Hole in Texas Dentists for Medicaid Reform Press Release

On February 7, 2013  the newly organized Texas Dentists for Medicaid Reform Fraud issued a press release stating the Texas Office of Inspector General had dropped its case against one of their poster-children, Diane Malone, DDS – co-owner along with husband, Dr. Scott Malone in M & M Orthodontics in San Antonio.

The TDMR stated the Texas HHSC-OIG had filed a motion to drop all claims against Dr. Malone, stating it was a “hopeful sign that Medicaid Fraud enforcement agency is seeing the light on due process and provider rights.”

Disgraced former Texas Representative, Tara Rios-Ybarra, DDS, an executive of the Texas Dentists for Medicaid Reform Fraud was tickled pink, saying, “We are very concerned about Medicaid provider rights. These impact the security with which providers can practice their professions and deliver effective help to Medicaid patients.  Due process is a cornerstone of these rights and we are happy to see at least a harbinger of change from the OG on this issue.”

What they didn’t say in their fancy-dancy press release was HHSC-OIG had "Motioned" for the withdrawal of its nonsuit against Diane Malone, DDS – “Without Prejudice”.  Meaning, OIG can bring this same action  against Diane Malone at anytime in the future.  No “Motion” was made to withdraw the action against M & M Orthodontics. 

The OIG had alleged Dr. Diane Malone and M & M Orthodontics had failed to meet the dental standard of care in treating patients and owed the state 8.2 million of dollars – basically they were delivering “worthless services”.  In addition, the Texas OIG had assessed a $6.6 million dollar fine, according to an April 2012 story by KSAT-TV.  Malone’s panties were in a wad about having to fork over the $14.8 million dollars.  Malone decided to fight the law – so her as well as her company – M & M Orthodontics – appealed. (The “worthless services theory” is something everyone in the Medicaid dental community should get to know well.)

Oh where, oh where has Small Smiles gone, oh where, oh where can it be…

February is “National Children’s Oral Health Month”. Normally Small Smiles Dental Centers lead dentists (or fake owner dentists) slither from under their rock and hit local morning TV talk shows, claiming they are having free services that very morning for a couple of hours. So far, I’ve not seen hide nor hair of them in 2013. Kool Smiles Dental centers at least announced they gave away toothbrushes this year. (Geez, I hope they weren’t those chemical-laden ones from China that leave blisters in your mouth.)

Small Smiles “free services day” were a sneaky ploy. The dentists would appear on local talk shows about 6 AM announcing they were having free services that morning; from 9AM-11AM for example. They would invite the public, telling them they needed to call for an appointment; failing to mentioning the schedule was already packed tight as sardines – as they were everyday.

It was last year about this time they were preparing documents to file bankruptcy in Nashville’s Federal Court and closing several clinics (updates on that coming soon). By June the OIG forced them to divest in at least one clinic; personally I think it was more than one, Manassas, Virginia clinic for sure. (Let’s just say, whoever took over Manassas, also took the Pueblo, Colorado clinic as well. See: Violations of Corporate Integrity Agreement Triggers Divestiture Action by HHS OIG.

“It is clear that the defendants’ actions constituted more than just malpractice.” –Judge John Cherundo, Onondaga County Superior Court

By August 2012, Small Smiles Dental Centers were taking serious hits in the malpractice cases file against them. In 2011, families of at least 75 children had filed lawsuits in New York against the Small Smiles Dental Centers. Judge John C. Cherundo denied the companies request to dismiss the cases saying, “This intentional misconduct was part of the of the alleged scheme to generate revenue as quickly as possible”. 

Dental health reform on the horizon for New Mexico

John Schmidt | Staff Writer | 0 comments

A bill that could potentially improve New Mexico’s bleak dental health issues if approved will be reviewed on Feb. 23.

New Mexico currently ranks 49th in the United States when it comes to the number of dentists per 1,000 residents ratio. The Dental Therapist-Hygienist bill that could help change this poor position has been unanimously passed by the House Health, Government and Indian Affairs Committee and will go to the House Business and Industry Committee this Saturday, Feb. 23.

“We believe that everyone should be able to get quality, affordable dental care in their own communities,” said Barbara Webber, executive director for Health Action New Mexico.

Kids Care Dental–Sacramento, CA Now Private Equity Owned

CNN Money is reporting Sterling Partners has invested in Kids Care Dental Group located in California.

The listed owner of Kids Care Dental is CDC Dental Management Co., LLC – Aaron P. Reeves,DDS president.

 Sterling Partner Team

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Sterling Partners has invested an undisclosed amount of private equity into Kids Care Dental Group, a pediatric dental care practice with six office locations in the Sacramento, Calif. area. www.kidscaredentalgroup.com

Systemic breakdown attributes to massive fraud

I’m not sure where the breakdown is, but there is no doubt a breakdown; a big one!  Either agencies are failing to report, or the OIG is failing to add criminals to their list. Which ever the case, the free flow of tax dollars from your pocket to fraudsters bank accounts goes unchecked.

In checking to see if Dr. Robin Lockwood is at least excluded from defrauding taxpayers from any more money for her employer, Ocean Dental, I find she still has access to our tax dollars; she’s not on the governments List of Excluded Individuals and Entities (LEIE). 

According to the OIG, if a criminal conviction is related to – Fraud, Obstruction of an investigation or misdemeanor conviction relating to controlled substances and should be reported as soon as the defendant is sentenced - even if appealed - there is supposed to be a “Mandatory Exclusion”. Maybe mandatory means something difference in government-speak.

Mandatory exclusions: OIG is required by law to exclude from participation in all Federal health care programs individuals and entities convicted of the following types of criminal offenses: Medicare or Medicaid fraud, as well as any other offenses related to the delivery of items or services under Medicare, Medicaid, SCHIP, or other State health care programs; patient abuse or neglect; felony convictions for other health care-related fraud, theft, or other financial misconduct; and felony convictions relating to unlawful manufacture, distribution, prescription, or dispensing of controlled substances.

The sources who are supposed to report to the OIG are the USAO’s, MFCU’s (Medicaid Fraud Control Units), Local Prosecutors, State Medicaid Agencies and Licensing boards and should include the judgment, plea agreement, final actions, indictment information, investigative report or narrative, aggravating factors, mitigating factors, and a cover letter with a brief summary.

There are numerous acts under which the government should stop the massive fraud, one being under the Social Security Act 1128(b)(4), where Michael DeRose, DDS and William Mueller, DDS the founders of Small Smiles Dental Centers are listed.

Senate Panel Backs Bill That Targets Medicaid Fraud

The Senate Health and Human Services Committee gave its endorsement Tuesday to legislation that tackles Medicaid fraud and could save the state millions of dollars.

Senate Bill 8 will “reduce the epidemic levels of fraud waste and abuse that are plaguing our health and human services,” said Sen. Jane Nelson, R-Flower Mound, the author of the bill and chairwoman of the Senate health committee. She added that “no amount of fraud is tolerable, but given our recent budget challenges it is inexcusable” that the Office of Inspector General has identified more than $6 billion in fraud from 2004 to 2011 tied to Medicaid, the state health program for poor residents.

The legislation will now go to the full Senate.

The committee approved a substitute of the original bill. The approved measure would set up a data analysis team within the Texas Health and Human Services Commission to detect trends in Medicaid claims and take a proactive approach to identifying potential fraud; ensure providers found guilty of Medicaid fraud in Texas or other states would be barred from participating in the state’s program; strengthen prohibitions against directly soliciting Medicaid patients for treatments; and reduce transportation fraud by adding medical transportation services to managed care and setting up a relationship between the Texas Department of Transportation and the Health and Human Services Commission to verify the eligibility of a Medicaid patient for transportation services.

Dr. Kristie Ayn Liebau-Grassi receives 4 month in federal prison, 8 months of house arrest and 3 years of supervised release

February 14, 2013

How many more mommy’s are going to go to the slammer before they stop participating in the fraud at dental clinics across the country.

GoEarie.com is reporting Dr. Kristi Ayn Liebau-Grassi is going to be spending 4 months in federal prison, 8 months of house arrest then 3 years of supervised release. She admitted guilt to defrauding Medicaid out of $289,000 between 2008 and 2011. 

After the Medicaid fraud in Pennsylvania, suspiciously, Kristi moved her family to Texas to practice dentistry. Did she hear that’s where to make the big bucks in Medicaid dental fraud? She ended up working for Pacific Dental’s Sienna Modern Dentistry in Missouri City, Texas.

I bet she would like to go back and rethink all those decisions she made back then, don’t you?  It’s not just the fine, the restitution, the prison time, etc., it’s the pain and stress of her entire family which will continue well past the time her supervision ends, something in 2017.

Counting the 3 years of waiting for the Feds to come knocking, it will be a total of 7 years by the time this is tragedy can even begin to heal. Her children’s lives where thrown away, for $289,000!  

What a shame Kristi didn’t think about her children, all under 7 years old including a 2 year old who has a serious heart problem, BEFORE, she decided Medicaid fraud was the path to wealth.

It’s ironic she tried to use the needs of her own children to stay out of prison, when screwing over other people’s children sent her there. 

 

 

Dentist gets 4 months in prison, plus house arrest, for fraud in Erie

By ED PALATTELLA, Erie Times-News
ed.palattella@timesnews.com

A 40-year-old dentist who defrauded Medicaid while treating children in the Erie area asked a judge to consider her own children at her sentencing.

The judge took Kristi Ayn Liebau-Grassi's concerns into account on Wednesday as he ordered her incarcerated for four months, followed by eight months of house arrest.

Liebau-Grassi, a married mother of five children who now lives near Houston, faced a recommended sentence of a year to 18 months in prison under the federal sentencing guidelines.

What does Scientology and Muslim Extremist have in common? It appears the answer is Texas Medicaid $ and Juan Villarreal, DDS

Texas Dentists for Medicaid Reform (TDMR) testified before the Texas Senate Finance Committee recently. The group was "singing the blues", saying all the reports of any such fraud taking place in Texas are lies. .

Despite recent reports of $1billion dollars in Medicaid monies being recovered by the Texas Attorney General’s office in the last 10 years, the group’s attorney, Greg Ewing, all but called it hogwash at the hearing.

Their press release contained the mother of all Freudian Slips and guess who was lucky enough to find it?  

The original link to their website contained in the press release read “Texas Dentists for Medicaid Fraud.” In that entire press release there were two truthful statements: the speaker was in fact Greg Ewing and their mission is Medicaid Fraud

Within three days after this blog pointed it out, the PRWeb press release had been changed.  Now there is only one honest statement, Greg Ewing’s name, and that might be in question at this point. Do they read this blog, you bet!

This group has the fingerprints of savvy political operatives all over it.  You know what I mean; call it one thing even though it’s something else.

Their name gives the illusion they are for “reform”.  I suspect in reality they are for “fraud”, as their “fraudian” slip (above) indicated.  Their actions indicate the only reform they support is for the Texas OIG or AG to disband any investigations in to Medicaid fraud.  See their January 2013 testimony in front of the Texas Senate Finance Committee.

Anyone want to take bets on whether their web presence will appear they are middle of the road, trying to fix what’s broken, etc.?  Truth is, they don’t want what’s broken fixed at all!

Texas orthodontist, Dr. Michael Goodwin to fork over $1.5 million beside fine and facing prison.

I bet Dr. Richard Malouf’s ears perked up yesterday when he heard good ole Dr. Goodwin had to fork over $1.5 million, beside a fine of $250,000 and facing up to 10 years in prison. But come to think of it, Malouf has already agreed to pay up over $1M to settle fraud charges. Hmm…

February 12, 2013

Amarillo orthodontist must forfeit $1.5M

By Jim McBride

jim.mcbride@amarillo.com

An Amarillo orthodontist must forfeit $1.56 million he fraudulently gleaned from the Texas Medicaid program by billing for dental work he never performed, an Amarillo judge has ruled.

In a preliminary order issued Monday, U.S. District Judge Mary Lou Robinson said the government presented “credible evidence” Michael David Goodwin, owner of Goodwin Orthodontics, 3629 Wolflin Ave., reaped $1.56 million in ill-
gotten gains between 2008 and 2011.

Goodwin, 63, pleaded guilty in December to one count of health care fraud. He faces up to 10 years in federal prison and a fine of up to $250,000 when he is sentenced. Under the plea, Goodwin agreed not to challenge the forfeiture.

Prosecutors allege Goodwin frequently billed for work he never performed and scheduled up to 100 patients daily. Employees and patients likened the scheme to “herding cattle,” court documents show.

A phone message Tuesday at Goodwin Orthodontics said the office was temporarily closed.

Dr. Kristie Liebau-Grassi Sentencing

Tomorrow is supposed to be the big day for Dr. Kristie Liebau-Grassi, who pled guilty to Medicaid fraud in September 2012.

She has agreed to pay restitution of $289K and faces 12-18 months of time in federal prison.  Maybe Dr. Robin Lockwood has a bunk in her cell for Dr. Kristie.

We shall see tomorrow.

Raven Maria Blanco Foundation Patient Survey

This 35-question survey is intended to measure patient attitudes and knowledge regarding the level of medical emergency preparedness in dental offices.
A general dentist (also called a family dentist) is a primary dental care provider that provides a wide range of dental services such as check-ups, exams, cleanings, fillings, crowns/caps, dentures and possibly other dental services. Many general dentists treat children as well as adults.

Please answer the questions based on your experiences with your current general dentist.

 

https://www.surveymonkey.com/s/rmbf-patient-expectation-survey

Dr. Thomas Floyd arrested again, this time for Medicaid Fraud and more.

Pam Bondi’s Office Arrests West Palm Beach Dentist on Medicaid Fraud and Grand Theft Charges

By: Eric Giunta | Posted: February 8, 2013 2:27 PM

Florida Attorney General Pam Bondi has announced that her office has arrested a West Palm Beach dentist -- Dr. Thomas Floyd, 61 -- on charges of Medicaid fraud, grand theft, and employing a person to perform duties outside the scope of their license.

“Employing a person to perform duties outside the scope of their license and billing Medicaid for those services is endangering patients and stealing from the Medicaid program,” Bondi said in a press release.

Kool Smiles under investigation?

February 11, 2013
I'm hearing rumblings of a Kool Smiles investigation going on by a federal agency but its not the one I have would expected; although I'm not surprised to hear is taking place.

There are literally thousands of complaints from parents and patients online about the Kool Smiles call center, for example:

404-781-0512 "Kool Smiles continues to call my cell phone and harass me almost daily...even after I've told them numerous times to stop..."

"They are so pressed to get your business that they disregard your privacy.."

"...I receive several phone calls a week from Kool Smiles to both my cell phone and my husband's..."

"These callers call me again and again..."

I'm told their automated system was a train wreck and Kool Smiles is fully aware of it.

Essentially set up as an appointment reminder it soon turned into high pressure sales calls to get parents to bring their child back for more torturous dental care. As long as the number was a "good" number Kool Smiles would continue the harassment. Same as they are with children's teeth, as long as there is prospective tooth to treat, it got treated, needed or not.

Apparently there has finally been enough complaints and the FCC is investigating. This is not confirmed by the FCC but my sources are solid.

In further Kool Smiles news:

I'm told Kool Smiles in Texas are being converted to their latest brain child - Resolution Dental. All expansion plans for new offices that were scheduled to open in 2013 have been cancelled.

Conspiracy Lawsuit Filed Against Wal-Mart and Executivies

El Segundo, CA (PRWEB) February 10, 2013
The Layfield Law Firm, on behalf of its client Dr. Kianor Shah, has filed legal action against Wal-Mart Stores Inc. and Comfort Care Dental Management (CCDM), a registered Dental Service Organization (DSO) in Delaware, in addition to several other individuals. Filed in the Superior Court of California - County of Riverside on December 21, 2012, (Case # 1218772) this suit alleges counts of civil conspiracy, misappropriation of trade secrets, breach of contract and confidence, tortious interference with prospective economic advantage, and violation of laws, requirements, and regulations.

According to court documents, in late 2008, Dr. Shah came up with the innovative idea of opening low- cost, full service dental offices in big-box retailers. Dr. Shah pitched the idea to Wal-Mart, who committed to put-into-action his clinics; however, Defendant Wal-Mart reverted back stating that it was no longer interested in having dental clinics inside their retail stores.

Texas Medicaid orthodontics spending off the charts; Facts are facts folks.

WFAA’s Byron Harris must be fed-up with his reports and statistics being questioned by folks hoping to keep the Medicaid dental spending unchecked in Texas. 

Here is Byron’s latest:

 

Bracing Ourselves: How Texas spent $705 million on Medicaid braces

by BYRON HARRIS
Bio | Email
WFAA
Posted on February 4, 2013 at 6:35 PM
Updated yesterday at 2:32 PM

Until last year, the Texas Medicaid Dental Orthodontic program was spending money like a Christmas shopper on Black Friday. Between 2008 and 2011, Texas spent $705 million on Medicaid orthodontics, which experts say many children don't even need. That's because the state was paying the bills without adding them up, or even seeing if the money was well spent.

It was what Doug Wilson, the Inspector General of Texas Health and Human Services, calls a "pay and chase" environment. Texas now is earnestly in the "chase" mode. It has between 300 and 400 open investigations. Wilson took over the Office of Inspector General in 2011, and after a series of WFAA stories exposing questionable Medicaid payments, the state is beefing up its investigation of Medicaid fraud.

"Texas is a huge state. There are a lot of kids out there," Wilson told News 8 in a lengthy interview last month. "Some of the things we're seeing are just errors and other things that we're seeing are more intentional. And we're taking appropriate actions and making referrals as necessary."

The state now is holding payments back from 91 Medicaid providers for Credible Allegations of Fraud. Dozens are dentists and orthodontists.

The first signs of trouble were in 2008. That's when an audit by the OIG revealed problems.

"The volume of prior authorizations (for spending on braces) was extremely high," Wilson says. 

The OIG warned the state that applications for braces (orthodontics) were not being inspected carefully enough, and that the state should consider beefing up its staff. 

"We thought things were going to get better," Wilson says. "As we now know, they didn't necessarily get better. The volume of orthodontia in our state was extremely high. We warned them, and I think they tried to act but they didn't go far enough."

In 2011, News 8 began asking for Medicaid records under the Freedom of Information Act (FOIA) and the Texas Public Information Act (TPIA) to see how much Texas was paying to put braces on kids under Medicaid, and how it compared to the rest of the nation.

Data obtained by News 8 from TDHHS showed that Texas spent $184 million on orthodontics for Medicaid kids in 2010. News 8 had to pay for this data because the state did not compile them on its own. TDHHS has now adjusted the total upward to $200 million.

To get a national picture, News 8 obtained total spending figures from the federal Medicaid Statistical Information System (MSIS). These numbers, which took weeks to obtain, had never been compiled until News 8 asked for them. The most recent totals available were, and still are, from 2009. The entire nation spent $355,550,331 in 2009.

 

Texas alone spent about 70 percent of the rest of the nation combined.

North Aurora Dental Associates fake dentist arrested

 

Aurora Illinois - An Aurora woman faces charges of illegally practicing dentistry at a North Aurora dental office, police said.

North Aurora police and the Kane County State’s Attorney’s Office have obtained a criminal indictment against the woman for illegal dentistry practice at the North Aurora Dental Associates office on the 100 block of North Lincolnway (Route 31).

The defendant is Silvia Hernandez, 37, of the 400 block of Iowa Avenue, Aurora. Hernandez was indicted last week by a Kane County Grand Jury on the following charges:

• Theft, a Class 3 felony

• Deceptive Practices, a Class A misdemeanor

• Unlawful Practice of Dentistry, a Class A misdemeanor

The charges come after an investigation of over seven months by North Aurora police detectives.

Charging documents allege that Hernandez knowingly took control of more than $500 but less than $10,000 from someone by portraying herself as a licensed dentist in the State of Illinois, when in fact she was not a licensed dentist, according to a news release.

This investigation began on July 5, 2012 when a female came to North Aurora Dental Associates to report a problem with her braces. When the office staff could find no record of the female ever having been a patient there, she reported that she paid “Doctor Silvia” to put her braces on in this office about four years prior. Staff at North Aurora Dental Associates contacted North Aurora Police immediately.

It’s getting bizarre in Texas over all the dental Medicaid Fraud being uncovered. The whackos are coming out of the closet and testifying in Austin.

Last week some whacked “organization” had their “President” testify before the Texas Senate Finance Committee singing the blues over dentists being investigated for Medicaid fraud in the state.

Well, it’s not really an “organization” per se, it’s more like 3 highly questionable dentists and a general counsel for a controversial law firm.

Greg Ewing, president of Texas Dentists for Medicaid Reform Fraud (you will understand this later) group said dentists were unfairly having funds withheld by the state because of a “2 years of disinformation” – did he mean by the media? If so, that means the media has mucho power!  He further stated  “evidence of fraud does not exist”. Ewing actually insinuated to even investigate the possibility for Medicaid fraud would be a waste of taxpayers money, saying “the State will lose money because the level of investigation will end up costing taxpayers millions more".

Was he really telling the Senate Finance Committee,  “look guys, they have already stolen it, let ‘em keep it and while you’re at it, tell HHS and OIG to leave them alone?”

Ewing also sat there with a straight face and told the Finance Committee that the Texas Medical Association did an independent review of Carousel Dentistry operations and found the clinics “highly efficient”. Why Carousel was even mentioned in beyond me. More on Carousel later.

Who is Texas Dentists for Medicaid Reform? 

 

The president of TDMR is Greg Ewing, an attorney for Asbahi Law Group.  Asbahi Law Group is more or less a lobbyist started in 2009 by Mazen Asbahi, a former community organizer, but best known for his appointment by the Barack Obama campaign to head up outreach efforts in the Arab American and American Muslim community. Asabahi later resigned after it was revealed he served on the board of the Allied Assets Advisors Fund with Jamal Said which supposedly raised money for Hamas.  Currently it’s reported Mazen Asbahi newest lobby efforts are to get guns to Syrian Rebels.

Wonder why this Mazen Asbahi guy is so interested in Texas Medicaid fraud?

The only other people mentioned on their website are 3 members who are dentists., Dr. Tara Rios, Dr. Juan Villareal, DDS and Dr. Vivian Teegardin, DDS, both of Harlingen Family Dentistry in Harlingen, Texas.

 

Dr. Tara Rios, DDS
Brownsville Family Dentistry
1601 E. Alton Gloor Boulevard
Suite 108
Brownsville, TX 78526
Phone: (956) 542-1956
Fax: (956)542-3672
office@drtarariosdds.com
2010 –D2930 Crowns = 82

In the bios of the “members” of TDMR, they fail to use Dr. Rios’s complete name – Dr. Tara Rios Ybarra. In 2010 then Texas State Representative (D-South Padre Island) was taken into federal custody for Medicaid fraud which also involved Texas dentist Gary Morgan Schwaz and six others. Schwaz, owner of Valley Oral and Maxillofacial Surgery was accused of paying dentists to received referrals for Medicaid recipients. 

Tara Rios Ybarra charged in Medicaid fraud case

Oral and Maxillofacial Surgeon and His Employees Indicted – FBI

Appears it’s not the first time Rios-Ybarra has been used as a patsy.  While a Texas Representative it appears she sponsored bills that were actually put forth by “special interests”.

Tara Rios Ybarra Unprepared and Clueless on her own bills – You have to see this one!!

Comment:
“Well, we can all see that she was basically elected to her district because she is Hispanic and nothing more. I guess this is what happens when you are corrupt. She had no business being elected to any office in the united states. She would be great in Mexico though. Worthless piece of trash!”

Want to work for Aspen Dental?

You might want to reconsider. Below are just a few points made by current or former employees of Aspen Dental -
Pros: Free Lunch w/ meetings, plenty of employees to "vent" with.
Cons: No morals from corporate headquarters, illegal, company is a joke, over worked, all about sales, unethical, money driven, no real concern about patient care, high stress
Read all the reviews here:
Aspen Jobs

Blowing the Whistle Pays

http://therolladailynews.com/article/20130131/NEWS/130139669/-1/opinion

Attorney General Chris Koster said today that his office has awarded $8,239 to a Medicaid fraud whistleblower who alerted the state to fraudulent billings by a group of dental clinics. The award money is 10 percent of $82,000 that the dental provider is paying in restitution and penalties to the state of Missouri, as allowed by Missouri law.

“Medicaid fraud tips are an important part of our efforts to investigate and punish Medicaid fraud,” Koster said. “We encourage anyone who suspects a health care provider is engaged in Medicaid fraud to contact our office so we can investigate.”

Koster said the whistleblower contacted his office in January 2011 with concerns about Ozark Family Dentistry, and the clinics’ owner, Dr. Arrash Ahmadnia. Dr. Ahmadnia, based in Rolla, owns dental clinics in Rolla, Thayer, Osceola and Springfield.

The whistleblower, who worked briefly at one of the clinics, alerted the Attorney General’s Office that Dr. Ahmadnia had instructed him to perform unnecessary work on patients, presumably to bill the costs to Missouri Medicaid. The Attorney General’s investigation found that the clinics had billed Medicaid for treatments under the code for dental fillings, but had actually performed different procedures – preventative resin restorations – which are not covered by Medicaid. The investigation also found some instances of double billing and billing for ineligible adults.

Under a settlement, Dr. Ahmadnia is required to pay more than $208,000 in restitution and penalties to the state and federal Medicaid programs. He is also required to immediately stop submitting reimbursement claims to Medicaid for the preventive resin restoration treatments. The agreement is a compromise of disputed claims and does not contain an admission of wrongdoing by Dr. Ahmadnia. The Attorney General’s Office is continuing to review billing procedures at the clinics.

Trueblood Dentistry and their string of Carousel chops shops finally forced to close!

In all the raw data I’ve seen out of Texas, this one would nearly always fall in the top 5.  This one alone is said to have stolen $18 million from taxpayers.  Just imagine the hundreds and hundreds of millions, if not billions stolen from scam dentists and dental companies in the state of Texas!  Perp walk please!!

I’m sure the “pity” party has begun.

 

By Chuck Lindell

American-Statesman Staff

Carousel Pediatrics began shutting down its Austin dental practice Tuesday night, displacing about 28,000 low-income pediatric patients, after state health investigators cut off Medicaid payments over allegations of fraudulent activity.

Carousel’s owner, Dr. Glenn Wood, who disputed the fraud allegations, said the loss of about $400,000 a month in Medicaid payments required him to shut down his dental affiliate, Trueblood Dental Associates, and lay off about 40 staff members and six dentists.

13 more pages of allegations in latest Aspen Dental Complaint

Aspen Dental - Amended Class Action Complaint Filed 1-18-2013 by Dentist The Menace

Two reports on poor quality of care by dentists claiming expertise in implants

A story by the Bakersfield Californian, reports the California Dental Board has filed a complaint against Dr. Robert Tupac, DDs to the state’s department of consumer affairs.

Dr. Tupac reportedly told one patient “not to worry about a thing, I wrote the book on (dental) implants,"

The report says, the complaint was issued by the state Attorney General raises numerous issues that should result in his licenses being revoked or suspended: for discipline" against Tupac, including gross negligence, altering patient records, aiding and abetting an unlicensed person to practice dentistry, incompetence and obtaining fees by fraud. The document requests that the Dental Board revoke or suspend his license and pay restitution.

According to the report, his dental licenses remain squeaky clean, despite his own professional regulatory board having multiple complaints against him on file AND have filed their own complaint to the California Department of Consumer Affairs!!

“The Dental Board issued Tupac's dental license in 1974. The board's website does not show any previous disciplinary actions against him.”

In a report on KGET-TV’s website it says “The California Dental Board wants to suspend or revoke the license of…”  Well, then why don’t they??  

Newspaper report: Bakersfield dentist accused of incompetence, negligence

California AG Marc Greenbaum’s complaint filed against Robert George Tupac, DDS

Dr. Li Skelton

This situation with Dr. Tupac sounds much like a situation with an implant dentist in Texas who says their office “specializes” in dental implants – Dr. Li Skelton.  Heck her new clinic even promotes tourism dentistry, just to see her.

Missouri’s Medicaid Fraud Control Unit reclaims $’s from Comfort Dental

January 25, 2013

Today’s Medicaid Fraud Recover story is from Missouri, where Attorney General Chris Koster has announced a $50M recovery by Missouri’s Medicaid Fraud Control Unit.

Of course crowing about the recovery and actually recovering the money are two completely different things. Personally, I read it as “We found $50M we were snookered out of and have they con artists an invoice.”

Of interest to me was this part of the statement:

• Comfort Dental (3 cases):  Comfort Dental – a franchise dental chain based in Colorado with offices in the Kansas City area – billed Medicaid for services provided to individuals who were not eligible for Medicaid, resulting in a total loss to Medicaid of more than $17,000.  Additionally, the Attorney General’s investigation revealed that each clinic double-billed services to Medicaid, resulting in a loss of more than $4,200, and also charged Medicaid recipients for services paid for by the program.

In three separate settlements, the entities paid $66,265.22 to resolve claims of both the Medicaid Fraud Control Unit and the Consumer Protection Division.  The Consumer Protection Division sent checks totaling $6,265.22 to those Missouri citizens who were improperly billed for Medicaid covered services.

Joseph Bernat, DDS now associated with two dental organization nailed for Medicaid fraud.

New York Attorney General, Eric Schneiderman released a statement this week saying the state had recovered $335M in Medicaid that has been fraudulently obtained in 2012. 

The part I found interesting was the dental, of course.  Media outlets are reporting $1.6 million recovered from Kaleida Health’s – Buffalo Women’s and Children's Hospital Dental Clinic.

From WGRZ:

The state also recovered $1.6 million for excess Medicaid payments on claims for dental services provided by Kaleida Health through the Buffalo Women's & Children's Hospital Dental Clinic.

 

“Kaleida” and “Buffalo” rang a bell. Then I did some checking, and low and behold there it was: Dr. Joseph Bernat, DDS – Chair and Program Director of Women and Children’s Hospital of Buffalo.

 

 

 

 

 

 

 

Amazingly, Dr. Joseph Bernat, DDS — who is was so highly respected; who supposedly carries such influence — now has two organization nailed for Medicaid Fraud under his belt: Small Smiles Dental Centers in 2010 and Women and Children’s Hospital of Buffalo in 2012.

Way To Go, Dr. Bernat!!

Kool Smiles–NCDR, LLC still mistreating children according to parents complaints

Kool Smiles continues its dirty practices and children still suffer the previous trauma this company brought to millions of children over the last 9 years  according to posts over on Topix.

NINE YEARS!!! 

That’s a long time for authorities and dental boards to allow this.  How can any of them explain their lack of action?  I have to assume they think it’s OK.  What a screw up way of thinking!   

 

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Wednesday January 23, 2013 - Be very leery about fraudulent diagnosis from this office. This facility is only interested in taking advantage of low-income families who have access to Hoosier HeathWise and/or Medicaid ... preying on the fact that most of these parents will not question any diagnosis given; ultimately, this facility is billing the government for services NOT needed.

My personal experience:
First of all, parents are not allowed in the back (a BIG red flag), nor shown x-rays, nor consulted in any way. Took my son to this dentist and was "told" that he had FIVE cavities (mind you, I was never shown his x-rays). The office tried to keep us there to do the fillings right then and there. I had an extremely uneasy feeling; therefore, I declined, and stated that I would schedule another time.

We have since consulted another pediatric dentist. Imagine my surprise being told that my son had NO cavities. None. Zero. Zilch. In fact, they told me that he had done an exceptional job keeping his teeth clean and healthy.

My recommendation: Do NOT give your business to a fraudulent business such as Kool Smiles in Terre Haute. Any facility taking advantage of low-income families and the Indiana state government should be audited and shut down for fraudulent business practices.

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Tuesday January 15, 2013 - My daughter went to Kool Smiles when she was four for fillings. They put her in a straight jacket and she screamed until her nose bled.

Dr. Kristi Ayn Liebau-Grassi doesn’t want to go to jail.

Remember the Erie, Pennsylvania dentist who headed to Texas for a more lucrative position with Pacific Dental d/b/a Modern Dental?  Well, she’s not wanting to go to jail. Didn’t work very well for Robin Lockwood in Oklahoma, however Lockwood’s dental license still appears squeaky clean! Amazing!

 

 

Published: January 22, 2013 12:01 AM EST
Updated: January 22, 2013 1:38 AM EST

Former Erie dentist seeks to avoid prison term

By LISA THOMPSON, Erie Times-News
lisa.thompson@timesnews.com

A former area dentist who pleaded guilty to defrauding Medicaid is hoping a judge will spare her a term in federal prison so she can better care for her family.

Federal sentencing guidelines recommend a prison sentence of a year to 18 months for the dentist, Kristi Ayn Liebau-Grassi, who admitted in September that she repeatedly billed the government for dental work that was unnecessary or never provided.

Her lawyer, however, is hoping to convince a judge to give her a lighter sentence because of her clean prior record, her family's needs and she accepted responsibility.

"The defendant is a loving and devoted parent whose maternal responsibilities may be greater than almost anyone who has stood for sentencing before this Court," the lawyer, David Ridge, wrote in a sentencing memorandum filed in U.S. District Court in Erie.

Bileca sells to Matzkin or Towncare affiliates with Dental Care Alliance, it’s the same either way.

So it was announced last week that Florida State Representative Michael Bileca’s Towncare Dental Partners d/b/a Towncare Dental and Main Street’s Children Dentistry and Orthodontics is now “affiliated” with Dental Care Alliance based in Sarasota, Florida.  Of course that means he unloaded the clinics. Who knows he may stay on as CEO, President or whatever he claims to be.  Wonder if Mr. Bileca has bigger political ambitions and needs to rid himself of the DSO?

So, who is Dental Care Alliance?  Beats the hell outta me!  There’s a timeline after the press release.  You figure it out. 

What I do know is Steven Matzkin and Michael Bileca , their respective CEO’s are founders of that nasty group the Dental Group Practice Association (DGPA). So swapping control of dental clinics they illegally operate among themselves is akin to one of those underground “swingers” clubs.

Dental Care Alliance Press Release

Dental Care Alliance Acquires Towncare Dental Partners

Posted on January 16, 2013 by dca

Sarasota, FL – Dental Care Alliance (DCA) announces the affiliation of Towncare Dental Partners (TDP).

“Towncare is an outstanding, well regarded company, and we are excited to have their team join DCA and expand our administrative resources to better support the needs of our affiliated dental professionals,” says Mitch Olan Co-CEO/COO of Dental Care Alliance. “Both DCA and Towncare place the same emphasis on quality care, provider support and patient satisfaction.”

The Florida-based companies have similar operating philosophies and more than 40 years of combined experience supporting the dental profession. The combined company will now manage the administrative services of 145 dental practices in 8 states.

February “Children’s Dental Health Month”– Parents and School Personnel Beware!

It’s almost that time of year again; February “Children’s Dental Health Month” or as I’ve come to call it “Chop Shop Victim Month”.  Like so many things, what started out with good intentions became a way for the crooks and unsavory dental mills to increase patient volume.  I suspect with their business model taking such a financial hit this past year, patient shopping is high on their list of priorities.

Here’s how it works. 

Schools and daycares in low income areas are called by the dental mill and asked if they would like to have a free dental screening day. All it is, a dental assistant doing a quick visual in each child’s mouth, no instruments used.

TEXAS LEGISLATURE: Health care bills aim to reduce fraud

TEXAS LEGISLATURE: Health care bills aim to reduce fraud

By Matthew Waller Scripps Texas Newspapers
Published Wednesday, January 16, 2013

AUSTIN — Texas lawmakers are looking at ways to cut down on billions in fraud and waste in Medicaid, health funding for the poor, they announced Wednesday.

The question is whether the proposed laws will discourage medical practitioners from operating or accepting Medicaid as payment, a Texas Tech professor said.

Medicaid fraud and waste cost Texas $6 billion from 2004-11, lawmakers said Wednesday.

Sen. Jane Nelson, R-Flower Mound, and chairwoman of the Senate Committee on Health and Human Services, plans to tackle that number with two pieces of legislation aimed at reducing Medicaid fraud and improving Medicaid services based on quality of care.

"It's depressing," Nelson said of the reports of Medicaid fraud. "I feel like we're playing Whac-A-Mole. We have one problem uncovered, and we try to deal with it, and then we see another one emerge. … We have to assume our responsibilities and head off some of these problems before they begin. … It's infuriating to hear report after report of the kind of abuses that are taking place."

Earlier this month, for example, the attorney general announced a $36 million settlement with pharmaceutical companies Pfizer and Endo on claims that the firms overcharged Medicaid for drugs.

Texas Vows to crack down on dental Medicaid fraud

I’m guessing Texas is not exactly the best market anymore for the Medicaid dental mills and DSO’s in general.

by BYRON HARRIS
Bio | Email
WFAA
Posted on January 16, 2013 at 6:48 PM
Updated yesterday at 9:55 PM

NEWS 8 INVESTIGATES

AUSTIN — State Sen. Jane Nelson (R-Flower Mound) put it simply Wednesday, speaking to a group of reporters at a news conference in Austin:

"It is infuriating to hear of the kind of problems that are taking place... problems that are particularly serious in Medicaid dental, orthodontia and transportation for Medicaid patients," she said.

For the past two years, News 8 has been investigating the Texas Medicaid Dental program and hundreds of millions of dollars the state has spent on orthodontics under Medicaid.

Sen. Nelson specifically mentioned the parents of Medicaid children who had been solicited by "marketers" bearing free gifts and cash, the subject of several News 8 stories.

Senate Bill 8 is designed to cure some of those abuses.

• READ: Senate Bill 8

"It strengthens the prohibitions against solicitation of Medicaid clients," Nelson said. "We heard story after story about that. We are going to prohibit that and make sure it doesn't take place."

So far, the bill does not specifically prohibit handing out gifts and cash to parents to induce them to take their children to certain dentists. Nelson says hearings over the next two months will flesh the bill out.

The legislation also articulates the Inspector General's role in uncovering and reporting fraud, and bans a dentist from participating in Medicaid if found guilty of fraud.

The bill moves Medicaid Transportation into managed care, and directs the Department of Health and Human Services to reduce inappropriate ambulance use.

Even though the specifics of this bill haven't yet been hammered out, there's already huge opposition to it. That's a sign, Nelson says, that as it is, some dentists are making lot of money.

E-mail bharris@wfaa.com

Over 11,500 comments just 24 hours after Yahoo news picks up the story of child’s mouth of metal in Arizona.

January 17, 2013 10:55 AM CST

Since being picked up by Yahoo News, “Arizona mother gets shock after daughter’s trip to dentist” now has over 10,000 comments since it’s post on Yahoo, 22 hours ago.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Photos courtesy of AZFamily.com and 3 On Your Side

3 On Your Side Reporter Gary Harper:

Gary Harper Bio
gharper@azfamily.com

Follow: @GaryHarper3TV

3 On Your Side
5555 N. Seventh Ave.
Phoenix, AZ 85013
602-207-3333 (phone)
602-207-3477 (fax)

If Dr. Richard Chaet is what is representing Pediatric Dentistry in Arizona no wonder there are so many dental abuse stories coming from that state. At least 1 in 3 that I received come from there.

A Quote from the story and Dr. Richard Chaet, “ Chaet explained that while Savannah's dental work is shocking to look at, it was probably necessary. "This is a child who is obviously very high risk for decay," he said, noting that crowns will save other teeth from deteriorating.

Seriously Dr. Chaet?  Well then for heavens sake let all American’s all get crowns on every in their head to prevent “deterioration”.  Then we won’t need assholes like yourself!

Better yet, let’s all run down to Aspen and have every tooth jerked out of our head and get a crappy set of dentures slapped in!  That would work too wouldn’t it?

Can anyone say, “Agency Capture” well it’s been captures in Arizona and if nothing else this story revealed that much!

 

Sadly this is probably the best that could be done to repair what the monster dentists did to this beautiful child. 

Another Phoenix child abused by an crooked dentist.

As readers of this blog knows, it’s much more serious than this story has lead anyone to believe. Dr. Richard Chaet is a huge part of the problem and should be ashamed!

This reporter drank the Kool Aid and note the greedy dentist’s who did this didn’t get his name mentioned. I bet the reporter isn't buying what Dr. Chaet is selling any longer.

 

 

by Gary Harper

Bio | Email | Follow: @GaryHarper3TV

See all 11 photos »

PHOENIX -- A Valley mom took her daughter in for some routine dental work, but the mom said there was nothing routine about the procedure.

At first, Alecia White thought a mistake had been made so she tried to get some answers. When White didn't, she contacted 3 On Your Side.

White has two beautiful and healthy children, Zach and his little sister Savannah.

"They're my everything," she said. "They're my entire world."
On a recent trip to the dentist, White discovered that little Savannah had four cavities. So, White allowed the dentist to fill them.

"They took her back and I was allowed to go back when they sedated her and after she was sedated, they had me go back out to the waiting room," White said.
White brought her groggy, little girl home when the procedure was done and let her take a nap. However, when Savannah woke up and White looked in her mouth, she saw that every single tooth, top and bottom, were capped with stainless-steel crowns.

 

Dentist acquitted of Medicaid fraud cannot pursue a defamation claim against prosecutors.

 

Defamation claim dismissed over prosecutors' press release

January 10, 2013
By Jessica Dye

NEW YORK, Jan 10 (Reuters) - A dentist acquitted of Medicaid fraud cannot pursue a defamation claim against prosecutors whom he claimed falsified information in a press release announcing his indictment, a Brooklyn federal judge ruled Thursday.

Brooklyn dentist Leonard Morse was ultimately acquitted of the fraud in 2007. He then sued current and former members of the New York attorney general's office over the indictment and the press release, which announced he had been charged in a "million dollar Medicaid fraud."

In a ruling from the bench, Chief U.S. District Judge Carol Amon said Morse had not shown the press release was false, a necessary element of a defamation claim, as well as two other claims Morse brought in connection with the release.

"A showing of falsity is critical for these claims," Amon said in granting the attorney general office's motion to dismiss the claims.

Sentinel Capital Partners has played big role in DSO cancer spreading across the states

In an article dated January 4, 2011, AltAssets published a story about Sentinel Capital Partners.  It had been announced Sentinel Capital had acquired Chase Doors on the same day it unloaded ReachOut Healthcare. If I remember correctly this is where Morgan Stanley stepped in, with the help and assistance of R. Kirk Huntsman. 

As what usually happens in these type of things, a little history is given; that is where the bodies are found buried.

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January 4, 2011

 

Lower mid-market private equity firm Sentinel Capital Partners has acquired US door manufacturer Chase Doors, on the same day that it announced the sale of dental support service ReachOut Healthcare America.

In both cases, financial terms were undisclosed.

Chase Doors, founded in 1932, produces specialty door systems employed in a variety of industrial and commercial settings including corrosion-resistant doors used for hazardous material handling; cold storage doors used in walk-in freezers and refrigerators; double impact traffic doors used in supermarkets and restaurants; and strip and roll-up doors used in warehouses.

The company’s revenues are evenly distributed across new construction, remodeling and replacement, and maintenance in the retail, industrial, pharmaceutical, food processing and markets.

“One of Sentinel’s areas of focus is branded, niche manufacturing businesses,” said Scott Perry, a vice president at Sentinel.

“Our previous investments in the niche manufacturing sector have given us a keen understanding of how to foster growth for businesses like Chase and financial guidance that positions our team to enhance Chase’s current market position while continuing to grow.”

New York-based Sentinel’s investments in other specialty niche manufacturing businesses include pressure regulator provider Engineered Controls International, industrial lubrication equipment maker Alemite, and Fasloc, which produces roof support systems used in underground mines.

• ReachOut, which the firm has just sold, provides a diagnostic, preventative, and restorative dental services to underserved children in schools and foster programs, the aged and disabled in residential facilities, and to US Army National Guard units.
• Sentinel made its initial investment in the company in 2007 in partnership with its two founders.
• In 2008, ReachOut acquired its largest competitor, Mobile Dentists, acquiring Georgia-based Help A Child Smile in early 2010.
• Today, (January 2011) ReachOut operates in 25 states and provides dental care to more than 425,000 underprivileged children, seniors, and military personnel each year.

“It has been extremely rewarding to work with the ReachOut and Mobile Dentists management teams,” said David Lobel, managing partner at Sentinel.

• “ReachOut is now firmly established as a powerful growth platform that delivers critical dental care to large and underserved segments of the population. We are proud to be affiliated with a business that not only has done well for its investors, but also provides a greatly needed healthcare service.”
• “We are fortunate to have enjoyed considerable success investing in the dental industry and will continue to seek new dental investment opportunities in the future,” said Paul Murphy, a partner at Sentinel.
• In the past, Sentinel has taken stakes in Castle Dental Centers, sold to Bright Now! Dental in 2004, and Metro Dentalcare, sold to American Dental Partners, in 2007.

Plea Agreements Reached by Two Dentists Admitting to Fraud

 

 

Dentist admits fraud charges

By Gordon Dritschilo
Staff Writer | January 12,2013

A Rutland dentist has admitted to billing the government for fake procedures.
Dr. Peter Gray pleaded guilty Friday in Rutland criminal court to four of the 23 charges against him — two felony fraud charges and two misdemeanor charges of false pretense — in a Medicaid fraud case.

The remaining 19 charges are expected to be dropped at sentencing.
Gray’s plea agreement with the Vermont attorney general’s office calls for a sentence of six months to six years in prison, suspended with probation except for 110 days of home confinement. Sentencing is scheduled for late February.
“The resources being what they are, this provided a certainty of a felony conviction and provides protection for the public,” said Assistant Attorney General Linda Purdy.

While Gray will not go to jail under the deal, Purdy said, home confinement is considered a form of incarceration.

“It’s really not as nice as it sounds,” she said, noting that the conditions of his confinement must be approved by the Vermont Department of Corrections. “Nonviolent crimes, money crimes like this, people do not get incarcerated.”

Purdy also said there were “collateral consequences,” such as a five-year prohibition against working in any practice that receives Medicare, Medicaid or Tri-Care funds, and the likelihood that the Vermont Board of Dental Examiners, which has already seen fit to suspend Gray before, could take action against him.
Gray is also required to pay $50,000 in restitution. Purdy said the state had put a hold on roughly $80,000 in Medicaid claims Gray made and that the restitution will be taken from those funds.

Gray’s attorney, Kerry DeWolfe of Barre, did not immediately return a call seeking comment Friday afternoon.

The charges were the result of a 2010 investigation in which prosecutors said Gray repeatedly bilked the Medicaid system by billing for phony procedures. Investigators said Gray claimed to be removing cysts from patients when he was unnecessarily removing healthy tissue.

Gray has another case pending in Rutland criminal court — a lewd and lascivious conduct charge stemming from a claim that he took advantage of a female patient who was under anesthesia. Purdy said the fraud case should have no bearing on the lewd and lascivious case.

Question to Texas Attorney General Greg Abbott

I demand an explanation why not one dentist is in jail for kidnapping children right off the street and taking them for medical treatment - without a parents consent - before being released.
At the very least the van driver should be jailed!
I'm sure there must be a good legal explanation or surely someone's ass would be in a jail cell down there. Also I'm curious in what other instances is it legal to kidnap children in the Great State of Texas!!
Please point to the law that allows for the kidnapping of minors for medical treatment.

Also is there a minimum age or social status on legal kidnapping for medical treatment. For instance would the kidnapping of Richard Malouf's child for medical treatment be as acceptable as it is for Juan Valdez's child? This is a question that needs to be asked and citizens deserve an answer!

Thank you very much,
Debbie Hagan

The Phew (Pew) Institute latest greatest

In 5 plus years of watching the dental profession continuously reach all new lows, the Pew Institute never disappoints in its complicity. 

Every year, in January and February – sometimes well into March – The Phew (Pew) Institute issues some research or report - usually landing them an audience on Capitol Hill – in which they give reason and need for the latest and greatest scam cooked up by the dental community. This year is no different.

For the last several months I’ve been inundated with information about the “Sealant” scam and how it’s being used to inflate profits while endangering dental health of children. While many may believe this blog is laser focused on papoose boards and stainless steel crowns, don’t be fooled, I hear about ALL kinds of scams!

While I’m going to leave the reporting of the “Sealant Scam” to the professional news people, I’m going to say there is one and the Phew Institute is once again showing evidence of how it they give the scam a façade of legitimacy. Amazing how every time Pew and the scams correlate.

The Phew Report for 2013

Many States are Missing an Opportunity to Prevent Tooth Decay and Reduce Medicaid and Other Health-related Costs

• Contact Matt Jacob 202.540.6310

January 8, 2013
Pew’s 50-state report finds that most states are not doing enough to use a proven strategy for preventing tooth decay, unnecessarily driving up health care costs for families and taxpayers. 

Introduction: Grading the States

In both 2010 and 2011, the Pew Children’s Dental Campaign released reports grading all 50 states and the District of Columbia on children’s dental health, relying on eight evidence-based policies that cover prevention, financing, and workforce issues. However, this year, Pew’s 50-state report focuses on prevention, examining states’ efforts to improve access to sealants for low-income kids.

Texas tries to crack down on dental chains that put profits ahead of patients

 

By David Heathemail

January 8, 2013

A leading Republican in the Texas legislature, who says she’s outraged by allegations that corporate dental chains put profits ahead of patients, has introduced a bill that would allow the state to regulate chains and forbid them from forcing dentists to meet revenue quotas.

A joint investigation by the Center for Public Integrity and PBS Frontline last summer found that two of the largest dental chains owned by private-equity firms, Aspen Dental Management and Kool Smiles, put pressure on its dentists to meet production goals, prompting complaints of overbilling and unnecessary treatments.

Both companies deny this. And a coalition of dental chains in Texas contends that their dentists have total control over patient care. But the chief sponsor of the bill remains skeptical.

“Several reports, including the Frontline program, have uncovered outrageous activities involving the illegal enticement of patients, especially among our Medicaid providers and often involving dental service organizations,” said Republican Sen. Jane Nelson, who chairs the Senate’s Health & Human Services committee.

Nelson did not name a specific chain. Aspen Dental does not accept Medicaid and has no offices in Texas. But Kool Smiles has clinics throughout Texas, and public records show that the state Attorney General has been investigating Kool Smiles for Medicaid fraud.

Read the entire story at Center for Public Integrity

WARNING to Scotland County, North Carolina Health Department

Apparently Scotland County, North Carolina and it’s Health Department hasn’t gotten the memo about Reachout Healthcare America, Morgan Stanley Private Equity and Elliot P. Schlang, DDS.

What I’m concerned about is this “partnership” between Reachout Healthcare America (RHA) and the Scotland County Department of Public Health. Teaming up with an income motivated private equity firm and ANY department of public health seems to be a VERY bad idea!

Someone needs to warn the county about who they are jumping in bed with. At the very least they should be warned about the astronomical number of  cancer causing X-Rays these children will be subjected to; you know the staff has to make that daily production goal!

 

Mobile dental clinic returns

by Staff report

01.04.13 - 12:01 am

The mobile dentist program — Smile North Carolina — will return to Scotland County three times over the next three months.

The Scotland County Department of Public Health will host the first session on Jan. 9. The dental team will be at the county health department AT 1405 West Blvd. in Laurinburg from 9 a.m. to 12 noon and 1 to 3 p.m.

There are also visits planned for Feb. 13, and March 12.

Children from 12 months to 18 years of age are eligible for the preventive dental services provided by this program.

“The Smile Program will continue to collaborate with our agency to provide dental care to children under 18 years old” said Cardra Burns, WIC program director at Scotland County Department of Public Health.

Smile North Carolina teams include a licensed dentist and registered dental hygienists. The team will provide and complete all paperwork as a state mandated requirement for the dental exam and provide permission forms in English and Spanish and letters to the parent for every child.

Dental referrals are provided by Smile North Carolina if additional dental work is needed.

Most dental insurances, including Medicaid, cover 100 percent of the services that are provided by Smile North Carolina. For those children without dental coverage, charity care services are available with a parent’s signature on a charity care application. No proof of financial status is asked, health officials said.

Smile North Carolina has been coordinating dental care to children, families, and communities for almost 15 years and is OSHA and HIPAA compliant.

Burns said about 132 Scotland County children have received dental care since June 2012.

In the wake of Sen. Nelson’s Bill introduced in Texas, two of the worst DSO’s rush to self-promote

December 21, 2012 Texas Senator Jane Nelson introduced SB 151 to require, among other things, DSO’s to stop hiding behind fake owners as they do now. A few months ago, several DSO’s formed a coalition in preparation for their fight in Texas. Evidently, they want to remain in hiding.

Today two DSO’s who are members of the coalition of DSO’s issued a press release; throwing down the gallant so to speak. It’s a great piece of fiction you must read:

AUSTIN, Texas, Jan. 3, 2013 /PRNewswire via COMTEX/ -- National Recognition Includes TCDSO Members in its Inaugural "Hire Power" List of "Real Heroes of the American Economy"

The Texas Coalition of Dental Support Organizations (TCDSO) - whose members provide non-clinical business support services to Texas dentists - today congratulated four of its members - Great Expressions, Heartland Dental, Pacific Dental Services, and Smile Brands - who were recognized on Inc. Magazine's "Hire Power" list of "Real Heroes of the American Economy."

Inc.'s inaugural list of 100 Hire Power Award honorees recognizes businesses that are making a substantial contribution to the nation by "adding jobs and rebuilding the economy."

Of note, two TCDSO members - Pacific Dental Services and Heartland Dental - were included in Inc.'s list of the "Top Ten Heroes of the American Economy." They were featured as creating the 4th and 6th most new jobs in America in 2012.

Great Expressions and Smile Brands were similarly featured as creating the 25th and 31st most new jobs in the nation.