Only 21.9 percent of dentists in Florida are enrolled as Medicaid providers, according to a survey of dentists conducted by the state Department of Health. Inadequate reimbursement is the main reason most Florida dentists are not Medicaid providers, according to … Read More
A New Jersey doctor has admitted participating in a health care fraud scheme to defraud Amtrak. U.S. Attorney Philip Sellinger’s office says on Wednesday, 50-year-old Muhammad Mirza of Cedar Grove, Essex County, pleaded guilty to one count of conspiracy to … Read More
STRATFORD, CT — A Stratford doctor has been sentenced to four years in prison in connection with health care fraud and illegal kickback offenses, according to officials. Ananthakumar Thillainathan, MD, 45, of Stratford, was also sentenced Thursday to three years … Read More
HARTFORD, Conn. (WTNH) — A Hartford woman must pay $140,000 in restitution for defrauding Medicaid, according to an announcement Thursday from the Connecticut Division of Criminal Justice. Alicia M. Thompkins, 42, has pleaded guilty to one count of health insurance … Read More
TSDALE, AZ (3TV/CBS 5) — The Arizona State Board of Dental Examiners confirmed on Thursday that Dr. Daniel Gold self-reported his felony charges related to fraud, burglary, and identity theft to the board. Since these felonies are just charges and … Read More
Disgraced former Arkansas state Sen. Jeremy Hutchinson, who was implicated in a Medicaid fraud investigation, was sentenced to an additional 50 months in prison in federal court on Tuesday, The Arkansas Democrat-Gazette reports. The son of former U.S. senator Tim … Read More
The ADA sent out an action alert April 25 asking members to request Congress’s support of efforts to improve adult access to Medicaid dental benefits. Members of the House of Representatives are being asked to cosponsor HR 1342, the Medicaid … Read More
PLYMOUTH MEETING, PA — A Plymouth Meeting-based medical supply filed some $5.3 million in false claims to federal programs for respiratory devices that patients did not require, according to the U.S. Attorney’s Office. AdaptHealth, formerly known as QMES and headquartered … Read More
The United States and the State of Rhode Island announced Monday that they have intervened in a civil lawsuit against Journey to Hope, Health, and Healing, Inc. and its then-CEO, Kenneth L. Richardson, Jr., filing a complaint alleging that these … Read More
A D.C. dentist and dental hygienist have both been indicted on charges of health care fraud, wire fraud, making false statements relating to healthcare fraud, and conspiracy. Steven Price, a 66-year-old D.C. dentist, and Keidi Moore, a 37-year-old Temple Hills, … Read More
Every year, the tiny town of Los Algodones is crowded. But this tourism is special: There are Americans in search not of sun and sand, but root canals and veneers. Around 600 dentists cram the four main streets of the … Read More
Hamden-based practice K-Assist, owned by Kelly Stutzman, entered into a more than $234,000 civil settlement agreement with both the federal and Connecticut state government to resolve allegations that the practice violated federal and state False Claims Acts, the US Attorney’s … Read More
A Maine dental practice is closing one of its three locations after being unable to fill a vacant dentist position for the office, Bangor Daily News reported April 14. White Smiles Family Dentistry has locations in Fort Kent, Fort Fairfield … Read More
El Paso-based Texas Tech University wants to purchase vacant property next to its health sciences center to expand its dental school, KTSM reported April 11. Among the property the school is looking to purchase is a building occupied by the … Read More
AUSTIN – Attorney General Paxton’s Medicaid Fraud Control Unit has successfully concluded an investigation that led to the conviction and sentencing of Anthony Obute, the owner and pharmacist in charge of Keystone Pharmacy in Houston. Obute was sentenced to 210 … Read More
MIAMI – Two Miami healthcare providers were sentenced Thursday for their roles in a $31 million Medicare fraud scheme, prosecutors say. According to the U.S. Department of Justice, Dean Zusmer, 54, was sentenced to eight years and one month in … Read More
Boston, April 20, 2023 (GLOBE NEWSWIRE) — DentaQuest, part of Sun Life U.S., is encouraging Medicaid and CHIP enrollees to receive oral health care services as the state resumes Medicaid redeterminations and disenrollments. In response to COVID-19, the federal government … Read More
When the Odle family had a career change, all five of their kids lost dental insurance. “Unfortunately, our dental insurance changed, so we didn’t have any for the kids, which was terrifying because we have to,” their mother, Judy said. … Read More
Hugo Moraes-DeLima, age 41, of Boca Raton, Florida, was busted in Danbury on Sunday, April 16, at the La Quinta Hotel. According to Erin Henry, a spokesperson for the Danbury Police, officers responded to the hotel located at 116 Newtown … Read More
McALLEN, Texas ‐ An owner of a Rio Grande Valley area home health company has been ordered to prison for his conviction of conspiracy to commit health care fraud, announced U.S. Attorney Alamdar S. Hamdani. Miguel Angel Contreras, 44, McAllen, … Read More
Efforts by Attorney General Paxton’s Medicaid Fraud Control Unit have led to a Houston couple being charged in a multimillion-dollar health care fraud scheme. “I’m proud to announce yet another example of my office’s commitment to enforcing the law and … Read More
CORPUS CHRISTI, Texas — The owner of a home health care company based out of the Rio Grande Valley is headed to prison for conspiracy to commit health care fraud, according to a release from the United States Attorney’s Office … Read More
CHARLOTTE — Federal agents were granted seizure of two properties owned by a North Carolina woman after she was accused of committing healthcare fraud. In the civil forfeiture documents, the FBI is seeking the forfeiture of two Charlotte properties: One … Read More
Attorney General Paxton’s Medicaid Fraud Control Unit secured a conviction for a woman who attempted to steal over $615,000 by submitting fraudulent reimbursement claims for services that were never provided. Kay Le Farmer was convicted of using the provider number … Read More
HARRISBURG — A Pittsburgh-area lawmaker lamented Tuesday the “absolutely tragic” anguish of people with little money and serious dental problems, telling state officials about phone messages left for a local dentist from Medicaid recipients with “pain that you can hear … Read More
n letters to U.S. House and Senate leaders, a coalition of more than 150 national, state and local oral health and advocacy organizations, including the American Dental Association, urged congressional leaders to co-sponsor and work to advance the Medicaid Dental … Read More
For some people the thought of going to a dentist is scary enough, but for others, it’s the cost that’s teeth chattering! Especially if they’re uninsured or under-insured. Here in Virginia, there are several clinics that have refused care to … Read More
RALEIGH, N.C. (QUEEN CITY NEWS) — A settlement of more than has been reached to resolve allegations that an Indian Trail pharmacy submitted false claims to the Medicare and Medicaid programs. N.C. Attorney General Josh Stein announced Monday that MedCare … Read More
Every quarter, CDA publishes a Practice Health Check focusing on a different topic related to the business side of dentistry. HIPAA compliance, specifically patients’ access to their records, is the focus in the second quarter of 2023. CDA members are … Read More
The ADA is conducting a nationwide survey of U.S. dental offices in order to understand the use of electronic health/dental records and associated issues, such as the ability to transfer data between systems and the ability to share information with … Read More
A lawsuit filed by a former Mountain Home resident against a Missouri company involved in Medicaid fraud will be allowed to proceed. On Thursday, the Arkansas Supreme Court vacated an earlier decision by the Arkansas Court of Appeals to uphold … Read More
PROVIDENCE, R.I. (WLNE) — A registered nurse and nurse practitioner, who defrauded health insurers and Medicare of close to $12 million was sentenced to federal prison. Court documents said Alexander Istomin, 57, pleaded guilty in October 2022 to 11 counts … Read More
MINOT, N.D (KMOT) – Medicaid pays dental providers 45% less than private insurance for both children and adult patients, according to the American Dental Association. Kris Pladson, Minot Dental Program Director with Dakota College at Bottineau, said it’s difficult for … Read More
Federal prosecutors received the green light to retry Philip Esformes on pending healthcare fraud charges after US Supreme Court Justice Clarence Thomas rejected an emergency appeal from the assisted living community and nursing home owner on Tuesday. Esformes had sought … Read More
LAFAYETTE, La. (KLFY) – The owner of an Acadiana hospice care facility has been convicted of defrauding Medicare of over $1.5 million, according to the U.S. Attorney’s Office. A federal jury returned a guilty verdict against Kristal Glover-Wing, 50, of … Read More
TULSA, Okla. — A Tulsa dentist was charged after not following the proper drug safety protocols during dental procedures, according to court documents filed last month. Dr. Lauren Whenry, 40, of Tulsa, is facing one count of distribution of a … Read More
HARRISBURG, Pa. – A Berks County-based home care agency and its owner have been charged in a nearly half million-dollar Medicaid fraud scheme. Pennsylvania Attorney General Michelle Henry announced Tuesday that based upon recommendations from the 47th Statewide Investigating Grand … Read More
Doctors are demanding an apology after researchers debunked “baseless” accusations of widespread Medicare fraud. Nicole Higgins from the Royal Australian College of General Practitioners seized on the study to claim vindication. “Late last year, the entire general practice profession was … Read More
To create the list, which was released Jan. 10, U.S. News & World Report selected the occupations with the largest number and percentage of projected openings from 2021 to 2031. Each career was ranked based on their scores in different … Read More
CHARLESTON, S.C. (WCIV) — A Charleston woman was booked into the Richland County detention center Friday on charges of Medicaid fraud and forgery after state officials say she initiated and received false claims from the South Carolina Department of Health … Read More
