Tuesday, July 31, 2012

Small Smiles Job posting full of crapola

REGISTERED NURSE

Small Smiles Dental Centers of South Washington D.C.

REGISTERED NURSE (PART-TIME)

SMALL SMILES DENTAL CENTERS OF SOUTH WASHINGTON DC

SEND RESUME TO: [Click Here to Email Your Resumé]

Are you looking for a fun and fast paced environment (there is that “fast paced” term again. Aren’t they in enough trouble for being so “fast paced”) where you can make a difference in the lives of others? Then join our team at Small Smiles Dental Centers where we fulfill a very special undertaking-providing superior dental care to underserved children and young adults between the ages of 2 and 20. Our company mission speaks for itself - "We give America's kids the smiles they deserve". (they actually trademarked this term)

Small Smiles Dental Centers, the nation's most experienced dental provider (it’s also the nations most bankrupt and most federally investigated) to children who qualify for government insurance and has been named one of Fast Company Magazine’s 2007 (5 years ago!!!)Fast 50 Companies doing good in the world [LMAO!!!]. We have over 60 dental centers (looks like they are down 12 clinics, that’s not “fast growing”, that’s fast dropping!!) in the United States operating as individual practices (they may be operating as, but they are not individual practices, I can’t believe they are still trying to sell this horseshit!) where each team member takes our mission seriously. In order to accomplish that assignment we must hire great people! And we have an excellent opportunity for an ambitious REGISTERED NURSE to grow our state-of-the-art dental center.

Due to our continued growth, (these folks are delusional!, they have lost 12 clinics in as many months! That is NOT growth! I believe these people actually believe their own hype!) are currently seeking a REGISTERED NURSE. This state-of-the-art dental office provides quality dental care to children and young adults. We offer benefits and bonus opportunity! Spanish bilingual preferred.

Responsible for preparing post anesthesia areas for patients, monitoring patients’ vital signs, administering medications, coordinating planned nursing care with other health care team members, assisting in proper preparation of supplies, medications, and equipment, Patient Management, and Treatment Room Management.

(Scary thought of these people putting out the budget numbers, quotas for the number of sedations required each week. For instance Colorado Springs is “budgeted” $600 per day or an average of $12k a month. DC is “budgeted” $550 per day or an average of $11,500k a month, while Pueblo is "budgeted” $23k a month. However, Charleston SC is where they sedate the most, with a target of $53k a month. So when the clinics don’t make these numbers, what do you think happens? )

 

Requirements

•        Comprehensive and current knowledge of nursing theory and practice.


•        Thorough knowledge of and ability to implement principles of aseptic technique.

  • Knowledge of surgical procedures, techniques and consequent nursing interventions.
  • Knowledge of the policies, procedures, philosophies, goals and objectives of ambulatory surgery
  • Minimum of two years post anesthesia experience desired.

•        Ability to approach his/her responsibilities with a rational, reasoned approach.

•        Must be able to organize and prioritize assignments, duties and responsibilities.

  • Must be able to identify, analyze and implement effective problem-solving techniques.
  • Display initiative, flexibility and adaptability in his/her career approach.
  • Ability to maintain a cheerful, poised, professional manner in the face of adversity.
  • Graduate of an accredited school of nursing, licensed as a Registered Nurse or a Licensed Practical Nurse in practicing state, BCLS certified, ACLS certified REQUIRED

We reward, value [they certainly do] and invest greatly in our team members. All full-time team members are eligible for medical insurance, long and short-term disability insurance, dental, vision, and life insurance after 90 days employment. Additionally, we offer paid time off and 8 paid holidays, retirement plan, direct deposit, and promotional opportunity.

To learn more about Small Smiles Dental Centers, please be sure to visit our website at http://smallsmiles.com.

Remember to ask about our Employee Referral Program.

Energy Edge Technologies Corporation to Acquire 100% of Dutchess' Equity in Union Dental Holdings, Inc.

Energy Edge Technologies Corporation to Acquire 100% of Dutchess' Equity in Union Dental Holdings, Inc.

CORAL SPRINGS, Fla., July 31, 2012 (GLOBE NEWSWIRE) -- Union Dental Holdings, Inc. (Pink Sheets:UDHI) www.uniondental.com/ir -- a provider of multi-state dental services for union members, announced today it was informed by Energy Edge Technologies Corporation (OTC:EEDG) they had entered into a definitive agreement with Dutchess Private Equities Fund, LTD to purchase all of the Dutchess shares of equity, including all warrants in UDHI.

In 2005 UDHI completed and filed a registration statement with the Securities & Exchange Commission for a convertible Debenture and a Senior Note which was all converted into equity via shares of stock and a warrant at a later date. This initial financing was considered by many in the financial industry as "toxic financing" or "Death Spiral Financing" for micro cap stock companies who were trying to build their business models but could not obtain financing in any other manner for their company to go forward other than through the P.I.P.E. (Private Investment in Public Entity) type of financing.

 

Saturday, July 28, 2012

Texas Stakeholder’s meeting cover a lot, offered no solutions.

In case anyone missed the Stakeholder’s webinar yesterday. Here is a link to it:  July 27, 2012 Texas Dental Stakeholder’s Meeting

They talked about patient recruiting. They talked about the criminal behavior and the $10k fines for each of the people who recruit each time they approach a person in one of their vans. But I didn’t hear anything about who was going to start stopping these vans and handing out those $10K “patient recruiting tickets”. They also mentioned how illegal it was to “hire” a company to recruit and it was illegal to work as a recruiter.

They talked about the horrors and trauma small children are experiencing at the massive number of low quality dental centers, like Kool Smiles, Small Smiles, All Smiles, The Smile Center. They even mentioned babies being tied down and traumatized by hundreds of Texas dentists who are committing Medicaid fraud. Needless to say they skimmed over that subject as fast as possible. Mentioned a couple of words about standards and tabled it for later discussion, as they have for the past 10 years! Hey guys, it’s still on the table, don’t you see it!

The attorney for the Texas Dental Board admitted they have the power to make the rules, but didn’t say a word about if they planned on enforcing the rules they already have in place or any news ones they might create.

They talked about the $63 thousand dollars the government is handing out to Medicaid providers, and stressed the dentists are in the category. Then they told how to apply, what criteria must be met and I believe someone gave a count of 461 dentists who have already signed up for their piece of the pie. I’m not sure but I thought I heard applause.

 

by BYRON HARRIS
Bio | Email
WFAA

Posted on July 27, 2012 at 7:42 PM

Updated yesterday at 7:42 PM

DALLAS - As Texas cracks down on questionable Medicaid dental payments, dentists' offices are going dark all over the state.


From 28th Street in Fort Worth, to Eureka Circle in Wichita Falls, to Amarillo, dentists who've already collected money from the state to treat Medicaid patients are now turning away those patients, because the dentists' Medicaid claims are being rejected. There are more than 4,300 Medicaid dentists in the state.


Tens of thousands of patients are affected. In 2010, Medicaid paid for braces on about 80,000 kids in Texas. Treatment commonly takes two years.


Since March, the Medicaid dental is managed by three Managed Care Organizations (MCO's)  which have stiffened standards. One MCO said 91 percent of new claims are being rejected.


Moms whose kids already have braces on their teeth are being told children's braces must come off halfway through treatment, that they must go to another clinic far from home, or that there will be no more treatment whatsoever.


Friday, Dr. John Roberts chaired his first stakeholder meeting as Texas HHS dental director. The old director left after News 8 discovered hundreds of millions of dollars of questionable payments under Medicaid orthodontics.


Dentists learned the three MCO's have different payment rates and differing standards. But the overall impression was that moving forward, the children with braces already on their teeth would receive treatment somehow.


"There are plans in place to continue treatment on patients, to re-evaluate patients, and to complete every patient's braces," said Dr. Robert Morgan of Children's Medical Center in Dallas, who attended the  meeting.
The meeting was also broadcast over the web for reporters and interested parties.


It was not clear how the process would exactly work.
If the state reassigns patients to new dentists, regardless of their original need for braces, it will cost millions for treatment which may have been unnecessary in the first place.


One example is All Smiles Dental Centers, which is being sued by the state for fraud. All Smiles told The Dallas Morning News it is eliminating orthodontic treatment at 13 clinics. One witness in the state's case against All Smiles said 95 percent of the dental chain's claims in a 300-patient sample were fraudulent.
All Smiles did not respond to News 8 efforts for clarification.

Related:

Friday, July 27, 2012

New Mexico Dental Board takes it easy on “Comfort Dental”- yet nails their employees. Same for Perfect Teeth and Birner Dental Management

New Mexico Dental Board takes it easy on “Comfort Dental”, yet nails their employees.

Note in each of these it mentions that the “Comfort Dental” clinic is “owned” by the dentist who is being sanctioned. We know that is pure crapola!  The New Mexico Dental board knows it’s crapola too, but does nothing to the corporation, nothing, nada, zip. 

The dentists are always going to take the fall until you guys get off your asses and speak up! Quit taking an oath to tell the truth and lie about your clinic ownership?  I do NOT understand this! I’m baffled every day by it.

What more can I say that will convince you are your screwing yourself, and your colleagues in the ground! Your chosen profession is going to hell, do something for God’s sake!  Do something for the public’s sake!

Comfort Dental Employee Sean S Phelan, DDS Stipulated Agreement with New Mexico Dental Board

Texas Stakeholders meeting today at 1PM Central time: Orthodontics on the menu.

Click reserve my seat, fill out the form and they will send you a link to the meeting.

http://www.hhsc.state.tx.us/news/meetings/past/2012/072712-Dental-Stakeholders-Meeting.shtml

Medicaid Dental System an Ongoing Challenge

Texas Tribune July 27, 2012

While Texas works to fix a system that allowed dental clinics to charge the state millions of dollars in questionable Medicaid bills, dental providers say impoverished Texas children do not have adequate access to care and that the state’s rocky transition to Medicaid managed care is compounding the problem. 

Concerns over the system will be addressed Friday, when the state’s Health and Human Services Commission holds a "dental stakeholders" meeting in Austin. John Roberts, an official with HHSC, said the dental directors of managed care health plans, members of state government and other state officials will address 14 questions previously submitted by dental providers across the state. One topic on the agenda: "Discussion on orthodontic continuation of care for abandoned patients."

Shannon Ash of Lewisville says her three teenagers haven’t been able to get their braces checked by an orthodontist for two months and are using wax to hold off the pain from wires cutting into their cheeks. After the dental clinic that had gotten state approval to put braces on her children shut down, the children’s new orthodontist told Ash that the Medicaid managed care dental plan assigned to her children by the state didn’t think her children’s braces were medically necessary. Therefore, it wouldn’t reimburse the orthodontist for treatments.

“I don’t have money to take care of the issue, or else I would have had it done myself,” Ash said. “If I had known this [would happen], I would have just let my kids’ teeth be crooked.”

After news broke last fall that Texas was paying millions to dental clinics for fraudulent or unnecessary Medicaid activities, such as putting cosmetic braces on low-income children, the state cracked down. The Health and Human Services Department's Office of Inspector General has put 23 orthodontic clinics on payment holds since October while it investigates fraud allegations. And managed care organizations that began administering Medicaid dental plans in March are placing stricter requirements on dental providers to prevent fraud.

Thursday, July 26, 2012

Gentle Dental dentist has had his license suspended by Iowa dental board; gross malpractice; patients in immediate danger

 

The Gazette

commaleftThe Iowa Dental Board has suspended the license of a local dentist after he allegedly gave a patient too much anesthetic and failed to use proper equipment during a procedure.

Order says Safabakhsh gave patient too much anesthetic, failed to use proper equipment

Masih Safabakhsh — whose listed address matches that of Gentle Dental, 1515 Blairs Ferry Road NE – was charged by the board in December 2011 for “failure to maintain a satisfactory standard of competency, and gross malpractice in the practice of dentistry.”

According to a board order dated July 13, Safabakhsh administered an amount of anesthetic to a patient that “far exceeds the maximum dosage.” The patient was later taken to the hospital for a “medical emergency.” Safabakhsh said he regularly used that amount of anesthetic and said he was unaware of current guidelines for dosage. Safabakhsh also allegedly told staff to change a patient’s record to show he used less anesthetic.

Wednesday, July 25, 2012

Dental coalition pressures HHS for a report on sugar-sweetened beverages and it’s affects on oral health.

A coalition of associations and groups have joined together to ask Health and Human Services Secretary, Kathleen Sebelius to commission a report to evaluate the scientific community’s literature and research on sugar-sweetened beverage consumptions affects on oral health.  Story posted at the ADA website.

Why? Do they think someone is lying about sugar being bad for your teeth?

If you google “evaluation of oral effect of sugar-sweetened beverages” I believe you will find this study has been done numerous times! One as late as 2009, heck it’s only 2012. Has sugar changed that much?

Maybe there is a legitimate reason for this request, I’m no expert, nor do I pretend to be. Sound a bit stupid to me, don’t we all know sugar is bad for oral health? Or are we not teaching this anymore?  Maybe this is just something to keep HHS and Kathleen Sebelius’ busy so HHS is not digging into the massive fraud and abuse happening in dentistry today?

Naw, I’m probably wrong, as usual.

No doubt, the American Academy of Pediatric Dentistry (AAPD) is concerned about our children’s oral health, after all they are in front of Congress on a “regularly scheduled basis” with their hand out, telling lawmaker more taxpayer dollars are needed to give children “access to care” so these cavities can be treated as soon as possible. We all know children’s, teeth are highly susceptible to rot over sweets, right?

Heck Bernie Sander’s recently introduced yet another bill to appropriate more money to treat children who they say go to bed at night with “sippy cups” full of Coke.

The issue is so terrible says the AAPD and the Pew Institute that thousands upon thousands of private equity owned corporate dental clinics have spread across the US faster than a Colorado wildfire. All paid for by the taxpayer and all to combat the cavity crisis this country has had since the beginning of time.

Some states such as Texas have doubled their reimbursement for procedures needed to treat these specific problems.

In an effort to end this crisis, the AAPD has turned a blind eye to highly questionable treatment of children’s cavities by dentists, and in many cases have endorsed such treatment – papoose boards, risky sedation etc.

Organizations pleading for the study are:

  • American Dental Association (ADA)
  • Academy of General Dentistry, (AGD)
  • American Academy of Periodontology,

Tuesday, July 24, 2012

Will Dr. Stein’s patients be compensated? Remember that “tort reform” everyone was so hyped about…?

Guess who picks up the tab if any of Dr. Stein’s patients are infected and any settlement money they might happen to get runs out?

Dentist’s 8,000 patients may never see any compensation from possible lawsuits

Posted on: 6:56 pm, July 16, 2012, by Heidi Hemmat

 

commaleftDENVER — Calls are still pouring into the Colorado Health Department’s hotline, from some of Dr. Stephen Stein’s 8,000 patients who fear he may have exposed them to deadly diseases.

Dr. Stein is accused of reusing dirty needles and syringes over and over again. Doctors say the unsanitary practice could spread blood born diseases like HIV and hepatitis.

But one question the health department’s call center can’t answer is a legal one:  can Dr. Stein’s patients sue him for damages?

Anderson, Hemmat and Levine Attorney, Ethan McQuinn told us, “Yes, they can file a lawsuit.”

McQuinn said all 8,000 of Stein’s patients could sue for emotional distress, and you test positive for HIV or hepatitis B or C, you should be entitled to other damages.

But he said, “most likely it’s not going to be enough money to compensate the amount of people who’ve been affected.”

McQuinn said Colorado has caps on how much money you can get from a malpractice case. And because there are potentially thousands of defendants, the money would have to be split up.

McQuinn also told us in order to win a lawsuit, patients would have to prove they were infected in Stein’s office, “that could be something very difficult to prove,” he said.

And if Stein had fallen on hard economic times, like his run down Denver home seems to suggest, it’s possible he didn’t have malpractice insurance, especially since he hadn’t been practicing dentistry since June of 2011, “if the dentist let his insurance coverage lapse, then while claims can be brought against the dentist personally he may not have money to actually pay.”

MetLife, IMEP and the Raven Maria Blanco Foundation Working Together to Make Dental Offices Safer

Indiana AG files complaint against Muncie dentist nearly two years after drug charges in KY.

MUNCIE — A Muncie dentist’s license to practice is in jeopardy after his conviction on drug charges in Kentucky.

Eric Scott Browning, 610 S. Tillotson Ave., who also maintained a dental practice in Lexington, Ky., was indicted on Aug. 4, 2011, in Kentucky federal court on drug charges.

The charges were filed after Browning documented in patients’ charts that he administered 10 mg of Versed, which induces sedation and amnesia before medical procedures, when in fact he administered only 5 mg and administered the other 5 mg to himself during five months in 2010.

This past December, Browning pleaded guilty to the charges, for which he was sentenced to five years of probation and fined $10,000. The terms of probation require him to participate in a substance abuse treatment program and to submit to periodic drug testing.

Browning’s license was suspended by the Kentucky Board of Dentistry in December of 2010 after it determined he had used the restricted drug for personal use, and after he was witnessed practicing or trying to practice dentistry on Nov. 23 of that year in an “intoxicated state and while under the influence of one or more mind altering substances.”

In November 2010, Browning surrendered his U.S. Drug Enforcement Agency registration.

His license to practice remains suspended in Kentucky, where Browning’s actions were deemed to constitute an immediate danger to his patients.

The Indiana attorney general recently filed a complaint seeking sanctions against Browning’s Indiana license, citing the events in Kentucky.

The attorney general alleges Browning’s illegal use of Versed has a direct bearing on his ability to practice competently in Indiana.

Browning did not return a phone call from The Star Press. He is a diplomate of the American Board of Periodontology, meaning he has achieved the highest level of education in his field. He provides periodontal and dental implant care to patients in East Central Indiana. He earned a degree from dental school and also completed a residency in periodontics.

Contact news reporter Seth Slabaugh at 213-5834.

Written by
Seth Slabaugh
Eric Scott Browning Indiana Complaint

November 2010 – Browning surrendered his DEA license.

December 2010 – KY Board of Dentistry suspended his license.

August 2011 – Indicted on Federal drug charges.

September 2011 – Pled guilty to charges in US District Court – Kentucky Eastern Division. Signed a 5 year contract the the Kentucky Professionals Recovery Network.

December 2011 – Sentenced to 5 years probation and $10k fine. He is subject to random drug screening and not allowed to even have a beer if he so chose.

May 2012- Deputy Indiana Attorney General Darren Covington files a complaint with the Indiana Dental Board.

 

I was always under the impression that the dental boards took up these issues when dentists has problems in other states and if they found criminal behavior they were the ones who turned it over the to the state Attorney General. This situation seems to be bassakwards.

Kentucky is not quick to pull someone’s dental license so this much have been a pretty darn bad situation. 

Here we are nearly August 2012, and Eric Scott Browning, DDS is still licensed and is still able to practice dentistry in IN.

 

KY Dental license lists address as

Premier Periodontics , 3285 Blazer Pkwy Ste 210, Lexington, KY 40509 (859) 264-1854. Operated as Vance and Browning, DMD, PSC, in 2008. Changed it name to  Vance and Shepherd DMDs, MS, PSC in March 2011, with Gregory Shawn Vance and Anna Dean Vance as officers.  Armstrong Vance Center is also associated with this address.

His KY license number is 8594, and is listed as “suspended”. However when looking for disciplinary action documents it says, “There are no disciplinary documents for this dentist “

Why not?

In Muncie, Indiana 188 miles from Lexington, KY Browning operates Browning Periodontics.

From the website:

Dr. Browning received his Bachelor of Science Degree in Biology from the University of Kentucky in 2000.  He went on to earn his Doctor of Dental Medicine Degree at the University of Kentucky College of Dentistry in 2004.  He then completed a three year residency in Periodontics at the University of Texas Health Science Center at San Antonio where he received his Master of Science Degree in 2007.

     In November 2007, Dr. Browning achieved Board Certification in Periodontics, becoming a Diplomate of the American Board of Periodontology.  This is the highest, most exclusive level of certification in periodontology and is achieved by roughly half of the practicing periodontists in the United States.  His Master's Degree thesis focused on the use of a particular bone graft to treat periodontal disease. Dr. Browning is also a published author with publications in the Journal of Dental Research and International Journal of Periodontics and Restorative Dentistry.  His articles involve a laboratory study detailing the effect of inflammation on periodontal bone loss and a surgical study employing the use of a bone graft material (Puros) in the treatment of periodontal bone defects around teeth. 

     When not practicing dentistry, Dr. Browning is enjoying life with his family- ( and a lot of other things!!) wife, Kimberly;  daughter, Reagan; and son, Ethan.  Dr. Browning is also a competitive rugby player and can be found playing the sport on most Saturdays in the Fall and Spring.  He also enjoys reading, studying history, and traveling.

     Dr. Browning is a member of numerous organizations including the American Dental Association, American Academy of Periodontology, Academy of Osseointegration, American Academy of Implant Dentistry, and International Association of Dental Research.

ARTICLES PUBLISHED: 

Evaluation of a mineralized cancellous bone allograft for the treatment of periodontal osseous defects: 6 month surgical reentry. Int J Periodontics Restorative Dent 2009 Feb; 29(1): 41-7.

Omega 3 fatty acid effect on alveolar bone loss in rats. J Dent Res 2006 Jul; 85(7): 648-52.