Small Smiles Again Under Fire in Albany, NY 4-1-08

Attn: State Investigators
If there is a Small Smiles Clinic in your state and you are not investigating them, you should be. There is a clear connection between Medicaid Dental Clinics, Small Smiles and Kool Smiles. At the end of this article you will see exactly what the connection is.


Two Employees Speaks out about Small Smiles Office in Albany New York.

Video May Be Disturbing

Part 1 of Investigation:

CBS Channle 6 WRGB New Albany, New York, April 1, 2008

Picture a young child strapped into a dental chair, unable to move his arms or legs.
As the cold, metal instruments invade his trembling mouth, the boy's heart begins to race: 200 beats per minute. 225. 250.
Now, he's sweating, throwing-up and urinating his pants - frantically scanning the room full of masked faces for some sign the pain will come to an end.
But it does not. The dentist keeps on working
"That's Small Smiles," said Nicole, a former assistant at the Colonie children's dentistry clinic. "Don't bring your kids there."
Speaking on condition of anonymity, former employees Nicole and Holly detailed a list of allegations against the clinic and its lead dentist, Dr. Maziar Izadi. They include:
-Rushing through procedures, even when children are vomiting and urinating

-Allowing children's heart rates to go dangerously past 200 beats per minute

-Performing unnecessary procedures, such as placing crowns on baby teeth that are about to fall-out

-Needlessly placing children under a papoose board, a device that immobilizes their arms and legs

-Discouraging parents from sitting with their children during procedures

-Failing to properly sterilize instruments


"They were constantly pushing production," Holly said. "I think they do it so they can make a fast buck."
Holly and Nicole allege staff members, notably Dr. Izadi, earn lucrative bonuses for achieving certain production numbers - a claim the company denies.
Dr. Izadi did not return CBS 6 phone calls, and ran to his car when approached by CBS 6 reporter Steve Flamisch and photographer Chris Cornell in the Small Smiles parking lot.
A receptionist forwarded our call to Small Smiles corporate spokesman Don Meyer, who said that a review of 40 charts found that all procedures were "necessary and proper." He acknowledged, however, that the doctor who performed the review is a Small Smiles employee, and not an independent expert.

To be fair, Small Smiles did take swift action when informed of allegations that several employees may be using crack cocaine and marijuana, allegedly during their lunch breaks.

A corporate team promptly flew-in from Colorado and drug tested the entire staff. Meyer confirmed there were terminations, but he would not say how many - nor would he say whether anyone had been tested at the time of their hiring. Former employees allege no one is tested.
A government source confirmed that state officials are looking into the list of allegations against Small Smiles.
The company's clinics have also been the subject of news investigations in Denver, Rochester, and Washington D.C.

According to reports, FORBA, LLC began in Pueblo, CO, then was taken over by Sanus, a holding company in Nashville, TN, but a large portion of it's firm would continue to operate out of Pueblo, CO.

Hmmm.. Isn't that where Michael DeRose, DDS, owner of a 3 million dollar home, who was fined $10 million dollars this week lives? Well, yes it is as a matter of fact.

Now isn't William A. Mueller, DDS an old buddy of Michael DeRose's? Well, yes he is, they co-owned several clinics together back in the day. Including Smile High Dental Clinic in Colorado.

Isn't William A. Mueller associated with FORBA, LLC from it's conceptions? Well, yes he surely is. see here . and here And look, a one Edward DeRose in with FORBA. This Eddy could be related to Michael DeRose, well I bet he is don't you?

And look here! See how many founders of Kool Smiles are formerly associated with Smile High Dental Clinics out of Colorado. Looks like at least two. Dr. Tu Tran and Dr. Tim Pham.

And look here. FORBA says he operates 42 clinics and has 750,000 patients a year.

And here is where we find ourselves at Arcapita, Inc. Arcapita Bank. Where it acquired FORBA for 435 million dollars.


I found this at topix:

I work for Kool Smiles, a sister corporation of Small Smiles and all I can say is that their "philosophy" is awfully confusing. They say that they do not NOT allow parents to go back with their children during treatment, yet when we had people from our corporate office visiting us one week, we were reprimanded endlessly for having parents in the back office and they even went so far as to have additional training for employees to learn how to "handle" those parents who want to accompany their child. We also have a consent form somewhere in a packet of forms that every parent is required to fill out every six months, that allows us to use restraint techniques, voice control, and hand-over-mouth on their children - if they are anything like me, they probably don't really read all of the forms they are signing and have no idea of what is really going on with their children in the back office. I can also tell you that it is not just done in the event of an emergency - it's usually done on smaller children who are afraid, and is used to control the child for long periods of time to complete the most dental work possible in the time alloted. I have only witnessed a couple of instances where it was actually beneficial for both the dental team and the patient. The majority of the time the child is terrified, screaming, crying, spitting, and choking thru the entire procedure, while the doctor and the assistant speaks to them in an angry tone, then is sent back out to their parent soaking wet with sweat and exhausted from the ordeal they just went thru. This whole practice is not only traumatic for the patient and upsetting to the parent, but nerve-racking for the dental auxiliary working on the child, which often results in poor quality dentistry. Not to mention the dentisit's they hire are usually fresh out of dental school and are not experienced enough to handle the fast-pace and large patient load demanded of them. I enjoy working with children and I love working with the under-served community because they really need the help and have little other options, but now that I'm starting to see and feel the other side of corporate dentistry, I'm really disappointed - even disgusted at times.

Awe. The Internet is a wonderful thing!

update 3/1/2010

Dr. Maziar Izadi is now practicing what he calls dentistry at Allcare in New York.  Wonder why they hired him, he's a terrible dentist according to all reports.  

Small Smiles Albany New York Investigation Part 2 4-1-08

CBS Channel 6 WRGB New Albany, New York

Small Smiles Investigation Part 2
4-08

Office of Inspector General Reports Wide Spead Fraud In Dental Medicaid Payment-September 2007

To All Dentist and Dental Corporations Exploiting and Abusing Our Children and Stealing Our Tax Dollars For Your Personal Gain and Lavish Life Styles: Big Brother Is Watching As Is This Blogger.

Download and Read The Report Here

Improper Medicaid payments for dental services have been identified periodically by State Medicaid Fraud Control Units (MFCU). In 2004, a MFCU investigation determined that dentists were reimbursed $4.5 million for unnecessary dental services. In 2000, another MFCU identified a widespread fraud scheme by dentists who recruited children to receive Medicaid-reimbursable services, many of which were unnecessary or were not provided.

Thirty-one percent of Medicaid pediatric dental services in the five States resulted in improper payments. In the five States we reviewed, improper payments for pediatric dental services provided during calendar year 2003 totaled an estimated $155 million, of which the Federal share was approximately $96 million.

Medicaid Program, abusing children and elders, and intentionally inflicting bodily injury.

The dentists unnecessarily performed root canals, drilled into patients’ healthy teeth, and completed as many as 20 medically unnecessary filling procedures on the same patient, defrauding the Medicaid program of $4.5 million.

In 2000, Florida’s MFCU investigated a widespread Medicaid fraud scheme by dentists who recruited children to receive Medicaid-reimbursable services. Many of the services were found to be unnecessary or not provided.

In fiscal year 2006, the Centers for Medicare & Medicaid Services (CMS) implemented a program designed to estimate and monitor State and national improper payment rates in the Medicaid program.

In this report, they analyzed Medicaid pediatric dental services provided during calendar year 2003 in five States (Idaho, Indiana, Massachusetts, North Carolina, and Texas).

Nine Dentist Suffer Consequenses of Abusing and Traumatizing Children

Charlotte Observer story

A VERY TRAUMATIC EXPERIENCE FOR THE CHILDREN'

Medicaid dentists disciplined

Probation, reprimands were given before $10 million settlement

KAREN GARLOCH AND GARY L. WRIGHT

kgarloch@charlotteobserver.comgwright@charlotteobserver.com

Christy Dillbeck holds the stainless steel caps and teeth of her son Brandon. Brandon at the age of 4 had 16 teeth drilled out and capped with stainless steel in a scam by local dentists. (original story aired July 2003)

Nine dentists have been disciplined in connection with a Medicaid fraud case alleging they performed or billed for unnecessary dental work on poor children in North Carolina.

Patients as young as 4 years old had multiple teeth pulled and root canals performed during single appointments at Medicaid Dental Center clinics in Charlotte, Winston-Salem, Asheville and Raleigh, according to state documents.

At least two children received 16 pulpotomies, also known as "baby root canals," and 16 steel crowns during the same visit.

"It was a very traumatic experience for the children and their parents," said attorney Darren Dawson of Greenville, N.C., who represents some of the families involved.

"These were children who were 4, 5 and 6 who were told by their moms and dads that they were going to visit with trusted professionals. Suddenly, they're in there for three hours and coming out with a mouth full of steel."

In a settlement announced Wednesday, Medicaid Dental Center, a privately owned chain of N.C. dental clinics, agreed to pay $10 million to the government to resolve allegations that it performed and billed for unnecessary dental work on kids.

Clinic owners and dentists Letitia (Tish)Ballance. DDS of the Charlotte area and Michael DeRose,DDS of Pueblo, Colo., are also serving three years' probation, starting in 2005, by the N.C. Board of Dental Examiners.

The seven other dentists who worked for the clinics received written reprimands in 2005 that will remain permanently in their N.C. files and with the National Practitioner Data Bank.

"It's something that will follow them in any state where they try to practice," said Bobby White, executive director of the dental board.

White said the seven dentists received lighter discipline than the clinic owners because they were inexperienced and essentially following orders. Ballance and DeRose "were the bosses, making decisions and sending it down the line -- `You will do things this way,' " White said. "The board saw that as a mitigating factor."

The seven include three from Charlotte -- Drs. John Lyons, Jeffrey Zieziula and Erron Brady. Others are Drs. Lori Petree and Christopher Ballinger of Winston-Salem, Dr. Heather Berkheimer of Southern Pines and Dr. Michelle Wilkerson of Raleigh, according to the dental board.

None of the seven could be reached for comment Thursday. Several continue to work for Medicaid Dental Center, in the Charlotte office, now called Smile Starters, and elsewhere. Ballinger and Brady now work in private practice.

According to the board's reprimands, Lyons and Ballinger saw patients initially and developed diagnosis and treatment plans. The remaining five dentists performed the treatment. The board accused all seven of doing their work "without adequate diagnostic documentation."

The dental work was done between 2001 and 2003 and involved the children's baby teeth.

Since 2005, the dental board has made unannounced inspections of Medicaid Dental Center, and found the clinics substantially in compliance with its standards.

Spokeswomen for the U.S. attorney in Charlotte and the N.C. attorney general on Thursday would not disclose how many children they allege received unnecessary dental work, how many dentists were involved, or why the government settled for $10 million instead of bringing criminal charges.

Federal and state laws do not explicitly make it illegal for dentists to perform unnecessary work. Such claims are typically left to malpractice lawsuits in civil court. There are laws making it a crime to commit Medicaid and health care fraud in billings.

The settlement agreement doesn't prohibit prosecutors from bringing criminal charges. But when civil settlements are reached, sources said, it suggests prosecutors are not planning to pursue criminal charges.

16 `baby root canals'

One of the children treated in Charlotte was Brandon Dillbeck, then 4.His mother, Christy Dillbeck of Charlotte, said her son had 16 "baby root canals," and 16 stainless steel crowns placed on his teeth during one visit.

"He has nightmares to this day of people holding him down," the 24-year-old mother said. "He had blood all over his shirt. He was covered with sweat. He looked like he was in a trance. He was crying."

Dillbeck said she had taken her son to the dentist to have his teeth cleaned. She was 19 at the time and unemployed, and she took Brandon to Medicaid Dental Center because the office accepted Medicaid.

Dillbeck said she didn't give the dentist permission to perform the baby root canals or place the crowns on her son's teeth.

"What mother in her right mind would give permission to do that to their child all at one time?" she said. "A mother would have to be crazy to let someone do that to their child.

"He had beautiful teeth before. He came out of there, and they were all metal. He was embarrassed for years about how he looked. He wouldn't smile."

Brandon, now 9, has lost his baby teeth and the steel crowns, but his mom worries he may still suffer long-term problems.

Dawson, the Greenville lawyer, said Thursday he represents the families of five children, including Brandon, who received the questionable dental work. Four were patients at a Charlotte clinic, he said.

Dawson and his colleague Harry Albritton are in preliminary negotiations with attorneys for Medicaid Dental Center and the dentists, seeking to reach a monetary settlement rather than go to court.

'Black eye' to profession

The Medicaid Dental Center case gives a "black eye" to the profession, said Dr. Alec Parker, who heads the N.C. Dental Society, the state's professional organization for dentists.

"It's really just hard to understand how (dentists) could justify that," Parker said. "We put our trust in our health care providers, and we expect them to do what's best for the patient."

Part of the problem, Parker said, is that private dentists don't accept many Medicaid patients because the state-federal insurance program for the poor and disabled doesn't provide adequate reimbursement. Dentists also shun Medicaid because it means extra paperwork and frequently missed appointments because patients don't have transportation.

That leaves patients few choices for dental care and pushes dentists who do accept Medicaid to treat large numbers of patients. "When reimbursement rates are as low as they are, it makes it difficult to make ends meet," Parker said. "They feel like they have to overbill and overtreat to make a go of it."

Still, Parker said, if the Medicaid Dental Center dentists knew that what they were doing was wrong, and did it repeatedly, they should be facing "more than just a reprimand."

"People who are trying to take advantage of the system need to know that somebody's watching."

Checking out your dentist

• Ask friends and family for recommendations. Insurance companies and managed care plans usually have a panel of dentists.

• After obtaining names, check to make sure they are properly licensed and have clear records.

• N.C. dentists are licensed and disciplined by the N.C. Board of Dental Examiners: www.ncdentalboard.org; 919-678-8223.

• S.C. dentists are licensed and disciplined by the S.C. Department of Labor, Licensing and Regulation: www.llr.state.sc.us; 803-896-4300.

• Ask about costs and why procedures are necessary and if there are alternatives.

Remember the names of these dentists, they have been involved in Fraudulent Medicaid Billing and Performing Unnecessary Dental Procedures on Children, likely strapping them down in restraints for hours at a time in a papoose board, traumatizing children and abusing them, all for the love of money and greed!

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

Ocean Dental - Dr. Chad Hoecker-Another Medicaid Dental Chain

At the regular February 2008 meeting of the Board Of Dentistry State Of Oklahoma the board considered the following :

14. Consideration and possible action to initiate investigation, adopt Statement of Complaint, and
schedule hearing involving CHAD BRANDON HOECKER, D.D.S. [RPHoopes/
Newsome]

The next meeting is scheduled for May 16, 2008.

At this time this blogger is unable to find out exactly what the "Statement of Complaint" including but rest assured will continue to investigate this.

Source: Zoom Info Business People Information
Dr. Chad Brandon Hoecker:

Dr. Chad Hoecker is a 1991 graduate of Oklahoma State University, earning a degree in Finance. Following graduation from OSU, Dr. Hoecker successfully operated a real estate and advertising business in Dallas, Texas. A continuing interest in dentistry led Dr. Hoecker back to school to complete his science requirements. Once his requirements were filled, he applied to and was accepted by the Baylor College of Dentistry.

After graduating with his D.D.S. in 1998, Dr. Hoecker opened his fee for service practice in Stillwater, Oklahoma. Shortly following the start of his practice, he recognized there was an unmet need for dental care amongst the lower socioeconomic group in the community. This knowledge and his desire to help led him to open his traditional practice to Medicaid.

Over the next few years Dr. Hoecker used his business/finance background to help him develop a business model focused on Medicaid only clinics. In 2002 he opened his first Medicaid only clinic in Enid, Oklahoma. His second such clinic opened in Oklahoma City in late 2003.

Today his business model has allowed Ocean Dental the opportunity to offer dental services to children in nine different clinics in Oklahoma. Because of Dr. Hoecker's vision, drive, and compassion, Ocean Dental professionals are currently treating thousands of children each year in Oklahoma and will soon open offices outside of the state.

The current COO of Ocean Dental is Joe Akin, former director of International Marketing of Stillwater Designs, Stillwater, OK.

The airplane hanger for Ocean Dental's Corporate jet/jets, being built as mentioned in a previous post, is on land leased under the name Stillwater Storage LLC., PO Box 98, Stillwater, Oklahoma, 74076, as seen here.

As of the date of this post there are 25 Ocean Dental Clinics in the following states:

Oklahoma
Ohio
Arkansas
Iowa
Kentucky
Indiana
Texas

There just seems to be a whole lot of Medicaid dollars, federal and state distributed, to keep so many of these clinics in business; Small Smiles, Kool Smiles, Medicaid Dental Center, Smile Starters, Ocean Dental to name a few.

Evidently there is some serious money to be made abusing our children , (with unnecessary dental work, and strapping the children down in papoose boards) and milking the medicaid system via dental treatment in the guise of treating the needy.

It sickens me beyond belief that these corporations represent themselves as loving, caring and wanting to really help our under underprivileged children.

As I see it these Dental Chains are frauds on many levels.

Medicaid Dental Center aka Smile Starters Pays $10 Million For Medicaid Fraud

by: Mark Boone

CHARLOTTE, N.C. -- The owners of a chain of dental clinics, with offices in Charlotte, will pay more than $10 million in response to a federal investigation into alleged Medicaid fraud, the U.S. Attorney’s office said Wednesday.

The owners of the company formerly known as Medicaid Dental Center did not admit to any wrongdoing as part of the settlement, said attorney James Wyatt.

As first reported in a WCNC investigation, some parents complained they took their children to the Medicaid Dental Centers on Freedom Drive and N. Tryon Street for what they believed to be routine visits.

The Charlotte offices are now operating under the name ‘Smile Starters.’

Wyatt said the clinics are under new management.

Christy Dillbeck, a west Charlotte mother, said she was asked to wait in the lobby of a Medicaid Dental Center as a dentist placed her then-four-year-old son on a papoose board, a device used to restrain children.

The dentist then drilled into 16 of her son’s baby teeth and installed steel caps, without her knowledge, she said.

“That’s a lot, a lot of work,” Dillbeck said. “And to imagine all of the children that had to go through what my son went through, it breaks my heart to even think of it.”

At least six other families contacted WCNC with similar allegations.

In a statement issued Wednesday morning, U.S. Attorney Gretchen Shappert said Medicaid Dental Center performed “baby root canals,” which were not medically necessary.

The procedures were performed between 2001 and 2003, Shappert said.

“The dentists subjected their child patients to invasive and sometimes painful procedures, often for the sake of obtaining money from the North Carolina Medicaid program,” said Jeffrey Bucholtz, an N.C. Assistant Attorney General.

Dentists Letitia Ballance and Michael DeRose are named in the government settlement as co-owners of the Medicaid Dental Center.

Wyatt, who has represented Ballance and DeRose in both federal and state inquiries, said they are no longer working as dentists in Charlotte and are in the process of selling their North Carolina dental practice.

Federal authorities said Medicaid Dental Center and its owners will reimburse the government at least $5 million for the allegedly false claims and another $5 million in fines.

A portion of the settlement amount will be distributed to the N.C. Education Fund.

None of the settlement money will go to the parents of the children who underwent the treatment, said attorney Darren Dawson, who represents five families which are considering a lawsuit against the company formerly known as Medicaid Dental Center.

Wyatt says the clinics are under "New Management".

This blogger wants to know exactly "who" or "what company" is doing all this new management?

An educated guess would say FORBA, but this blogger has not confirmed this at all. But it is clear that Dr. Michael DeRose sold (so he says) to FORBA, and it is clearly reported that Dr. William A. Mueller, Dr. DeRoses' cohort, is associated with FORBA Dental Management, more on this below.

This same type of practice by the DeRose's and Medicaid Dental Centers and the various other names that were used, was in play as far back as 2004 in Colorado. see here.

According to various reports the DeRose's sold their interest in the Colorado dental clinics to FORBA Dental Management in 2006. Either the DeRose's and Forba are in cahoots together or Dr. Micheal DeRose and his clan just moved to another state and opened the same type of Medicaid Scam dental clinics in North Carolina.

Dr. William A. Mueller, at least at one time was in with Dr. Michael DeRose and we know that Dr. William A. Mueller and FORBA are in bed together, see here.

It's clear there is a connection between all of these dental chains. As reported in this blog in a prior post, Dr. Michael DeRose owned and operated one clinic that went under the name, Smile High in Denver that was part of the entire dental clinic chained owned by Mueller and DeRose.

From documents at the Kansas Dental Board, Dr. Michael DeRose, DDS had been sanctioned in North Carolina in December 2005.

In Sept. 2006, the Kansas Dental Board took action to enforce the North Carolina Order and another hearing is set for December 2008 to see that all conditions of his probation are met. North Carolina ordered him to show and demonstrate the use of a papoose board prior to strapping any child in one.

We also know Dr. Mueller in prior years had been sanctioned by the Tennessee Dental Board, yet in the end we find him in bed with FORBA headquarted in Nashville, Tennessee.

Dr. William A. Mueller has also been sanctioned by Oklahoma's State Dental Board. See here.

This blogger also discovered that Dr. Tu Tran, is one of the founders of Kool Smiles as reported on Kool Smiles website. see here, was the lead dentist at.... are you ready..... Smile High Dental Clinic in Denver, co-owned by Dr. Michael DeRose and Dr. William A.Mueller.

By the way, Dr. William A. Mueller it is reported here that:

Dr. Mueller was charged with gross malpractice for over-using papoose boards on children in his clinic in Memphis Tennessee.


But the Tennessee Dental Board dropped those charges against him.


However, the board voted to reprimand Mueller for false and misleading advertising in his clinic there.

When googling Dr. William A. Meuller, DMD or DDS you will find several listed, but the two that stood out to me was "Chief Of Dentistry" at the Children's Hospital in Denver, and another address at St. Jude's Children's Hospital in Memphis. There is also a review of some children toothbrushes called Kindertools, where a one Dr. William A. Mueller, DDS reviewed the product and listed himself as being: Chief of Dentistry, University Of Colorado Health Science Center. see here.

There is a clear connection between all of these Dental Clinic's.


Dr. Michael DeRose, Dr. William A. Mueller, Dr. Tu Tran - Smile High Dental Clinic


Dr. Tu Tran goes to - Kool Smiles
Dr. William Mueller - FORBA - Small Smiles
Dr. Michael DeRose - Medicaid Dental Center

One would think that Drs. DeRose and Mueller would have learned their lesson about abusing children and the medicaid system since they actually were named in connection with the death of 4 year old Jonathan Barrera in Arizona at one of their co-owned dental clinics.

The Dental Clinics and Dr. Michael DeRose were being investigated as to their practices in treating children and all the vast amount of money they were raking in as far back and 2003. see here.

Here is what Medicaid Dental Center had to say in 2003.

All of this is right on the heals of FORBA Small Smiles questionable practices in Kansas.

Dr. Michael DeRose and Letitia Ballance also have clinics under the name of Carolina Dental Center.

Very Graphic Interview -Children Leave Dentist Office With Extreme Bruising

WARNING:

This video is extremely graphic and may be very disturbing!

Click Here To See Video 
Sorry, the video has been removed.

These Clinics were owned/are by Dr. Michael DeRose and Dr. William Mueller.

A child died being treated by Dr. Matthew C. Nolen, trained at clinic owned by Dr. William Mueller.

Dr. Ed DeRose owned the one clinic named "Smile High Dentistry"

According to public records, Dr. Tu Tran from "Smile High Dentistry" in Colorado moved on to become Chief Dentist for Kool Smiles.

Small Smiles Clinic Investigation Report, Methods Crticized-Wichita, KS

In Kansas, Corporate Dentistry is Illegal and that is exactly what Small Smiles, Operated by Forba Management is doing. Other dentists wants these people gone and have filed complaints of Corporate ownership against Small Smiles Clinics in Kansas.

Forba is saying someone else owns the clinic in question, and they just "manage it" but the Kansas Dental Board is looking into this as we speak.

At the Forba website they do not list the clinics locations in Wichita, Topeka or Kansas City, However, job opening for these locations are listed at Forba. Obviously, Forba Small Smiles is trying to operate under the radar of Kansas Law.

Want to take a guess as to what shined the light on these crooks, Using Papoose Boards on Children!

They better be looking into Ocean Dental, as they have clinics in Kansas as well!

Read the FULL and eye opening story below.

What have I been trying to tell everyone!

Dental Clinic's Methods Criticized
The Wichita Eagle (Wichita, Kan.)
2008-03-16

By Karen Shideler, The Wichita Eagle, Kan.
Mar. 16--A Wichita dental clinic that serves mostly low-income children is drawing criticism from some parents and other dentists, in part for using procedures that the critics say traumatize its young patients.
They say Small Smiles Dental Clinic of Wichita routinely restrains children during treatment, does not allow parents to accompany their children to treatment and does work that doesn't seem necessary.
In addition, the dentists are concerned that Small Smiles tries to give the impression it is staffed by dentists who are specialists in children's care. And, they say, it is corporate dentistry, a practice not allowed in Kansas.
Small Smiles dentist Reza Akbar, in an e-mailed statement, said, "We are proud of the high-quality, compassionate care we provide.... Last year, we served more than 11,000 children, and the feedback I have received has been overwhelmingly positive. I am unaware of any concerns raised by parents."
Akbar is the owner of the clinic, according to a Small Smiles spokesman.
Small Smiles, which opened in 2005, turned down requests for interviews or visits. An out-of-state spokesman for Small Smiles, who asked not to be named, said by e-mail, "This is a concerted effort by the company to focus on patient care in the midst of recent scrutiny."
In November, ABC News and an affiliate ran stories about Small Smiles offices in the Washington, D.C., area. The stories told of frightened children, the use of restraints and the prohibition of parents in the treatment area -- the same concerns echoed by parents and dentists in Wichita in interviews with The Eagle.
Many Medicaid clients
Small Smiles' advertising notes that it serves Medicaid and HealthWave children. The Small Smiles spokesman said 98 percent of Small Smiles' Wichita patients have Medicaid or HealthWave, programs that provide medical and dental coverage for low-income children and some others who meet income guidelines.
Many dentists do not accept Medicaid patients or accept only a few because the reimbursement for their care is less than what is paid by private insurance. But Crystal Walker, a pediatric dentist, said four of the five pediatric dental practices in Wichita do accept Medicaid patients. Some general dentists also take those patients, and dental care is offered to Medicaid patients at GraceMed and some other clinics.
In 2007, Small Smiles got more than $4.5 million in Medicaid and HealthWave dental payments from the state, according to the Kansas Health Policy Authority. The clinic declined to say how many dentists it employs.
The clinic uses what amounts to assembly-line dentistry, some say.
"They go in, they do the cleaning, they do the diagnostic, they get everything done that they can in one day," said pediatric dentist David Brown.
"It was like an assembly line," said Shelbi Meisch, whose daughter was a Small Smiles patient. "There was just nothing about the experience that felt like you were getting good care."
Restraining patients
Though parents said they were not allowed to accompany their children into the treatment area, the Small Smiles spokesman said that's not policy: "Parents decide in consultation with their dentist whether or not to be present during their child's care," his e-mail said.
Jeff Davis said he and his wife were asked to sign a consent form giving Small Smiles permission "to do everything from yell at the child to physically restrain them to tie them down."
Meisch, as well as Delicia Akbar, whose children also were Small Smiles patients, said uncooperative children -- including theirs -- are immobilized in a "papoose board." Akbar isn't related to the Small Smiles dentist.
The Small Smiles spokesman provided a copy of a consent form used at Small Smiles in Rochester, N.Y., and said the one in Wichita is similar.
It asks parents to agree to "protective stabilization," described this way: "The child is wrapped in the device and placed in a reclined dental chair." Pictures on the form show a child with what looks like a blanket and a shaped back piece.
Medical suppliers describe a "papoose board" as a rigid board with wide fabric straps that have Velcro fasteners. Separate straps hold limbs inside the wrap, providing a snug-fitting restraint that immobilizes the patient.
The Small Smiles spokesman said, "Our records indicate that protective restraint was used in fewer than 3 percent of all patient visits in Wichita last year."
Akbar took her three children to Small Smiles. She read and signed the consent form "but my understanding of the restraint was not something.. to strap them down." She said the papoose board was used on her 9-year-old.
"I didn't even think anything negative until the kids came out and told me what happened," she said.
Papoose boards have a limited place in dentistry, three Wichita pediatric dentists said, and may be appropriate for special-needs children, for example. But there are other ways to get children to cooperate, they said. They don't use papoose boards.
Walker said she uses a "tell, show, do" approach to familiarize a patient with treatment. But she said that nearly every former Small Smiles patient "will not even lay in the chair" at her office because they're so frightened. Many need sedation for routine care because of their fear, she said.
Concerns about care
Another pediatric dentist, David Brown, said his main concern is "the patients that leave there absolutely terrified." In addition, he voiced concerns about the care provided. He said he has had parents who were told at Small Smiles that their child had seven cavities, "and I personally have not been able to find seven cavities."
Meisch said Small Smiles dentists wanted to put crowns on several of her daughter's teeth, including two front baby teeth that were loose. She said she asked that those two teeth be pulled -- and the dentists pulled others as well, including a molar that has necessitated a dental spacer. "They didn't listen very well," she said.
The Small Smiles spokesman said the clinic provides care according to the guidelines of the American Academy of Pediatric Dentistry. "The appropriate treatment plan is determined by dentists and is based on the dentists' professional judgment," he said in the e-mailed statement.
Small Smiles' advertising says it provides care to "children from their 1st tooth through age 20."
Only dentists who have had extra training may call themselves pediatric dentists.
"They do seem to market to children," said Betty Wright, executive director of the Kansas Dental Board. But by noting at the bottom of its ad that its dentists are general dentists, Small Smiles complies with Kansas law, she said.
Corporate connection
Nationwide, Forba, a dental management company based in Nashville, Tenn., owns Small Smiles. Its Web site does not list the clinic in Wichita -- or the ones in Topeka or Kansas City -- among its locations. But job openings for all three sites are posted on the Web site.
The Small Smiles spokesman said Akbar owns the Wichita clinic.
"The clinic receives assistance regarding marketing, human resources, policy, information technology, collections, and other administrative functions under a management services agreement with Forba," his statement said.
Kansas law prohibits corporate dentistry, in which a practice is owned by someone who doesn't practice there.
Wichita orthodontist Kendall Dillehay said he had filed a corporate ownership complaint about Small Smiles. He was told his complaint would be investigated and that he'd be informed of the results.
Dental complaints are investigated by the Kansas Dental Board. For action to be taken, Wright said that she would need to see evidence that Small Smiles is not owned by Akbar.
Wright said no disciplinary action has been taken against Small Smiles or its dentists, nor were there any pending disciplinary orders.
Investigations are confidential, she said, so she would not say whether any were or weren't under way.
Reach Karen Shideler at 316-268-6674 or kshideler@wichitaeagle.com.

-----




Here are just a few comments from parents who have been to the Small Smiles Dental Assembly Line Clinic:

1. I worked at Small Smiles when they first opened in Wichita. It was no less than hell on earth for children. They do everything and more to the kids that is mentioned in the article. I quit within 2 weeks because it broke my heart to work there. I would never recommend anyone to take there child to this office.
2. This sounds like child abuse to me. They should be thoroughly investigated like Tiller was. Where is the justice in supporting unborn babies? Why don't they support those whom are already born? Nola Foulsten needs to look into this business. Whether parental consent was given or not. Kudos to the previous poster for quitting. When my daughter got braces she told me she had friends who had went there and that the people there were extremely mean. I'm glad I took my kids both to Dr. John Hullings he's the greatest orthodontist in town. Front office staff isn't so nice, but the ones working on your teeth can't be beat. I've never been not allowed to view any and all treatment my kids' received.
3. Reza Akbar??? It sounds like third world dentistry to me, where abuse and a lack of civil rights are a way of life. And if, as they say, "And, they say, it is corporate dentistry, a practice not allowed in Kansas", why is it being allowed. This place of torture needs to be shut down. The trauma the children are being subjected to will follow them the rest of their life. I am 65 and still don't like to go the a dentist because of bad dental experiences as a child. WAKE UP WICHITA!!!!
4. So Small Smiles takes medicaid, a govt. program. It looks like the govt. and medicine are great together. It will be wonderful when the government takes over health care via Obama or Clinton.

There are many other Small Smiles complaints at the Wichita Eagle, you can read them here.

Dr. Mohammad Akbar, Peublo, CO. in the name of Small Smiles of Wichita Health Care contributed to State Representative Candidate Bob Bethell 2006 Campaign. See Here

Think maybe Mohammad Akbar and Reza Akbar are related or one and the same person?

Ocean Dental Corporate Jet Hanger Under Construction

And so many dentists tell us the government doesn't reimburse them enough to take on children on medicaid.

These guys, like Small Smiles and Kool Smiles have made it the primary business, and business is looking pretty darn good!

Are they strapping down the children to do the work is what I want to know!!

Thanks for the "heads up" anonymous!

photo by: Gary Johnson

I knew something was going to break about these people soon. They visited this site several times a day when this blog first went up. I had never heard of Ocean Dental until I started posting about a local dentist using a papoose board. Then all these medicaid stealing dental clinic started showing up on my blog stats, which in turn got me to looking into why they were so worried I was ticked off about a papoose board!

Reg flags were flew up like a covey of quails!

FORBA - Small Smiles Closing Dentist Office

Newburgh, NY

Six months after a dental office opened in Newburgh to treat the region's most vulnerable, it will close. Small Smiles Dentistry of Newburgh had barely gotten started. The practice treated patients in a blank-faced office complex southwest of Delano-Hitch Park and specialized in treating Medicaid patients 20 years old and younger.

Employees learned the center would close when one of their corporate bosses showed up last week to deliver the news. Staffers knew too few patients had come through the doors, but they had hoped for more time.

Of the 70 Small Smiles offices across the country, Newburgh's will be the first to shut down.

Hopefully they will start to fall like Dominoes! There is always hope!

Michael A. DeRose- Health Care Reform Act Elector

New York State Department of Health

What is it?

This is what is says at the site:

Below is an alphabetical list and Excel Worksheets of organizations that have voluntarily elected to make public goods payments directly to the Department of Healths Pool Administrator. To be included on the list, an organization must have elected in conformance with HCRA provisions and Department requirements. The current list is tentative, conditional upon review and acceptance of the information submitted by the payors on their election applications. This list will be updated monthly.

Effective April 1, 2008

Here is the link to see where he is listed click

I'm not sure what this is, but using the words "conformance" and "Michael A. DeRose" in the same sentence raises my suspicions, what about yours?

The info at the link says:

Effective date (for mikie) is July 2007

Michael A DeRose, DDS, PA

Charlotte, NC

Contact Info is: Ryan Root at (704)395-6000

Congressman Dennis Kucinich Call Small Smiles a Dental Mill

Congressman Dennis Kucinich said Small Smiles?FORBA had found way to make money off poor children by creating dental mills to make a buck while blasting Medicaid for not doing more to improve dental care for children on mediciad.

"Medicaid Officials in Congress [02/14/08]"
-----------------------------------------
Small Smiles - Congress

A year after 12-year -old Deamonte Driver died of tooth decay, Medicaid officials were called before congress in February to explain what they've done to improve access to care for poor children.

Four out of five dentists refuse to treat Medicaid patients because reimbursement rates are so low. The congressman heading up the hearing blasted Medicaid for doing little to improve rates.

He pointed to the I-Team's reports on Small Smiles Dental clinics as an example of what can result.

Congressman Dennis Kucinich said "Small Smiles conceived of another away to make a profit: a
predatory mill where multiple, sometimes unnecessary procedures are imposed assembly line style on children for little regard for their welfare or proper dental practice."

Medicaid officials told congress today they are trying to make more dentists available for poor children, but conceded they have a long way to go.

FORBA hires another PR Firm

It appears FORBA, LLC Dental Management aka Forba Holding, is scrambling to do as much damage control as possible in light of the disturbing allegations with it's Small Smiles Dental Clinics.

They have hired yet another public relations firm, in Nashville, TN. McNeely, Pigott & Fox.

Wonder if they fired Rubin, Meyer or they feel they need as many public relations firms as they can hire.

After Donald Meyer was the person who sent the response to WJLA TV when the I-Team Investigation report came out exposing how Small Smiles Dental Clinics were abusing our children and our medicaid program. You can download that statement here by clicking on Froba Dental Mngt. Statement.

Kiely's Dental Abuse Update 4

Bullhead City Lawyers!

March 4, 2008

What a joke!

I called so many of them and ALL of them TURNED ME DOWN! They either didn’t do anything with kids or they wouldn’t help us because she has “No permanent physical damage.” I even had one guy tell me that “we are a busy and big law firm and since it was just restraints with no physical damage besides the petechiae then we can’t help you and no other law office is going to.” What a dick he was! ugh.

I can’t believe there isn’t ONE lawyer in this area that will help CHILDREN that have been TORTURED and ABUSED!!!!!!! It’s ridiculous! Someone needs to stand up for kids.

Small Smiles-FORBA-DeRose Update From Roberta Baskin, WJLA TV

More Damning Evidence Keep Pouring In to I-Team Investigation.

Don't forget, even though this local investigation mentions Small Smiles, they go under the Name Smile Starters Smile High, Medicaid Dental Centers, FORBA, DeRose Children's Dental Center, Small Smiles Center/Clinic of Pueblo, and others. And if you read below in my previous post, more of these Dental Offices catering to children are jumping on this same bandwagon! Beware!

February 28, 2008

Roberta Baskin, of WJLA TV, broke and continues to follow the Small Smiles Dental Abuse and Fraud Investigation. Here is the transcript of Roberta’s latest installment.

ANCHOR:

RESTRAINING CHILDREN, PERFORMING UNNECESSARY TREATMENTS, HIRING UNLICENSED XRAY TECHNICIANS... THESE ARE ALL EXAMPLES OF THE SUB-STANDARD DENTAL CARE OUR I-TEAM FOUND AT THE SMALL SMILES CLINICS IN THE WASHINGTON DC AREA, AND ACROSS THE COUNTRY. WE'VE BEEN TELLING YOU HOW THE CHAIN OF CLINICS PLACES PROFIT OVER COMPASSIONATE CARE FOR MEDICAID CHILDREN. NOW ROBERTA BASKIN AND THE I-TEAM HAVE UNCOVERED MORE.... ROBERTA?

ROBERTA BASKIN:

SOME OF YOU WHO SAW OUR EARLIER REPORTS HAVE COME FORWARD WITH NEW EVIDENCE OF THE SMALL SMILES SCHEME TO BILL THE TAXPAYER-SUPPORTED MEDICAID PROGRAM FOR WORK THAT WASN'T NEEDED - OR WASN'T EVEN DONE.

STORY: Six year old Kayla Mason brushes her teeth day and night.



She's never had any cavities. That's why her mother, LaTasha Mason, was dismayed when dentists at Small Smiles in Oxon Hills said they found THREE.

LaTasha Mason-"I was like, oh my goodness, I was surprised, I really was. And they were like, well, the lady that called me back, she was like, well that's nothing compared to what we usually see."

She then had Kayla examined by a different dentist.

Mason-" And she gets up to leave and I'm like , well, what about the cavities?"

Turns out, there weren't any.

Mason-"I was really astonished, to say the least."

Mason is upset Small Smiles planned to drill into her daughter's teeth for no other reason than to profit from it.

Mason- "It's, it's just sickening." "(that's) the only thing I can think of, why they would want to drill in these baby's mouths, is for money."

Particularly upsetting is her feeling that Small Smiles lied to her.

Mason- "One maybe, that could have been an honest mistake. But three? Absolutely not. Three is not a mistake, I'm sorry."

And when this family went to Small Smiles for a check-up, dentists saw four girls - and apparently 24 cavities.

Cheryl -" I felt like a bad mother." Cheryl assumed her children hadn't been brushing.

Roberta -"Were you in trouble?"

Rachelle -"Yes"

Cheryl -"I told them all of their teeth were going to fall out if they don't listen to me and brush their teeth. I called them "yuck mouths."

Roberta -"Yuck mouths?

Cheryl-"Yuck mouths."
Most of the work was completed, except on Rachel, who was told to come back for several more fillings. In the meantime, Rachel's mom heard about our Small Smiles investigation, and switched to Dr. Robert Camps.

Dr. Robert Camps - "I'm glad it wasn't done, because it shouldn't have been done. Roberta -"Four fillings that she would have gotten on teeth that are perfectly fine."

Dr. Camps -"Correct."

And that's not all. When Dr. Camps examined Rachel and her sister Rebecca, he realized - Small Smiles didn't DO all the work they charged for.

Rebecca's chart shows 8 cavities filled…but that's not what she remembered. "I didn't see any drill or hear any drill.

Roberta -Did they numb you?

Rebecca -"I didn't feel a numbing (or anything)."

And Dr. Robert Camps didn't see the work either. "these are not fillings." "I feel like they did more like a sealant, (where they didn't really drill into the tooth)." To be sure, Dr. Camp took x-rays.

Plea from I-Team, asking the public to keep the stories coming I, please help I-Team help the children. You are the eyes and ears! click here

ABC 7, WJLA TV is in the Washington, DC area, so all of our law makers watch this news.

Report by phone at 703-236-9559

Update 2 and 3 Kiely and Dr. Mike Kort-Kids Little Smiles

February 29, 2008 (Update 3)

We called the police last night and filed a report. The officer said to get a lawyer and go to the dental board because they can do more damage then he could. I already had the papers to file a formal complaint with the dental association board. I’ll be filling that out today. I will keep my blog updated with any and all progress!

Read more here along with comments:

February 28, 2008 (Update 2)

So my dad and I went to the dentist office at 11 to talk to Dr. Kort. He said that Kiely was really worked up so they had to restrain her by having 2 nurses hold her down but otherwise she did really well. So we talked about the petechia a bit and he said it’s from her “fussing” during the procedure. Then we asked about the “blue jacket” [Kie’s words] and told him that she has brought it up 3-4 times now and she’s sticking to her story. So he fessed up that they had to use restraints on her [called a popuse]. I told him that I never gave consent to restrain her. He said that the nurse wrote it down that it was ok so he did. I told him again that it was NEVER mentioned to me and that I would NEVER consent to anyone restraining my kid! My mom was with me yday when I asked them what was going to happen and not ONCE did she mention restraints of any kind. He said that it could’ve been mentioned about wrapping them or something and I again told him NO, nothing like that was mentioned to me! My mom verifies it was not mentioned. He told me that they use the popuse to protect the kids while he works since he has needles and drills going he doesn’t want them to get hurt. I feel that there is a better way then restraining a child w/o the parents consent! At least let the parents try to calm the child. Then I told him that I did not appreciate his staff writing me off and ignoring my concerns. Telling me that the petechia was a latex allergy and then taking her in the back and coming back saying that he told her it was just a latex allergy. And then to ignore my concerns when it got worse an hour later. He told me that he was sorry that I felt that I was written off and that we had such a bad experience and I was free to take her somewhere else. He also said that he knew it wasn’t a latex allergy because it was only around her eyes.
I feel that he has no idea what he’s talking about. His staff lied to both of us or at least me. And it’s just wrong.

Kids Little Smiles, Bullhead Arizona Another Dental Torture Chamber

Here is a story of Kiely. A child who visited Kids Little Smiles Dentistry For Children, Bullhead, AZ.

I don't know if Kids Little Smiles is another one of FORBA/Araptica Bank's torture chambers but if it walks like a duck, it could be one. However, it could be just another dental chop shop for children that has found a way to actually make money torturing children.


Kiely's Trauma Story at the hands of the dentist, Dr. Mike Kort pictured above:

On 02/27/08 Kiely had a dentist appt with Dr. Michael Kort with Kool Lil Smiles Dentistry for kids on Miracle mile.
When the nurse came to get Kiely and take her back Kiely wanted me to go but the nurse said that she had to try and go w/o me and told her “I will come and get mom in a minute if you still want her.” Well she never came back to get me.

When Kiely came out from her procedure she was dripping sweat, her eyes were swollen and she had these small red dots all over them. The nurse said “She had a little bit of a hard time.” She also said “we gave her the nitros but she didn’t like it so we gave her some oxygen to flush it out of her system.” I asked what was wrong w/her eyes and the nurse told me she will take her back and call me in to talk to the dentist in a minute, well she only took Kiely back and came back a second later and said that the Dr said it’s a Latex allergy but they think it might be from the nitros mask. I told them “She doesn’t have a latex allergy.” The dentist wouldn’t come talk to me.
They told me to watch it and if it gets worse to let them know. So I called them about an hour later b/c her right eye was turning blue and bruising and the dots traveled to behind her ear and her eyes were still swollen. The same nurse then told me “It’s just a latex allergy and it’ll go away.” I asked if I could speak or come and see the Dr and she told me “He already left for the day but if it is still there in the morning to bring her in and we will treat her as an emergency.” I asked if I should be giving her some benadryl since it’s an allergy and she said “I can’t give you that kind of advice but if you feel you need to.”

So I hung up and I did NOT give her any medication except the tylenol w/codeine for her pain. So I took her to BHCFD [since my dad is a captain there and he was on duty]. I had 4 paramedics tell me it’s petichiae from someone putting too much pressure on her face [they see this in the ER when a child had been suffocated w/a pillow]. So then we are eating dinner and she starts telling us that they were ignoring her when she told them it hurt [when they were drilling] and that when she asked them to get me they ignored her again! Then she told us that they didn’t put a mask on her but they put a white jacket that held her arms down. And that it hurt her and she was scared.

The nurse did NOT tell me nor did they ask me if they could use this type of treatment on my child. Even after the fact they didn’t tell me. So this morning [2/28/08] after She woke up I took her straight to her pediatrician [Dr. Nalia Tariq].
She confirmed that it was petechia from too much pressure. But she thinks it’s from the jacket b/c Kiely was trying to get out of it and freaking out. So I went to the dentist office and got copies of all her medical records and consent forms. They are useless and don’t say a thing. So I asked if I could talk to the dentist and they said he isn’t in yet and won’t be until 1030 but I could come back at 11 and he should have a few minutes to talk to me. So i will be leaving in a few minutes.

Ca Ching!

I would suspect since Dr. Charles Lucero and Dr. Nate Urquhart work there they would be guilty of this type of treatment as well or they wouldn't be working there.


My heart goes out to Kiely and her family and I'm so sorry she had to suffer like this at the hands of a dentist. I hope that Kiely's parents file formal complaints with the following and join in the movement to put an end to this:

The Arizona Attorney General
The Better Business Bureau In Arizona
The Dental Association of Arizona
And File a Police Report!

I also hope that Dr. Nalia Tariq, who examined Kiely after this event files a complaint.

Here is the contact information for Kids Little Smiles
Kids Little Smiles
2401 S Miracle Mile
Bullhead City, AZ 86442
(928) 704-5573
kidslittlesmiles_bullhead@frontiernet.net

Before You Take You Child To The Dentist, Read This Site

Parents trust medical personnel way too easily. We are somehow assume they must know more than us because they've spent so much time in school, and that is one of the largest mistakes we make. Of course put anyone in a white coat or any kind of uniform and the general public naturally look to those people as being someone in authority, that's why they wear the uniform in the first place. But just because they have a white coats on or any uniform does not mean they know what is best for you, your family or your child!

We have to have a mindset that we are a consumer of their goods. It's imperative!


My son's further explanation sums up what you said about us trusting the professionals.

Here is what he said:

"If they don't tell you there are any other options for the procedure , you go with what the people that are supposed to know what they are doing make the recommendations"

I'm sorry, that still doesn't wash with me. Maybe I'm just too hard, all I know is I would NEVER agree to this so I say:

1.Why don't you ask?
2.Surely anyone with any common sense whatsoever would NOT allow their child to be traumatized.
3.Get your brain out of your pocket and use it!

Of course after they still could not complete the crowns on the baby teeth cause my grandson was fighting for his life, thrashing about and screaming for dear life, they weren't able to do it and then and only then did the dentist suggest putting him under a light sedation and doing it at another time.

So just how bad did this need to be done then? Evidently not that bad, and it most certainly wasn't an emergency situation.

I can't tell you the tears I've cried picturing this trauma happening to my grandson. It was out of this rage and heartbreak I've taken up this cause I will see as much information is out there as possible to save as many children from this as I can.

Spreading the word and bringing this to the forefront on every parent who has a child is the only way this is going to end.

In Europe this is outlawed in many countries and I can't believe it's happening right here in the US to the most innocent of our citizens.

Children depend on us, the parents and grandparent to protect them, it's out JOB. Imagine how any child who has suffered this trauma feels now, and what scars will each of these children carry with them into the future.

You can help by doing exactly what I'm doing. Writing about it, contacting Federal and State Legislators, and exposing dentists who use these papoose boards.

My next step is to call dentists my area of the country, asking what kind of behavior control they use to treat our children, and if they mention a papoose board, pediwrap, or any other kind of restraint, their name, address and phone number will be appearing on my site and other sites on the internet where you can write reviews, and there are a bunch of those!

This has been every time consuming since I'm pretty much at this alone, but I feel it's worth every second of my time and your help is more appreciated that you will ever know.

There are laws out there that protect our elderly from unnecessary and abusive restraining but nothing protecting our children. So far, Colorado is the only state who has stepped up and given the dental community there very "strict" guidelines. However, if the parents of Colorado don't know about this, and don't question their dentists, I feel the dentists will continue to strap children down to speed up the "chair time".

During my research of the use of Papoose Boards is when I found all the information of these "dental mills" that are setting up in low income areas and bilking our medicaid systems for millions and millions of dollars, at the expense of the mental health of our nations children. They decorate the offices to be "kid friendly" which in my opinion misrepresents the clinics as employing "Pediatric Dentists" when in fact few have spent the two extra years training to treat the little ones.

They get away with it by stating under their kid friendly signage "General Dentistry For Kids". The key word being "General Dentistry".
In my opinion this is misleading to parents.

Another way dentist get away with strapping children down in the "blanket" treatment consent form. Parents need to read those forms over very carefully. You may very well be consenting to torture of your children by the "Professionals".

Consumers must be aware at all times! I also worry about these dental buses that come to schools to treat children who are on public assistance. We know the parents are not present when this happens, and surely a consent for treatment form was sent home for parents to sign.

Lord knows what they agreed to, and in you don't know what a Papoose Board is, or a Pediwrap or Rainbow wrap is, (they sound so warm and fuzzy don't they) of course parents are going to sign it. After all these parents are excited and thankful, little Johnny and little Sally are going to get the much needed dental treatment they probably need.

Is Ocean Dental Another Small Smiles?

Well, this particular blogger doesn't know too much about Ocean Dental at this point other than the small bits I've posted. What I do know is they have entered an industry riddled with bad press, bad reviews, serious child abuse accusations, and federal fraud accusations.

So what can they expect really?

If they are on the up and up and have very clear guidelines and have set the highest degrees of standards of care it will still take them decades to shake the stigma brought on by the DeRose Family of Dental Clinics, namely Small Smiles, Smile High, SmileStarters, Carolina Dental Center, DeRose Dental Center, Medicaid Dental Center, Kool Smiles and the various other names in which the DeRose's carry on business.

Dentists throughout the land should be furious about this black eye the DeRose's have bestowed upon them. However, all dentists bare some responsibility in this.

If not for private pay dentists failure to accept mediciad patients, the DeRose's would not have had the door opened quite as wide for them to stroll through now would they?

I say that Ocean Dental has a very long and hard road ahead of them before they can even come close to calling their venture into treating medicaid patients a success.

As of right now there are more mediciad dental treatment clinics cropping up than Starbucks. One one street in any given poor community there could be a Small Smiles on one corner, a Kool Smiles on the next and Ocean Dental on the other. Worse the Rite Aid and CVS. These clinics are popping quicker than mushrooms after a spring rain.

Arcapita Bank Only Owns Tangible Assets of Forba

First just let me say this is going to be one confusing post but it's needed to lay the ground work for more posts to come.
Let's look at Arcapita Bank, formerly known as First Islamic Bank. It has several holdings here in the US including Church's Chicken, PODS, Caribou Coffee and Forba/Small Smiles.
Cresent Capital, based in Atlanta is a subsidiary of Arcapita Bank.
While foreign ownership of U.S. businesses is nothing new, the bank is paving some new ground by choosing its investments according to Islamic religious law, known as Sharia.
Because of religious law, the bank also avoids charging or paying interest. So, instead of operating like a traditional bank, Arcapita collects money for long-term investments and follows some creative methods to get a profitable return.
Use a leasing type structure the companies they acquire will sell its buildings and machinery to the bank [and] the bank will lease those assets back to the company. So, instead of interest payments, you have rental payments. Now we don't know which buildings Arcapita owns or what machinery but this is the way they invest in American companies.
Basically Forba/Small Smiles pays Arcapita rental payments every month while still actually owning the actual company, Forba. So Dan, Michael, Eddie, and Mike Roumph, Dan's partner in crime still own, always have owned Forba Small Smiles.
Here is one commentary on how this bank operates:

SHAUNTI FELDHAHN (COMMENTARY):
At first glance, companies practicing Muslim Shariah look like a conservative investor's dream -- establishments that family-oriented consumers would want to support. Companies following Shariah avoid gambling, porn and alcoholic businesses, will not charge interest and will not try to produce extreme profits. One giant Bahrain-based financial holding company that follows Shariah, until recently named the First Islamic Investment Bank (now called Arcapita), is the largest Middle East-based investment firm in the U.S. Caribou Coffee, PODS and Church's Chicken are just three of its many holdings.
The problem comes when you realize that Shariah is an all-encompassing ideology that many adherents believe should not and cannot be limited just to business. In many countries, its personal application leads to terrible human-rights violations, such as men being allowed to beat and subjugate their wives, authorities cutting off hands for stealing, and so on.
Oil-cash-rich Middle Eastern companies are investing in the U.S. and elsewhere at a record pace. Many practice the business form of Shariah. But when you and I patronize those businesses, where do our dollars actually go?
Arcapita's Web site forthrightly explains that 81 percent of the organization "is held by over 255 prominent individuals and institutions mostly from the Arabian Gulf region." This means that a huge percentage of the profit of this massive company go to 255 wealthy, influential Middle Eastern groups and individuals. And history has shown that they aren't always people with human rights or American interests at heart. In 2002 Arcapita power-broker Yusuf Al-Qaradawi defended the bloody acts of Palestinian terrorists by commending "our brothers and children in Al-Aqsa and the blessed land of Palestine generously sacrificing their blood, giving their souls willingly in the way of Allah." He later stepped down.
I have always loved Caribou Coffee, but as I walked by one recently, I hesitated to go in. I'm really not sure that the 255 Middle Eastern investors that own most of it have our national values or interests at heart. And if they fervently support business Shariah, it seems highly likely that some of them use their wealth and influence to spread family Shariah as well. When there is a choice of coffee shops, do I really want to support all that with my own money?

Dr. Melanie Abrams

I guess since FORBA/Small Smiles really shouldn't even be open in Kentucky. Are they doing like they are doing in Kansas and saying the dentist at the clinic, Melanie Abrams is the owner of the clinic? Anyone who has a brain knows that simply isn't the case. Either way, as with most dentists associated with Small Smiles who have been named here, their family come avisitin' this site. Evidently she had family in Owensboro, Kentucky who are concerned Melanie may be in a bit over her head perhaps.

In fact, I would be money if you got your hands on a company directory at the headquarters it would list Kansas offices as well as Kentucky offices, anyone got one I could take a sneak peek at...LOL?

Name:

MELANIE ABRAMS

Address:

SMALL SMILES OF LOUISVILLE

Address 2:

3438 TAYLOR BLVD

City, State, Zip:

LOUISVILLE KY 40215

Phone:

502/366-4442

License:

8374

License Issue Date:

5/30/2006 0:00:00

License Expire Date:

12/31/2009 0:00:00

Practice Type:

GENERAL DENTIST

Michael A. DeRose is MAD

This is for those who are suing Michael A. DeRose.
There is another company owned by him along with Clint and Craig DeRose (his sons I'm guessing).
It's called MAD Family, LLC (Michael A. DeRose). At one time MAD, LLC and Gwyn and Tony, LLC (who the heck ever they are) were in business together buying home across Pueblo.

(I think this brings the total of different companies Michael DeRose is owns or is associated with up to 29 or 30, I've really lost count)

If you go here, agree to the terms and search MAD Family, LLC or MAD, LLC a whole list of properties will pop up. It's almost shocking. There are 42 of them totaling $7,015,800.

Once again this shows the life style this dentist lives. How many dentists do you know that live like this? None that aren't either in or headed to jail.

DeRose Padula Enterprises

It appears the DeRose Dental Conglomerate has yet another couple of names to add to the ever growing cauldron. First there is DeRose Padula Enterprises, LLC, a dental clinic located at 1560 Bonforte Blvd, Pueblo, CO, valued at $141096. They've had this property for several years and I'm not sure what name this clinic actually goes by, other than it's owned by DeRose Padula Enterprises, LLC with consists of Ed DeRose, Neta DeRose, and Adolph Padula, well you can see for yourself by clicking here.

Then there is another building said to be a dental clinic, was a church at one time, located at 1022 Liberty, Lane, Pueblo valued at close to 1/2 million dollars. This one is owned by DeRose Padula Enterprises (no LLC). You can look at it for yourself by clicking here.