Albuquerque dentist indicted on felony medical insurance fraud charges

ALBUQUERQUE, N.M. (KRQE) – The state is going after an Albuquerque dentist, claiming he practiced on patients without a license.

“When we have an individual that’s trying to play in the grey, what we tell them is that it needs to be black and white,” says Mark Torres, a Special Agent with the Office of Superintendent of Insurance.

That individual Torres is referring to is Dr. William Gardner. Torres says their office got a tip in 2017 that Gardner was using the same x-ray on different patients to justify procedures they didn’t need.

Torres said they couldn’t find patients to corroborate the tip, but they did discover last year, Gardner was operating without a license. “Him not being licensed in the state of New Mexico to perform services. Therefore, he cannot provide billing to insurance companies for his services,” says Torres.

Source: Albuquerque dentist indicted on felony medical insurance fraud charges / KRQE News

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