Wednesday, December 28, 2016

2016 The 32 Most Influential People in Dentistry

Incisal Edge Magazine released their very first “top 32” list.  Not shocking only 14 of the “Most Influential People” are actual dentists. Incisal Edge is published by Benco Dental.

1. Jeffery Slovin – DentsplySirona
2. Rick Workman – Heartland Dental
3. Howard Farran – Dentaltown website – Dentaltown Magazine
4. Stanley Bergman – CEO of Henry Schein
5. Martha Somerman – Dir. of National Institue of Dental and Crainofacial Research
6. Steve Bishop – Group President of Procter & Gamble
7. Marco Gadola – CEO Straumann Holdings
8. Ben Carson – Potential Secretary of Health and Human Services
9. Kathleen O’Loughlin – Executive Director of the American Dental Association
10. Michael Graham – SVP ADA Division of Government and Public Affairs
11. Gordon Christensend – Practical Clinical Courses
12. Amir Aghdaei – Group Ex. VP KaVo Kerr Group/Danaher Corp.
13. “Dr. Doe” – Some plaintiff who is suing Henry Schein, Benco and other suppliers
14. Michael Cohen – Founder of Seattle Study Club
15. Steve Thorne – Founder of Pacific Dental Services
16. Mike Simpson – U.S. Congressman of Idaho’s 2nd Congressional District
17. James Glidewell – CEO Glidewell Laboratories
18. James Ingebrand – President 3M ESPE Dental Division
19. Kevin Jackson – SVP Delta Dental of California
20. John Kois – Founder The Kois Center
21. Don Moody – Partner at Waller, Lansden, Dorth & Nashville
22. Linda Niessen – Dean at Nova Southeastern University’s College of Dental Medicine
23. Michael Helgeson – CEO of Apple Tree Dental
24. Gary Price – CEO Dental Trade Alliance
25. Susannah Schaefer – CEO of Smile Train
26. Jack Dillenberg – Dean of Arizona School of Dentistry & Oral Health
27. Ed Snyder – Managing Director of Northcoast Research
28. Gwyneth Paltrow (yes the actress) – Oral Cancder Foundation Activist
29. Roger Levin – Founder and CEO of The Levin Group
30. Ann Battrell – CEO of American Dental Hygienists Association
31. Major Gen. Rososevelt Allen – Chief of Dental Corp, USAF
32. Peter Dubois – Executive Director of California Dental Association

My list would have been much different! (or maybe it would have been the title)

Pacific Dental Services Teams with American Dental Assistants Association to Provide Additional Benefits to Dental Assistants

Huh?  Well, that’s the headline of Pacific Dental Service’s (PDS) press release dated December 28, 2016.

IRVINE, Calif., Dec. 28, 2016 /PRNewswire/ -- Pacific Dental Services® (PDS®) today announced that it is teaming with the American Dental Assistants Association (ADAA) to provide additional membership benefits and services to dental assistants in the PDS-supported environment.

With the common goal of ensuring the public receives the best quality dental care, PDS and the ADAA will continue their shared mission by providing hundreds of dental assistants with additional resources needed to obtain that objective. 

With their ADAA membership, dental assistants in the PDS-supported environment will be offered: free online continuing education; additional insurance coverage options including professional liability, (because they are going to need it!) accidental death and dismemberment; and participation in the ADAA Fellowship and Mastership programs. (huh?) In addition, the dental assistants will receive: a free subscription to the Dental Assistant Journal; the monthly ADAA Update E-newsletter; membership in State and Local Chapters; and leadership position opportunities.

As the oldest, largest professional association for dental assistants in the country, ADAA has been elevating the careers of dental assistants for over 90 years.  Since Juliette A. Southard formed the association in 1925, ADAA has been the foremost advocate for the dental assisting profession and is widely recognized as the voice of the dental assisting profession in America.  One of ADAA's goals is to advance the dental assisting field in a manner which will enhance the delivery of quality dental care to the public. 

Dr. John E. Kasper, ADAA Executive Director, stated, "As the premier dental assisting community in America, ADAA is proud to welcome dental assistants from the PDS-supported environment into the ADAA family.  The partnership with PDS represents a giant step towards advancing the dental assisting profession in America, and ADAA is excited about the wonderful opportunities this relationship provides." (Oh, I bet ADAA and PDS is “excited”, maybe not the actual assistants so much though)

Judith Forsythe, Director of Dental Assistant National Strategy for Pacific Dental Services said, "I am thrilled to be a part of this partnership between Pacific Dental Services and the ADAA. PDS and its supported clinicians value the role of the dental assistant and this partnership is yet another way to show we are always looking to enhance the dental assistant's career within the PDS-supported environment. "

About Pacific Dental Services
Founded in 1994, PDS® is one of the country's leading dental support organizations, providing Supported Autonomy that allows dentists to concentrate on clinical excellence and the highest levels of cost-effective comprehensive patient care. PDS originated the PRIVATE PRACTICE + model to allow dentists to focus on their passion: serving patients.  

About the American Dental Assistants Association (ADAA)
The ADAA is America's oldest and largest dental assisting association serving over 310,000 dental assistants in the United States. It is dedicated to the development and recognition of professionalism through education, membership services and public awareness programs. The ADAA is a strong advocate for legislation mandating credentialing for clinical dental assistants and greater recognition of the assistant's role in the professional dental team.

My takeaway is PDS has sold their dental assitants to the ADAA, in return PDS plans on teaching ALL memebers of the ADAA  the PDS way of milking the cow dry. (the cow being patients).

Like always, I could be wrong.


Tuesday, December 20, 2016

Does The National Black Caucus of State Legislators Support Illegal Business Practices of Dental Service Organization?

Apparently so. It also appears they do NOT care thousands of children are abused and have their mouths mangled by said Dental Serivice Organization. It seems to me, the children have been sold to the DSO’s. Interesting, being that it comes from the Black Causus, right?  Just saying!

From Dentistry IQ:

“As part of its policy priorities for 2017, the National Black Caucus of State Legislators (NBCSL) has resolved to support the nation’s leading dental support organizations (DSOs) in their mission to provide affordable, quality dental services to underserved populations across the United States. The policy resolution, “HHS-17-17: A Resolution to Stand in Support of Dental Support Organizations,” was ratified during the NBCSL’s Annual Legislative Conference, held Dec. 2-5, 2016.”

Read the story here

Wednesday, December 14, 2016

Corporate Dental Branding- What Dental Consumers Need to Know

Dr. Michael Davis
Dr. Michael W. Davis maintains a general dental practice in Santa Fe, NM. He serves as chairperson for Santa Fe District Dental Society Peer-Review. Dr. Davis also provides a fair amount of dental expert legal work for attorneys. He may be contacted via email:

Corporate Dental Branding- What Dental Consumers Need to Know

A brand is a name, term or symbol which one company uses to differentiate its products and services, from that of another company.1 Corporations employ numbers of different strategies in branding. Healthcare professionals are generally fairly ignorant on corporate branding practices, as this is not an element of their formal education. By contrast, those parties which beneficially own corporate dental practices retain individuals well-skilled and well educated in all forms of retail sales, marketing, and finance. Their abilities include a plethora of differing and complex branding methodology.

In its simplest form, a chain of corporate dental clinics may seek direct brand recognition by consumers. They may market “outstanding dental care at reasonable prices”, all associated with their brand. Branding may be part of a marketing program to generate public goodwill via broad mechanisms, ranging from well-publicized charitable events to sponsoring a NASCAR driver.2 Branding may also be associated with the business model of dental Medicaid care.

Unfortunately for the corporate dental industry, many of their more established brands have become associated with abuses to the public welfare.3-9  

(Author’s note: References only cite a mere handful of well reported abuses generated from corporate dentistry, disclosed by government officials.) 

Dental clinics managed and directed by non-doctor corporate management often have a troubling record, which the public is witnessing. Likewise, dentists who may be employed in such workplaces are also witnessing abuses to the public interest generated and facilitated by brand-name companies in corporate dentistry. As such, many in the public are avoiding dental services offered by branded corporate dental practices. Further, these branded corporate practices are finding employee/doctor attraction and retention increasingly challenging. One corporate chain recently reported over 10% loss in total dentist staff for a one-year period.10

Crowd Sourced Branding-

Numbers of branded corporate dental groups are increasingly discovering their branded identity has negative consequences. In fact, the term “corporate dentistry” is an example of “crowd sourced branding”, in which the public assigns a company a brand (positive or negative), versus the traditional method of branding, in which a company designs their branding scheme.

Some dental corporations have fought back by explicitly marketing their distance from “corporate dentistry”. One such ad from a corporate dental chain openly states, “You Hate Corporate Dentistry and So Do We”. The veracity of their claim seems highly suspect, especially when one views their multiple settlement agreements with multiple states’ attorney generals. However, corporate dental management is evidently far more concerned with negative fallout of crowd sourced branding, versus presenting truth in the public marketplace. 

To further counter the negative public impression of corporate dentistry generated by crowd sourced branding, numbers of corporate dental chains market the misrepresentation of doctors, and not faceless Wall Street types, as owning dental practices. The reality is very different and highly disturbing. 
Numbers of dental chain corporations establish specific individual doctors to act fully as sham-owners, who have no control of management, the sale of “their” asset of the dental practice, or control of clinic bank accounts. In fact, these shame-owner dentists have no idea how the funds generated by “their” dental clinics are allocated; depositions in the Small Smiles mass action lawsuit made that abundantly clear.

Other corporate dental chains establish a group of dentists acting as sham-owners, via the accounting mechanism of a professional corporation (PC). Again, these doctors have no true and valid ownership privileges of dental practices, as beneficial ownership passes to non-doctor corporations, often private equity investment firms. Some of the world’s largest and most well-known private equity firms currently are or formerly have been the beneficial holders of corporate dental chains, which direct patient dental care. Examples include Morgan Stanley11, Valour Investments Ltd.12, Carlyle Group13, American Capital Strategies13, FFL Partners14, Gryphon Investors15, MSD Capital (holdings of Michael Dell  family)16,17, etc. 

Tuesday, November 22, 2016

DentaQuest Back in the Texas Medicaid Business?

Is DentaQuest back in the Texas Medicaid business?

Apparently so.

According to DFW Dental Team, who operates out of the newly licensed (Sep 2016) DFW Children’s Surgery Center dentist can “refer” patients and right there on their very interesting website is a link to DentaQuest forms.

161122-DFW Dental Team - DentaQuest screen shot




There is so much more to this story so expect an indepth look VERY soon.

Just for a sneal peek, let’s just say it involves a couple of Harvard grads (Brian Walker and Jonathan Jardine),  some Brigham Young University grads, a very proud Harvard professor and a bunch of dentists whom I would say are ethically challenged; a former Kool Smiles dentist, Dr. Diaa Zora and another “owner” dentist,  Dr. Ketan Sukkawala, being just two of the many.

It involves several business names such as:

North End Health Care (Note the Harvardesque logo)
North End Capital, LLC Eagle, Idaho
Blue Cloud Pediatric Surgery Centers
HCDC Professionals, PLLC
San Antonio Children’s Ambulatory Surgical Center
SACS Professionals, PLLC
San Antonio Dental Team (ignore the statement that the surgery center is owned separtely)
DFW Children’s Surgery Center
DFW Dental Team (ignore the statement that the surgery center is owned separtely)
Referral Care, Inc

If you can’t wait you can check out:

North End HealthCare: Pediatric Ambulatory Surgery Center Expansion Strategy (don’t miss the disclaimer on page one)

Oh, and at the end (Strategic Decision) where Brian is asking himself questions..the answer is not only no, but hell no!

Friday, November 18, 2016

Broken Arrow, OK: Mother questions dentist's decision to cap, fill more than a dozen baby teeth at Super Smiles Dental

BROKEN ARROW - A Broken Arrow mother reached out to 2 Works for You after a popular Broken Arrow dental practice presented her with an estimate for more than $5,000 to fix her toddler's baby teeth.

Sarah Powell said she felt like she had failed her three-year-old son, Jaxon, when a dental practice told her he had 13 cavities in his temporary baby teeth.

"I was mortified," Powell said, "I couldn't fathom how he could have that many issues and no pain."

Powell said the dental assistant at Super Smiles Dental Office in Broken Arrow rattled off a list of work Jaxon needed and numbers Powell needed to call, then stopped and said, "Oh, you have private insurance. This is going to be expensive," according to Powell.

Because Powell said she had been regularly brushing Jaxon's teeth since they popped up, and that she took him for regular check-ups since he was 18 months old, she sensed something had to be wrong.

Read entire story here

Super Smiles - Broken Arrow-OK-logo


Despit Super Smiles logo, it doesn’t seem to be exactly a “Fun Place For Teeth”, does it?

Wish I could report EVAN D CLOTHIER DDS, was some sort of corporate dentistry thug, but I can’t. I guess he’s just a thug.  His Oklahoma dental license is current and there are no reported sanction listed. But that doesn’t mean much since so often they are never reported by the dental board.

EVAN D CLOTHIER DDS-Super Smiles-Oklahoma

Tuesday, November 15, 2016

TEXAS: 10.45% Reduction in Medicaid Reimbursement to Ambulatory Surgery Centers Likley To Be Catastrophic for Pediatric Dental Patients

On Wednesday of this week (November 16, 2016) at 1:30 there is to be a public hearing held by Texas Health and Human Services (THHSC) in the Brown-Heady Building, 4900 North Lamar Blvd, Austin, TX. The purpose of the public hearing is to receive comments related to a 10.45% reduction in reimbursement to Ambulatory Surgical Centers for Dental Rehabilitation and Restoration. My sourse says this reduction is spear headed by the Dental Service Organizations (DSO') whose target patients are children on Medicaid and is to take effect January 1, 2017.

(Why aren’t these “hearing” held at a time when the actual public or interested parties are available? It shall be interesting to see who is there to offer “public comments”.  THHSC website indicatged the hearing will be webcast and available to watch here:

The source states the long term plan is to reduce the number of licensed pediatric dentists and oral surgeons from accepting children who currently require sedation for treatment, whereby those dentists will drop out of the program thereby limiting the access to quality care for the children. This is outrageous!

I’m told the DSO's plan to hire young new graduates carrying loads of student debt general dentists to perform these procedures, The source hinted a system is already in place to make sure all children meet the qualifications to require sedation.

As it was told to me, it is planned to be much like the orthodontic scam that took place in Texas just a couple of years ago whereby nearly all children suddenly qualified for braces and the per-authorization process was to rubber stamp and approve every child!

(Let’s not forget how dentists were trained on how to scam the system by Dr. James (Jim) Orr and attorney Robert (Bob) Anderton, in Anderton’s private office.  Orr, at the time was Dental Director of the claims agent for Texas. In sworn testimony before the State Office of Administrative Hearings (SOAH) witnesses stated Orr and Anderton taught them how to “utilize” the HDL scoring system in place to qualify children for orthodontic braces. In addition the processors, who worked from home, were paid $50 for each approved application! For more on there click here.)

No doubt the Ambulatory Surgical Center’s are not going to complain too much about a reimbursement rate reduction when they expect their patient volume to skyrocket. Win, Win for everyone, right?  Well except the children who are needlessly sedated for what is likley to be unnecessary dental procedures, like 4 year old Navaeh Hall who was left brain damaged or Daisy Lynn Torres or 3 year old Marvelena Rady who both died this year.

For the public who would like to make comments by mail:

Health and Human Services Commission
Attention: Rate Analysis, Mail Code H-400
P.O. Box 149030
Austin, TX 78714-9030

Overnight mail, special delivery mail, or hand delivery:
Health and Human Services Commission
Attention: Rate Analysis, Mail Code H-400
Brown-Heatly Building
4900 North Lamar Blvd.
Austin, TX 78751
Phone number for package delivery: 512-730-7401
Fax: Attention:  Rate Analysis at 512-730-7475


Related Links:

November 16, 2016 Hearing Briefing Package
Link to Webcast page

Thursday, November 10, 2016

Thursday, October 27, 2016

57 children who underwent baby tooth root canals, or pulpotomies, at Children’s Dental Group have been hospitalized

CHOC given $150,000 to treat children sickened in dental clinic infection outbreak
Contact the writer: 714-796-3686
So far, 57 children who underwent baby tooth root canals, or pulpotomies, at Children’s Dental Group have been hospitalized at CHOC with confirmed or probable mycobacterial infections, said Dr. Jasjit Singh, a pediatric infectious disease specialist at the Orange hospital. About 21 patients need to take a tightly regulated drug typically used to treat leprosy, she said.
Ordering the oral antibiotic, clofazimine, from the Food and Drug Administration requires a lengthy approval process for each child. CHOC will be expanding a part-time nurse’s hours to full-time to oversee the process.
“It’s a much more rigorous process than writing a prescription for an antibiotic,” Singh said. “That process requires some administrative and logistical work. It requires filling out those FDA forms.”
…“This is a nightmare,” Morales said. “I stay awake at times picturing her with a hearing aid or with kidney problems. That’s why I asked the nurse what would happen if we didn’t give this to her. She said she could die.”

In related news, Christine Curtis brought her three children to Children’s Dental Group of Anaheim and says dentists perfromed up to 11 baby root canals on her children, all while they were strapped down and restrained.  Curtis now believes the work was unnecessary and along with a growing number of parents has contacted Texas Attorney, Jim Moriarty for help.
Wayne Dolcefino, President of Investigative Communications firm, Dolcefino Consulting spoke with Moriarty:
“This assembly line dentistry uncovered in at Children’s Dental Group smacks of Medicaid Fraud,” says Moriarty. “A Full state and federal investigation is owed to U.S. taxpayers.  I believe Children’t Dental is over treating these childdren to make a buch using higher cost stainless steel crowns, and falsifying the need for baby root canals to increase the cost of taxpayers.”
“I beleive the infection outbreat in California could lead to proving Children’s Dental Group is systematically abusing children.”
Moriarty was the legal architect behind the groundbreaking lawsuit against the Small Smiles Dental chain, and now represents the family of 4-year old Neveah Hall, the little girl left severely brain damaged by a bad dentist.

Related Links:
Law Offices of James R. Moriarty Facebook
Law Offices of James R. Moriarty Website

The many schemes of four dentists accused of defrauding MetroHealth





By Eric Heisig,
Follow on Twitter
on October 26, 2016 at 9:36 AM, updated October 26, 2016 at 4:10 PM

CLEVELAND, Ohio — The schemes described in a federal indictment against former MetroHealth executive Edward Hills and three former hospital dentists undertook were complex, intertwined and lasted for years.

They also involved about $250,000, much of which was taxpayer money. Meanwhile, Hills was being paid increasingly larger six-figure salaries for his work at the hospital system.

The U.S. Attorney's Office laid out its accusations in a 93-page indictment unsealed Tuesday, following the arrest of Hills and dentists Sari Alqsous, Yazan Al-Madani and Tariq Sayegh. The charges say the men steered MetroHealth clients and resources toward their private businesses and forced prospective residents to pay them bribes in exchange for preferential treatment.

All four entered not-guilty pleas at their arraignments.

The case is the culmination of an investigation that lasted more than two years and was headed by the FBI and IRS. It involves a series of cooperating witnesses. Federal prosecutors have not said whether others will face charges.




FBI raids former MetroHealth System's executive's home, businesses

Sunday, October 09, 2016

Unlicensed Dental Hygiene Practice as a Business Model


Dr. Michael Davis
Dr. Michael W. Davis maintains a general dental practice in Santa Fe, NM. He serves as chairperson for Santa Fe District Dental Society Peer-Review. Dr. Davis also provides a fair amount of dental expert legal work for attorneys. He may be contacted via email:



Unlicensed Dental Hygiene Practice as a Business Model

The unlicensed practice of dental hygiene is unlawful in all 50 states. In reality, enforcement is lax to nonexistent. In the infrequent event of violators charged, the bigger the violator, the more lenient the penalty. State regulatory dental boards have generally failed to address this problem, and their inaction has enabled and emboldened violators. Dental practices which conduct their business affairs within the rule of law are at a distinct marketplace disadvantage, to dental practices which engage unlawful dental hygiene practice as a business model.

Traditionally, only doctors were lawfully permitted to own dental practices and supervise the practice of dental hygiene within their businesses. Today, a dental practice may only be “owned” by a dentist(s) as a nominee figurehead. An outside corporation may truly beneficially own and manage the dental practice and the practice of dental hygienists. These beneficial owners (often private equity investment companies) pull the strings on the doctor/patient relationship, as well as the practice of dental hygiene in their clinics via dental service organizations (DSOs).

Jesus Villegas, DDS MS

Dr. Villeges, a pediatric dental specialist with clinics in Milford and West Haven, CT, settled with the US government for $1.3 million for his alleged actions of utilization of uncertified dental assistants in taking dental radiographs.1 These patient services could only lawfully be delegated to certified dental assistants or licensed dental hygienists. This dental Medicaid fraud case was notably prosecuted in Connecticut, as were earlier federal and state criminal actions against Dr. Gary Anusavice2 and later Dr. Mehran Zamani3, who operated a chain of dental Medicaid clinics, also in CT.

Phillip M. Coyne, Special Agent in Charge with the US Health and Human Services- Office Inspector General stated, “Dentists must ensure that only certified staff provide services to their patients. Cutting corners could jeopardize the safety of patients and the integrity of the Medicaid program.  Working with our law enforcement partners, our agency is dedicated to protecting patients and the government health care programs designed to serve them.”1

US Attorney Deirdre M. Daly added, “Health care providers must utilize properly certified individuals to treat patients, and the failure to ensure such proper care for patients will have serious consequences.”1

Douglas Macko, DMD MS

In the case of State of Connecticut versus Douglas Macko, the decision awarded $717,000 to the plaintiff, for Dr. Macko’s violations to the Connecticut Unfair Trade Practices Act.4 Dr. Macko unlawfully employed unlicensed personnel to provided dental hygiene patient services to pediatric dental patients. The court’s decision went into length on Dr. Macko’s efforts misrepresent facts of the case. The court also determined unlicensed staff falsified statements of fact in affidavits to support their employer. Like the aforementioned legal case of Dr. Jesus Villegas, this legal action involved a specialist pediatric dentist, and primarily dental Medicaid fraud.

Thomas P. Floyd, DMD MS

Similar to the previous cases, Dr. Floyd was a pediatric dental specialist mostly serving a children’s Medicaid population. However, his case was prosecuted in Florida, not Connecticut. In Florida, dentist violators are far more likely to receive regulatory wrist-slaps and large chain DSOs no investigation whatsoever (similar to most states).

Thursday, September 22, 2016

Colorado Dental Association Responds to “Toxic Troika for Dental Patients”


September 21, 2016

Dear Author and Editor:

Among a number of misportrayals, Michael W Davis’ August 2016 blog post entitled “Toxic Troika for Dental Patients” wrongly implies that Dr. Jason Ehtessabian engaged in unethical behavior by testifying on behalf of the Colorado Dental Association on SB16-009. This accusation borders on defamation and could not be further from the truth.

Dr. Ehtessabian was asked to testify on SB16-009 as an official representative of the Colorado Dental Association, and did not testify of his own interest. While Dr. Ehtessabian once worked for Comfort Dental – the party who advanced SB16-009 – nearly 10 years ago, Dr. Ehtessabian has reported that he had a personally difficult relationship with the franchise. He declined to take an ownership stake in the company when offered the opportunity, and certainly does not have any personal interest in advancing their cause. He does not have any current or ongoing financial connection with the franchise. Contrary to the insinuation of the article, Dr. Ehtessabian actually took the high road in overcoming his personal history to testify on this bill, because the bill had broader helpful implications for the entire Colorado dental community. To imply otherwise is wrong and irresponsible.

As previously shared with the author, the Colorado Dental Association participated with SB16-009 to ensure that Colorado’s fee splitting regulations continued to be as stringent as possible, while also addressing a recent Colorado court case that would have potentially prohibited dentists from paying for basic business services like accounting services, payroll, website hosting and more.

Allowing dentists to continue to engage business consultants is necessary to the efficient operation of our members’ practices, and was never the intended subject of the precursor Section 12-35-129 (1)(v) of Colorado’s Dental Practice Act. A court extension of the intent of this section required a bill to prevent disruptions to all types of dental practices – from large to small. Federal and state anti-kickback prohibitions continue to protect the public from inappropriate marketing and recruiting schemes, as does the revised section of the Dental Practice Act.

The Colorado Dental Association specifically asks that a formal correction to the article be published stating that Dr. Jason Ehtessabian is not affiliated with Comfort Dental and that the following statement be retracted:

“Dr. Ehtessabian is also affiliated with Comfort Dental in the company’s arranged franchise capacity. No one seemed concerned about Dr. Ehtessabian’s or Mr. Bear’s obvious conflict of interest. No representative of small business dentistry attended. No independent representative of the CDA attended, who wasn’t affiliated with corporate dentistry. Obviously, the fix was in against the public welfare in favor of corporate dentistry, corrupt government, and sold-out organized dentistry.”

We also understand that in conversations subsequent to the article, Dr. Davis has accused Dr. Ehtessabian of violating Section 4.E. of the ADA Code of Ethics by testifying on SB16-009. This accusation is completely out of line. First, Section 4.E. of the ADA Code of Ethics defines “fee splitting” to be directly tied to inappropriate marketing and recruiting schemes, such as kickbacks and rebates. Section 4.E. does not at all address payments for business management services and consultants, the issue addressed through SB16-009. SB16-009 and resulting Colorado Statute continue to prohibit the inappropriate advertising, marketing and recruitment schemes considered in Section 4.E. of the ADA Code of Ethics. There is nothing in the ADA Code of Ethics that explicitly addresses payments to franchises or business consultants, which was the topic of SB16-009. Likewise, an accusation that SB16-009 conflicted with Section 4.E. of the ADA Code of Ethics is inherently out of line. Further, even if Section 4.E. of the ADA Code of Ethics was applicable to this situation, Dr. Ehtessabian testified in an official capacity as a CDA representative, so any accusation of an ethical violation would need to be levied against the organization and not the individual.

We further request that Dr. Davis also issue a formal apology to Dr. Ehtessabian, a representative of small business dentistry, based on the errors in the article and cease making ethical accusations against him as outlined above.


Greg Hill, J.D., CAE
Executive Director,

Colorado Dental Association

Monday, August 29, 2016

TOXIC TROIKA FOR DENTAL PATIENTS: Collusion Between Corporations, Government and Organized Dentistry Maximizes Healthcare Profits

Dr. Michael Davis
Dr. Michael W. Davis maintains a general dental practice in Santa Fe, NM. He serves as chairperson for Santa Fe District Dental Society Peer-Review. Dr. Davis also provides a fair amount of dental expert legal work for attorneys. He may be contacted via email:

TOXIC TROIKA FOR DENTAL PATIENTS: Collusion Between Corporations, Government and Organized Dentistry Maximizes Healthcare Profits

The US healthcare industry is corrupted by crony capitalism1 of government special treatment and favoritism, from big corporate healthcare political donors. A classic example is the McCarran-Ferguson Act of 19452, which exempts the healthcare insurance industry from federal antitrust regulation and statutes, which every other American industry must comply with. Insurance industry lobbyists have successfully defeated repeal attempts, throughout multiple decades of different political administrations. Money talks in Washington regardless of political party.

In the dental healthcare industry specifically, we’ve witnessed countless examples of government support for big business interests. The donor class3 of major political parties doesn’t care about labels such as Republican or Democratic. They expect special treatment and favoritism from government, for the moneys they pay in.

Examples of Dental Industry Crony Capitalism
In 2012, North Carolina attempted to establish statutes to protect the doctor/patient relationship, and a patient’s right to full disclosures within the dental informed consent process. The state was met with a heavy barrage of out-of-state big dollar opposition from the dental service organization (DSO) industry. (Author’s note: “Dental Service Organization” is an intentional misnomer created by this industry, which either beneficially owns dental clinics, or is subordinate to private equity investment groups which do. The allegation of support limited strictly to non-clinical services, and not patient care, is a bogus claim.4) Republican lobbyist old-boys Jeb Bush, Haley Barbour, Bill First, Tommy Thompson, Grover Norquist, and many others descended en masse into North Carolina, for this test case state legislation.5,6

The private equity investment industry, which controls most of corporate dentistry, pulled out all the stops. They funded a massive advertising campaign of misinformation relating to “access to care” and low-cost dental treatment. Through DSO industry lobbyists and private equity investment firms, “donation” dollars flowed to local state politicians. The initial legislation designed to protect the public interest from the unlicensed and unlawful practice of dentistry by a corporate third party, without the knowledge or consent of patients, was largely stifled. A watered down bill was eventually signed by the governor.

Crony capitalism of the federal government’s support for big business dentistry is well established. The Federal Trade Commission (FTC) stated the aforementioned North Carolina consumer protection legislation for dental patients risked reduction in trade competition.7 The FTC blindly accepted arguments of the DSO industry at face value, while totally ignoring the federal Fifth Circuit Court of Appeals ruling 07-30430.4
The FTC followed the same course of crony capitalism in support of the DSO industry in Texas.8 Absurd spin generated by the DSO industry became talking points of the FTC in an advisory letter to the Texas State Board of Dental Examiners’ legal counsel, “Proposed 22 TEX. ADMIN. CODE § 108.74 would make dentists who own, maintain, or operate a dental practice that employs a dentist “responsible for all administrative and operational” functions. Although the proposed rules do not expressly refer to Dental Service Organizations (“DSOs”), the rules seem likely to discourage dentists from affiliating with DSOs by mandating that dentists assume responsibility for the types of functions that DSOs typically provide, and by expanding the Board’s authority to take disciplinary action against dentists who enter into such prohibited agreements.”

The entire position of the FTC is based on a false premise of the doctor owning the dental practice and in full control of clinical decisions. Federal Fifth Circuit Court of Appeals ruling 07-30430, which is largely based on Texas state law, demonstrated the ridiculousness of that assumption. Dentists are employees, and are only nominee owners at best. They generally take orders from unlicensed managers. They can’t sell “their” asset of the dental practice without authority of the controlling party (beneficial owner), the DSO. Fee splitting of the doctor’s production billings are awarded to the DSO and are standard fare. Bonuses and quotas for clinical production are commonplace. Doctors retained for employment by a DSO rarely if ever have control over selection of clinical supplies or laboratories, in a patient’s best interest. Auxiliary clinical staff like hygienists and dental assistants is truly not under the direct control doctors, and too often freely engaged in unlicensed activities sanctioned by their employer, the DSO. Often the DSO, not the doctor, mandates which clinical specialists a doctor must give patient referrals to. Obviously, the DSO is intimately involved in the unlicensed and unlawful practice of dentistry. It’s in the interest of the DSO industry and the private equity investment industry to subvert government oversight and regulation, which they’ve been very successful in doing.

A master at the political and big business game of “pay to play” was former New Mexico Governor “Dollar” Bill Richardson (D-NM). His foray into the dental industry was through the New Mexico State Investment Counsel (SIC), which he chaired. The SIC was established to award low interest loans and grants, to New Mexico based businesses, in an effort to grow the state’s economy. $550,000 of state taxpayer money went to Small Smiles Dental (operated under the DSO title Forba). Forba was not headquartered in New Mexico, but Nashville, TN. Further at that time, the principle owner was Arcapita Bank (a today defunct Islamic Sharia compliant investment bank), in the Arabic Kingdom of Bahrain. To date, those taxpayer funds have never been accounted for.9

Nationally, numbers of DSOs have gone bankrupt, locked their doors to staff and patients, and abandoned patients in mid-treatment with citizen/patient funds on account. Examples include smaller DSOs in Texas10, but also larger corporate interstate chain dental clinics such as All Care Dental and Dentures.11 Prior warnings to government from concerned dentists did little to motivate state governments unwilling to take regulatory preventive action. State and federal authorities seem mired in the fantasy myth of doctors, and not corporate managers, as controlling corporate dentistry. With enough corporate money, reality gets distorted and government puppets dance to the tune, which they’ve been hired and paid for.

Blowback against Crony Capitalism in Dental Healthcare
Most states have statutes against fee splitting in healthcare professions, as it’s considered a highly unethical practice, and not in the interest of patients.12 (Author’s note: A doctor and most healthcare professionals have an ethical and fiduciary responsibility to place patient interests to the fore, because of their vastly superior expert knowledge and training.13 By contrast, a corporation has a primary ethical and fiduciary responsibility to generate profits for shareholders.14 The conflict-of-interest is self-evident. Neither doctors nor free market corporate managers can serve two masters. Healthcare isn’t the buying and selling of widgets.)
The North Carolina State Board of Dental Examiners (NCSBDE) filed suit against Dental One (a/k/a Dental Works), an interstate DSO, alleging the unlicensed and unlawful practice of dentistry by a non-dentist entity.15-6 This action filed by the NCSBDE has today been settled. Dental One has severe restrictions for alleged unlawful practice of dentistry, but only in North Carolina.

Washington State’s Department of Financial Institutions examined the dental franchise operation of Comfort Dental (chain of alleged dental franchises) and viewed them to be in violation of open disclosure laws of Washington, which largely mirror federal statutes.17A cease and desist order was agreed upon in the consent order of April, 2012. Yet, Comfort Dental continues to market so-called franchise opportunities in OH, IN, KY, MO, NE, KS, OK, TX, CO, NM, AZ, MT, as well as Washington, as of the date of this article.18 Seemingly, the cease and desist order within the consent agreement represents a meaningless “speedbump”, to the operation of Comfort Dental and its principles; Rick Kushner, Neil Norton and Graig Bears.
The Washington State insurance commissioner issued in August of 2015, a cease and desist order against the aforementioned Comfort Dental.19 This time the alleged violation was over the company’s “Gold Plan”. This is a discounted fee plan, which very closely resembles a duly registered and bonafide insurance vehicle, which it is not. Dentist franchise operators have expressed concerns in their individual states over potential misrepresentation to the public of Gold Plan as an insurance offering, specifically in MO, KY, and IN.20Unfortunately, franchise dentists are contractually obligated to honor Gold Plan regardless of possible violation to state law. Doctors are squeezed “between a rock and a hard place”.

More recently (February 1, 2016), the Hearing Unit Office of the Washington State Insurance Commissioner issued another cease and desist order against Comfort Dental Gold Plan, LLC.21 This order was required, as the previous order was allegedly disregarded by Comfort Dental. The insurance commissioner’s final order is well supported in detailed case law. The fines against Comfort Dental for non-compliance with the law are serious. Yet, one wonders if a few dollars placed in the “right” politician’s hand might not reverse this order? We’ll see.

One big complaint nationally by dentists working for Comfort Dental is their contract requirement to strictly use Budget Dental Lab for their patients. Serious concerns over dubious lab quality and negative patient outcomes have been expressed.20This problem isn’t restricted to Comfort Dental, but is a highly universal issue within the DSO industry negatively affecting patient care involving corporate unlicensed practice of dentistry.

Washington State hit Comfort Dental with yet another cease and desist order (July 5, 2016) for unlawful fee splitting via a “royalty” fee based on gross clinic collections, as well as the illegal practice of dentistry by a corporate entity.22 This action by Washington in many ways mirrors the earlier case by the NCSBDE against Dental One. The state’s brief is well structured, and again well supported in case law precedence.

One wonders how Comfort Dental and their directors; Rick Kushner, Neil Norton and Graig Bears will respond? Interestingly in the manner of organized crime Mafia figures, Rick Kushner (no longer a licensed dentist), is referenced as “the Godfather” on Facebook and by colleagues. One ponders how the DSO industry can continue the absurd myth, of not actively engaging in the unlicensed and unlawful practice of dentistry? How many palms need to be greased?

Corporate Dentistry Fights Back
The case was clearly made how corporate dentistry fought for their interests, over public interests, in North Carolina. That battle has been waged by the DSO industry nationally and on many fronts.23 Through media outlets and state and national legislatures, corporate dentistry has pounded home their self-serving messages. Money can purchase political favors, buy media attention, and even buy-off the dental profession itself (as the author will demonstrate later).
However, few in corporate dentistry have been so ham-fisted in squelching dissenting opinion, as Comfort Dental. Comfort Dental filed defamation suits again four individual University of Colorado dental professors, for alleged remarks made to students.24 That case has since been settled and parties aren’t talking, because of non-disclosure agreements in the settlements. Regardless, Comfort Dental has established corporate dentistry precedence, for shutting down opposition voices. The alleged slander was no worse than can routinely be found in online patient reviews of Comfort Dental, or most DSOs.

The DSO industry is currently fighting hard in Washington State, to put forth their misrepresentations, in spite of the disturbing activities of Comfort Dental and many others.25 Hired advocates place DSO myths and distortions in business publications such as Forbes.26 Money buys access, influence, and usually results.

The most visible lobbyist group for the DSO industry is the Association of Dental Service Organizations (ADSO).27 Corporate dentistry hired Dr. R. Quinn Dufurrena (January, 2011), former executive director of the Idaho State Dental Association, and then current executive director of the Colorado Dental Association, as executive director of the ADSO. (Author’s note: the connection to the CO Dental Association (CDA) isn’t happenstance, as some of the unethical activities of the CDA will be later highlighted. CO was the birthplace of the highly disturbing Small Smiles Dental, Perfect Teeth Dental, and Comfort Dental.) A primary focus for Dr. Dufurrena was to clean up the image of ADSO members, especially via the ADSO Code of Ethics.28 Some of the more troubling members of the ADSO quickly dropped out; Smile Smiles Dental and Kool Smiles Dental.29-31 Yet, these companies or their “progeny” dental companies are still doing business, especially with dental abuses to disadvantaged Medicaid children.

The heads of those companies still remaining in the ADSO couldn’t afford to have even a timid lightweight reformer serve as executive director of the ADSO. Their own companies’ histories and business models were far too checkered.32-38 The focus was to clean up an image, not the reality upon which corporate dentistry operated. On January, 2014, Dr. Dufurrena exited his role with the ADSO.

Organized Dentistry Joins Corporate Dentistry and Corrupt Government; Forming the Toxic Troika
It’s not unusual for organized dentistry to abandon service to doctors/members, as well as the public interest, in an effort to protect their fiscal backers. David Sohn is a San Francisco labor rights attorney. He recently prevailed in a California civil court action against Western Dental.39,40 The case set precedence, as Western Dental declined to appeal the judgement in favor of a dentist whose workplace rights were violated. These sorts of workplace violations are not unique to Western Dental, but common throughout the DSO industry.

After the ruling was established and the DSO (Western Dental) declined to appeal, Mr. Sohn approached the lead legal counsel for the California Dental Association, in an effort to publish the legal decision in the state dental journal. This judgement obviously holds case law importance not only to California dentists (employers and employees), but dentists nationally. The dental association’s attorney advised the dental association would not publish the public record court ruling, because it was adverse to the DSO industry generally and Western Dental specifically. Western Dental and the DSO industry are major financial sponsors of the California Dental Association.

The largest group in organized dentistry is the American Dental Association (ADA). This group as well has played favorites with the DSO industry, ignoring interests of member doctors and the public. Concerned Dentists of Texas, a dentist and public advocacy group, has exposed apparent collusion between the ADSO and the ADA, in 2015.41 Meetings were held in secret without notice to ADA House of Delegates members, or ADA membership at large. The ADA is well aware that clandestine meetings with a dubious organization like the ADSO will not be received well by membership, or other elements of the public. However, sponsorship money through advertising and support of the ADA Annual Meeting is always on the table.

One only needs to go to the Colorado Dental Association website, to see financial sponsorship by the DSO industry. Perfect Teeth Dental has an ad, in which they “proudly Sponsor the New Dentist Committee”.

Working conditions at Perfect Teeth Dental are problematic, and this DSO experiences a continual outflow of resigning employees. Many of their clinics are maintained with temporary agency employees, because dental professionals and auxiliaries are highly reluctant to become employed with this DSO. In fact, when doctors have attempted to resign from this DSO, Comfort Dental has attempted to enforce highly onerous restrictive non-compete contract clauses, in order to keep even highly unhappy and discouraged doctors.
It’s obvious why Perfect Teeth Dental would attempt to attract relatively na├»ve young doctors. It’s also disturbingly apparent why the CDA would run such an ad. Follow the money.

Colorado Dental Association Not Only Carries the Water for Corporate Dentistry, but Drinks the Kool Aid
One expects the CDA to be in the tank for corporate dentistry. The former executive director of the ADSO (Dr. R. Quinn Dufurrena) was also the former director of the CDA. Colorado (CO) was the former headquarters for the now defunct and disturbing Small Smiles Dental. It’s still the headquarters for Birner Dental Management, Inc. (d/b/a Perfect Teeth Dental) and Comfort Dental. It’s where the founders of such troubling DSOs as Adventure Dental (a/k/a Hero Dental) and Kool Smiles Dental got their starts, and learned their alarming “tradecraft”.

However, this year organized dentistry in CO sunk unethical collusion, to an entirely new nadir.
Not surprisingly for CO, bipartisan legislative support was given SB16-009, which Governor Hickenlooper (D-CO) signed into state law March 9, 2016.42 This unopposed bill legitimizes the unethical (and unlawful in most states) act of a dental professional fee splitting with an outside corporate entity. In essence, an unlicensed party becomes an owner to a dental practice. The bill’s language specifically utilizes the Comfort Dental franchise term of “royalty fees”, which is under challenge in other states like Washington. This is fully unlawful in North Carolina, which challenged a DSO collecting a percentage of a doctor’s clinical production in court, as an act of practice ownership.

The bill’s sponsors were CO State House Representative Dianne Primavera (D-CO) and State Senator Kevin Grantham (R-CO). This bill promotes crony capitalism of large corporate interests (corporate dentistry) over small business dentistry, which must be responsible to patient interests, not shareholder interests. Interestingly, on Sen. Grantham’s website he supports both “free market capitalism” and “small business owners”. Perhaps this politician may wish to change his website wording, to better reflect his reality?

At the hearing in support of the bill no party spoke in opposition.43 Speaking in favor of SB16-009 was General Counsel for Comfort Dental Graig Bears, and a representative from the CDA, Dr. Jason Ehtessabian. Dr. Ehtessabian is also affiliated with Comfort Dental in the company’s arranged franchise capacity. No one seemed concerned about Dr. Ehtessabian’s or Mr. Bear’s obvious conflict of interest. No representative of small business dentistry attended. No independent representative of the CDA attended, who wasn’t affiliated with corporate dentistry. Obviously, the fix was in against the public welfare in favor of corporate dentistry, corrupt government, and sold-out organized dentistry.

Added to this shameful situation was during the time of this bill’s proceedings, Dr. Claud Michael “Mike” Bloss was disciplined by the Colorado Dental Board on February 16, 2016.44-5 Dr. Mike Bloss, a prominent founding member of Comfort Dental, was issued a cease and desist order for using another doctor’s NPI number for his Medicaid billings.46 Dr. Bloss never in fact obtained an NTI number in Colorado. His Medicaid billings for Comfort Dental were a serious misrepresentation, and might be considered multiple counts of civil and criminal fraud. However, this Colorado case, nor any other states’ sanctions against Comfort Dental or directors, was ever a consideration in Colorado’s legislative process of SB16-009.
The CDA issued this statement on August 5, 2016:

“The Colorado Dental Board recently emailed Colorado dental licensees regarding SB16-009, a 2016 bill that made a technical fix to a longstanding state law on fee splitting by dentists. The Colorado Dental Association wants to make sure its dentists have the most up-to-date information on this new law. "

What SB16-009 DID NOT change:
Dental fee splitting laws aren't new. Fee splitting laws have been on the books for more than 30 years-primarily to address situations of patient referrals and kickbacks. The dental fee splitting law currently lives at CRS 12-35-129(1)(v), though the section numbering has changed a bit over the years. The fee splitting law has a longstanding exemption that allows dentists to pay marketing consultants, but other types of consulting services technically weren't addressed in the law. In addition to state laws on fee splitting, there are stringent federal laws regarding patient referrals and illegal kickbacks that continue and have not changed. No changes have been made to laws governing ownership of Colorado dental practices.

What SB16-009 DID change:
SB16-009 adds a straightforward, second technical exemption to the existing law in CRS 12-35-129(1)(v) to clearly allow payments for business consulting and practice management services. There have been some recent court cases that potentially would have restricted business consulting and practice management services based on CRS 12-35-129(1)(v). Comfort Dental drafted SB16-009 in response to these legal cases. The CDA worked with Comfort Dental to ensure the changes made to the law were written in a way that enhances current practice for all dentists and patients and to ensure any payments for services would protect and preserve the dentist's independent professional judgment. With these amendments, the CDA supported Comfort Dental in SB16-009. All types of dental practices use various business consulting and practice management services, which provide great benefit to practices so long as there is not interference with a dentist's independent professional judgment. In most cases, these changes will add a bit of flexibility for practices, rather than restricting existing practices.
Text of actual changes to the law (for reference):

§ 12-35-129. Grounds for disciplinary action
(1) The board may take disciplinary action against an applicant or licensee in accordance with section 12-35-129.1 for any of the following causes:
(v) Sharing any professional fees with anyone except those with whom the dentist or dental hygienist is lawfully associated in the practice of dentistry or dental hygiene; except that­:
(I) a licensed dentist or dental hygienist may pay an independent advertising or marketing agent compensation for advertising or marketing services rendered by the agent for the benefit of the licensed dentist or dental hygienist, including compensation that is based on the results or performance of the services on a per-patient basis; and
(II) nothing in this section prohibits a dentist or dental hygienist practice owned or operated by a proprietor authorized under section 12-35-116.5 from contracting with any person or entity for business management services or paying a royalty in accordance with a franchise agreement if the terms of the contract or franchise agreement do not affect the exercise of the independent professional judgment of the dentist or dental hygienist.”

The toxic troika of big business dentistry, government, and corrupt organized dentistry join together where allowed, to subvert the public interest of dental consumers. Powerful forces undermine the doctor/patient relationship, which is demeaned and degraded to that of high-pressure retail sales. They distort reality with terms like “access to care”, “free market capitalism”, and “economy of scale” resulting in lowered costs to consumers.
In truth, the healthcare accessed is generally of suspect quality. Crony capitalism is not free market capitalism. And, the alleged “economy of scale” comes down to creative accounting and unenforced tax codes on Wall Street tycoons.47-8

Editor’s Note: Dr. Jason Ehtessabian is no longer affiliated with Comfort Dental. He ended that business relationship several years ago.


Thursday, August 25, 2016

WHISTLEBLOWERS IN ACTION: Dr. Steven Pesis Discusses How Unethical Use of HIPAA Contribed to Patient Abuse at University of Pennsylvania

Dr. Michael Davis
Dr. Michael W. Davis maintains a general dental practice in Santa Fe, NM. He serves as chairperson for Santa Fe District Dental Society Peer-Review. Dr. Davis also provides a fair amount of dental expert legal work for attorneys. He may be contacted via email:
By: Michael W. Davis, DDS

Dr. Steven S Pesis DDS
Dr. Steven S. Pesis studied psychology at Queens College before receiving his DDS at The University of Michigan School of Dentistry. He then received advanced training in general dentistry by attending the AEGD residency program at the Kornberg School of Dentistry at Temple University. During his residency he was educated in a variety of complex dental cases, including full mouth rehabilitations, implant dentistry, esthetic dentistry, Invisalign and dental anxiety. Following his residency, he worked in public health dentistry until he joined the Penn Dental Family Practice at the University of Pennsylvania. He also taught as Clinical Associate in the Department of Preventive and Restorative Sciences for the University of Pennsylvania School of Dental Medicine.
Born and raised outside of Detroit, Michigan, Dr. Pesis is a member of a family of dentists. His father and uncle share a practice in Michigan, while his brother practices in the public health sector for Philadelphia. He hopes to use his knowledge of dentistry and psychology to provide patients with the best possible care, educate future dentists and to further the advancements in the dental field.


Dr. Steven Pesis is a public safety whistleblower, who acted in accord with his ethical and legal obligations to expose patient abuses under the American Dental Association Principles and Code, Pennsylvania Commonwealth administrative statutes under the dental practice act, as well as internal policy of the University of Pennsylvania (U/Penn). As a result, Dr. Pesis alleges he was wrongfully terminated from employment by U/Penn. Dr. Pesis filed a legal action against the Trustees of U/Penn and Peter K. Kauderwood, assistant dean at U/Penn School of Dental Medicine.

See: Suit Claims Penn Dentist Was Fired For Reporting Unneeded Treatment
Dr. Davis: Dr. Pesis, I sincerely thank you for taking the time and effort to address matters of this case. Our readers will fully appreciate you are unable to address certain specifics and details of this issue, because of ongoing litigation. However, could you give our readers an overview and outline of your case? 

Dr. Pesis:Thank you for taking the time to discuss these issues, Dr. Davis. You are a true dental professional, constantly advocating for patients and bringing these issues to the public. The importance of quality care for dental patients, honesty and integrity are the cornerstones of dentistry and should not be overlooked.
My situation began close to a year ago. The Penn Dental Faculty Practice also known as the Penn Dental Family Practice (PDFP) renovated a large portion of a new building at the University of Pennsylvania in order to relocate one of its three offices. The cost quickly began to increase and once completed, the project was rumored to be severely over budget. This office at 3737 Market, known as the University City location, was to be the crown jewel of the PDFP and many of the top producing dentists were transplanted from the other offices to this new location. After all of the commotion, I remained as the only full-time dentist at the PDFP Locust Walk location and I was designated by Dean Denis Kinane of the dental school as the Clinical Advisor for this location.
Shortly after the opening of the new office, the Locust Walk location hired a new dentist in order to fill the void left by the relocation of multiple dentists. During the new doctor’s first few days working at Locust Walk, I received reports from doctors and hygienists that he was extremely aggressive in his treatment plans, over-treating patients as well as billing incorrectly. The clinical advisor from another office also discussed similar concerns with me regarding the new dentist. We both investigated the information and determined that there were real concerns regarding the new dentist’s billing practices and treatments of patients. These findings were finally reported to the clinical director, Dr. Alisa Kauffman. Shortly after the reports were made, I was terminated from employment from the University of Pennsylvania. I was pulled into an office and told that I had violated HIPAA and that I was being terminated from my clinical and teaching positions. I spent nearly an hour explaining that these allegations were false and that everything I did followed HIPAA protocol and did not violate the university privacy policy. One of the last things I said was that regardless of what my fate is, PDFP owes it to the patients to investigate the new doctor’s practices. To my knowledge, no investigation was conducted into the claims that were made and to this day, individuals at the PDFP remain scared to report any wrongdoing by the new dentist for fear of retaliation.

Tuesday, August 09, 2016

When Dental Surgery Lands A Patient in a World of Everlasting Regret

Houston Press logoDon’t miss this entire in-depth article by Dianna Wray at the Houston Press by clicking here.

“…Before Hoover went to work on Noah’s mouth, the receptionist told Deel it would cost $300.”

“…A few minutes later, Hoover asks Deel to come take a look inside Noah’s mouth. As Deel stands by, Hoover opens Noah’s mouth and begins poking around with her fingers and silver instruments. The cavity is too deep, she tells Deel. They might have to put a crown on it. Hoover gestures to the teeth on either side. These teeth are weak too, she says, so they need crowns as well.”

“…Deel agrees the teeth need to be fixed and goes back to the front, where McGonagle, who also happens to be Hoover’s husband, offers Deel another margarita. A dental hygienist appears in the waiting room and informs Deel his son now needs five crowns. It will cost $6,000 out-of-pocket, she says.”

“…McGonagle doesn’t miss a beat. He can see Deel is a nice guy and he wants Noah to get what the boy needs, McGonagle says. Deel might qualify for a “special loan” from a lender that pays the office “right then and there,” says McGonagle. “I’ve had good luck with these guys,” McGonagle tells Deel. Hoover’s office also bills the Deels’ insurance for $6,000. Before Deel has even thought about it, he has applied for a “care card,” a health-care credit card with an extremely low initial interest rate that soars if the card isn’t paid off within the first six months.”

“…According to state district court records filed in Galveston County, Columbo stated that “every one of the crowns done just months ago have short margins or recurrent decay under them.” The documents also allege that “Columbo [told] Lisa and Noah that the crowns need to be replaced in the next few months and furthermore that there [wasn’t] any indication that Noah needed five to six crowns. Columbo also [gave] Lisa contact information for the Texas State Board of Dental Examiners and [encouraged] her to file a complaint.”

“…The Deels contacted Jim Moriarty, a Houston lawyer with years of experience in dental cases, and decided to sue. The case was filed on August 2 in Galveston County District Court.”

“…Moriarty has been representing people and their claims against dentists and dental corporations for about a half-dozen years. “It’s mainly about trust. We’re taught to trust these people in white coats and to believe what they tell us, so it gets very hard for people to ask if they’re trustworthy,” Moriarty says. “

“…Insurance companies have also helped shape dentistry because insurance adjusters have kept the annual coverage rate cap between $1,000 and $1,500 since the 1970s, without adjusting for inflation, according to the American Dental Association. “There are so many financial pressures on dentists today. It’s getting much harder to make a profit than it used to be,” James Quiggle, spokesman for the Coalition Against Insurance Fraud, says.”

“…Another Houston-area case — one that has become infamous — involved four-year-old Nevaeh Hall’s trip to the dentist. When Nevaeh went to Dr. Bethaniel Jefferson’s dental office in January 2016, she was giddy with excitement, her mother says. On a previous visit, she’d taken home a backpack full of dental care supplies, and she loved brushing her teeth with her SpongeBob SquarePants toothbrush. On this second visit, as her dental records show, the plan was to extract her damaged baby front teeth — she’d fallen down face first shortly after the teeth came in — and put crowns on the teeth on the right side of her mouth. “

“…according to a report from the Texas State Board of Dental Examiners. She was given “large doses of anesthetic and sedatives,” and there were “warning sounds and visual indications which showed that for a period of five hours Nevaeh’s brain suffered from a severe lack of oxygen.”

“…When Amanda Lightfoot got the bill for her dental work, she burst into tears right there in Hoover’s waiting room. It was fall 2014 and Lightfoot had come in just to get two crowns replaced….She went home with a hole in her mouth where the tooth had been, and says Hoover told her it would cost about $20,000 to finish the work. Lightfoot cried all night. “

“…This is how most of these cases go, Moriarty says. Dentists are regulated primarily by the state dental boards, the entities that have the power to investigate and discipline a dentist who has done wrong. Unless a board decides to reprimand a dentist publicly, the odds are good the public will never know there has even potentially been an issue, he says.”

“…“People assume dental boards are out there to protect the public and to make sure the dentist that comes out of school can treat you. People assume these boards will be there to protect you from any unscrupulous behavior in the industry, but that’s just not the case,” says Debbie Hagan, a Kentucky homemaker and grandmother turned dental patient rights activist who writes a blog detailing various issues with dentistry across the country. “

“… In March 2016, 14-month-old Daisy Lynn Torres was at Austin Children’s Dentistry to have two cavities filled. Shortly after Daisy was put under anesthesia, Dr. Michael Melanson told Daisy’s mother, Betty Squier, the child needed six cavities filled. Soon afterward, Squier was told there were problems during the procedure. Daisy was declared dead at a nearby hospital about two hours later…In July, Robert Williams, a forensic dental examiner, stated in a report commissioned by the Travis County Medical Examiner’s Office and first obtained by KXAN TV that Daisy may not have needed any of the dental work in the first place.”

“…For people like Moriarty and Hagan, the fight against bad dentistry is in many ways a personal battle, one that evokes longstanding memories.

“…As a child, Moriarty had cavities eating away his two front teeth and his family never had the money to fix them. “I often wonder how my life would have been different if I’d been able to get to a dentist,” he says. “I remember going to high school and being so embarrassed. I feel like it might have been a very different life for me.”

“…“I wouldn’t smile in the class pictures, because of all the metal. Standing up in front of the class was torture because I knew they saw me flashing a mouth full of silver every word I spoke,” Hagan says. “I don’t think most people realize how important it is, that you have to have your teeth in working order in order to thrive. You don’t want to be different, especially when you’re young and going to school. It changes kids. It changed me.”

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