Wednesday, January 18, 2017

Frank conversation with Florida dentist Dr. Michael Barr

 

Frank conversation with Florida dentist Dr. Michael Barr
by Dr. Michael W. Davis

Dr. Michael DavisDr. Michael W. Davis maintains a private general practice in Santa Fe, NM. He also advocates for disadvantaged citizens, and provides expert legal work for numbers of attorney clients. His publications and lectures are on ethical and whistleblower issues within the dental profession, as well as numbers of clinical research papers. He may be contacted at: MWDavisDDS@comcast.net

 

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Dr. Michael Barr is a private care general dentist at Palm Beach Smiles in Boynton Beach, Florida. He began his dental career spending three years in the U.S. Navy. Two of those years were onboard an aircraft carrier, the USS Independence, which was the first response in the Persian Gulf (Operation Desert Shield).

Dr. Barr’s dental passions include Cosmetic and Reconstructive Dentistry. He served on the board of the local affiliate dental association (South Palm Beach County Dental Association) up to President. He has also served on the board and as a lecturer and clinical instructor (currently) at the Atlantic Coast Dental Research Clinic. He writes an eclectic blog about dentistry, marketing, current dental events, and frequent musings about personal safety, security, and armed self-defense at www.TheDentalWarrior.com. You can also find him stirring the pot on DentalTown.com.

 

Question 1

Dr. Davis: Dr. Barr, you’ve been very outspoken on how government administered healthcare like dental Medicaid has not served the public favorably. We’ve seen disadvantaged patients abused, taxpayer monies wasted, and ethical caring doctors forced out of this dysfunctional government program. Please give our readers an overview of your perspectives.

Dr. Barr: I have not had any personal exposure to Medicaid. But, my first “wake-up call” was when a dentist posted (on DentalTown) about his run-in “with the law” as a Medicaid dentist. He ended up doing time in prison for, if I recall correctly, $5,000 worth of administrative errors over the course of five years. He lost everything.

Another frightening case involved Dr. Morse, in New York. He was suspected of Medicaid fraud. They shut down his practice. The state attorney was intent on “cracking down” on Medicaid fraud (and make examples of the offending doctors). The short version of the story is that not only was this dentist exonerated, but the state attorney’s office was found to have fabricated false evidence against him. In such cases, the defendant can sue the state. And, so he did… and won a $7 million settlement. Of course, it dragged on for 11 years and made it all the way to the Supreme Court. (No kidding!) You can read about his case (and others) in my blog and read Dr. Morse’s own comments at the bottom of my article.

I wouldn’t accept Medicaid if they offered to pay double my fees. If you are suspected of fraud, you can be shut down BEFORE Due Process. You can have your assets frozen or seized BEFORE Due Process. It can take years to clear your name, and even then, you’ve already lost everything. No thanks. No way. Never. Too risky.

 

Question 2

Dr. Davis: Dr. Barr, could you give us your ideas on a few mechanisms, which might help ameliorate our toxic dental Medicaid program? Further, what suggestions might you offer for a financially disadvantaged parent who relies on the dental Medicaid program for their children?

Corporate Dentistry, Dental Insurance, Dental Academia, Professional Associations: Dental Professionals Game of Musical Chairs

imageDr. Michael W. Davis maintains a private general practice in Santa Fe, NM. He also advocates for disadvantaged citizens, and provides expert legal work for numbers of attorney clients. His publications and lectures are on ethical and whistleblower issues within the dental profession, as well as numbers of clinical research papers. He may be contacted at: MWDavisDDS@comcast.net

 

 

There are a myriad of individuals who jump in their careers between corporate dentistry, the insurance industry, education and professional organized dentistry. This is not evidence of corruption or collusion, but often represents a disturbing appearance of conflict-of-interest. The apparent conflict-of-interest often undermines the integrity and ethical standing of professional dental organizations and academic institutions. Rank-and-file doctors, as well as the general public, should begin to question whose interests are truly represented. Some names on this list are high profile individuals in leadership roles. Others are less well known, but nevertheless highly influential.

1. James Bramson, DDS

  • Executive Director Massachusetts Dental Society (1997-2001). Organized Dentistry
  • Executive Director American Dental Association (ADA) (2001-2008). Organized Dentistry
  • Chief Dental Officer- United Concordia Companies, Inc. (2011-2017). Insurance Industry

2. Kathleen T. O’Loughlin DMD, MPH

  • President & CEO Delta Dental of Massachusetts (2001-2006). Insurance Industry
  • Chief Dental Officer United Health Group (a/k/a United Healthcare, Oral Health Foundation a Medicaid managed care organization inclusive of DentaQuest) (2008-2009). Insurance Industry
  • Executive Director of ADA (2009-pres.). Organized Dentistry

3. Steve M. Adair, DDS, MS

  • Taught specialty of pediatric dentistry and later chaired the department at Eastman Dental Center (1983-1990). Education
  • Chair dental pediatric specialty program at Medical College of Georgia (1990-2003). Education
  • Board of Trustees American Academy of Pediatric Dentistry (1998-2001). Organized Dentistry
  • Editor-in-Chief American Academy of Pediatric Dentistry Journal (2004-2008). Organized dentistry, Education
  • Chief Dental Officer & Senior Vice President, for Clinical Quality Initiatives and Education for Small Smiles Dental (a/k/a CSHM- a disgraced and bankrupt corporate dental chain involved with Medicaid fraud and child abuses). Corporate Dentistry
  • Senior Clinical Affairs Advisor for DentaQuest (a dental Medicaid managed care organization) (2016-pres.). Insurance Industry

4. Todd R. Cruse

  • Senior Vice President for Development & Chief Development Officer for Small Smiles Dental (a/k/a CSHM- a disgraced and bankrupt corporate dental chain involved with Medicaid fraud and child abuses). Corporate Dentistry
  • Vice President Government Relations for DentaQuest (a dental Medicaid managed care organization) (2013-2014). Insurance Industry
  • Vice President of Public Affairs for DentaQuest (2014-2015). Insurance Industry
  • President DentaQuest Care Group (2015-pres.). Insurance Industry

Tuesday, January 17, 2017

Excerpts from the recently unsealed False Claims Action against Dental Professionals of Texas, (MB2), Dr. Chris Villanueva and his pack of cohorts

Keep in mind they admitted no guilt to the claims but agreed to pay $8.45M to settle the issue. They are currently still in operation and open for business; which is scary once you read the allegations. You can read the entire Complaint by clicking here. Buyer Beware!! Never take your children to any of these clinics!  EVER!

Civil Action Number: 3:12-cv-02126-P
Filed: September 26, 2012
Settlement reached: December 27, 2016 (when the Corporate Integrity Agreement was signed)

The DEFENDANTS:

CHRIS STEVEN VILLANUEVA, Individually and as member/managing member of Defendant companies;

TRUNG MINH TANG, Individually and as member/managing member of Defendant companies;

MAURICIO DARDANO, Individually and as member/managing member of Defendant companies;

MB2 DENTAL SOLUTIONS, PLLC;

DENTAL PROFESSIONALS OF TEXAS, PLLC;

VILLANUEVA UNIVERSAL ENTERPRISES, LLC;

PEPPERMINT DENTAL, PLLC;

ARCHSTONE DENTAL, PLLC;

PICASSO DENTAL, PLLC;

DENTAL FAMILY CIRCLE, PLLC;

VILLANUEVA PLAZA, LLC;

PEPPERMINT DENTAL-MCKINNEY, PLLC;

DFW FDC-REDBIRD, PLLC;

PICASSO DENTAL-MANSFIELD, PLLC;

ARCHSTONE DENTAL-BEACH, PLLC;

VIVA ORTHODONTICS, PLLC;

PICASSO DENTALCORSICANA, PLLC;

CHRISS VILLANUEVA DENTAL, PA; DFW-FDC, PA;

CROWN NOW DENTAL, PLLC;

MINT REALTY, LLC;

LEGEND DENTAL, PLLC;

ARCHSTONE DENTALGRANBURY, PLLC;

PEPPERMINT DENTALGREENVILLE, PLLC;

CRESCENT DENTAL, PLLC;

FRESH DENTAL, PLLC;

ELEMENT DENTAL, PLLC;

BLISS DENTAL, PLLC; SAGE DENTAL, PLLC;

BLISS DENTAL-MIDLAND, PLLC;

SAGE DENTAL-DEER PARK, PLLC;

CRESCENT DENTAL-SAN MARCOS, PLLC;

ELEMENT DENTAL-BRYAN, PLLC;

ELEMENT DENTAL-CONROE, PLLC;

SAGE DENTALPEARLAND, PLLC;

SAGE DENTAL-PASADENA, PLLC;

TIDE DENTAL-CORPUS CRISTI, PLLC;

SPEARMINT DENTALWITCHITA FALLS, PLLC;

SCARLET PEGASUS GROUP, LLC;

FRESH DENTAL-LONGVIEW, PLLC;

LEGEND DENTAL-GEORGETOWN, PLLC;

WOW DENTAL-OAK CLIFF, PLLC;

BLISS DENTAL-LUBBOCK, PLLC;

GALAXY DENTAL-GARLAND, PLLC;

PEACH TREE DENTAL-CARROLLTON, PLLC;

ARCHSTONE DENTAL-HULEN, PLLC;

IRVING TOWN CENTER DENTAL, PLLC;

SOUTHERN GEM DENTAL, PLLC; LUCKY DENTAL, PLLC;

CRESCENT DENTAL-INGRAM, PLLC;

ELEMENT DENTAL-SPRING, PLLC;

VIDA DENTAL, PLLC;

GULFSIDE DENTAL BEAUMONT, PLLC;

DENTAL CENTERS, PLLC;

SLAP-ON, INC.;

PEPPERMINT DENTAL MCKINNEY, PLLC; DENTAL CENTRAL, PLLC;

ARCHSTONE DENTAL-WEATHERFORD, PLLC;

PEPPERMINT DENTAL-SHERMAN, PLLC;

PEPPERMINT DENTAL-LEWISVILLE, PLLC;

ELEMENT DENTAL-HUMBLE, PLLC;

ELEMENT DENTAL-TOMBALL, PLLC;

BALENTIMES HOLDINGS, LTD.,

PEPPERMINT DENTAL-MONTGOMERY, LLC,

PEPPERMINT DENTAL-RIO BRAVO, LLC,

PEPPERMINT DENTAL-SAN MATEO, LLC,

RED ROCK DENTAL-FARMINGTON, LLC,

FRESH DENTAL-BOSSIER CITY, PLLC,

FRESH DENTAL-SHREVEPORT, PLLC;

Dental Professionals of Texas=DPT now known as MB2
Relator = Whistleblower
Dental Practices = DP

…This action is also brought under the qui tam provisions of the Texas Medicaid Fraud Prevention Law, V.T.C.A., Hum. Res. Code Ann. §36.001 on behalf of the State of Texas, the Louisiana Medical Assistance Programs Integrity Law, La. Rev. Stat. Ann. §§46:439.1 et seq.; 438.3 on behalf of the State of Louisiana and the New Mexico Medicaid False Claims Act N.M. Stat. Ann§§ 27-14-1 et seq.on behalf of the State of New Mexico.

Kevin Howard Byington ("Byington") is and was in the marketing department for DPT. Byington works directly for Frank Villanueva, Defendant Chris Villanueva's brother and head of the marketing Division of DPT. Byington and Frank Villanueva were responsible for recruiting willing marketers and paying them kickbacks for locating likely Medicaid families with children eligible for dental services and referring those patients and their families to the DP defendants.

When DPT's kickback scheme was aired by Dallas news stations, Byington formed KHB Community Outreach Associates, LLC. This was done at the request of Defendants, including DPT (a/k/a MB2), Villanueva and Tang, to cover up and conceal the illegal kickback solicitation scheme.

Frank Villanueva is the brother of Defendant Chris Steven Villanueva and the person primarily responsible for obtaining illegal referrals and direct solicitation of patients for the Defendants. He is and was an employee of DPT (now MB2) and was the person who hired Relator, coercively persuaded her to accept the "promotion" to work for KHB Community Outreach Associates, LLC and coordinated the kickback payments to the referring marketers and the Medicaid parents or family members.

Ann Villanueva, the sister of Defendant Chris Steven Villanueva, is and was the Human Resources Director for DPT (now MB2) and the DP defendants. She assisted in the recruitment of dentists and other staff and paraprofessionals for the dental offices of DP defendants and for DPT.

Mary Pu is Trung Tang's wife and the Vice President of Finance for Dental Professionals of Texas, PLLC (now MB2). In her position, Pu was knowledgeable about the illegal billing practices, the solicitation of patients, and the budgeted "promotion accounts" for every practice which were actually used for kickback payments. She was and is responsible for the entire accounting team.

John Steen is the Chief Financial Officer of DPT. Steen is shown as the "Authorized Agent" for DPT in signing the February 23, 2012 Certificate of Amendment to the Certificate of Formation of Dental Professionals of Texas, PLLC changing the name to MB2 Dental Solutions, PLLC. Steen ostensibly served as "compliance officer" for Medicaid and in

Byron’s Lens: Dental Kickbacks The Story Behind The $8.45 Million Dentists’ Settlement

byron's lens

There’s a McDonald’s on Garland Road in Dallas near the old Lochwood Mall, almost across the street from what used to be Galaxy Dental.  Galaxy’s florescent green and yellow paint scheme made it stick out, even in the clutter of Garland Road.

I spent several mornings at that Mcdonald’s in the spring of 2012, nursing a coffee while everybody else was dining on McMuffins. I was there to try to overhear the conversation a group of women who often met there for business. They were “community outreach workers,” they said. But what they talked about were their plans to scour low income neighborhoods for children eligible for Medicaid.  Their mission: to recruit Medicaid eligible mothers to bring their children into Galaxy Dental. The outreach workers talked loud enough that I could tell they were pumped.  

A federal lawsuit unsealed in Dallas last week alleges why they were so excited.

See the entire story by Byron Harris at WFAA’

https://creatavist-g49brf5.atavist.com/byrons-lens-dental-kickbacks-?units=us