Dentist Accused of “Biggest Ever” NHS Dental Fraud

Dental fraud by NHS dentistA dentist in the UK has been charged with one of the largest NHS dental frauds ever committed. The dentist, now suspended, is accused of stealing £1million from the National Health Service.

The dentist submitted as many as 5,000 false invoices between 2006 and 2009.

The Birmingham cosmetic dentist also operated a medical spa and advertised her services for dental Botox and dental makeover options such as braces and veneers.

Read more: Woman dentist charged with stealing £1m in ‘biggest ever’ NHS fake invoice fraud

Dental Care: Dentist Uses Paper Clips for Root Canals

Dental Care: Dentist Uses Paper Clips for Root CanalsPaper clips for dental patient root canals and Hydrocone for the dental staff — does this sound like a normal dental practice to you?

It doesn’t to Maryland Superior Court Judge Richard Moses, who is scheduled to sentence former dentist Michael Clair on one count of tampering with evidence, one count of witness intimidation, two counts of assault and battery, three counts of illegally prescribing controlled substances, three counts of larceny, and five counts of Medicaid fraud.

Sounds like the legal system is having a good time working Dr. Clair over. But was it deserved . . . absolutely!

Dr. Michael Clair fraudulently billed Medicaid for $130,000 between August 2003 and June 2005. At that time he was licensed to practice dentistry, but had been prohibited from doing work on Medicaid patients. Investigators allege Clair performed the work and then had other dentists in the practice submit bills to Medicaid.

The investigation also charged that Clair twice used paper clips rather than the more expensive stainless steel posts to strengthen teeth given a root canal. Investigators also charged Clair with prescribing Hydrocodone, Combunox and Percocet to staff members, who in turn gave some of the medicine back to him.

Clair has admitted guilty to all the charges.

Read more: Fall River dentist who used paper clips pleads guilty before trial

Dental Braces: Once Again Texas Makes News with Braces

Dental Braces: Once Again Texas Makes News with Braces What is it with Medicaid dental care and braces in Texas?

The Texas Health and Human Services Commission, which administers Medicaid in Texas for dental braces, has filed a request to be reimbursed for $7.5 million in alleged fraudulent claims it paid to Amarillo orthodontist Dr. Michael Goodwin.

Federal authorities also moved to seize the commercial and personal bank accounts of Dr. Goodwin and his wife as part of a probe linked to a Medicaid fraud scheme, according to the Amarillo Globe-News.

In 2008, Dr. Goodwin became an individual Medicaid provider, which allowed him to bill Medicaid only for services personally provided by the orthodontist.

Soon after the change, the Amarillo orthodontist was reported as scheduling up to 400 Medicaid patients a day and allegedly billing the government for orthodontic treatment he did not perform. The Globe-News further reports that patients and former employees likened the Amarillo Medicaid fraud scheme to “herding cattle.”

In 2009 the Texas Attorney General’s Office’s Medicaid Fraud Control Unit was alerted to the fact that Goodwin was likely billing Medicaid for work done by dental assistants, who worked on dental patients that state law prohibits them from doing “at Goodwin’s direction and without his direct supervision while Goodwin was out of town, away from the office or even while present in the office,” according to an affidavit for the case.

The affidavit further states that Dr.Goodwin scheduled patients in 10-minute increments, “causing pressure for assistants to practice dentistry quickly” and eventually billed Medicaid for their work.

It goes on to outline the fact that Dr. Goodwin would fly from Texas to dental offices in Indiana almost every month, while billing Medicaid for orthodontic patient services in Amarillo on dates when flight records showed he was clearly in Indiana.

The majority of Goodwin’s patients were Medicaid recipients with some reporting that figure could be as high as 95% of his dental practice.

Unfortunately, this is not a new dental braces trend in Texas …

Last June, The Wealthy Dentist reported that in 2010, Texas spent $184 million on Medicaid orthodontics — more than the rest of the United States combined. Dentist Richard Malouf’s All Smiles Dental Centers of Texas collected $5.4 million from Medicaid orthodontics. Since that time, All Smiles’ Medicaid orthodontics billings nearly doubled to $10.2 million.

In September we further reported that WFAA-TV had uncovered that Texas taxpayers had spent $424 million on orthodontics for children under Medicaid. Taxpayers spent $100 million in 2008 and $140 million in 2009 — above the $184 million spent in 2010.

On March 1, 2012 Texas implemented a new managed care Medicaid dental program, only time will tell if this will stem the bleeding of taxpayer money on braces in Texas.

For more on this story see: Feds Link Orthodontist to Medicaid Fraud Scheme

Dental Practice Embezzlement Nets Office Manager 190k

Dental Practice Embezzlement Nets Office Manager 190kThis week, The Times-Picayune reported that a Covington, Louisiana, dental practice manager, Kelly Muller, was charged with embezzling almost $190,000 over a three-year period from the dental office she managed.

Muller allegedly added unauthorized money to her paycheck as well as made credit card purchases using the dentist office’s money.

Embezzlement is known to occur more often when just one employee has control over writing checks, balancing back statements, administering payroll, and making deposits.

The U.S. Chamber of Commerce estimates that employee fraud costs American businesses over $50 billion annually. It is estimated that 1 in every 6 employees is dishonest.

The MDDS states that the most common method of embezzlement in a dental practice is theft of cash, checks or supplies.

Here are a few embezzlement scenarios that occur in dental practices –

  • Cash is pocketed from patients.
  • Petty cash is stolen.
  • Cash or checks are removed from the daily deposits and replaced with subsequent receipts.
  • Insurance fraud.
  • Endorsements are forged.
  • Writing duplicate accounts payable checks or writing checks to phony vendors.
  • Stealing supplies and re-selling or returning to vendors for refunds that are pocketed by employees.

In a survey The Wealthy Dentist performed, 59% of the dentists surveyed said they had discovered evidence of embezzlement. With such a high degree of fraud, how does a dental practice diminish the risk of embezzlement?

The American Bar Association offers the following checklist on how to prevent fraud and embezzlement –

  • Adopt an effective, documented system of internal controls to protect against acts of dishonest staff.
  • Bank and credit card statements can be delivered to the business owner’s home or separate address for personal review.
  • Checks and debit transactions should be reviewed with the statements.
  • Checks should require two signatures, or be reviewed by the owner.
  • A copy of the bank reconciliation should be attached to each monthly bank statement and reviewed by two parties.
  • Finance or accounting personnel should not be signers on all bank accounts.
  • Checks received in the mail should be immediately endorsed by a two-person team who opens and processes the mail.
  • After checks are properly endorsed and verified, the bookkeeper should take charge of the checks for deposit.

Could your dental practice survive a $190,000 embezzlement?

What safety nets do you have in place to prevent embezzlement from happening at your dental practice?

To read more about the Louisiana dental embezzlement case see: Covington Woman Accused of Stealing $190K From Dentist’s Office.

Dental Nightmare: Children Strapped Down, Given Unnecessary Root Canals

Investigation Reveals Disturbing Trends at Pediatric Dental Practice

(Rochester, New York) In December, Channel 13 News aired an undercover investigation of a local pediatric dentistry office. Video showed children at Irondequoit Small Smiles strapped in restraints, separated from their parents, and forced to undergo multiple root canals.

Now former clinic director Dr. David Gardner (sent to prison for larceny) is speaking out for the first time, publicly acknowledging that much of this dental work was unnecessary. Pressured by the parent company to make at least a million dollars a year, Gardner resorted to Medicaid fraud. “The biggest thing you can do is those baby root canals and crowns because it’s $220 that Medicaid does not question,” said Gardner.

Since the report aired, Small Smiles has changed its policies, now allowing parents to accompany their children during procedures. Small Smiles cooperated with authorities, repaid close to half a million dollars, and disputes many of Gardner’s allegations.

Gardner, meanwhile, has finished his time in prison, given up his dental license, moved out of state, and is now selling RVs.

Read more

Disclaimer

© 2017, The Wealthy Dentist - Dental Marketing - All Rights Reserved - Dental Website Marketing Site Map

The Wealthy Dentist® - Contact by email - Privacy Policy

P.O. Box 1220, Tiburon, CA 94920

The material on this website is offered in conjunction with MasterPlan Alliance.

Copyright 2017 Du Molin & Du Molin, Inc. All rights reserved. If you would like to use material from this site, our reports, articles, training programs
or tutorials for use in any printed or electronic media, please ask permission first by email.