Database Is Growing

Just as an example of all the information I've been gathering and putting together in a very large data base let's look at Dr. Gillian Allison Robinson Warner, DDS:

She has a licenses in Ohio, Maryland, Virginia and DC for example.

Actually 2 in Maryland, one is pending.

In Ohio her licenses number is 30.022442 and gives an address in Maryland ( I won't make that public, you can get it at the Ohio Dental Licenses site if you want to search for it yourself.)

In Maryland, one of her licenses gives a completely other Maryland address and the second licenses lists Cleveland Ohio as the address.

Her Maryland licenses under the name Gillian Robinson-Warner is pending with Ohio address

Her Maryland licenses under the name Gillian Robinson Warner is 14233 with Maryland address

Her Virginia licenses under the name Gillian Robinson Warner is 0401411804 Maryland address

Her DC licenses under the name Gillian Robinson-Warner is DEN3015675437 Maryland address

Her Ohio licenses under the name Gillian Allison Robinson Warner is 30.022442 with another Maryland address.

....and so forth.

Now when you get to checking into these 500ish licenses and crossing them across states very interesting patterns appear.  Then you look at each state provider lists, check that with state corporation filings and it's not hard to figure out which dentists has their asses...I mean licenses on the line.

There are a few that get very interesting when you check the 'Actions' taken against them and see how they have floated up and down the east coast at Small Smiles clinics...such as Sean Edmond Barnwell, DDS and others.  

It's also amazing just how many have their licenses address as 415 N. Grand, Pueblo, CO....  and in some states they list email addresses on their licenses and WOW, they are jwatson@forba.com addresses and one is kwest@ddmktg.com of all things. 

Some states, the actual clinics have to be licensed and I know of one that has expired big time!  

Wake up, Dr. Karen Leung Chu Gongora and Dr. Zane O. Palmer and Dr. Khaleda Imroz you guys have issues in various states that need to be lined out, at least it appears that way.  If I were you guys I'd be checking on them.  Question is, can you figure out in which states you have licenses issued?  Could be like before and you could have been 'credentialed' in states you weren't even aware.....

...and one that really has me concerned is Janis P. Madkins, DDS.  This one has licenses here and there and back again...down to Karuk Tribe Happy Camp, CA

FORBA Rented Your Dental Licenses?

For you dentists that have been fool enough to 'rent' out your licenses to FORBA Holding, LLC here is what they are telling media in regards to who really really really owns the clinics:

"It is not uncommon for doctors and dentists to hire or outsource various professional and specialized services, including advertising, computer technical support, legal advice, and even human resource specialists to assist them in managing their practices.  For example, the Kansas Medical Society created a practice management firm to provide a broad range of office management services to physician practices around the state.  Such services are provided under a management services agreement, include a variety of services and are done for a negotiated fee, much like our agreement with Dr. Reza."

They didn't mention that Dr. Mohammad Reza Akbar doesn't even live in Kansas! 

This is why it's going to be you guys to take the fall and Michael G. Lindley, all the FORBA guys and certainly Michael, Dan and Eddie DeRose will still be running free.






Michael Lindley has been making a living off the skins of children in the US for years.  Her deserves a who blog to himself:

Just to name a few:

KIDS 

Keystone Education and Youth Services (at various locations and under various Keystone names)

Ameris 

Ameris and KIDS merged into Children's Comprehensive Services/Pricor, Inc

...and more

Tulsa dentist, Dr. William Letcher accused of mixing pain killing cocktail for patients, without patients knowledge

Tulsa dentist accused of making pain 'cocktail' for patients without patients knowledge, that's only part of it.

Posted: Mar 12, 2010 4:18 PM CST
Updated: Mar 13, 2010 2:10 PM CST

Featured Video

•   Tulsa Dentist To Face Negligence, Drug Accusations

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Tulsa Dentist Dr. William Letcher will face charges at the State Dental Board on Friday.

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The dentist, who also got in trouble with the board in 1995 and 2000, is accused of using his patients' drugs himself among other things.

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Dr. Letcher's attorney says the accusations come from a disgruntled former employee.

By Lori Fullbright, The News On 6

TULSA, OK -- A Tulsa dentist is being accused of being a drug addict, using patients as guinea pigs and performing procedures without permits. The State Board of Dentistry has called an emergency hearing to hear the case against Dr. William Letcher next week.

It's not the first time Dr. Letcher has been in trouble. In 1995, the board put him on two-year probation after he admitted he failed to keep track of a large number of controlled drugs, like hydrocodone and valium.

In 2000, his license was suspended for a year, and he got another four years probation. That time he was ordered to get treatment for alcohol addiction, admitted giving controlled drugs to family members and performing procedures prohibited by the state.

This time, the accusations call him negligent, incompetent and a menace to public health.
Dr. Bill Letcher has had a dental license in Oklahoma since 1976. The latest allegations cover the past year and accuse him of being addicted to drugs and using his practice to divert controlled drugs from his patients for his own personal use.

It says patients have called after surgery, saying medication is missing from their bottle.
Another allegation is that Dr. Letcher has mixed morphine and septocaine to see if the combination of pain killers works better than morphine alone, but not telling patients he's doing it - essentially making them test subjects.

Another claim is that while he's allowed to administer conscious sedation, he lets patients become unconscious - which he's not authorized to do - then leaves them alone in the room with a dental assistant.

They say he's dispensing drugs without a permit and lies when he tells patients a resin appliance is better than porcelain ones and that his patented process is superior to traditional methods.

Dr. Letcher's attorney says they just recently received the petition, and the majority of the allegations are based on statements from a disgruntled former employee. He says the doctor will answer the board's questions directly and honestly.

At next Friday's hearing, people can testify, and Dr. Letcher can respond.
The state board could find there's no truth to the claims or find there is and take action on Letcher's license. The News On 6 will report on the outcome.

Hey FORBA when are you going to put the FORBA clinic in Gary, IN on your site?!

FORBA is still not acknowledging they own, are in control or are associated with the Children's Medicaid Clinic in Gary, IN. Not sure why, since there are ads all over the Internet.

Hello!!!!

Let me help you:

Children's Medicaid Dental Clinic of Gary, LLC

3506 Village Court

Gary, IN 46408

I realize it may be hard to keep track since it has so many names according to the Indiana SOS's site:

Medicaid Dental

Children's Dental Clinic

Children's Medicaid Dental Clinic

...but come on... it's been there since May of 2002!!!

All you gotta do is check the provider lists and all your dentist who are providers at one clinic amazingly are also providers at the Gary clinic as well!  

I see you have EEHC, Inc registered there as well.   

Concerns About Small Smiles Raised By Nevada CUSP in 2006

(CUSP)

Minutes

February 22, 2006 

Health Access Washoe County 

1055 S. Wells Avenue 

Reno, NV  89502

Small Smiles Dentistry of Reno: Mike Rodolico, Mike Roumph

At the last CUSP meeting, Mike Rodolico asked if anyone had any information about the new pediatric dental clinic in Reno, Small Smiles.  No one did.  Dr. Rodolico offered to go on the Internet to research the parent organization and report back at the next meeting.   Dr. Rodolico located several video news clips from a Colorado news station which he played for those present.  The primary concern raised in the video clip included injuries to children who had been restrained in papoose boards and the provision of excessive amounts of treatment during appointments.  

Mike Roumph, who was in attendance representing Small Smiles then made a PowerPoint Presentation about Small Smiles and played news clips from television stations in Oklahoma and Georgia.  The Small Smiles practice in Reno is owned by a Nevada licenses dentist, Dr. Adolph Padulla.  

( I wonder if Mike told them Dr. Padula also owned FORBA, was part of the problem, didn't live in Nevada and didn't practice dentistry.  Had they googled Dr. Padula they would have known he was also licensed in about 15 other states at the time.)

It is managed by Forba Management Company, LLC.  Forba is the largest provider of children’s dental services in the United States.  They manage 40 clinics in 13 states.  The clinics managed by Forba saw over 700,000 children last year.  

The Reno clinic had over 1,100 appointments scheduled when they opened their doors.  It has a staff of 25.  According to Mr. Roumph, papoose boards are only used on 6% of their cases.  (Bull Crap!)

He stated that dentists receive training in dental school on behavioral management.  (Really?) 

If those techniques are not adequate, then it is up to the provider to make the decision to refer the child for treatment under general anesthesia or to use the papoose board.  

Parents are counseled regarding the use of papoose boards and the parent, the dentist and a witness must all sign a consent form prior to a papoose board being utilized.  In terms of the amount of treatment provided at one appointment, that decision is left to the individual provider.   (Lying like a dog, but it sounds good!)

According to Mr. Roumph, their clinics have a policy (albeit unwritten) that no more than six teeth can be crowned at one appointment.  They are able to provide this amount of dentistry during each appointment because they practice six-handed dentistry (one dentist and two dental assistants).  

(Don't ya love it, Six Handed Dentistry.  One Dentist and two assistants, tying down a child, pinching his nose, scaring the living heck out of him, and doing 6 root canals and crowns, and somehow they thought this was doing something good and just)  

Chart audits are performed on a monthly basis.  Between 10 to 20 charts are randomly selected each month for the chart audits.  Clinic staff meet and review the findings of the chart audits. The findings are used to develop policies and procedures for all Forba managed clinics.  

(Randomly selected, huh?  By whom? and who did those audits?, the finding were used to develop policies alright, like how can we get more done in a shorter amount of time, and what kind of incentives can we use, Super Bowl Tickets anyone?)

Twice a year a physical audit is made of each clinic.  This includes a review of HIPAA and OSHA compliance, billing practices, personnel and additional chart audits.  

(CHOKE AND GAG)

A Forba regional manager, who is also a dentist who has been employed by Forba for five years, participates in the physical audits.  These audits are benchmarked against other Forba managed clinics. 

(Yes, they sure are.  And if one clinic is under producing, heads roll!)

The question was raised as to what Small Smiles is doing to comply with the community’s standard of care which is that children who need extensive dental treatment are hospitalized and the procedures are done under general anesthesia.  Mr. Roumph stated that Small Smiles is trying to get hospital privileges for at least one dentist in each of the clinics they manage.  

(OH DEAR GOD!  How did that work out!)

They also have a policy that appointments will not exceed one hour in length (no new procedures will be initiated after one hour).   

(One Hour!!!  Hell NO, they sure won't/didn't or shall exceed one hour, 20 minutes max, for those 6 root canals and caps, that's why the papoose board is needed, heck after shots it takes 10-15 for those to kick in doesn't it, by that time, 99% of those 6 teeth have been derooted and capped, the rest of the time is used to clean the puke and pee up.)

Parents are not encouraged to be in the treatment room; however if the parent wants to be present, the dentist and parent meet and the dentist can make a decision to allow the parent in the treatment room.  

(you guys just never did get your lies lined out on this one did you)

Mr. Nowak was asked if the DHCFP has thought of implementing policies/guidelines related to length of appointments, number of procedures done at each appointment, use of papoose boards and allowing parents in treatment rooms.  Mr. Nowak stated that Forba and the DHCFP have had discussions regarding these topics. 

(During these discussions I wonder if they talked about how to get FORBA to back the hell off, Colorado had to pass a law to get them to cooperate?)

The DHCFP has informed Forba that they will support them in the event that a parent wants more treatment performed at one appointment than a dentist in a clinic managed by Forba deems prudent.  

(Well, I'm sure that was never a problem, nor would I think it would be, but a nice try at spinning it anyway.)

Mr. Nowak also stated that the DHCFP will be utilizing an external quality review organization and their findings may provide additional guidance.     

(Where can a person get a little 'look-see' at those reviews and provided guidance?)                  

Mr. Roumph finished his presentation by issuing an invitation to CUSP members to come by the Small Smiles clinic in Reno to visit at any time. 

He also asked if Dr. Ashley Angaran, who is a Reno native, could be placed on the e-mail distribution list to receive agendas and minutes.  He would like Dr. Angaran to start attending CUSP meetings as a representative from Small Smiles.   

(How's that working out?)

 You can read the minutes of the entire meeting here

Colorado's HB 1175 Aims To Fast Track Licensing Out of State Dentists; Some Could Just Be Interviewed

This doesn't have "Ft. Carson" written all over it.  It's got FORBA and other dental mills written all over it.  How fitting for the state who is home to the company who refined the practice and trains more dentists how to tie up children, pull, drill and cap teeth in the quickest manner to optimize medicaid reimbursements,  home to the company who literally wrote the book on how to separate parents and children in order to torture and abuse children, and invented dental assembly lines.  It's a damn disgrace is what it is.  

FORBA Small Smiles was born in Colorado.  Kool Smiles came from two doctors who trained at Small Smiles as did Adventure Dental/Captain Smiles. 

Not long ago Dr. Ed DeRose, Dr. Michael DeRose and Dr. William Mueller were sanctioned by the state Dental Board for bring dentists to Colorado and let them 'practice' on underserved children, now it's open game.  I suspect we shall see a grown in 'train for gain' labs springing up across Colorado.  Citizens beware! 

Licenses by Interview...WOW!  Wonder if it will just be a phone interview.  I've got another question, just exactly how many Ft. Caron does this really effect?  Anyone got any numbers that justifies this act.  Why didn't they include Real Estate Agents and other licensed professionals?

DENVER — The Senate on Tuesday granted final approval to a bill that makes it easier for professionals in certain regulated fields to practice their occupations in Colorado after moving from another state.

State Sen. Abel Tapia, D-Pueblo, sponsored HB1175 in the Senate. Rep. Marsha Looper, R-Colorado Springs, was the House sponsor. Tapia said it's aimed to help military families transition to the state.

The bill calls for streamlined processes for licensing chiropractors, dentists, dental hygienists, optometrists, nursing home administrators and physical therapists in Colorado when they move from other states.

"It was really a military-driven bill," Tapia said. "It's for people coming to Fort Carson and their spouses. For years people have been assigned there, and their spouses had to work six months or a year toward a certificate or a license. In some cases, these are people who've been competent professionals for 20 years before they came to Colorado."

Tapia said the Department of Regulatory Agencies, which grants credentials in the fields named in the bill, is agreeable to abbreviated processes for issuing certificates and licenses for new residents to the state.

Depending on the experience the new residents bring with them, they could be issued certificates or licenses to practice in Colorado based on interviews, testing or truncated periods of work in their field here.

  In committee hearings on the bill, lawmakers heard from witnesses who said strict licensing requirements for professionals can sometimes separate military families, when a spouse doesn't want to leave their field or take a professional step backward.

Tapia said he hopes this bill will rectify that.

"A lot of families coming to Fort Carson, and some of them to Pueblo, will have a much easier transition because of this."

Having earlier been passed by the House and by the Senate on Tuesday, the bill is awaiting the governor's signature to become law.

 Maybe a close look into the sponsors of this bill is in order.

Big Red Bookshelf Align With Controversial Dental Clinic; Small Smiles

I don’t understand why communities keep opening their arms to Small Smiles.  Until they are rejected they will continue to slither through communities spreading abuse to the most innocent of Americans, the children.  That’s my opinion anyway.
A few weeks ago I noticed I kept having this person from Ithaca, NY spending lots of time on the site.  Well, just this week the name of this city in NY has popped up twice.  One directly related to FORBA’s Small Smiles and another time, more indirectly.
The more indirect is from Greenville, SC who is trying to get books to children in low income parts of the community.  The project is called “Bright Red Bookshelf”.
Leadership Greenville Class 36 is assisting Ready 4 Reading in launching the Bright Red Bookshelf program.  (pretty confusing isn’t it, like why so many organizations?)
A big dedication ceremony for the launch of the program is set for March 24th and the very first “bookshelf” will be dedicated at…  Drum roll please…  Small Smiles Dental Clinic!
What on earth is wrong with Leadership Greenville’s head, Flavie Harton?  I realize money is being thrown at them.  But it coming from  FORBA, that money is from the blood, sweat, puke, and rivers of tears from tiny children. 
In this program, Bright Red Bookshelves are place in public waiting location…and the very first one for Greenville, SC is in Small Smiles waiting room. 
Dr. Sara Mansbach, executive director of Ready 4 Reading said many more sites are needed.  “The challenge is to find community partners that will adopt a bookshelf on an ongoing basis and continue to restock them with gently used books.”
One thing we know for sure, is that ‘reading’ is NOT something FORBA’s Small Smiles heads support.  ie.. the consent to tie up my child even though it might lead to death form they pressure parents to sign.
So what does this have to do with Ithaca, NY.  Well, The Bright Red Bookshelf” originated in Ithaca, NY by the Family Reading Partnership.
Now the second time Ithaca has come up this week is what I shall now deem, the Big Red List, the much anticipated list of professionals who associate themselves with FORBA’s Small Smiles clinics.

Small Smiles Quality Initiatives Are Rubbish

FORBA’s 3 page statement released  Jan, 18, 2010 entitled:

Safeguarding Children’s Dental Health:
FORBA Quality Initiatives Since 2006

…is nothing but rubbish and says little more than they have said time and again.  The only part in the whole statement that is note worthy as being honest and factual is “since 2006”, that’s pretty much it.

You would think by reading it they had put all kinds of great new policies in place but you would be mistaken. The pledge, the hotline, the Advisory Board, etc, all that is R & R (Rinse and Repeat) bull!

At their own website there is a press release, dated March 7, 2008 (over 2 years ago) where they had put Dr. Steven Adair on the payroll, opened the ‘not line’, posted the “Pledge” and admit they have 70 clinics, not 69.  (and note that it was only after Roberta Baskin’s explosive expose’ before they even gave any thought to pretending to clean up their act.

(a company with out these serious allegation of fraud and abuse wouldn’t really need a hotline, advisory board, a pledge or a Quality Initiative statement would they?)

Then there is the November 5, 2008 press release where they talk about their new “Compliance Officer”, Allison Luke.  She was really gonna whip things into shape, according to them.  I’m giving her a big fat F.

By reading the ‘quality initiatives’ BS you would come away thinking they had put a new Advisory Board together too, but that would be a wrong assumption as well.

March 7, 2008 - Dr. Steven Adair was put on the payroll to send out memos on occasion and completely ruin his reputation among his peers. There are reports as late as February 2010  of the same treatment happening.  So, Dr. Adair is not new and he gets a big fat F as well.

2007- FORBA established it’s Pediatric Dental Advisory Board with;

Dr. Paul Casamassimo, Dr. Arthur Nowak, and Dr. Joe Bernat.  Other than adding Dr. Anupama Rao Tate to the mystery board, there is nothing new here either. If the dentists on this board can’t do any better than they’ve done in 3 years, they need to turn in their dental licenses.  So each one of them get a big fat F too!

The only thing ‘new’ they have done is move Angela Newberry from Keystone Education and Youth/Universal Health payroll to FORBA payroll and finally admit to being associated with several clinics they previously denied having anything to do with, like the clinic in Gary, IN, the clinics in Oklahoma and Kansas, but they still continue to lie like junkyard dogs and say they don’t “own’ the clinics.  But we all know that is the biggest lie of all.  Anyone seen a clinic for sale lately?  

On November 6, 2007, FORBA’s CEO, Michael Lindley issued a statement to Good Morning America mentioning:

“Small Smiles has no policy that prohibits parents in the treatment area. Allowing a parent in the treatment area is up to the treating dentist in collaboration with the parents based on their belief of the best way to treat the child. Such a family-friendly policy encourages our dentists to allow parents in the treatment area to be part of the patient's treatment experience.”

(choke and gag) Even though a memo entitled Tips From Others In The Field had been issued on October 12, 2007 by Lisa Mullinix (3 weeks earlier) stating the following:

Unsure how to tell parents we do not want them in the back, here are some suggestions from others:

"For your child's safety and your safety, we do no allow parents in the Hygiene and OP room. We want your child to focus on the dentist, hygienist, and assistants directions." 

You can also go on to say:

"We promise to come and get you if your child needs you."

You also can continue to say the following:

"Usually when parents are in the room with their children, they tend to cry and get upset and look at you to save them. That usually places you in a difficult position because your child won't understand why you are not taking them away. We have found that when they are alone they focus better and normally don't cry." (larger view of memo)

or what about the bottom part of page 4 of the Small Smiles Dental Clinic Manual!

He also said FORBA;

“has no reason to believe services were needed that actually were not” and that they take seriously ANY allegations which calls into question our commitment to deliver quality care.  That is why we are taking such extraordinary steps to share with you our values, our commitments and to do so in as transparent a way as possible”
See Statement from Michael Lindley here.

(choke and gag) I guess the 10,000 reports phoned into that ‘not line’ didn’t raise any red flags worth looking into, did they?  This so called ‘hot line’ is nothing more than a ‘gotta cover our ass fast’ line.  As a parent, the only phone call you need to make is to any attorney, ASAP.

And we can't forget that just a little more than a month after Lindley made this statement, they updated the bonus program so employees in the front office could get bonuses too, they were being cheated out of the 'production' bonuses. 

Bonus page 1
Bonus page 2
Bonus page 3
Scale

Even more scary..  the “Community Partnerships” they want to create.  God Help Us All.

In conclusion, no there is nothing new to FORBA’s Small Smiles clinics or the quality of care and quality of their work.  

All these so called initiatives have been in place for a long time, some for 3 years and look at all the reports of torture than has been reported in those 2 years!  They still have not had their ‘come to Jesus moment’. .. but it’s coming, rest assured, it’s coming.

I’m not so sure the Federal and State governments should not also be on the hot seat here, for allowing the doors to remain open, knowing full well what they are doing.  At the very least state Dental Boards have let the public down!

What’s going to happen when the next child is hurt or another one dies from being treated at one of these clinics?  What then? 

Medical Practitioner's Mandated To Report Abuse

Heath Providers are mandated by law in most, if not all, states to report abuse.  That means the abuse that takes place in the offices of these dental mills.  

Here is a snippet from Connecticut's law:

Pursuant to Section 17a-101 of the Connecticut General Statutes, certain health professionals regulated by the Department of Public Health are mandated to report suspected child abuse or neglect to the Department of Children and Families (DCF) Child Abuse and Neglect Hotline or a law enforcement agency.

 

Reports must be made within twelve hours of the moment the practitioner suspects the abuse/neglect has occurred.  Suspected child maltreatment of any kind, regardless of the identity of the alleged perpetrator must be reported.   The Hotline can answer questions regarding these laws. 

Here, medical practitioners have but 12 hours to report the abuse. I would think not reporting what is happening at these clinics is a criminal act in and of itself.  Am I wrong?

Nothing Has Changed, Dentist Still Keeping Children and Parents Separated at Small Smiles

All the 'settlements' in the world are not going to change a thing FORBA owned Small Smiles Dental clinics. Don't go there, don't work there, don't drive in front of the place, don't say it's name,..I can't be more clear.

Nothing has changed, whether this took place yesterday or last June.  FORBA has known it was in trouble for two years, it's made statement after statement that they are continuing with their quality care for the underserved and they certainly are doing just that.  I don't know why we don't believe them.  They ARE continuing with the same kind of care they have given to children since the very beginning!  LISTEN TO THEM!!

Here is another parent who was separated from her child, told the child had several cavities, saw another dentist who told her they child needed none.  FORBA spokesman says on review of the child's file, the work indeed need to be done and they are 'clarifying' letting parent come back with their children.  What the hell is there to clarify, it's either a yes or a no!  No gray area that I can see.  Anyway, here's the latest story:

This one involves Pennsylvania Dentists Dr. Mark (too many sanctions) Toncini and Dr. Michelle (I'll lie to you in a minute) Hershberger. 

Read it here.


You can download and read all the documents about Dr. Mark Toncini here. 

Team 4 Investigates Small Smiles Dental Clinic

Paul Van Osdol Reports

POSTED: 6:07 pm EST March 11, 2010
UPDATED: 10:07 am EST March 12, 2010

PITTSBURGH -- Imagine being told your young child has seven cavities -- but when you get a second opinion, you find out he really has none.
Team 4 investigative reporter Paul Van Osdol digs into some questionable practices. The following is a transcript of his report that first aired March 11, 2010, on WTAE Channel 4 Action News at 5 p.m.

The Pittsburgh clinic where this allegedly occurred is called Small Smiles -- part of a national chain that specializes in treating children on Medicaid.
The Tennessee company that manages the clinic and almost 70 others across the country recently paid a multi-million dollar settlement after being accused of billing taxpayers for unnecessary procedures -- even root canals -- on children.Talisha Taylor got a surprise when she took her 6-year-old son, Royce, to the Small Smiles Dental Clinic in East Liberty last June.

She was told that he had seven cavities that should be filled, but she could not be in the room with Royce when he was getting his fillings.Talisha Taylor: "I was just thinking, 'Why wouldn't you want me to go in the back with my 6-year-old son?' He's not a grown man. He's 6."Washington, D.C. -- This is video inside a different Small Smiles clinic -- a 4-year-old boy being restrained. Taylor found videos like this one online and immediately got a second opinion about Royce from another dentist.The new dentist told her he did not have seven cavities. In fact, he didn't have any that needed to be filled.Van osdol: "And what was your reaction to that?"Taylor: "Crazy. I could not believe. I was completely livid."Dr. Brian Martin is the chief dentist at Children's Hospital.Martin: "That is a significant discrepancy."Team 4 tried to talk to Dr. Michelle Hershberger, because records show she's the Small Smiles dentist who evaluated Royce. But she did not return our calls, and a spokesman for Forba Holdings -- the company that manages Small Smiles -- said he would speak for her.

The Forba spokesman said, "Our review indicates that the treatment recommended was appropriate, given Royce's level of evident tooth decay."Forba also said it "clarified" its policy, so now parents are allowed to stay with children during procedures.In January, Forba agreed to pay a $24 million settlement after the Justice Department accused the company of billing various state Medicaid programs for "medically unnecessary dental services," including fillings, crowns and baby root canals.Tony West, Assistant Attorney General: "We have zero tolerance for those who break the law to exploit children in need."He was speaking in Washington, but Team 4 wanted to dig deeper into the clinic itself in East Liberty.

The lead dentist here at Small Smiles is Dr. Mark Toncini. Team 4 has learned his license has been fined or suspended multiple times by the state dental board. In fact, he got off probation only four months before Small Smiles of East Liberty was incorporated and Toncini was listed as a corporate officer.At various times from 2002 to 2007, Toncini was penalized for writing prescriptions with "no documentation" that they were needed, failing to provide patients copies of their records and practicing dentistry without a license.

Van Osdol: "Dr. Toncini? Paul Van Osdol from Channel 4."  Team 4 tried to ask Toncini about Small Smiles and his disciplinary history.

Van Osdol: "Should patients be concerned because you were under suspension?:Toncini: "Let me get you a phone number."

But when Toncini returned, he did not have a phone number. In fact, he wasn't talking at all to us.Talisha Taylor says she's happy she never went back to Small Smiles.

Taylor: "I feel like we just missed a bus."She says she has filed a complaint against Small Smiles with the state dental board.

A spokesman for Forba -- which manages Small Smiles -- tells me the clinics meet the highest ethical and quality standards.As for restraints, Forba says they are used rarely and in compliance with national pediatric dentistry guidelines.Team 4 doesn't have any specific information that links Dr. Toncini to the government allegations against Forba.

One thing we know for certain, they still have the same dentist working in the Pittsburgh clinic.  If all of this was caused by rogue dentists, wouldn't they be gone already?  I hope Dr. Toncini and Dr. Hershberger aren't fools enough to think FORBA will protect them, that is not going to happen.  Was that a slapt I just heard of a bus running over something.

National Union Fire Insurance Company of Pittsburgh Files Suit Against FORBA

Looks like FORBA's liability insurance doesn't want to cover their slimy business practice.  Evidently FORBA warned them of coming suits ie, the class action filed in Ohio and now National Union Fire wants out.  Who would blame them.  But...in my opinion, they couldn't have been blind to the FORBA shop of horrors, it's been on the news for two years!  They should have bailed a long time ago.  This should be interesting.

National Union Fire Insurance Company of Pittsburgh has filed suit.

Read the Complaint here.

Toledo Blade April 2006-Small Smiles Comes To Town

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

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

Here's a great quote from the article:

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

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

More Snipits: 

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

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

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


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

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

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

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

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

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

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

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

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

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

Small Smiles Promo At Day Care Center

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

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


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


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

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

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


(photo by Shaiyla Hakeem)

Passages From Moriarty-Leyendecker Comfort My Soul Today

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

Here ya go:

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

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

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

Here are other reports at Moriarty-Leyendecker worth reading:

Tiny Tot Terror

Excerpt:

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

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

When Drilling For Dollars Are More Lucritve Than Drilling For Oil

 Excerpt:

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

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

Small Smiles of South Bend, LLC

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

In searching the Indiana Dental Licenses I found the following:

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

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

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


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

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

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

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

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

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

Stipulation For Dismissal 

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

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

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

Mountain Dental, Inc.

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

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

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

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

Nashville.

FORBA's Arizona Clinic's Not Doing So Well

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

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

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

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

Dr. Robert F. Andrus #7206

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

Dr. Karen Leung Chu #5608

Dr. Mark T. Kelly #7183

Dr. Douglas Kerr #6332

Dr. Kenneth E. Knott #5318

Dr. Garrett Lum #7004

Dr. Navreet B. Kaur Luthera #6676

Dr. Mardelle R. Petersen #3591

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

Roanoke Virginia Small Smiles Report

WDBJ 7 Roanoke, Virginia
February 25, 2010

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Dr. Steven Adair, Chief Medical Officer

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

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

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

Comment From A Parent About Kool Smiles in Vancouver, WA

Eryn said...

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

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

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

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

FORBA's New Branding

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

FORBA "For Better Access, For A Better America"

What the heck ever! Nice try guys.

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

Moriarty-Leyendecker Stepping Up To Fight For The Children Harmed

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

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

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

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

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

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

__________________________

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

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

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

Sound familiar?

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

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

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

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

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

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

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

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

Contact Moriarty-Leyendecker here.

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

Dr. Mark Janosky, Lead Dentist of Small Smiles Myrtle Beacn

And it begins:

MB dentist to offer free children's dental clinics

Posted: Feb 08, 2010 12:51 PM CST Updated: Mar 22, 2010 9:47 AM CDT

MYRTLE BEACH, SC (WMBF) - A Myrtle Beach dental center will be offering free dental screenings in honor of "Healthy Smile, Happy Child Day" on Feb. 10.
The free screenings will be held from 10 a.m. to 11:30 a.m. at the Small Smiles Dental Centers of Myrtle Beach, located at 1317 N. Kings Hwy. Event coordinators say the clinic is in part to raise awareness about the importance of a healthy smile during Children's Dental Health Month in February.
"Tooth decay remains the most common childhood disease," said Dr. Mark Janosky, lead dentist at Small Smiles. "Dental problems in young children can lead to a variety of health and developmental challenges including chronic pain, poor nutrition, distractions from learning and self-esteem issues."
Parents who are interested in scheduling an appointment are asked to call (843) 626-5437.