Thursday, April 14, 2011

Allison Luke - No longer Chief Compliance Officer at Church Street Health Management

Lorri Steiner has been with Church Street Health Management for a very long time.  I would say at least 4 years, maybe a little longer.

Up until last Friday, April 8, 2011, she has been SVP of Financial Operations.  Currently she is carrying the title of Chief Compliance Officer!

Well, at least she is going into this eyes wide open!  She's been around long enough in the financial operations to know how much they need to make each day and how to get it done.  Now, does she know how to cover it up so that it goes unnoticed?  Time will tell.

Anyone notice Lorri was put into this position just about the same time they were able to land an in house attorney, Erika Ruiz.  I'm sure Lorri and Erika can get the job done.

(By the way, there is NO Erika Ruiz listed at the Tennessee Bar Association.  There is only one Ruiz and it's not Erika when you search the Board of Professional Responsibility here )

What happened to Allison Luke, you ask?  

Allison Luke was hired in November 2008, according to Church Street Health Management's own press release, dated 11-5-2008.
Lately her job has been more of that of "fireman" putting out fires created by Small Smiles dentists, staff and corporate heads who are determined to continue on with their bad ways.  After just over a year into the Corporate Integrity Agreement you would think things would be getting a bit better, well, not so much.
Did she figure out it was a lost cause trying to maintain any kind of "Compliance" with Small Smiles Dental Centers?  

Did she get tired of stretching the truth?  Was she tired of rounding 4.2 percent to 5 when it benefited the companies appearance.  Did she tire of rounding a 3.9 to 3.0 when told to do so?

Well, maybe she will do the right thing now and spill her guts to the OIG.  Keeping crimes a secret kind of makes you guilty doesn't it?  Especially when it's you that writes that quarterly report and you sign it, Allison Luke, SVP of Compliance.

Keeping big secrets and covering up fraud will sure weigh heavy on your mind.

Lorri, do you really know what you are in for here?  Me thinks you are in way over your head and guess whose head will role when the rubber meets the road.  Yours.

Related:

Tuesday, April 12, 2011

Moriarty-Leyendecker: Spotlight on Small Smiles

 

Spotlight on: Small Smiles

In 1967, Small Smiles was one of the first clinics in the nation to extend dental services to Medicaid patients - a generous and welcome gesture, since Medicaid paid far less than insurance or out-of-pocket payments for dental procedures.

By 2010, Small Smiles was churning through patients at the impossible rate of one every ten minutes. The company's dentists strapped children as young as two into a straitjacket-like device to perform dental procedures. Parents are no longer permitted in the waiting rooms and cannot watch their children as they go through multiple fillings or even intense dental surgery.

Worst of all, the procedures being performed are frequently not medically necessary.

How did this happen? How did such unethical methods spring out of a community-serving dental practice generously willing to take Medicaid patients at a time when few dentists were? Where did it all go wrong?

The answer lies in the owner. Who, it turns out, is remarkably difficult to locate.

Read the full article here
Recently filed lawsuits against Small Smiles Dental brings media attention

Read all the other Small Smiles Articles at Moriarty.com

 

Related:

Should dentists use restraints on kids?
Syracuse area families sue Small Smiles dental clinic for mistreatment of children

Monday, April 11, 2011

New York Dental Malpractice Lawyers Sue Syracuse Small Smiles Dental Clinic–From Central New York Injury Lawyer Blog

 

New York Dental Malpractice Lawyers Sue Syracuse Dental Clinic - Central New York Injury Lawyer Blog

Michael Bersani wrote a passionate post on his blog.   He referred to this as “Dental Battery” not “Dental Malpractice”.    I agree.  Yes, “Battery” is included.

Here is a snippet:

By Michael Bersani on April 8, 2011 9:45 PM | Permalink

dentist work.jpgNew York dental malpractice lawyers agree on one thing: You have to turn down most calls about dental malpractice. Most alleged dental malpractice cases are going nowhere. We get calls from people all the time. They got a bad result from their dentistry work, and they want to sue. But usually the bad result was a "known risk" of the procedure. When it's a known risk, usually there's no case. Sometimes there really was dental negligence, but then the injury is too small to really warrant a dental malpractice lawsuit. Getting a case with provable negligence, plus a significant injury, well, that doesn't happen every day.

Read the full blog post here.

Michael Lindley still referred to being employed with Keys Group in 2007 and 2008 & US v Keystone Education and Youth Services

US v Keystone et al accused the M. Lindley and Al Smith group of characters of restraining children, and more Medicaid Fraud.  Appears to be a lifestyle for these folks.
US v Keystone Education and Youth Services; Keystone Marion, LLC; Universal Health Services,
Currently a Subsidiary of Universal Health Services (UHS), UHS was not named as a defendant in all the allegations of the suit, because; “UHS indirectly acquired the other two defendants in or around October 2005; accordingly, UHS is not included in “Defendant” for allegations to the extent that they are related to the events occurring prior to that time.” (page 3, paragraph 10)
UHS acquired the group of Keys companies in October 2005, from Michael Lindley (“Lindley”), Marty Weber, Ameris Healthcare Investments, LLC, Rainer Twiford, Al Smith (“Smith”), Mike White, Rodney Cawood (“Cawood”), Buddy Turner, Jeff Cross, Gail Debiec, Brad Gardner, Brad Williams, Don Wert, Rob Minor, Mike McCulla, Jim Shaheen, Rod Gaeta.  See purchase agreement here.
If the jokers actually “sold” the company,  I can’t imagine why Michael Lindley would contribute to Alexander for Sentate in 2008, twice saying his occupation was Keys Group Holdings.  One contribution was April 19, 2007 for $2300 and again February 27, 2008 for another $2300.  My guess it was really “recapitalization of income” instead of a sale.
Just as in the Small Smiles Dental Centers scam, Keystone’s facilities.. “With only a few exceptions, Defendant restricted admission to the Youth Center to patients who would qualify for reimbursement of the medical costs under the Medicaid program”  (page 3, paragraph 13)
Related:
Federal, state prosecutors join suit against Keystone Marion Youth Center- March 5, 2010

hospital_483_chad-youth-centerJustice Department asked to investigate Chad Youth Enhancement Center – January 29, 2008

Nashville Scene “Handle With Care” expose’ by Elizabeth Ulrich- November 8, 2007 (the same week the story of the Small Smiles Dental Centers operated by Michael Lindley, Al Smith and others was announced.  That must have been a bad week for them.
c140_2355034.t
Bad Medicine –December 13, 2007- A Nashville youth facility is a nightmare for kids, staffers say, but the state’s licensing body sees no cause for concern, by Elizabeth Ulrich.
Excerpt: ”Checo Perryman, a former counselor at the facility who now runs his own business that teaches an alternative method to Handle With Care, says it was so common for Hermitage boys to smack their chins on the floor during restraints that the facility’s staff named the bloody scabs on the boys’ busted chins. They called it the “Hermitage Hall tattoo.
“What happened behind those walls was very scary and very sad,” he says. But not all restraints end in injury. For some residents, restraint leads to a drug-induced haze that eventually lulls them to sleep—or, as some in the mental health world refer to it, chemical restraint, quite simply because the drugs can be used to restrict residents deemed out of control.
Among incident reports in the DMHDD files, there is tale after tale of restraints that end in some sort of injection. Some of the medications are listed by name—Abilify or Zyprexa, drugs that are used to treat schizophrenia and severe mood disorders. In most of the records, staffers refer to injections with a simple, generic term: PRN, short for a Latin phrase meaning to give drugs as needed.
Davis says that, for Hermitage Hall residents, those unidentified PRN shots usually mean a syringe full of Thorazine—one of the most powerful antipsychotic drugs, which critics liken to a chemical straitjacket.
Even though Hermitage Hall doesn’t always include the name of the drugs administered under the PRN umbrella, Robinson-Coffee says the injections aren’t cause for concern. She says her department could check any of the estimated 100 patient records at Hermitage where “all that stuff is documented.”


Guess who operates Hermitage Hall.

Friday, April 08, 2011

From WSRY Channel 9 : State scrutinizing Small Smiles dental clinic as families sue

 

WSRY Channel 9 in Syracuse is doing a fantastic job exposing the horrors of Small Smiles.  They are digging deep, interviewing patients, talking to New York state officials and trying to get some answers on why,  in 2010, children are still being abused, strapped in straight jackets for unnecessary dental procedures.  Some as young as 1 year old!

They are asking some hard questions and so are those making comments. 

You must head on over to their site and read the story.  Most interesting are the comments, as usual.  People come out, tell their stories and express their utter disgust with Small Smiles Dental Centers. 

The video is amazing!  See and hear the stories of these poor children and what the state has to say about it!  WSYR, you rock!

State scrutinizing Small Smiles dental clinic as families sue

While at WSRY Channel 9, be sure to click r”ecommend” to your facebook friends.  Spreading the word about these thugs is what is needed to finally “shut ‘em down”. 

I challenge everyone to share it on facebook, twitter, digg, where ever…  Let’s take it viral!

Now go on over to WSYR News Channel 9!

Thursday, April 07, 2011

Pleading filed in lawsuits against Small Smiles Dentistry in New York reveal corporate greed of unimaginable proportions.

 

Out of the 234 paragraphs in the 51 page Syracuse in Complaint against the FORBA/CSHM/Syracuse Small Smiles Dental Center I think paragraph 234 is one of my top favorites  It just might be my all time favorite paragraph ever!  It reads like this:

As to all causes of action, defendants’ conduct described
above was gross, wanton, reckless, outrageous and malicious, was
actuated by evil and reprehensible motives sufficient to transcend the
bounds of societal norms and involved a high degree of moral culpability such that punitive damages should be awarded by the jury.

There are Seven Actions (Counts) against FORBA and all the named defendants  I started to insert the word “alleged” but I know these slithering slim balls too well to give any illusion they might not be liable and guilty as charged.  The Seven Deadly sins for these folks are:

  1. Fraud
  2. Battery
  3. Breach of Fiduciary Duty
  4. Breach of General Business Law sections 349-350
  5. Malpractice
  6. Negligence
  7. Informed Consent

Syracuse Complaint

Schnectady Albany Complaint

No doubt the folks at King and Spalding are busy little bees this week, but it’s not like they have known it was coming.  Heck they’ve known for months, just wasn’t sure what kind of story would be told.

What about the new “staff attorney” snookered into joining Church Street Health Management this week, Erika Ruiz.  Geez, what a week to join a new company.  Wonder how far she is willing to take it to the mat for these thugs.

Alfred Green, Michael Lindley,  Rodney Cawood, Brad Gardner, Todd Cruse, you know they have to be loving another round of legal battles, OK, well not them exactly but I bet their attorney are loving it!  Woo Hooo…  Bonuses for everyone this year at the many many many firms they have on the payroll. 

Wonder how the Bahrainian banker is doing?  Not that I give a crap.  I know one thing, I hope the rebels (whoever the heck they are), in Bahrain see what this asshole allows and encourages to be done to children.  At the “beheading” I want a front row seat.

Let’s send all these barbarian dentists and corporate “fat cats” over to Bahrain and let them try this kind of torture on the children in Bahrain!  Hell, we are paying for it anyway.

You know, I’m really beginning to dislike the letter combo “ba” Bahrain, Barbarian, Barack.

20 families file lawsuits in NY on behalf of children abused at Small Smiles Dental Centers–More to come?

“Are you ready to ruuumble?” “Let the games begin”  “Shit hits the fan” - are just a few phrases that come to mind today.
Twenty lawsuits were filed this week in NY State Supreme Court on behalf of children abused at  the direction of Small Smiles Dental Center owners and carried out by the hands of Small Smiles dentists and other support employees.




April 5 2011
CBS Albany New York- Former Small Smiles patients file lawsuit

Times Union – Dental chain hurt kids for profit
Syracuse – area families sue Small Smiles for mistreatment of children
Syracuse families sue dental clinic

Defendants in the Syracuse Case are:
FORBA Holdings, LLC n/k/a Church Street Health
Management, LLC;
FORBA N.Y., LLC;
FORBA, LLC n/k/a LIC SAC, LLC;
FORBA NY, LLC n/k/a LIC SAC NY, LLC;
DD Marketing, Inc.;
DeRose Management, LLC;
Small Smiles Dentistry of Syracuse, LLC;
Daniel E. DeRose;
Michael A. DeRose, D.D.S.;
Edward J. DeRose, D.D.S.;
Adolph R. Padula, D.D.S.;
William A. Mueller, D.D.S.;
Michael W. Roumph;
Naveed Aman, D.D.S.;
Koury Bonds, D.D.S.;
Tarek Elsafty, D.D.S.;
Dimitri Filostrat, D.D.S.;
Yaqoob Khan, D.D.S.;
Delia Morales, D.D.S.;
Janine Randazzo, D.D.S.;
Loc Vin Vuu, D.D.S.; and
Grace Yaghmai, D.D.S,

Defendants in the Schnectady Case are:
FORBA Holdings, LLC n/k/a Church Street Health
Management, LLC;
FORBA N.Y., LLC;
FORBA, LLC
n/k/a LIC SAC, LLC;
FORBA NY, LLC n/k/a
LIC SAC NY, LLC;
DD Marketing, Inc.;
DeRose Management, LLC;
Small Smiles Dentistry of Albany, LLC;
Albany Access Dentistry, PLLC;
Daniel E. DeRose;
Michael A. DeRose, D.D.S.;
Edward J. DeRose, D.D.S.;
Adolph R. Padula, D.D.S.;
William A.Mueller, D.D.S.;
Michael W. Roumph;
Maziar Izadi, D.D.S.;
Laura Kroner, D.D.S.;
Judith Mori, D.D.S.;
Lissette Bernal, D.D.S.;
Edmise Forestal, D.D.S.;
Evan Goldstein, D.D.S.;
Keerthi Golla, D.D.S.;
Nassef Lancen, D.D.S.;
Wadia Hanna, D.D.S.; and
Bernice Little-Mundle, D.D.S.,



______________________
Welcome to your new job, Dr. Marlene Navado, welcome.  Dr. Kevin Reilly handed the pot of crap square in your lap didn’t he?  Baaad, Dr. K.  You should have been smarter than a fifth grader.
Good Morning Todd Cruse and everyone else at Church Street Health Management, hope you each slept well last night. 
I can’t help but hearing Karen Carpenter in my head…  “We’ve Only Just Begun…woo ooo…”  (May she rest in peace)
_____________________
Small Smiles Spin Doctors put this propaganda trying to recruit more dentists to join in the abuse and fraud and whitewash the atrocities that have been taking place for years:
http://www.rubinmeyer.com/smallsmiles.html
 
SMALL SMILES
Tooth decay has been called a "silent epidemic" among children from low-income families. So where can these families turn for dental care?
In many communities, they turn to Small Smiles, a nationwide network of caregivers serving low-income kids.
Through highly targeted PR and marketing campaigns, we helped Small Smiles turn local dentists into powerful advocates for children's health and educated families about where they can receive care in their own neighborhoods.
The result: Thanks to Small Smiles, a million children every year get a chance to have a healthy smile, and more parents every day know where to turn for their kids' care.



Ohio taxpayers being asked to pay the bill to abuse children, defraud their Medicaid system and pay for the abusers education - Man what a deal for Ohio

Church Street Health Management, seeking to offer dentists who would come to work for the Small Smiles clinics in Ohio, a hop on the state funded "Ohio Dentist Loan Repayment Program".   

According to Mona Taylor, at the Ohio Department of Health, Small Smiles dental centers would have to have a letter from their corporate owners, Church Street Health Management attached to the application stating they will treat patients regardless of ability to pay for emergency treatment.

Get that letter from the Corporate office and voila' dentists working for Small Smiles will get a special discount of their loan repayment. 

Here's a link to more information.

It's a "safety net" program.  Wonder what "safety net" program they have for the tiny victims.

Let's see the Ohio taxpayer picks up the tab for the unnecessary and abusive treatment resulting in trauma and fraud on these tiny patient.  Then the Ohio taxpayer also gets to pick up the tab in repaying the education loans to the abusers.  

[Ohio, aren’t you guys broke?  Just saying….   Might be something to look into here]

What dentist could pass this great opportunity up?  

Well, one that want's to continue his or her chosen profession without the likelihood of litigation would be one, I suppose.

One that has a lick of common sense would be another.

And thirdly one that ever plans on getting their own malpractice insurance in the future.  One dentist I spoke with who left employment last fall, said they were finding it extremely hard to get their own malpractice insurance and what they did find the premiums were outrageous and deductible was $100K.

In other news, I'm told that Small Smiles is rolling out a "teeth-whitening" program  in hopes of improving their increasingly shrinking bottom line. [probably to pay their increasingly higher malpractice insurance]
 
It's just a guess here, but I'm assuming that will be offered to their adult patients in the "Big Smiles" program, seeing that I don't think "teeth-whiting" products will help stainless steal crowns.

Also recruiting has begun for another clinic in Hartford Connecticut.

Tuesday, April 05, 2011

General Anesthesia and Young Children; Report says little is knows and evidence suggest major developemental problems

Anesthetic agents are commonly used for a variety of medical procedures in infants and children, but little is known about their effects on the developing brain. A growing body of data from studies in animals suggests that under certain circumstances, such as prolonged anesthesia, these drugs could adversely affect neurologic, cognitive, and social development of neonates and young children. We believe that these findings should be of concern to the scientific and medical communities.

Over the past decade, studies in rodents have found that exposure to anesthetic agents during sensitive periods of brain development (i.e., the brain growth spurt) results in widespread neuronal apoptosis and functional deficits later in development. So far, agents that either antagonize N-methyl-D-aspartate (NMDA) receptors or potentiate the neurotransmission of γ-aminobutyric acid (GABAergic agents) have been implicated, and no safe doses of these agents or safe durations of administration have been defined.

Read the entire report at the New England Journal of Medicine Website here.
What scared the living you know what out of me, is knowing the increase in GA for dental procedures, that may or may NOT be necessary, and there is little to no information on the effect on a child's developing brain. 

Children are dropping dead left and right from sedation dentistry and now to find out no one knows what the actual effect of GA is on the child's grain, but evidence is growing that GA is NOT a good idea! 




Related:
Article at Dr. Bicuspid  Is General Anesthesia Safe for Young Brains



Marissa Kingery Death at Dr. Mazorow’s Dental Office Rule Accidental–I say, Reckless Homicide


Here is Marissa’s deadly poisonous cocktail -

Propofol — the anesthetic that was listed as a “contributing factor” in pop star Michael Jackson’s death
Ketamine
Remifentanil 
Versed

The dosage of each of these drugs have not been released.  Why?

Teen’s death while sedated for dental work ruled accidental

cindyleise-avatar1Filed by Cindy Leise April 8th, 2011


ELYRIA — A coroner’s verdict states that 13-year-old dental surgery patient Marissa Kingery died of lack of oxygen to the brain after she was sedated with four drugs.

Marissa “apparently became ill and collapsed” at 8:39 a.m. Dec. 21 following intravenous sedation in the offices of oral surgeon Dr. Henry Mazorow on West 21st Street in Lorain, according to the report from the Cuyahoga County Coroner’s office.

Paramedics took her to Mercy Medical Center, where doctors diagnosed respiratory arrest. She was flown to Rainbow Babies & Children’s Hospital in Cleveland, where she was placed on a ventilator, according to the report.

She was given drug treatment and an operation was performed, according to the coroner’s verdict, which stated supportive care was maintained but Marissa failed to respond and was pronounced dead at 9:40 p.m. Jan. 3.

The death was ruled accidental due to diffuse hypoxic-ischemic encephalopathy — damage to the brain that also occurs in carbon monoxide poisoning and many cases of shaken baby syndrome.

In Mazorow’s office, the drugs propofol — the anesthetic that was listed as a “contributing factor” in pop star Michael Jackson’s death — ketamine, remifentanil and Versed were administered to Marissa in what is commonly known as “twilight sleep” or light sedation.

Attorney Michael Czack, who represents Marissa’s family, did not return phone calls and Marissa’s parents, Amber McEwen and Jason Kingery, also were unavailable for comment.

Marissa’s case is the latest pediatric death being monitored by a foundation founded by the family of 8-year-old Raven Maria Blanco of Chesapeake, Va., who died after being administered sedatives during a dental procedure.

Raven Blanco Foundation’s director of medical emergency preparedness, Dr. Larry Sangrik, said the foundation has tracked 19 pediatric deaths related to dental complications since 1996, including six children who have died since January 2010.

Sangrik, a dentist in Chardon, refused to second guess Mazorow’s decision to administer the four-drug sedation to Marissa, saying, “all the drugs in Marissa’s case are very tightly regulated in the state.” [aren’t all drugs?]

Sangrik has been speaking to the dental community about readiness in dealing with medical emergencies.

“The issue is if you do run into anesthesia complications, then you need to be prepared to address those immediately,” Sangrik said. “Children in particular run out of oxygen very quickly — the volume of air left in their lungs is disproportionately small and is used up very quickly.”

Exactly what was done at Mazorow’s office to revive Marissa is unclear. The coroner’s report does not state whether Mazorow’s staff attempted treatment before paramedics arrived.

Mazorow, who turned 81 in January, did not return phone calls for comment on the coroner’s report. His attorney, Ronald Mingus, declined to talk about the case, except to say his client is no longer administering intravenous anesthesia during dental procedures.

Under Ohio law, Sangrik said, Mazorow was required to have additional training every two years as an oral surgeon with a permit for general anesthesia.

Marissa’s death is under investigation by the Ohio Dental Board, which did not take any action against Mazorow in the 1997 death of 57-year-old Rosemary Johnson of Grafton, who died while having six teeth extracted.

Johnson’s family settled a wrongful death case against Mazorow for $550,000 in 1999, according to court records.

The dental board’s executive director, Lili Reitz, was unavailable for comment, a staff member said.

Meanwhile, Marissa’s death is one of the cases being examined by “Good Morning America” in a report expected to air in the next several weeks, said Raven Blanco’s cousin, Nicole Cunha, executive director of the foundation, which is located in Virginia Beach, Va.

“What we’re finding is most dental offices in America aren’t qualified to handle these medical emergencies,” Cunha said.

Contact Cindy Leise at 329-7245 or cleise@chroniclet.com.

It has been reported that the Ohio Dental Board is investigating but that may be where the problem lies. 

LiliReitzAttorney, Lili Reitz has been director of the Ohio Dental Board for far too many years in my opinion, and has fell asleep on the job.  I have spent hours searching various Laws, Regulations and Act for the state of Ohio and so far, I’ve not found just how the “Executive Director”  becomes Executive Director. 

Reitz has been ED since 1996 after serving as Assistant Attorney General in Ohio.  She graduated from Cleveland Marshall College of Law in November 1990.

It appears you just get appointed as Executive Director by who you know since I’m sure the Dental Board did not post for applicants.  No doubt, having an Attorney as the Executive Director

Monday, April 04, 2011

Look Out Houston - Kool Smiles at 3900 Aldine

RETAIL: NCDR has leased 6,750 square feet for a Kool Smiles dental clinic at 3900 Aldine Mail Route at High Meadow Retail Center. Perry Zieben of Perry Zieben Realty Co. and Nancy Erickson with Cushman & Wakefield represented the tenant. Ed Rammrath with Rammrath Realty represented the landlord, Race Venture.

Sunday, April 03, 2011

Does My Son Have To Be Tied Up At The Dentist

This was a question asked by a parent at momapedia.com

May 22, 2010
Question:

Hi.
I'm very worry to take my son (4) to a dentist now. When I took him to the dentist they told me they need to do root canal for his baby tooth. I asked them "My son is only 4 how you are going to do that?". They said "Don,t worry. We are going to tie up him with special chair. Yes, He is going to cry but we did a lot this." Is it usual ? I refused to do that. I can't tie up my son. Few days later, my son's pediatrician called me and said I have to do that to him. I have to? I 'm looking for a dentist who can do that without tie up.
I 'm doing wrong for my son?

Replies:

1.  That's crazy!!! My son had nitrous for filling some cavities because he was afraid to sit still. If the nitrous isn't enough, they can do IV sedation. I would never let someone tie my kid to a chair.

2.  Have them put him to sleep with you in the room the whole time
Tying him up HELL NO!! sorry -mom of 4


3. I would change Pediatricians and Dentists sounds like they are in it together. I also agree with the mama who suggested having the tooth removed rather then giving a 4 year old a root canal. (I've never heard of that). There are plenty of dentists that specialize in "children ONLY".
Keep us posted.
Blessings......

4. i don't think you're necessarily doing the wrong thing IF your son can/will sit still during the procedure. I think sometimes it's the tying down that's more tramatic for them than the dental procedure, but the child HAS to sit still. So, if he will, then look around for a dentist who won't automatically tie him down. If you're not sure that he will, then you should explain to him what is going to happen and why so he can be prepared, maybe even demonstrate by tying him into a chair with a sheet, and then take him. If he needs the work, you have to do whatever you have to do to have the work done. By the way, is it really necessary to do a root canal - can they pull the tooth? Baby root canals are expensive and if he's going to lose his teeth soon anyway, it might be just as good to pull the tooth rather than try to save it. As the dentist if they see the adult tooth in the x-ray and an opinion on how long it will take to come down.

 5.  That's crazy!!! My son had nitrous for filling some cavities because he was afraid to sit still. If the nitrous isn't enough, they can do IV sedation. I would never let someone tie my kid to a chair.

6.  I would go to a different dentist. Why does a 4 year old need a root canal? I would rather have the tooth pulled. Root canals are not a good idea in any case, but especially not for baby teeth. There is a court case pending about a chain of dentists who restrain children like that. They did it to be able to give less anethesia and they did tons of root canals. They did this for money. It was shocking to see the hidden camera details. Seriously, go to a different dentist.

7.  Absolutely AVOID the papoose board. Here's what they DON'T tell you...a child can actually MOVE the papoose board while restrained. I know this, because at SIX months, my daughter did. I was on that like stink on s***. The dr used one without my knowledge. (ex-husband gave permisssion) When I walked in the room she was screaming and two nurses AND my ex were holding down the board saying, "Gee. Isn't she a strong one?" WEll, you can guess what happened next!! The procedure was stopped before it started and I took my precious one to a children's specialty clinic. And I don't care what they say, to this day she is terrified of anything that looks like a hospital. Don't mean to scare you, really, I don't. I just wish she didn't have to go through that and wouldn't wish it on anyone's child!! You never know how the child will react until it's actually happening, and then the damage is already done. Please see a CHILDREN's specialist, and listen to these other great moms.
Just Me!

8.   I was restrained on a papoose board when I was a young child to get stitches in my leg. I am now 43 and this was 37 years ago. I can remember every single detail and it was one of the most horrible things I have ever felt. I have 2 boys and I would explore every other option before I agreed to this. I believe this is a torture device and I hope you can come up with a better resolution for your daughter. Good luck to you!

9.   Follow your instincts. No papoose board.
Start by understanding there is no emergency here.
Cavities in a four year old who brushes his teeth with a good fluoride toothpaste progress very very slowly.
Why not wait six months to a year and then start over.
Also you might look for another pediatric dentist with a management technique that is a little better.
all the best,

Friday, April 01, 2011

Mike McCulla–Another Nashville creep working along side Michael Lindley and Al Smith - for a long time now.

mike-mccullaMike McCulla – Marketing for Church Street Health Management LinkedIn - http://www.linkedin.com/pub/mike-mcculla/1a/4a0/521
LinkedIn profile used to say he is/was Marketing at Children’s Comprehensive Services.  He’s dropped that and added Universal Health Services.
He’s been with Michael G. Lindley, Al Smith and others for a long time.  Even as far back as when CCS went under the name Pricor.
Mike McCulla, Michael J. Lindley , Al Smith, Rodney Cawood, and Brad Gardner together with others were owners of Pricor.  So this nastiness of treating children badly is nothing new to these creeps.  They have made a very nice living doing it.  Somehow you can find trotting around Nashville with their heads up, and not hanging in shame.  I don’t know how, but they do it, daily.
Purchase Agreement for Keys and CCS – the above named creeps are named as the sellers.  A year later they are abusing children again through their Small Smiles Dental Centers.  Snakes in the grass, no doubt.
Pricor History – It was not a nice company; Texas had real issues with the company.
Type: Public Company
Address: 3401 West End Ave., Ste. 400, Nashville, Tennessee 37203, U.S.A.
Telephone: (615) 250-0000
Fax: (615) 250-1000
Web was: http://www.ccskids.com
Employees: 3,000
Sales: $126.77 million (2000)
Stock Exchanges: NASDAQ
Ticker Symbol: KIDS
Incorporated: 1985
NAIC: 623990 Other Residential Care Facilities; 624110 Child
SIC: 8361 Residential Care; 8211 Elementary & Secondary Schools; 9223 Correctional Institutions
Children's Comprehensive Services, Inc. (CCS) based in Nashville, Tennessee, is one of the nation's leading providers of educational services, psychiatric treatment, and juvenile corrections for at-risk children and juveniles in the United States. Operating in 14 states and serving over 3,700 children and their families, CCS staffs both residential and day treatment facilities that provide services ranging from special education for autistic and developmentally delayed children to more intensive boot-camp programs set up to rehabilitate juvenile offenders. CCS has contracts with both governmental and non-governmental nonprofit agencies in Alabama, Arkansas, California, Florida, Hawaii, Kentucky, Louisiana, Michigan, Montana, North Carolina, Ohio, Pennsylvania, Tennessee, and Utah.
The contemporary privatization of government correctional facilities seemed to have been born out of the inspiration of several groups of investors from Nashville, Tennessee. Nashville was the birthplace of two of the three earliest and largest pioneering companies in the business--Corrections Corporation of America and Pricor Inc.
Pricor was founded in 1985 in response to a need for more and better run prisons in the United States and the belief that there was money to be made offering smaller municipalities private assistance. Prisons were overcrowded and significant amounts of money were being spent on building and maintaining correctional institutions. Pricor and its investors believed that through privatizing the industry it could successfully manage and correct the flawed system of both adult and juvenile corrections, and turn a profit at the same time.
Originally most of the available contracts for private prison operation were with women's detention centers, immigration holding centers, and juvenile justice placements, but Pricor succeeded in obtaining a contract for staffing and managing a maximum security jail in Greene County, Tennessee, in the late 1980s.
Pricor expanded operations into Alabama and Virginia in 1986, opening minimum security detention centers for a total of 170 inmates. In 1987, Pricor leased two facilities from a hospital system in California, and began its California operation. The state of California and its various municipalities remained one of CCS's largest client populations.
While still hoping to make significant strides with adult corrections, Pricor took what contracts it could get and ended up working closely with juvenile offender populations throughout the 1980s. In 1988 the company acquired Advocate Schools, a company dedicated to the care, education, and treatment of at-risk youth in California. Advocate Schools contracted with school districts based on referrals. Offering both community-based programs in which students attended an Advocate School on a day-to-day basis, and residential schools for students with more intensive needs, the school maintained nine community based sites throughout California. The original site in San Bernardino was established in 1982 with other sites opening throughout the 1990s. Nine residential schools made up the remainder of the Advocate Schools campus, making it the largest nonpublic alternative school system in California.
Advocate Schools was cofounded by Amy Harrison and Martha Petrey, who were retained by Pricor as vice-chairman/president and executive vice-president, respectively. Harrison was also cofounder and executive director of Helicon, a nonprofit group that contracted with CCS in a number of joint ventures.
It was during the Reagan Era, with its tougher prison sentences and stiffer drug conviction penalties, that Pricor made its most ambitious attempt to deal with overcrowded prison conditions in metropolitan counties. Pricor convinced rural county jails to contract with the company and offer their largely empty jails to prisoners from more populous regions for a fee. Pricor teamed up with Houston-based N-Group and first pitched the "jails for hire" plan in west Texas in 1990. The companies convinced municipalities to build new facilities with millions in government bonds and Pricor experienced tremendous initial success, with revenues of over $30 million in fiscal 1991. However, the lucrative payoff to Pricor was mainly in short term up-front fees. Eventually the deal turned sour, with the private prisons remaining empty and therefore unprofitable; for its alleged corporate misdeeds, Pricor was named by a Texas grand jury as an "unindicted co-conspirator" with N-Group. N-Group's penalties were far greater, however, as it was indicted on criminal antitrust charges.
With the Texas dealings now a nightmare, the company found itself losing money in 1992. Facing a tenuous financial future in adult corrections, Pricor exited the business in 1993. Instead, Pricor was increasingly moving forward with its juvenile facilities, and in 1994 the company's board of directors approved a re-direction of the company and an accompanying name change. Pricor was now to be known as Children's Comprehensive Services Inc. (CCS). The company was traded under the symbol KIDS on the NASDAQ. By the end of fiscal 1994, CCS was serving over 1,500 children and their families in Alabama, California, Louisiana, and Tennessee.
Pricor benefited greatly with the passage of The Individuals with Disabilities Education Act (I.D.E.A.). The new federal law mandated that states provide every school-age child with a free and appropriate public education. If a public school was unable to accomplish the mandate through its normal operations, a school district was enabled to refer a student to a nonpublic school able to provide the services required. Pricor and Advocate Schools functioned to provide special needs services to school districts all over the state of California.
In addition to redirecting the company in 1994, CCS also undertook a financial restructuring in an attempt to keep the company solvent. In 1993, Pricor had solicited help from T. Rowe Price Strategic Partners Fund II, L.P. in the form of a one-year $1.5 million term loan. The company was also granted a renewal of a $10 million revolving credit facility through its banks. Pricor was in default on the credit and T. Rowe Price and Pricor settled on approximately one-third of Pricor's outstanding common stock shares at a purchase price of $1.8 million for its having cured its default status and for re-securing the loan.
The second part of the financial restructuring involved converting the company's short-term loans from both its banks and T. Rowe Price into long-term obligations. Pricor, now CCS, had commitments to National Health Investors, Inc. for $6.5 million and T. Rowe Price for $1 million. The local First American Bank of Nashville completed the financial overhaul when it extended a line of credit to CCS for the purposes of supplying working capital to keep CCS afloat. All told, the company was dangerously close to bankruptcy and had it not been for the aid of the financial institutions CCS would have more than likely folded.
CCS provided services in a variety of areas for children and adolescents. Treatment facilities were devoted to rehabilitating youth who were sexually abusive, had substance abuse issues, or needed crisis intervention for all sorts of emotional needs. The special education service centers, including Advocate Schools, concentrated their care on students suffering from a diverse range of special needs, including autism and attention deficit disorders.
Children's Comprehensive Services relied on reimbursement from Medicaid, managed care, and private insurance companies. Day treatment programs provided the greatest financial return to the company, but rates varied according to the contracting parties. Some states cut reimbursement costs, greatly affecting CCS's profit margin and sometimes leading to discontinued services, as in the case of CCS of Montana and the Helicon Youth Center in California.
CCS offered programs to deal with a wide variety of problem areas for the child and juvenile patient. The company tailored its operations to very individualized treatment plans and had centers throughout its 14-state region that met the diverse needs of its target population.
In September 1998, CCS acquired Ameris Health Systems, Inc. Ameris' wholly owned subsidiary American Clinical Schools, Inc. operated treatment facilities for juvenile sex offenders in several states. The following December the company acquired Somerset Inc., a California company that provided educational day treatment to children and their families. The company merged with Ventures Healthcare of Gainesville, Inc. in June 1998, making the year an important one for company growth.
In August 2000 CCS opened the Dallas alternative education program as well as Bristol Youth Academy in Liberty County, Florida. The company also expanded the hospital facility it operated in Ohio.
In October 2000 the company retained McDonald Investments Inc. to assist the company with its financial resources. The company was looking at a possible sale to a competitor. It was undetermined at the time whether the company would be divided up or sold in its entirety. Company leadership was looking to McDonald Investments as well to assist them in their decision making.
In November 2000, CCS closed its long established Helicon Youth Center (HYC) and its related school. Helicon Youth Center had undergone a licensing investigation by Community Care Licensing (CCL), a division of California's Department of Social Services, and CCL had some concerns with the center. A two-year probationary agreement was established between CCL and HYC but in the meantime referrals were no longer made by Riverside County and there was a significant drop-off in the number of clients. The company also experienced a decline in students to its non-residential day treatment programs.
As the company entered the new millennium the outlook for Children's Comprehensive Services was mixed. William Ballard, chairman and CEO, optimistically stated, "We believe CCS's prospects for additional profitable growth are supported by the market's continued strong demand for services for at-risk youth. Our pipeline of potential contracts has expanded because of our reputation for quality, the wide variety of services we offer, and increased interest in our specialty programs such as the gender specific treatment programs." Yet the company appeared unprepared to forge ahead on its own. Indeed, CCS ended fiscal 2001 with an offer of a buyout. The details remained undisclosed, but the potential buyer was described as one of CCS's major competitors.
There was no disputing that mental health issues among youth were now at crisis proportions in the United States and that the juvenile justice system was overcrowded and in need of assistance.
With the rising demand for specialty services among youth, CCS, or whomever was involved in its takeover, appeared to be well positioned to help in the education and treatment of some of the nation's highest at-risk youth. A larger public policy question was whether the country and its municipal governments would be willing to pay the high cost of such services to private companies over the long haul. If government entities believed that CCS could provide quality care at a reasonable cost to the taxpayer the contracts would continue to be signed and CCS and its investors would reap the benefits.
Principal Subsidiaries
Children's Comprehensive Services of California, Inc. d/b/a/ Advocate Schools; CCS/ Altacare of Arkansas, Inc.; CCS/ Bay County, Inc.; CCS/ Gulf Pines, Inc.; CCS/ Lansing, Inc. d/b/a/ Rivendell Center for Behavioral Health; CCS of Montana, Inc.; CCS/ Rivendell of Arkansas, Inc.; CCS/ Rivendell of Kentucky, Inc.; CCS/ Salt Lake City, Inc., d/b/a/ Copper Hills Youth Center; Ventures Healthcare of Gainesville, Inc.; Chad Youth Enhancement Center; CCS/Meadow Pines, Inc.; American Clinical Schools, Inc.; Tennessee Clinical Schools, Inc., d/b/a Hermitage Hall; Alabama Clinical Schools, Inc.; Pennsylvania Clinical Schools, Inc.; Somerset, Inc.; CCS of Hawaii, Inc.
Principal Competitors
Cornell Corrections Inc.; Ramsay Youth Services, Inc.; Res-Care, Inc.
Further Reading
"Children's Comp Could Shop Itself," Mergers & Acquisitions Report, October 16, 2000.
"Children's Comprehensive Services Inc. First Quarter Financial Results, Managed Behavioral Health News, November 23, 2000.
"Children's Comprehensive Services Inc. (in Talks to Sell Firm)," New York Times, June 16, 2001, p. B3.
"County Hears Sales Pitch by Jail Firms," St. Petersburg Times, November 13, 1987, p. 1.
"Education Microcap Chalks Up Possible Buyer ... Perhaps," Mergers & Acquisitions Report, June 25, 2001.
Hodges, Lucy, "Removing the Bars to Private Jails," Daily Telegraph, March 1, 1989, p. 17.
"Hospital to Be Used to House Juveniles," Los Angeles Times, Metro Section, November 25, 1987, p. 11.
McCartney, Leslie, "BU-School-Funds," Montana Standard, April 1, 2001.
Company Perspectives:
CCS, created in 1985, is not just a corporation ... or a leader of educational and treatment services in the country ... or thousands of employees dedicated to making a difference in the life of a child ... CCS is all of these things and more.
CCS is about providing services to thousands of children and adolescents who are not succeeding in their traditional educational, family or everyday life setting. CCS is more than just a business, and it's more than a job. It's about getting up every day and imagining and working on an idea to add to a lesson plan, or finding a special computer software program that will excite and inspire a student who has never succeeded in school. It's about praising a child or youth for all the right things they do. It's about operating a detention center knowing that the CCS exceptional and specialized training will ensure a safe and secure setting for the youth, staff and the community.
Key Dates:
  • 1985: Pricor Inc. is founded by a group of Nashville
  • 1986: Pricor enters the adult private prison business.
  • 1987: Pricor leases two facilities in California.
  • 1988: Pricor acquires Advocate Schools, a business dedicated
  • 1989: Pricor enters deal in the United Kingdom to staff
  • 1990: Pricor pitches "prisons for hire" in rural west Texas.
  • 1991: Pricor posts earnings of $30 million.
  • 1992: Texas project fails.
  • 1993: Pricor exits adult corrections business and focuses on children
  • 1994: Pricor changes its name to Children's Comprehensive
  • 1999: CCS closes its Helicon Youth Center in Riverside County,
  • 2001: Possible buyout of CCS by undisclosed competitor
  • 2005: Buyout by Universal Health Services
Preview of the Purchase Agreement
OWNERSHIP INTEREST PURCHASE AGREEMENT
THIS OWNERSHIP INTEREST PURCHASE AGREEMENT (together with all Exhibits, Schedules and other documents and instruments incorporated herein by reference, the “Agreement”) is made and entered into as of the 3rd day of October, 2005, by and among Harbinger Private Equity Fund I, L.L.C., Keystone Group Kids, Inc., Michael Lindley (“Lindley”), Marty Weber, Ameris Healthcare Investments, LLC, Rainer Twiford, Al Smith (“Smith”), Mike White, Rodney Cawood (“Cawood”), Buddy Turner, Jeff Cross, Gail Debiec, Brad Gardner, Brad Williams, Don Wert, Rob Minor, Mike McCulla, Jim Shaheen, Rod Gaeta (each a “Seller” and collectively, the “Sellers”), and Universal Health Services, Inc., a Delaware corporation (“Buyer”).
W I T N E S S E T H:
WHEREAS, Sellers collectively own one-hundred percent of the issued and outstanding ownership interests (“Ownership Interests”) issued by KEYS Group Holdings LLC, a Delaware limited liability company (“Keys”), as of the date hereof; and
WHEREAS, Keystone Education and Youth Services, LLC, a Tennessee limited liability company (“Keystone”), and Children’s Comprehensive Services, Inc., a Tennessee corporation (“Childrens”), are each either a wholly owned limited liability company or corporate subsidiary of Keys; and
WHEREAS, Keystone/CCS Partners LLC, a Delaware limited liability company (“KCP”), is eighty-five percent (85%) owned by Keys and fifteen percent (15%) owned by Childrens; and
WHEREAS, Keystone, Childrens and KCP are sometimes referred individually as a “Keys Sub” and sometimes collectively referred to as the “Keys Subs”; and
WHEREAS, the Keys Subs collectively own one-hundred percent of the ownership interests in the entities listed on Exhibit A hereto (collectively, the “Keys Companies”); and
WHEREAS, the Kids First Foundation (“Foundation”) is a non-profit tax exempt entity whose purpose is to provide education and residential facility services; and
WHEREAS, collectively, Keys, the Keys Subs and the Keys Companies are sometimes referred to as the “Keys Group.” The Keys Group provides group home, behavioral health, juvenile detention, educational, and other treatment related services through its wholly owned and operated facilities set forth on Exhibit B hereto (the “Facilities”); and
WHEREAS, Buyer desires to purchase one hundred percent of the Ownership Interests which will be issued and outstanding immediately prior to the Closing (as defined in Section 3.1 below) and Sellers desire to sell to Buyer the Ownership Interests owned by them and to provide for the sale to Buyer of the additional Ownership Interests to be held by the Option Holders (as defined in Section 2.6 below) immediately prior to the Closing, all on the terms and conditions set forth in this Agreement.

NOW, THEREFORE, for and in consideration of the premises, the mutual promises and covenants contained herein, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto, intending to be legally bound hereby, agree as follows:
ARTICLE 1
TERMS
1.1 Accounting Terms. Accounting terms used in this Agreement and not otherwise defined herein shall have the meanings attributed to them under GAAP. For purposes of this Agreement, “GAAP” shall mean generally accepted accounting principles used in the United States.
1.2 Defined Terms. All capitalized terms used in this Agreement shall have the meanings ascribed to such terms as set forth throughout this Agreement.
ARTICLE 2
To see the entire agreement, it appears you will have to purchase it.






























































All you need to know about 618 Church Street, Nashville, TN, 37219 - Retail (Other) Property

 

618 Church Street, Nashville, TN, 37219 - Retail (Other) Property - Off-Market on LoopNet.com

Thursday, March 31, 2011

Straight Smiles–Small Smiles Dental Ortho Project

Cities Available as of March 2011:
Springfield, MA
Lynn, MA
Mattapan, MA
Worcester, MA
Lawrence, MA
Washington, DC
Manassas, VA
Holyoke, MA
Hartford, CT
Estimated income per week for all clinics - $30,000.
Times 52 = $1,560,000

Complaint Board report on Kool Smiles–Norfolk, VA; Mother Warns Others

Kool Smiles

Posted: 2011-03-31 by 

J.M.Cap.

Poor dentist practices

Complaint Rating:  0 % with 0 votes

Company information:
Kool Smiles, JANAF, Norfolk VA.
Norfolk, Virginia
United States
I brought my children in for a cleaning and exam. We had a 9 am appointment and we were told they would all be seen at once. They didn't finish seeing us until 3 hours later. The television ads claim that parents are welcomed to accompany children during the exam if you wish but they tried to deny me access to my 5 year old son, TWICE. They suggested that my son have 5 silver crowns on his molars and wanted us to come back for 4 separate appointments. A week later and another 3+ hours at the over crowded dirty office, my son had silver crowns on 2 of his molars. 30 minutes after leaving, my 5 year old son began screaming in pain and continued for hours.

I gave him tylenol and motrin but he continued to be in severe pain. The dentist called him in a prescription of codine which got him through the night until about 2 am. This pain went on for days. I brought him back 5 days later, he was examined and they said that nothing appeared to be wrong but he needed to come back the next day when the dentist who did the work was there. I went back the next day and retrieved his records so we could be seen by another dentist at another facility, NOT KOOL SMILES.

The next day, I bought him to another dentist to be examined. They did a new set of x-rays and compared them to the ones taken before the dental work had been done at Kool Smiles. The new dentist said he saw NO reason for the silver crowns that were already put in and certainly no reason for any addition crowns. The tiny cavity that my son did have could have easily been fixed with a standard filling. The pain my son was feeling was probably from a nerve damage occurred during the procedure and we were told that the tooth would probably die.


Please don't subject your children to this cruel and crude dentist facility. My kids actually refer to it as Kruel Smiles now.

King & Spalding, LLP not just a law firm, but also a registered lobbyist for Arcapita Bank and others

King and Spalding, LLP who represent themselves as an "International Law Firm" is also a registered Lobbyist representing such clients as:

American Association of Internation Healthcare Recruitment – ding, ding, ding, ding,
Arcapita Bank – ding, ding, ding, ding
American College of Medical Genetics
Appleton Papers, Inc
Bacardi USA, Inc
Bank of America
Children's Healthcare of Atlanta, Inc
Citigroup
General Motors
Google
National Patient Advocate Foundation
Roche Diagnostics
RJ Reynolds Tobacco

K & S has hit Senator Susan Collins and former House Speaker, Nancy Pelosi pretty hard over the years, on immigration issues. 

Searching the data at Campaignmoney.com I found that in 2007 and 2008 King & Spalding, LLP – representing First Islamic Bank, n/k/a Arcaptia in the purchase of  Small Smiles Dental Centers from the DeRose family- also received $100,000 from Arcapita Bank lobbying on Medicare related issues.

Since 2007, King & Spalding has received $23,545,000 in lobbying fees.

King and Spalding, LLP was also a client for the lobbyist,  Venn Strategies, LLC in 2008.  Who knew, a Lobbyist needed a Lobbyist. 

Wednesday, March 23, 2011

Dr. Marcia Stoddart White charged with 73 counts of Medicaid fraud

 

March 23, 2011

Montgomery dentist charged with Medicaid fraud:
A Montgomery pediatric dentist was indicted on charges of Medicaid fraud, the Montgomery Advertiser reports. A grand jury returned indictments against Marcia Stoddart White charging her with 73 counts of Medicaid fraud and one count of first-degree theft of property.

Tuesday, March 22, 2011

Dr. Thomas Corcoran-Topeka Kansas Small Smiles Dental Clinic Owner-No longer with Small Smiles. Did he sell? Of course not, you can’t sell something you don’t own.

 

In November 2010 I wrote about the Kansas Dental Board sending a “prove-it” letter to Dr. Thomas Corcoran.  The Dental Board was questioning the true ownership of Topeka Dental Clinic, LLC and another CSHM dental clinic.

Dr. Corcoran forwarded the letter on to Church Street Health Management’s headquarters.

[If he owned the clinic I’m not sure why he would forward this on to a company who just provides billing, payroll, human recourses, and other mundane office related services, if that is truly all they do for their “associated” clinics.]

Church Street Health Management had him listed as being the owner of one of their Kansas clinics.

Bye Bye Birdie
CSHM must have cleared the issue off their to do list.  According to information received, Dr. Thomas Corcoran’s has not seen a patient since early October 2010.  Dr. Corcoran had been with Church Street Health Management since May 2004, almost 7 years. 

Over the next 5 years, beginning January 21, 2010 Kansas is to receive approximately $1.2 million of the $24 million dollar settlement Church Street Health Management agreed to pay so the DOJ would not look into their operation any further.

Evidently the Dental Board is involved in those payments.  I say this because in a letter to Dr. Corcoran, Dental Board Director, Betty Wright said, “ Since this amount is substantial and is being paid by a corporation and not by yourself, it is evident that although you have indicated  in the past that you are the owner of the Topeka Dental Clinic, LLC and previously Small Smiles of Wichita, that in fact the owner of the clinic in not yourself, but instead a corporation.”

Originally, Dr. Corcoran had 10 days to answer several questions that Ms. Wright brilliantly asked.   Any person who owned a business would be able to answer the questions with ease.  A sample of the questions she asked were:

1.  A copy of your purchase agreement or ownership documents of the clinic.
2.  An employee handbook
3.  A copy of advertisements published to hire dentists
4.  A list of member of your LLC with ownership interests.
5.  An Operating Agreement between yourself and FORBA
6.  Attach your personal and business FEDERAL income tax returns with attachments, including Schedule C with W-2’s or 1099’s.  If you are a PA or LLC include returns for you personally and for the business entity.
7.  Attach five payment reimbursement forms from Medicaid and five from insurance companies.
8.  Attach copies of promissory notes or loan agreements with amortization schedule used.
9.  Attach a copy of the latest bank account statements for the business.
10.  Do you own the fixtures and equipment?  ___ Yes  ___No  If “No” state from whom it is leased.

[Looks like that 10 day deadline from Kansas Dental board, turned into a 10 day notice for Dr. Corcoran.  I’m told Dr. Corcoran was not officially listed as “terminated” until January 31, 2011]

Can the new “owner” answer those questions presented by Ms. Wright, probably not. 

So what to so?  What to do? 

Oh, lets change the laws in Kansas!  Yes, that’s it!  So much easier!  Let’s use Comfort Dental as a front.  We know they want in the state.  Shoot, they won’t even realize they are being used.  Get franchise dental clinics allowed in the state and it will save our three clinics. 

Then we can say we are a “franchise” too.

Questions:

  1. So who “owns” the clinic now? 
  2. Sale agreement? (Dr. Corcoran selling to whoever)
  3. Should there not be some tax related issues for Dr. Corcoran since he “sold” this business?
  4. Is anyone checking? 

    Hello  IRS!
    We are loosing out on some tax dollars folks! 

Related:
KWCH Investigation into Small Smiles and Church Street Health Management ( known then as, FORBA Holdings)
Kansas Dental Board Asking Dr. Thomas Corcoran To “Prove It”
Kansas House Bill To Allow Expanded Functions for Hygienists Appears Dead
Look Out Kansas – Say it ain’t so
Gates of Hell opening For Kansas citizens; Corporate Dentistry

Monday, March 21, 2011

Five Year Old David Liddell Stops Breathing At Dental Clinic - Later Pronounced Dead


Update March 21, 2011: Re: Dr. Derek Mason and David Liddell's death

I received the following paragraph from a reader:

David went to the dentist to receive his dental treatment. He was accompanied by his older sister and his mother. David's family was not allowed to go to the back with David for his treatment. David was happy and healthy when he arrived. David was in the back for only ten short minutes before something went wrong with his procedure. He was not in the back long enough to finish his dental work, the dentist was just getting started.  David's mother was called to the back when things went wrong where he laid not moving strapped down with vomit on his clothes, no seizure was apparent the child was not conscious and strapped down. No one was doing CPR or anything. Dr. (Derek) Mason assured  the family that David was okay and he was dead. There's nothing natural about a five year old child dying under the care of a dental physician. Dr. (Derek) Mason stated that the ambulance came to late. To late for what? What happened while David was under his care? David Liddell had a chromosomal deletion which caused him to be physically and mentally delayed other that he was very healthy at the time of his visit to the dentist.



August 19, 2010 7:26PM

Five year old David Liddell stopped breathing while at Children's Dentistry of Camp Creek in Atlanta on July 12, 2010.  David was rushed by ambulance to the hospital, where he was pronounced dead.  Children's Dentistry is owned by Derek Mason, DDS.  It is reported little David had a seizure after the dental treatment was completed, but before they left the office.  I am afraid since this sweet child had an underlying medical issue, a closer look into his death will not take place.  I hope I am wrong.



 



 




















Dr. Derek Mason is not registered as a Pediatric Dentist at the American Academy of Pediatric Dentistry


Visiting his clinic's website there are various pictures confirming the clinic is a "volume" based, with as many as 5 hygiene stations.



Under the "Meet The Doctors" section it appears that Dr. Mason is the only dentist as it lists no others.  Here is what the site has to say about Dr. Mason:
Dr. Derek Mason, DDS
Prior to attending dental school, Dr. Derek Mason attended Morehouse College in Atlanta, GA. After attending Morehouse College of Atlanta, Dr. Derek Mason went to Meharry Medical College, School of Dentistry in Nashville, TN. Dr. Derek Mason spent four years as required to graduate with the title of Doctor of Dental Surgery (DDS). Dr. Derek Mason went on to complete his residency at Kings County Hospital Dental Clinic and Maimonides Medical Center, both of Brooklyn, NY. This training enabled his continued growth and development, pediatric dentistry, hospital dentistry, treatment of traumatic injuries, treating patients with special needs, and specialized areas unique to younger children and adolescents.

Children's Dentistry of Camp Creek: A Galaxy of Smiles
Derek D. Mason, DDS & Associates - Pediatric Dentist
Ph: 404-349-7900  Fax: 404-349-7899  3890 Redwine Rd. Suite 206  Atlanta, GA 30331


 The Meharry Medical College School of Dentistry offers graduate programs for General Dentistry and Oral Maxilliofacial Surgery. (DMD and DDS).  However Maimonides Medical Center in Brooklyn has a 2 year residency program where they have 4 new openings each year.  

The only other reports that can be found is from the AP and it is very short and sweet.
ATLANTA (AP) - The Fulton County medical examiner’s office says it’s investigating the death of a 5-year-old boy who died after going to the dentist.
The medical examiner’s office identified the boy as David Liddell of Atlanta and says he died Friday.
Atlanta police say the dental work was completed when the boy had a seizure. They say he was taken to Children’s Hospital of Atlanta at Hughes Spalding, where he died later that day.
The medical examiner’s office says the death appears to be from natural causes, but investigators want to review medical records and lab test results before a ruling is issued.

Questions:

  • No statement from the AAPD?
  • How much local anesthesia was used?
  • Was he or had he been sedated?
  • Was is heart rate being monitored?
  • Was he strapped in a papoose board?
  • Was CPR performed?  
  • Did he vomit during treatment?
  • Was his mother present during treatment?
  • No further followup information available?

 Little David Liddell makes death number 6 in two years.

Smile Center–Minnesota

March 2011

They may not be all smiles, but Delta Dental and Smile Center clinics have reached a multimillion-dollar settlement over a fraud claim, avoiding a trial that was to begin next month in Hennepin County.

Smile Center has agreed to pay Delta Dental $750,000 and drop its claims to about $3.1 million that Delta Dental had held in escrow to cover disputed payments.

[Smile Center paid off Delta to drop it, in my opinion.] 

Delta Dental, which administers dental benefits for insurance companies and had no financial stake in the suit, will turn over the bulk of the $3.85 million settlement to Medicaid and Blue Cross Blue Shield of Minnesota, plus a handful of smaller health plans that receive state funding to provide dental care to poor Minnesotans. About 10 percent involves claims under Delta's commercial plans.

A portion of the plans' share will be returned to the state's Department of Human Services, said Robert Milis, an attorney with Blue Cross.

The Smile Center has clinics in Deerwood, Big Lake, Savage, St. Paul and Brooklyn Park. It was started in 1990 and states on its website that it takes insurance that many other dental offices do not, including government-funded insurance.

Friday, March 18, 2011

Kentucky Striving For High Quality Dentists

 
Kentucky Board of Dentistry has filed regulations related to Licensure of Dentists and Licensure of Dental Hygienists with the Office of Administrative in Frankfort:



Number 1 on the list is the following

(1) Understand, read, speak, and write the English language with a comprehension and performance level equal to at least the ninth grade of education, otherwise known as Level 4, verified by testing as necessary;

Really sad isn't it? Nobody can say the goal is too high for Kentucky! 
OMG! 
Who is doing the testing? 
A 5th grader? 

No this is not directed toward foreign trained dentists.  In that section expectations are much higher:

(a) Provide proof of having passed the Test of English as a Foreign Language (TOEFL) administered by the Educational Testing Service with a score of 650 on the paper-based examination or a score of 116 on the internet-based examination, if English is not the applicant's native language;



The Board has scheduled a public comments hearing on these regulations for March 29, 2011 at 9:00 am at the Office of the Kentucky Board of Dentistry.  To request that the Board hold a public comments hearing, you must send a request in writing to:
The Kentucky Board of Dentistry
312 Whittington Parkway, Suite 101
Louisville, KY  40222.

You may submit the Comment Form [PDF - 236K] for consideration in writing up to the day of the meeting on March 29th or testify in person on that day.

Thursday, March 17, 2011

Dental Mill Dentists: The Art of War Applied

 

Learning dental mill recruiters are very well trained should be no surprise.  How far they will go and sources of their tactics may be very surprising to some, not so much to others.

While the dental students were studying Cariology, dental mill executives were studying the dental students by way of Strauss and Howe’s, Millennials Rising: The next generation and Hershatter and Epstein at Emory University.

They have your number letter

Millennials, also known as Generation Y, are those born between 1982 and 2002.

The first group of Millennials are out of college.  They started entering the workforce approximately 6 years ago and were studied extensively prior to their grand entrance. 

They are getting their chance to make their mark on the world.   In their mind, they plan to do it right.  GenYers feel prior generations half-assed everything they touched and it must be fixed to save all of mankind.

Andrea Hershatter and Molly Epstein of Emory University’s Goizueta Business School have studied Generation Y and published their findings, “Is Your Firm Ready for the Millennials?”

Hershatter warned “integrating Millennials into today’s workplace may not be straightforward” and “[a]mong the college-educated who have been polled," Hershatter says they seem "not to be particularly comfortable around populations less educated and less well off than they are."[1]

Epstein pointed out:

  • Nearly 70% of Millennials agreed that “Authority figures should set and enforce rules”. – compared to appromimately 40% of Generation Xers.” 
  • 60% of Millennials agreed with the statement, "I trust authority figures to act in my best interest." Only 40% of GenXers agreed.
  • Nearly 60% of Millennials said they "felt comfortable asking for special treatment," while only 40% of GenXers felt that way.

    "They need to understand what the organization stands for and what their role in it is; they are much less likely to be focused on their next step in terms of career progression, and more likely to care about making a meaningful contribution in their workplace."

    “This interest in doing good appears to be very deep-seated, according to Hershatter.”

    “There is a strong millennial dislike of ambiguity and risk, which leads them to seek a lot more direction and clarity from their employers, in terms of what the task is, what the expectations are, and the job progression.”

    “They are like quarterbacks: the whole team has been blocking and tackling for them so they can run the ball, and they come to expect that level of blocking and tackling so they can get the job done. They feel entitled because they feel special, they feel entitled to have others support them in their efforts to accomplish and achieve.”

“The promise of the brand has to match the reality or they quickly shift preferences. The ones who are unhappy in their first jobs in general are not complaining about the amount of work or day to day tasks. It’s that the culture doesn’t feel as meaningful to them, or isn’t as conducive to belonging as they expected.”

Teamwork will be stronger - "Millennials are unbelievably gifted at building, maintaining, and tapping into networks. I think that is a very interesting resource that more companies will figure out how to use," notes Hershatter.
Racial and ethnic tensions will be lower - "One of the things you would find is a very high comfort level among these students in working with others who represent different ethnic and racial backgrounds," Hershatter concludes.
Class tensions will be higher – “Among the college-educated who have been polled, Hershatter says they seem "not to be particularly comfortable around populations less educated and less well off than they are."
Sense of personal responsibility will be lower - "I think they're very reliant on people to tell them what they need to do," notes Hershatter. "The least positive thing I can say about this group is that they're not very good at accepting end-line responsibility."
Risk-aversion will be greater -  Hershatter mentions that in William Strauss and Neil Howe’s Millennials Rising: The next generation, "they'll either be on the platform on time with their ticket punched or they'll miss the train and never be on the platform again."   Millennials may have difficulties if they run into situations that are less structured and ambiguous than their life experiences have been thus far.

"They don't do very well in situations of ambiguity," Hershatter says. "They have been protected and directed since early childhood.  The helmets they have worn during every potentially dangerous physical activity are a great symbol of their early years.  From nanny-cams to after school programming to teaching-to-the test curriculums to early and binding college admissions, they have been shielded from unstructured time and unknown outcomes their whole lives. They have not had to be big risk takers thus far."[2]

As pointed out, Generation Y is looking for certainty in their lives – no guessing, no what if’s and as little risk of failure as possible.

”Everybody needs me” – They feel they call the shots now.  They can make the deal that suits their needs and the life they have envisioned for themselves. They are certain of their future. 

“Get ‘er done” - as Larry the Cable Guy put it, they want to complete the job at hand with as little resistance as possible - ideally with as much support as can be mustered and safety harnesses in place – staff raised and the Red Sea parts on demand comes to mind.  Rebels are a thing of the past.  They have never heard about ‘failure’.  They feel entitled to the protection and support to ensure perfection and no accidents.  They have been shielded from all scrapes and bruises. They were given a trophy just for showing up.

”Keep it real” – another phrase we hear these days.  This too is assigned to the Millennial group.  They want things to “be real” - authentic - and will settle for nothing else. 

”Yes we can” – here’s one we have heard a lot since 2008.  It’s another important part of the Millennial mindset and, I might add, easily exploited.  They have been told from infancy it is up to them.  They know they will make a difference in this world.  They will  give and volunteer. They are a ‘cause’ - without a rebel.


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Know thy self, know thy enemy. A thousand battles, a thousand victories. - Sun Tzu, The Art of War

All warfare is based on deception.
– Sun Tzu, The Art of War

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The Art of War Applied: The Battle and Conversion

The war for the soul begins.