Wednesday, February 09, 2011
Statistics Show Dentist May Be Too Old; Marissa Kingery Death
Monday, February 07, 2011
Small Smiles Fort Wayne, IN - Dr. Teresa Nicholson; 10 Crowns, 2 Fillings and Two Teeth Pulled on a Child in One Sitting
No, it was NOT done under sedation.
Friday, February 04, 2011
Dr. Terrence Vandiver, Small Smiles Columbia, SC Free Screening; Really?
- Correct Buzz words - check
- Mother holding child properly - check
- Child has new shoes - check
- Mother mentions child's first time at dentist-check
- Feet filmed - check
- No one will figure out we all know each other - check
- Mom didn't mind driving from Jacksonville, FL to do commercial - check
Thursday, February 03, 2011
Kool Smiles - National Association of Community Health Centers
Kool Smiles, 1070 St James Avenue # 4, Springfield, MA 01104
Kool Smiles, 2000 S University Avenue # K, Little Rock, AR 72204
Kool Smiles, 5504 E 22nd St # 140, Tucson, AZ 85711
Kool Smiles, 715 Crescent St # 4B, Brockton, MA 02302
Kool Smiles, 5900 E Virginia Beach Blvd #70, Norfolk, VA 23502
Kool Smiles, 1121 Broad St # 12, Sumter, SC 29150
Kool Smiles PC, 4458 Jonesboro Rd, Forest Park, GA 30297-4314
Kool Smiles, 1301 E US Highway 83, McAllen, TX 78501
Kool Smiles, 2001 NE Evangeline Trwy, Lafayette, LA 70501
HHS
Friday, January 28, 2011
Clinic "Owner" Pay Checks
Here is what a typical paycheck for a dentist who is labeled as an "owner" of one of these Medicaid dental mills. This would be for a 2 week/80 hours pay period.
Jane Doe
Regular Pay $7500.00
Administrative Fee $5000.00 (depending on how many clinics they lend their name to)
Bonus $3750.00 (meeting productions goals and file audits)
$16,250.00
Think the "administrative fee" is really "license rental" payments?
DOJ Report To Judicial Committee–FRAUD
January 26, 2011
Assistant Attorney Generals Tony West and Lanny Breuer appear before the Judiciary Committee with a recap of funds recovered on behalf of the taxpayer in 2010. You can read the full statement here.
Needless to say, Church Street Health Management f/k/a FORBA Holdings and their Small Smiles dental clinics settlement came up in the statement. It was one year ago this month that Small Smiles settled an investigation which began in late 2007 with the Feds for $24 million, as well as settled with the state of NY for another $2 million.
Watch full session here, session begins at 28 minutes in, so move slider bar forward.
Senator Leahy says he wants to see these people go to jail, he compares it to a person who steals a car, who goes to jail.
Senator Grassley wants answers about settlements, who agreed to them and if they are nothing more than the cost of doing business.
Me too, Senator Grassley, me too!
Mr. West said when it comes to Corporate Fraud, they wanted to make it a financial deterrent for corporations committing fraud.
Sen. Leahy wanted to know what was being done to put them in jail!
Tuesday, January 25, 2011
Pasadena Texas Dentist Sentenced–Health Care Fraud
Former Dentist Sentenced for Health Care Fraud
Surrendered license to Texas Dental Board
Published : Tuesday, 25 Jan 2011, 4:32 PM CST
PASADENA, Texas - A former dentist operating out of Pasadena has been sentenced to a year and a day in prison for health care fraud on Monday.
What Did the Former Dentist Do?
David Lloyd Gonzales Jr., 47, was accused of fraudulently billing Medicaid for dental work he did not perform, according to a statement from the U.S. Department of Justice . The work included:
- Root canals
- Crowns
- Fillings
- Extracting impacted wisdom teeth
Gonzales Jr. was suspended from the Medicaid program in 2005. He was later tried and convicted on Aug. 2010 of 22 counts of health care fraud, and aiding and abetting health care fraud.
He surrendered his dental license to the Texas Dental Board following his conviction.
Other Punishments in Store for Former Dentist
In addition to prison time, Gonzalez Jr. must also:
- Serve three years of supervised release
- Pay a $2,200 fine for special assessments ($100 for each conviction)
- Pay $103,000 restitution to Medicaid
Gonzalez Jr. has been permitted to remain on bond pending his transfer to a prison facility.
Friday, January 21, 2011
Benefit To Assist Family of Marissa Kingerly, dead victim of Dr. Henry Mazorow
Marissa’s grandmother, Mona, sent me this lovely picture of her and Marissa.
From the Morning Journal
By ADAM MAWSON
amawson@MorningJournal.com
LORAIN — Friends of 13-year-old Marissa Kingery’s family are having a benefit to help her family with expenses due to her tragic death.
“Marissa was our babysitter, and we thought the world of her and my children thought the world of her,” Christina Lilly, who is organizing the benefit with her husband, said. “It’s absolutely devastating. We just wanted…
Concealing Ownership? Good Idea? No
According to the List of Excluded Individuals and Entities (LEIE) it was March 2010 before William A. Mueller, DDS, one of the founders of Small Smiles Dental Centers was excluded from the Medicaid program.
It was August 2010, before Michael A. DeRose, former DDS and another co-founder of Small Smiles Dental Centers was excluded. Why? Why did it take so long?
However, now that each of these individual are excluded, it would be illegal for either to hide under a stack of corporations concealing their ownership and control of any clinic or facility that bills Medicaid for services. Just saying.
Don't believe me, see NY-AG press release July 16, 2009.
So, your doing a procedure …
Thursday, January 20, 2011
Happy Anniversary
It was also announced this day one year ago, that Church Street Health Management f/k/a FORBA Holdings, LLC had entered into a 5 years Corporate Integrity Agreement (CIA)with HHS; same with the OIG in NY.
Only four more years to go.