stated, "I see no decay anywhere that can be detected with explore or visually or with dental floss,".

He told News7, he's now been contacted by the Department of Health Professions as part of an investigation into the mother's complaint against Small Smiles.

As far as Stephen's case with the small smiles office in Roanoke, the chief dental officer reviewed his records. He released his findings to News7, which basically agreed with the original diagnosis from Small Smiles.

"There is no doubt in my mind I'm not the only person they are doing this to," said Jan.

The U.S. Attorney for the Western District agrees she is probably not the only parent.

" A lot of cases we documented those procedures were not necessary. Yet they performed them anyway and billed medicaid, "said U.S. Attorney Timothy Heaphy.

Heaphy was involved in the government's investigation of the Small Smiles office in Roanoke and helped negotiate a settlement with the parent company FORBA.

"Children are obviously especially vulnerable. The prospect that children were administered anesthesia that they didn't need or had that invasive dental surgery that was unnecessary, it's shocking and disappointing," said Heaphy.

But Small Smiles Parent company, FORBA has admitted no fault. A statement following the national settlement said, "Despite implications to the contrary in the government's press release, we entered into the recently announced settlement to avoid the delay, uncertainty, inconvenience, and expense of litigation, and did not admit any liability."

FORBA's practices were still concerning to U.S. Attorney Heaphy.

"There were strong incentives in place that the company acknowledged that forced unscrupulous people in facilities like in Roanoke to cheat. To get more of that public money," he said.

As part of the national settlement, Small Smiles' parent company FORBA has to follow some new guidelines. Which includes having a third party monitor its practices.

The government's investigation against individual Small Smile dentists is still ongoing.

We are not sure if that includes any of the dentists from the Roanoke location.

Parents should contact the OIG Hotline to report concerns. For more information click here.

Here are the finding of the Great Dr. Adair after he reviewed the patient's chart, x-ray and consulted with the Roanoke Small Smiles Dentist:

"The cavities on the two upper baby first molars (teeth #B and I) are large and clearly evident on the x-rays. One of them (#B) had been restored previously, and the filling had failed because of the patient's decay rate. Given that failure and the size of the cavities in these small teeth, a stainless steel crown would by an appropriate way to restore these teeth.
"The cavity on the mesial surface (side of tooth facing the front of the mouth) of the lower second baby molar (#K) is smaller, but it is evident on the x-ray as a vertical line in the enamel of that surface, which is adjacent to the baby first molar next to it. This cavity could not be detected without an x-ray. Even though it is small on the x-ray, clinical science tells us that it is larger in the mouth than on the film.
"Given this child's history of decay, and given that other surfaces of #K were also diagnosed with decay, a stainless steel crown would be an appropriate way to restore this tooth. A filling could also be done, but it would have a higher likelihood of failure."

Dr. Steven Adair, Chief Medical Officer

What I always find telling are the comments after the story has run.

---------------------------------------------------------------------------------------------------------
Lisa Says: Well GOODIE!! I took my granddaughter there2 times & the last time I was there, I felt VERY uncomfortable about their practice. They do the check up & then tell you to initial here, here & sign there but they DON'T tell you what you are initialing or signing. So, being a nosey old woman, I asked them about it & they told me that she needed 2 fillings & to have a front tooth capped. I didn't see the need since she was almost at the age where she will loose her baby teeth, so I took her to another dentist for a second opinion, he found NO CAVITIES, agreed with me that her baby teeth will come out soon, no capping was necessary!
We had already been through he 77 with two other "cavities" she had to have filled. They restrained her, drugged her & it traumatized her against any other dental visits. I am so glad I took her to another dentist!! This place is fleecing the government & making money off of unnecessary procedures!!!
Most parents are just wanting to do the best they can for their kids & have little knowledge about dental process so they just allow the "professional" to advise!! ASK QUESTIONS!!! ASK FOR PROOF!! Yes, it does make a difference!!

Here is a link so you can read all about FORBA's New Practices, but I thought they were great before paying the government $24 million dollars and being forced to sign a Corporate Integrity Agreement, among other things. Guess they really did SUCK!

Comment From A Parent About Kool Smiles in Vancouver, WA

Eryn said...

Thanks for blogging about this. In December, my son was diagnosed with 4 cavities, one in each of his left 4 molars, at a Kool Smiles in our hometown, Vancouver, WA.

I had a gut feeling that it was just wrong, the Dr. treated me horribly, and that basically I had ruined my son's beautiful teeth. They told me he needed 4 stainless steel crowns.

I went to a new private pediatric dental specialist today, who told me there was no cavity in 2 of those teeth, and the other two were absolutely not in need of crowns. There are cavities, but only need one reasonable filling.

I am shocked and appalled. We plan to contact our local news station in Portland Or. Your blog has been helpful to us in confirming our suspicions about this chain.

FORBA's New Branding

There is a new definition for the word FORBA now. Used to be FOR Better Access, now it's all sugar coated as well;

FORBA "For Better Access, For A Better America"

What the heck ever! Nice try guys.

Since you've come up with a new slogan, wanna take the time to comment on EEHC, Inc, or should I?

Moriarty-Leyendecker Stepping Up To Fight For The Children Harmed

Warriors have arrived to take on FORBA and its Small Smiles chain of dental clinics in the form of the law firm Moriarty-Leyendecker . (Jim and Kevin respectively)

I couldn’t be more thankful!! It’s about time there is justice for the children who had to endure the paid from these dental mills.

As we know the states got their reimbursement for the fraudulent billing of FORBA’s Small Smiles dental clinics as did the Fed’s in the $24 million dollar settlement. (I’m thinking it probably cost more than $24 mil to do the 2+ year investigation)

So far, not one child has been compensated for the horrific mental and emotional damage, imagine the humiliation these children have suffered. Nor have they been compensated for the physical damage that may take years to repair, if it can be repaired at all. Much of the damage done will last a lifetime for these children, and there could be up to 300,000 or more of these injured children.

What about the damage done to the trust these children have in their parents to protect them from harm. Will these children ever trust their parents again? What about teachers, policeman and others of authority? At minimum these abused children will find it harder to form long lasting and loving bonds as a matter of course.

It’s likely the child’s brain development has been impaired and certainly interrupted and redirected. The way these children were abused and treated has changed who they were supposed to be, forever! This is undeniable.

__________________________

Jim Moriarty and his partners are no strangers to medicine gone wild. That’s why I’m so elated to see they are standing up and stepping in.

In 1994 Jim Moriarty took on National Medical Enterprises (NME), later known as Tenet Healthcare. This sleaze ball company was, and I quote from the book Coronary: A True Story Of Medicine Gone Awry:

“deceiving parents into allowing their children to be imprisoned in mental institutions where at best they were warehoused and at worst they were subjected to alleged therapies that resembled torture more than treatment”

Sound familiar?

I encourage you to read the excerpt from Coronary: A True Story Of Medicine Gone Awry, by by Stephen Klaidman here.

As with FORBA, NME signed a Corporate Integrity Agreement with the Feds. When the federal fraud case was over NME thought the coast was clear. They were wrong!

Enter Jim Moriarty and “a pack of ex-patients and personal-injury lawyers” Jim is described as, and I again I quote:

“a motormouthed forty-eight-year-old former Marine door gunner in Vietnam. ” (he’s a bit older now, I’m sure)

“Moriarty is not necessarily someone you would like to have on your tail. When he focuses on something — it could be anything from a big, consolidated lawsuit to racing his hopped-up go-cart at 120 miles an hour — it is with the tenacity of a junkyard dog. ”

Jim ran into Tenet Healthcare again when one of it’s hospitals in Redding, California had an usually high rate of heart bypass surgeries. Jim was a bit disappointed the case didn’t go to trial so the story would be told. By settling with the 750 patients for $395 million dollars, Tenent kept the nasty truth off the front page. You can read about this outrageous health care scam online by clicking here: Money Driven Medicine, by Maggie Mahar.

Jim Moriarty and Moriarty-Leyendecker want to hear from you.

Please, contact Jim, Kevin and the crew, tell them your story.

Contact Moriarty-Leyendecker here.

***(BTW, no top management in the NME case went to jail, but others certainly did, something you dentists, hygienists and assistants who work for FORBA and Small Smiles should give a whole lot of thought to-like who is going feed your family when you’re in the clinker? FORBA bobble heads will through you under the bus in a New York minute!)***