As many as 7,000 Oklahoma patients could be in danger of infection

Tulsa-area patients potentially exposed to hepatitis, HIV at Dr. Scott Harrington's dental practices

Posted: 03/28/2013

TULSA - Officials with the Tulsa Health Department and the Oklahoma State Department of Health are in the process of notifying around 7,000 patients of a local dental practice they may have been exposed to blood-borne viruses.

During a press conference Thursday, local and state health officials as well as the Oklahoma Board of Dentistry released details surrounding the investigation, which revealed inappropriate infection control practices at the dental offices of W. Scott Harrington, D.M.D. and officials say Harrington put patients at risk for hepatitis B, hepatitis C and HIV.

Investigators were first tipped off to Harrington's office after one of his patients contracted HIV and hepatitis C  It was ultimately traced back to the dentist.

Further inspection revealed a lack of sterilization, illegal administering of IVs by dental assistants, even a vial believed to have expired 20 years ago in an unlocked drug cabinet. 

Despite health officials' discovery, Susan Rogers, executive director of the Oklahoma State Board of Dentistry, emphasized the importance of remaining calm while maintaining the gravity of the accusations.

"I don't believe he had any idea there was anything bad happening," she said. " ... (It's) absolutely one of the most serious cases we've ever had."

Tulsa City-County Health Department Director Bruce Smart echoed Rogers following the announcement.

"We know it's very, very rare. It doesn't happen easily, but the fact that there has been unsafe practices, we never know if transmission could occur," he said.

Patients who were treated at either of Harrington's dental practices -- located at 2111 S. Atlanta Pl. in Tulsa and 12806 E. 86th Pl. N. in Owasso -- since 2007 will receive letters from health officials and are encouraged to undergo testing for Hepatitis B, Hepatitis C and HIV.

The Tulsa Health Department's North Regional Health and Wellness Center at 5635 N. Martin Luther King Jr. Boulevard is performing free tests on a walk-in basis Saturday, March 30 from 10 a.m. to 2 p.m. and Monday, April 1 from 8 a.m. to 6 pm. The health department has also set up a hotline at (918) 595-4500 for people with questions.

Officials say patient information was only available for the past seven years: therefore, patients seen by Harrington before 2007 may not receive letters. Anyone with additional questions may call the hotline.

Harrington, who the state says has been practicing dentistry since 1977, has voluntarily closed his doors while officials conduct the investigation. A hearing is scheduled for April to determine his dental future.

The Tulsa Health Department will continue to provide updated information on their website at www.tulsa-health.org  (http://bit.ly/TulsaHealth).

SEE STATE'S COMPLAINTS

Read more: http://www.kjrh.com/dpp/news/local_news/tulsa-area-patients-potentially-exposed-to-hepatitis-hiv-at-dr-scott-harringtons-dental-=

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Related:

Ohio Veteran Administration Clinic – 9 test positive for hepatitis – March 2, 2011

Colorado dentist may have infected patients with HIV – July 13, 2012

Oklahoma authorities say there may be as many as 100 victims in dental scam - September 5, 2012

Dr. Bicuspid reports on Arizona Mobile Dental Bill HB 2426 and ReachOut Healthcare America

At the end of their story are consent form examples.

Arizona bill would increase oversight of mobile dental services
By Donna Domino, Features Editor

March 25, 2013 -- Arizona is considering a bill designed to provide more oversight of mobile dental service providers who provide prophys, irreversible procedures, and other dental treatment for children at the kids' schools. 

State Rep. Doris Goodale (R-District 5) has introduced HB 2426, which would require double parental notification before a mobile dental unit can provide treatment to children: one for routine cleanings and sealants, and a second for irreversible procedures such as restorations or extractions.

Lee Weinstein, DMD, a Scottsdale pediatric dentist and a member of the Arizona Dental Association who helped write the new legislation, said efforts to increase oversight of mobile dental providers gained momentum following complaints by the parents of Isaac and Joel Gagnon, who received dental treatment at their school in 2011. Four-year-old Isaac was given two pulpotomies and two stainless steel crowns, and his brother Joel received an "excessive" number of x-rays.

MDDR pandemic spreading

A pandemic in dentistry has broken out here in the US.  Now reported in Indiana, it has also broken out in several other states including Oklahoma and Texas.  By no means is this pandemic an accident; personnel in some dental offices are having weekend hoedown type events designed specifically to maximize its effectiveness.  Who are the victims?  You and I!  Is there a test for it, you bet!  Is there a cure?  That is yet to be seen.

What is MDDR
You have probably never heard of MDDR.  Not wanting to wait for some official someone or  media personality to give it a catchy name and acronym, I did it myself.  Today I proclaim MDDR is Mass Destruction of Dental Records.  (I don’t think I  have to have some type of official ceremony so I’ll check on that later.)

Officials in states, such as Texas, who are searching for evidence of this pandemic might want read this story out of Indianapolis concerning a breakout of MDDR.

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Posted: Mar 18, 2013 7:06 PM CDT Updated: Mar 20, 2013 10:09 AM CDT

By Bob Segall - bio

INDIANAPOLIS, IN - Thousands of patient records found by our 13 Investigates team are now in the hands of state investigators.

Late Tuesday afternoon, special agents with the attorney general's office picked up boxes loaded with thousands of sensitive, personal documents. We found the sensitive information dumped at an Indianapolis church parking lot.

Recycling is a great idea, except when it's private patient information being recycled in a public recycling bin. 13 Investigates got a call to a recycling dumpster in the parking lot of a south side church after the church secretary noticed something strange inside.

"Oh, my goodness, what do we have here? It's appalling. Somebody thought they could drive here and dump it and not get caught," said Elizabeth Fox, Olive Branch Christian Church.

What we discovered inside the dumpsters were thousands of patient files all containing names, addresses, phone numbers, birthdates, Social Security numbers, X-rays, medical histories, dental information, credit card numbers and more.

13 Investigates loaded up the files - nearly 7,000 of them - and brought them back to our studio to figure out where they came from. It turns out all of the records are from two dental clinics - Comfort Dental offices in Kokomo and Marion.

The Comfort Dental offices in Marion and in Kokomo are now closed. The dentist who ran these offices lost his dental license because of fraudulent billing. Now, a year and half later, more bad news for his patients.

Janet Christie is shocked to learn her family's dental records and private information were just dumped instead of being destroyed.

"That's us. Wow," she said, shaking her head in disbelief. "I'm disappointed. I'm angry. This is just very upsetting. I can't believe it. I wouldn't think it would ever happen to me."

Ben Moses feels the same way after we found all of his family's dental records inside the dumpster.

"This was a shock to say the least," he said. "It seems like anybody could have walked by, seen what was in there and walked off with my personal information. I would expect information like this to be shredded, to be disposed of properly," said Moses.

Arizona Mobile Dental Statue–A look back, and peek ahead

At a February 4, 2011 meeting, discussions were held on HB 2233, a Bill introduced by Representative Doris Goodale (R-Kingman) to regulate Mobile Dental Facilities in the state. A stakeholder’s meeting had been held just prior to the meeting; attendees included the dental board, AHCCCS, the Arizona Dental Association and Dr. Ralph Green. The minutes of that meeting said Dr. Green was representing “one of the mobile dental units”. We know that to be ReachOut Healthcare America.
At the stakeholders meeting, held prior to the February dental board meeting, two amendments had been brought forth for HB 2233. The first added a verbal “informed consent”. This would mean the consent for treatment could be given over the phone as long as it was recorded and stored. It also provided two distinct levels of consent; level one authorizing preventative and diagnostic services and the other level for actual treatment.
The second amendment eliminated the two levels of consent in amendment #1 and provided for an audio recorded informed consent, which included a section that redefined the meaning of “informed consent” in Arizona.
At the February 2011 board meeting lobbyist Stuart Goodman said “not to forget the art of politics – taking the ideal and making sacrifices for what is achievable. He also stated, “Bills that add more legislation do work as long as there is consensus among the parties. If there is not consensus, the members start looking for excuses and public safety aspects tent to get lost in the shuffle.”
Goodman recommended a hybrid of the two amendments. He wanted the board to removed the word “permanently” that was included in the original bill that had to do with the “recorded and stored” language it contained. Goodman requested the board move quickly deciding on the language as he was feared the Mobile Dental Bill would be pulled, citing “mobile dentistry would go unregulated another year.” Mr. Kevin Earl, executive director of the Arizona Dental Association, was more concerned about whether a copy of the recording would get submitted to the board if a patients records were subpoenaed. Upon MOTION by Dr. Waite and second by Dr. Morrison, the board gave Stuart Goodman the authority to modify the wording but hold off on modifying the definition of informed consent. They also wanted to meet again with Goodman in another stakeholders meeting and see if they could come to some sort of agreement. 
At the Arizona House Committee on Health and Human Services meeting February 16, 2011, Ralph Green’s lobbyist Gregory Harris signed up in support of HB 2233 but did not speak.
http://www.azleg.gov/legtext/50leg/1R/comm_min/House/021611%20HHS.PDF
The governor signed the Bill into law April 16, 2011. There was no two tiered approach to consent for treatment included in the final legislation that went into effect January 1, 2012. (Full Text of HB 2233)  ReachOut and Ralph Green, DDS won that battle.

32-1299.25. Informed consent; information for patients
A.  The permit holder of a mobile dental facility or portable dental unit must obtain appropriate informed consent, in writing or by verbal communication, that is recorded by an electronic or digital device from the patient or the parent or guardian of the patient authorizing specific treatment before it is performed. The signed consent form or verbal communication shall be maintained as part of the patient's record as required in section 32-1264.

DA Craig Watkins in Contempt of Court–Richard Malouf fiasco

DALLAS — It's no secret that a Dallas Judge has cited District Attorney Craig Watkins for contempt in a case involving one of his biggest campaign donors.

But News 8 has learned the FBI began investigating Watkins 20 months ago in an investigation that included another campaign donation.

It was July 13, 2011. FBI agents came to Craig Watkins' 11th floor courthouse office with subpoenas and questions.

Part of the investigation: A $10,000 campaign donation from the wife of Dallas dentist Richard Malouf.

"They did come, and they asked to see all the files involved," assistant DA Rocky Jones told News 8.

The DA's office had previously conducted an investigation of Malouf which ended in a $46,000 settlement.

"They did take copies of several things," Jones said. "We didn't know what they took copies of."

News 8 has learned that in December 2009, Richard Malouf's attorney Gregory Shamoun presented Watkins with three campaign checks.

The largest — $10,000 — was from Leanne Malouf, Dr. Malouf's wife. After receiving the donation, Watkins was asked to come to Shamoun's office for a meeting.

Malouf was there, asking to talk about a criminal investigation in which he was the target. Watkins left the meeting immediately, his office saod.

Watkins' campaign returned the Malouf donation with a check drawn from his campaign funds.

What might surprise many voters is how much money goes to judges and district attorneys at Texas courthouses, and how often it happens.

"You have in Texas judges [who] routinely accept campaign contributions from people who are going to appear before them the next day," said assistant Dallas County DA Heath Harris.

Harris says it's up to judges and district attorneys not to let the donations sway their judgement.

"You have judges who take campaign contributions from lawyers. Lawyers are representing Joe Blow," Harris said.

"Joe Blow," Harris says, may have a case in the judge's court.

Shamoun, Dr. Malouf's attorney, was not available for comment.

The FBI doesn't talk about investigations.

According to The Dallas Morning News and the Associated Press, the FBI is investigating Watkins again for donations from another attorney.

Although there is nothing illegal about attorneys making donations to judges or district attorneys, some lawyers say the system itself needs to be investigated.

E-mail bharris@wfaa.com

Dental One Partners commits malpractice for profit says Dentists and North Carolina State Board of Dental Examiners

DentalWorks Chain Misdiagnosed for Money, Dentists Say
March 13, 2013, 10:28 am ET by Sarah Childress

DentalWorks, a national dental-care chain, is facing two lawsuits in North Carolina claiming that it unlawfully practiced dentistry and deceptive practices.

A lawsuit filed by the state dental board alleges that the company lied about its operations. A second lawsuit, filed by dentists who worked for the chain, alleges that it pushed staff to inappropriately diagnose patients in order to bill them for more costly procedures.

DentalWorks is one of several dental-care companies facing scrutiny of its practices recently.

In last June’s Dollars and Dentists, FRONTLINE and the Center for Public Integrity reported that Kool Smiles, which serves children covered by Medicaid, has been accused in several states of providing unnecessary treatment for children in order to bill more money. Kool Smiles has denied the allegations in an extensive response.

Last July, Sen. Charles Grassley (R-Iowa) said his office was probing Kool Smiles, Small Smiles and ReachOut HealthCare America, which all serve poor children on Medicaid.

And Aspen Dental, one of the nation’s largest corporate dental chains, was accused in a class-action lawsuit in October of deceiving patients and illegally owning dental practices. Aspen Dental, which denies the allegations, filed a motion to dismiss the case. Attorneys representing former patients in January filed an amended complaint (pdf) in January that added 13 more pages of allegations, which Aspen Dental has since filed to dismiss.

The Latest Lawsuits

DentalWorks is the trade name of DentalOne Partners, Inc., a national dental company operating in 14 states. The suit filed by the North Carolina State Board of Dental Examiners accuses (pdf) DentalOne Partners of influencing clinical policies, including pushing for inappropriate diagnoses in order to bill for unnecessary treatment.

Dental Service Organizations in 2013–a Collage of Crap

 

 

 

 

 

 

 

 

 

 

 

Who owns these Dental Service Organizations (DSO’s)?

Dental One Partners, is in the news in North Carolina; lawsuits from dentists and the North Carolina Dental Board. Today let’s look at Wal-Mart’s dip into dentistry. For years have I reported that a majority of DSO’s are owned by private equity and unlicensed corporate interests in direct violations of the Dental Practice Acts. It is a façade to bypass the law! Even if a genuine dentist wanted to own and operate a DSO in a legal and ethical fashion, is it hard or hardly possible?

A recent case filed in California against a dental service organization is a classic example on how these management front organizations are formed or owned to bypass the laws:

http://www.prweb.com/releases/2012/3/prweb9217698.htm

This lawsuit I posted alleges all sorts of misconduct, but the one that is most interesting to me, is the structural setups of the Wal-Mart dental offices.

http://blog.dentistthemenace.com/2013/02/conspiracy-lawsuit-files-against-wal.html

In this particular case, Wal-Mart was obviously not allowed to own dental offices due to Stark, Dental Practice Acts, and Federal Anti-Kickback Statues. So what did Wal-Mart do to get in on the lucrative business of dentistry and maintain full control? Under the guise of compliance, they decided to setup a management (DSO) entity in Delaware and locate the home offices in Nevada while setting up dental offices in California and Arizona, with their own crew.  Heck, even Smile Brands has hopping into bed with Wal-Mart. 

http://www.brightnow.com/pressroom/news/bright-now-dental-opens-new-dental-office-mesa-az

It is alleged that Kent Reeves was the former VP of New Business Development for Wal-Mart, now an executive of the fake dental management company. It is further alleged that Ken Antos owns a restaurant chain inside of Wal-Marts and is a private equity man, now another executive of this fake management company. The lawsuit states that after the idea was presented to Wal-Mart by Dr. Kianor Shah, a California Dentist, it was business as usual.

http://www.nbclosangeles.com/news/local/Family-Business-Took-on-Walmart-Over-Alleged-Patent-Infringement-181701451.html

Since neither of their two “de facto owners” are licensed dentists nor have any dental office management history at all, they needed a dentist to register all of the entities with those states in order to open the doors.

http://www.scribd.com/doc/99212359/Aspen-Dental-from-Senator-Grassley-Requesting-Management-Service-Agreements

It appears as they approached a politician, whom happens to be a dentist, to serve as their front man:

http://www.nevadanewsbureau.com/2010/03/30/state-gop-chair-resigns/

Does this story sound familiar to the private equity backed cases of Forba, Dental One, Aspen, Heartland, ReachOut, KoolSmiles, and others alike?

The FTC says that it has not seen any cases where there was an issue with competition for other dentists. Well how many more private equity backed dental scandals need to be uncovered before the federal government steps in and protects the public from harm and allow fair competition to dentists? The result is usually the same when these DSO’s enjoy immunity. Dentists are coerced to push for production and patient care becomes a second priority.

If you wanted to take the time, all of these trace back to a few “not so Good Men” and the DGPA’s president Edward Meckler; also top dog at Dental One Partners.

Agape Dental–Dr. Seok Nichlos fined and monitoring ordered

Dentist charged with inadequate care to be monitored

By Rachel Pritchett

Tuesday, March 12, 2013 

EAST BREMERTON, Washington — Dentist Seok W. Nichols, charged by a state panel for faulty work on two patients, has reached a settlement that will allow him to continue his practice with oversight.

Dr. Nichols runs Agape Dental Care, a Christian-themed practice in the Fred Meyer shopping plaza on Highway 303. He received his credential to practice in Washington in 2005.

The agreed order between the dentist and Dental Quality Assurance Commission, dated Feb. 1, requires Nichols’ work as a dentist to be monitored for two years. He must allow a state Department of Health investigator to conduct 10 unannounced office reviews. The commission is part of the Department of Health.

The dentist must pay a $15,000 fine to the commission, along with another $5,784 for his part in the cost of bringing the charges against him.

Nichols must complete continuing education and pay back two patients whose work on them was detailed in the charges.

In the case of one patient in 2008, the commission charged that Nichols found decay in six teeth, but X-rays indicated decay in another seven teeth that he missed.

And between 2008 and 2010, Nichols saw another patient many times, extracting teeth, placing crowns and installing a partial denture. The crowns failed repeatedly and the denture didn’t fit well.

Nichols’ records and treatment of both patients showed “a lack of understanding of dental diagnosis, treatment and terminology,” the charges stated.

An office staff person said he was not available for comment Tuesday.

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This Agape group is HIGHLY suspicious group of folks, that’s for sure.  In South Carolina they are buying up urgent care centers and putting the previous owner doctors under employment contracts.  (we know how this works) They have their hands in everything from dental care to funeral care, including senior living and pharmacies. 

They are to senior living what Heartland Dental and Dental One Partners are to dental care.  They swoop in, fire the long time office employees, replace them with their own stooges. While they operate under the guise of “faith-based”, it’s odd to me they carry out their employment interviews in the local nightclubs. 

Indianapolis dentist Dr. Arnel Gallanosa

Indianapolis dentist, Dr. Arnel J. Gallanosa, DDS, faced charges of Medicaid fraud in January 2012

While on probation for stealing Vicodin prescription, Marion County Prosecuting Attorney charged Dr. Gallanona  on 10 counts of Medicaid fraud, five counts of theft and three counts of conspiracy to commit Medicaid fraud.

A court affidavit claimed that Gallanosa offered patients money for accepting free dental work, then billed Indiana's Medicaid program.

In one instance, Gallanosa paid a man who recruited three dental patients from an Indianapolis mental health facility, the Marion County Prosecutor's Office said.

Prosecutors said in one day, he removed 33 teeth from the three patients.

Dr. Gallanosa worked for ImmediaDent, owned by James Ferrell of Ferrell Gas – Blu Rhio Propane

So what happened to Dr. Gallanosa, was he taken off the streets?  Nope!  He went right back to work. It’s my understand he was not to treat Medicaid patients but he worked in a clinic that did…so….  It’s possible, just possible he saw Medicaid patients and it was billed under another dentists name, know what I mean?

Dr. Gallanosa was before the Indiana Dental Board at it’s February 1, 2013 meeting, and asked just these questions. After some tough questions, Dr. G finally admitted he was working in Evansville, Indiana and was indeed treating Medicaid patients.  One board member was furious and wanted his license revoked.  The rest, well… they wanted to investigate it further!!  What’s to investigate?! 

An administrative meeting was held on February 13, 2013 to address Dr. Gallanosa’s misdeeds, the outcome is unknown.

Arnel J. Gallanosa, D.D.S., License No. 12009962A
Administrative Cause No. 2012 ISBD 0004

WFAA’s dental fraud investigations recognized and lauded by Forbes

Ending White House Tours Instead Of Ending Medicare And Medicaid Fraud -

Merrill Matthews, Contributor
March 7, 2013

“White House Tours will be canceled effective Saturday, March 9, 2013 until further notice,” according to a White House email.  Meanwhile, billions of dollars pour out of Medicare and Medicaid because of waste and fraud.  Indeed, eliminating Medicare and Medicaid fraud, rather than White House tours, would offset the sequester cuts for the next decade.

I don’t know how much money President Obama thinks it saves by canceling White House tours, though I’ll bet it’s a lot less than one of his golfing trips on Air Force One, which costs about $180,000 an hour to fly.

But we do have several estimates of how much Medicare and Medicaid fraud cost.  Typical estimates, which have been echoed by the Obama administration, put the figure in the $60 billion a year range for each program.

A study by the Rand Corporation pegged Medicare and Medicaid fraud at about $98 billion in 2011, roughly equal to the future annual budget cuts (actually, reductions in the rate of growth) imposed by the sequester.

The Government Accountability Office’s (GAO) most recent estimate for Medicare, released in February, claimed there was a total of $44 billion in improper payments in 2012.  That figure is a little lower than the $48 billion for 2010.

Not all of the GAO calculation is fraud.  It includes overpayments and underpayments, unnecessary services, coding errors and other problems.  And there is fraud that isn’t detected by the GAO report.  But you get the idea; it’s a big problem and getting bigger as criminals and the mob get more brazen in their efforts.  For example:

Gorillas in the dental operatory says Casamassimo; I agree

On March 6, 2013 Dr. Paul Casamassimo published an article on Dr. Bicuspid -  “Second Opinion:  Gorillas in the dental operatory” 

I know thousands of children who have seen dentists in clinics of which he was closely associated who would damn well agree!  Big Ole Gorillas! Big – Mean – Nasty - Cruel - Gorillas!

The whole article was a lot of mumbo jumbo BS.  Leaving the mind wondering exactly what “state” his was in.  But mostly it was about “more”, as usual.  “More” is always the theme.

“Medicaid expansion without reimbursement increases may simply just put more people in cars and on the phone searching for dental care.”

Well, that’s where we’ve been the last umpteen times it’s expanded, right?  It should give you more PPP – Production Per Patient opportunities!

“The proposed increase in dental schools and new workforce models carry with them the specter of educational debt and the likelihood that these providers will be reluctant to serve the poor.”

More schools, more student debt, more dentists, …I can only see more whining, crying, boo hoo’ing and bellowing   There aren’t enough mouths to keep dentists financially secure now, to hear many tell it. On the other hand others live quite nicely…

As it is, dentists are fighting over who can get the reimbursement for a tooth first; Medicaid or private.  A virgin tooth is on the endangered species list and worth a small fortune.

That term he used, “new workforce models” was scary!  Wished he had elaborated more other than just using such a catchy term. 

“The dental profession may be ill-prepared to take on additional newly insured children under the ACA, not only because of the financial inadequacies in reimbursement, but because of social factors that tend to permeate many health-related behaviors, not just oral health. Repeated surveys of dentists caring for Medicaid clients include "patient characteristics" in the top three reasons provided for lack of their participation. Despite that, reimbursement for care-management costs related to oral health to agencies or providers remains spotty at best.”

Huh?

I take it when the day comes every American is on government funded healthcare we will all be seen as misfits, we will all be “the poor”.  Hell, 99% are, right?  We will all have those much despised “patient characteristic” he speaks about, right? Whether we actually are or not seems to not matter, as long as someone like Dr. C says it’s so, it must be true.

Does everyone hate the poor? We hear it a lot from the dental community.

“The poor are this… and the poor are that… and they break appointments… and they don’t smell good…despite hating every fiber of your being we want you guys as patients in a bad way, so come on in…new patients welcome”

Is care of the patient the real desire or the tax dollars those nasty poor people can make available? 

A big ole “ATTITUDE  AJUSTMENT” on the part those with DDS slapped on their last name is what I say is needed!

I guarantee you there are more teeth destroyed in this nation every day from misfit, greedy, unethical dentists, than are damaged by diet, lack of hygiene or fist fights.

What a jerk!

You can read his whole article here.

North Carolina takes action against Dental One Partners: operating dental clinics illegally–unnecessary treatment– false diagnosis periodontal disease

Appears Dental One Partners has been doing a bit of “up selling”  or should it be put “up diagnosis”.  Court Pleadings at the end of article.

 

Published: 10:38 PM, Tue Mar 05, 2013

 

N.C. sues DentalWorks, alleges unnecessary treatments pushed, illegal ownership

By Paul Woolverton

Staff writer

State officials allege in a lawsuit that the DentalWorks dentistry chain pressured dentists and dental workers at its North Carolina locations to give patients expensive, unnecessary treatments.

The claim is part of a lawsuit the state Board of Dental Examiners filed in Wake County Superior Court on Feb. 18. It says DentalWorks illegally owns dental practices in this state - by law, only a dentist licensed in North Carolina may own a dental practice here - and therefore is illegally practicing dentistry.

A related lawsuit was filed Feb. 18 against DentalWorks by 14 dentists with DentalWorks offices, including two dentists from Cumberland County.

The allegations in both lawsuits paint a picture of patients being taken advantage of to boost profits.

They say DentalWorks used financial incentives, protocols, internal recommendations, warnings of malpractice lawsuits and other pressures to push dentists and hygienists to make diagnoses that patients had gum disease when they did not.

The patients were given unnecessary treatments, leading to excessive billing, the Dental Board says in its lawsuit and in other documents.

The dentists' lawsuit also accuses DentalWorks of pushing them to give patients unneeded veneers and ceramic crowns in order to boost revenues.

Texas AG Greg Abbott disappointed in Dallas DA Craig Watkins’ “sweetheart deal” with Richard Malouf

Sweethearts?

A good example of why you can’t count on local DA’s to enforce the laws!

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Bio | Email
WFAA
Posted on March 5, 2013 at 10:05 PM
Updated today at 9:54 PM

Dallas County District Attorney Craig Watkins accepted — then returned — a 2009 campaign donation from the wife of Medicaid dentist Dr. Richard Malouf, who was under investigation at the time by Watkins' office for allegations of Medicaid fraud.

The Texas Attorney General’s Office says Watkins’ settlement of the case was a "sweetheart deal."

Dallas dentist Dr. Richard Malouf is the founder and former owner of All Smiles Dental Centers in Dallas. From 2008 through 2010, All Smiles billed the state of Texas more than $20 million for putting braces on children under Medicaid.

For the past five years, federal, state and local officials have been investigating Malouf for Medicaid fraud.

The Dallas County DA's office was one of those doing the investigating. Watkins' office received a criminal referral from the AG about Malouf.

In 2009, Malouf's wife, Leanne, wrote Craig Watkins — who was running for re-election as Dallas County DA — a $10,000 campaign donation, News 8 has learned.

Soon after, Watkins was asked to attend a meeting at the office of one of Malouf's attorneys, according to Heath Harris, the first assistant in the DA's office. News 8 wanted to talk to Watkins himself about the sequence of events. His office said he was ill and unavailable. Heath Harris spoke on behalf of Watkins.

Dallas District Attorney Craig Watkins Letter to Stephanie Leanne Lott Malouf Jan 5 2010 Redacted

At the meeting at the attorney's office, Heath Harris said, Watkins was introduced to Malouf.

Malouf wanted to talk to Watkins about his criminal case, Heath Harris said.

"This Malouf person is trying to talk to him about a criminal matter," Heath Harris told News 8. "It's my understanding he [Watkins] immediately shuts him down. And he leaves."

Watkins returned $10,000 to Leanne Malouf with a cashier's check in January, 2010.

How many lawsuits have been filed against Small Smiles Dental Centers and the dentists who have worked there?

March 4, 2013
The answer can be found in court documents filed during their bankruptcy proceedings over the last year.  According to Affidavit of Chief Restructuring Officer of Martin McGahan, 100 were on file in February 2012.  More recent documents filed by their malpractice insurance carrier states 1100 are "working” so to speak and more lawsuit likely to come.

 

Affidavit of Martin McGahan - Doc 11 - February 20, 2012 – page 14 paragraph 38

“Since January 2010, approximately 11 lawsuits on behalf of over one hundred plaintiffs have been filed against the Company and certain of the Dental Centers, in primarily three states, Ohio, New York and Oklahoma.”

NUFI Objection Doc 568 - December 28, 2012 – page 4 paragraph 3:

“Subsequent to the Debtors’ settlement with the DOJ and the various states, a number of lawsuits were filed throughout the country by or on behalf of the Dental Center patients against certain of the Debtors, Dental Centers and Dentists, alleging claims for damages based upon treatment received at the Dental Centers. In addition to the Patient Litigation, the Debtors contend that “at least approximately 1100 additional patients or former patients” have retained counsel to assert similar claims against the Debtors, the Dental Centers and the Dentists.”

Dentists and auxiliary employee of Small Smiles Dental Centers (current or former) are not likely to be able to exhale for a very long time.

For a list of the 600 plus pleadings and filing of this case see in United States Bankruptcy Court – Middle District of Tennessee, see:
Church Street Health Management Docket Report

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In other Small Smiles Dental Centers news.  I’m told the morning huddles continue and production numbers remain a major topic of discussion. 

Texas Dentists For Medicaid Reform now subject of WFAA-TV report

WFAA’s Byron Harris now on the tail for Texas Dentist’s for Medicaid Reform Fraud in his latest News 8 report.

 

 

 

 

 

by BYRON HARRIS
Bio | Email
WFAA
Story TimelineClick to open timeline

Texas Dentists for Medicaid Reform has all the trappings of a public interest group: The State Capitol is featured prominently on its website; the Texas star is in its logo; the word "reform" is in its title.

But TDMR, as it calls itself, acts like a private interest group.

Last month, the organization held a dinner at the Omni Southpark Hotel in Austin. TDMR's website invited the public, but the event was not public after all.

An e-mail informed News 8 we would not be allowed to attend.

Board member Dr. Juan Villareal would not disclose who the organization's donors are. "Donors can be anonymous, and a lot of them don't want their names mentioned," he told WFAA, adding that TDMR does not have members, only donors.

"We basically take donations from people who are interested in our cause," Villareal said.

So what is the cause? "Due process" is a phrase overheard in the hallway outside the dinner venue. TDMR offered News 8 an interview with a lawyer — presumably on its payroll — to explain the term "due process."

A look at the name tags outside the dinner show many of of the invited guests have had their Medicaid payments suspended under a doctrine called Credible Allegations of Fraud (CAF). Under CAF, physicians and dentists can have their Medicare or Medicaid payments withheld if the government believes they've committed fraud.

Dr. Villareal had $1.2 million in Medicaid dental payments to his clinic, Harlingen Family Dentistry, suspended under CAF. He appealed his case and won in an administrative hearing, but says he still hasn't received his money.

TDMR's board consists of Villareal, his partner, and another dentist who was charged with Medicaid fraud.

TDMR's website traces to an office labeled "SLS Worldwide Transportation" at a strip mall in Austin. The same address is also home to a website for Dr. Richard Malouf, a Dallas dentist who's being criminally investigated for fraud by the state of Texas.

And the SLS Limousine office is home to the website of Harlingen Family Dentistry, Villareal's dental office.

"TDMR is not so much about the money, as it is about denying due process" Villareal said. "That's the main concern."

"Due process" may summarize Medicaid reform for TDMR's donors.

But Dr. Morna Staffel said that doesn't speak for a Medicaid system she and many other dentists wrestle with every day.

"I don't think there is a group that's speaking out for the legitimate and the ethical dentists... either general dentists or pediatric dentists," she said.

Dr. Staffel's office regularly has to re-do work done by some of the dental chains supporting TDMR.

"Yesterday, in fact, I had to do dental treatment on three different children who'd been treated at another dental clinic during a 12-month period," Dr. Staffel told News 8. "Eighty percent of the restorations that had been placed either were improperly placed, or done incorrectly, or failing."

That work will need to be redone, she says, but getting Medicaid to pay for it is a slog.

"It's very time-consuming. It requires a great deal of my office staff time." Dr. Staffel said. "In the end, if we don't do the treatment, the child gets hurt."

She said her office often ends up doing the work for free.

Dr. Staffel wants parents — even those on Medicaid — to know they have a choice in dentists. And if they feel their children are not getting treated properly, they can go elsewhere.

So who really is Texas Dentists for Medicaid Reform? Thirty-nine dental chains have had their Medicaid payments withheld under Credible Allegations of Fraud.

As for many other Texas dentists, reform means something else.

E-mail bharris@wfaa.com

Related:

• More from News 8 Investigates

Dr. Robert Tupac’s attorney releases statement in clients defense

Saturday March 2, 2013
by Christine Bedell and Rachel Cook

 

Tupac's attorney releases statement, expects dentist will be "fully vindicated"

The attorney for a dentist accused of gross negligence in treating patients said in a statement Friday that he and his client are "pleased with the progress" of an administrative hearing on the allegations this past week and that they "look forward to presenting Dr. (Robert) Tupac's side of the story" when it resumes later this year.

"We expect Dr. Tupac will be fully vindicated at the conclusion of the evidence in this matter," Jason Friedman wrote in an email.

An accusation filed by the state Attorney General's office on behalf of the Dental Board of California alleges that Tupac fitted patients with improper-sized implants, altered patient records, billed a patient for an implant he never delivered and allowed dental assistants to do work beyond the parameters of their license.

Small Smiles Dental Centers Bankruptcy–It’s complicated

It’s complicated to liquidate a company operating illegal dental clinics.  As of February 21,2013 there have been 630 various pleadings filed in the bankruptcy case of Small Smiles Dental Centers. The Docket report is dang near 70 pages.  Even it is an interesting read.

If you currently work for Small Smiles Dental Centers or have EVER worked for Small Smiles Dental Centers you need to read this carefully. I realized they mass mailed a “Summary” of the Liquidation and Trust Agreement, as well as a “Ballot” but the key word is “summary”. 

This junk company is an albatross that will forever more hang around the neck of every executive, every regional or sub-regional manager and every dentist who ever worked there. You will constantly be looking over your shoulder for the next 10 years or longer. 

The last time I took the bar exam was…  uh… NEVER, so read it and draw your own conclusions.  

This the the current PROPOSED Plan of Reorganization and not approved by any means as of yet.  There are objections by their malpractice carrier on file, and that’s where the dentists come into play even more I suspect.

[Now, if I found myself in the middle of a malpractice lawsuit and being represented by an attorney assigned to me by a malpractice insurance company who didn’t want to cover claims because they got hoodwinked by some slick willy system scammers, I’m not sure I’d feel that particular attorney had my best interest in mind.  Think about it.]

Proposed Second Amended Joint Plan of Reorganization Doc 594 01-11-2013

I particularly enjoyed this section on page 17.

4.17(h) Claims Against Former Affiliates. Each holder of a Class 5(a) Claim will retain any and all claims and legal rights such holder may have against any of Danny DeRose, Edward DeRose, Michael DeRose, William Mueller, or Adolph Padula. All holder of Class 5(a) Claims will be entitled to initiate and prosecute any such claim against any or all of Danny DeRose, Edward DeRose, Michael DeRose, William Mueller, or Adolph Padula without restriction in the tort system. To the extent the automatic stay in these Chapter 11 Cases or any other limitation imposed by these Chapter 11 Cases would limit any such action, such automatic stay or limitation will be lifted thirty (30) days after the Effective Date of the Plan

Summary of Liquidation and Trust Agreement

Church Street Health Management Court Docket, February 21,2013

It’s not just the dental mills recruiting patients, so is the ADA

The American Dental Association is taking it’s cue from the Texas Medicaid dental mills, offering $100 bonus to bring in a patient member.  When words like – bonus, recruit and incentive are used in dentistry, I get real nervous. 

"While we're recruiting about the same number of members each year, the total number of active, licensed dentists continues to grow, translating to a decrease in the overall market share," said Dr. Bauman. "If every dentist tapped into the value ADA provides to all members, they would see the immediate impact on their practices and within their careers."

Any ADA member dentist is eligible to participate in the Member-Get-A-Member Campaign, and members will be rewarded with a $100 American Express gift card for each new, active member brought in (up to five members or $500 in American Express gift cards). Members may also decline the incentive and the ADA will contribute $100 to the ADA Foundation.

To claim your $100 visit their website for more details.

Malpractice suit filed against Texas dentists, M. Jerome Holmes, DDS

On February 21, 2013, Cheryl Rye filed a lawsuit (Cause 201310522-7-in Harris County Texas District Court against Dr. M. Jerome Holmes, DDS.  Cheryl's daughter went to Dr. Jerome Holmes for a scheduled cleaning and received the standard dental abuse treatment – restraining, child abuse, mom in the waiting room hearing blood curdling screams from her daughter, bodily injury and lies to cover it all up.  They staff actually told the mom all the red marks on the child was an allergic reaction!

The treatment of this little girl sounds all too familiar.  Wonder if  Dr. Jerome Holmes worked somewhere else prior to his own practice?  As we’ve seen, there is never just one child, there are usually many children that have suffered at the hands of dentists like this. 

A huge round of applause for mom suing and a special thanks to the attorney who took the case - Tami Pierce of Kingwood

Checking Dr. Jerome Holmes Texas dental license shows no disciplinary actions, which means he could have murdered 10 patients – Texas State Board of Dental Examiners are not exactly known for their pro-action to protect public health.

Dr. Holmes picture from his website, speaks volumes as to his attitude doesn’t it?  Looks like a creepy marionette to me.  

                  

Dr. M. Jerome Holmes
9815 FM 1960 Rd. W.
Humble, TX 77338
Phone: (281)548-3384
Fax: (281)548-7336
info@jeromeholmesdds.com

 

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No Way to Treat a Child, Mom Tells Dentist

By CAMERON LANGFORD 

HOUSTON TX - In a horrifying trip to the dentist, a little girl "screamed frantically for her mother," but the dentist kept drilling, with his staff "grabbing her legs and restraining her head," and threatening to call police when the mom tried to check on her daughter, the mother claims in court.
     Cheryl Rye sued Miner Jerome Holmes DDS and his dental office on behalf of her daughter, Katie in Harris County Court.
     Rye claims took Katie to Holmes' office for what she thought was a routine cleaning.
     "Plaintiff was administered nitrous oxide and the dental procedure began," the complaint states. "Plaintiff began feeling intense pain and screamed frantically for her mother. Instead of stopping the procedure or administering any additional nitrous or allowing her mother to enter the room to calm her Dr. Holmes continued to drill into the minor child's tooth.
     "Dr. Holmes, and his agents and/or employees, physically restrained Katie in a prison like manner by holding her down, grabbing her legs, and restraining her head in such a reckless fashion that it caused bodily injury.
     "Plaintiff continued to scream for her mother so loudly that her mother, Cheryl, heard her scream while she was sitting in the waiting area. Cheryl pleaded with the office staff to go and check on her daughter.
     "Cheryl was instructed to sit down, was refused access to her minor child and told the police would be called if she attempted to go back.
     "After several minutes of nerve-racking screams of pain and fear, little Katy finally emerged from the back area sobbing with large red marks on her head.
     "Cheryl inquired as to what happened to her daughter and why she had the injuries that were not present prior to the procedure. Dr. Holme's staff tried to cover up the negligent acts and told Cheryl that it was an 'allergic reaction.'"
     But Rye says she took Katie to her pediatrician, who determined that the marks "were not any type of allergic reaction, but were in fact injuries she sustained by being forcibly restrained."
     An emergency room physician confirmed the pediatrician's diagnosis, Rye says.
     She says Katie is still scared to go to the dentist, months later, and will require sedation to go to the dentist from now on.
     She seeks medical expenses and punitive damages for negligence, gross negligence and breach of duty.

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If anyone gets a copy of the complaint, I’d appreciate a copy.  cckaddie@yahoo.com

Thanks

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.