In a landmark case for antitrust law and the dental industry, roughly 240,000 dentists and dental practices have initiated a class action lawsuit against Delta Dental, the United States’ largest dental insurance system. The case, formally known as In Re … Read More
CANTON, MA — A Canton dentist who offered a “loyalty program” that offered monetary incentives and raffle prizes in exchange for frequent treatments and referrals has agreed to pay $135,000 to settle charges involving the scheme that led to improper … Read More
NEW YORK — The top dentist and public face of SmileDirectClub is at risk of losing his California license following a two-year state dental board investigation, records reviewed by Reuters show. The California disciplinary process underway against dentist Jeffrey A. … Read More
A Swansea dentist accused of defrauding Illinois Medicaid of thousands of dollars over a period of several years has pleaded guilty to the scheme. Yun Sup Kim, 48, of St. Louis, appeared at the federal courthouse in Benton on Thursday … Read More
A Marshfield, Mo. man whose wife was sentenced earlier for her role in a Medicaid fraud scheme involving their dental clinics was sentenced in federal court for failing to pay over payroll taxes and collecting unemployment benefits he wasn’t entitled … Read More
A Kinston family dentist and former Lenoir County Board of Health board chairman has administrative hearings this month in Lenoir County District Court on insurance fraud and aiding and abetting forgery charges. Dr. Richard “Ricky” Todd Carlyle, 54, whose address … Read More
Mary Jell went to Mexico for low-cost dental work. She came home with new implants and a $10,000 abscess in her credit account. The 89-year-old Peoria woman said after she left Cordova Dental Care in Los Algodones, the office began … Read More
A dentist recorded working on a patient while on a hoverboard was found guilty of Medicaid fraud and endangering patients Friday. Anchorage Superior Court Judge Michael Wolverton found Dr. Seth Lookhart’s guilty on 46 counts. Lookhart was found to have … Read More
A Worcester dentist, his office manager and a Chelmsford dentist are accused of defrauding the Massachusetts Medicaid program, known as MassHealth, federal prosecutors say. A grand jury in Boston indicted the trio Thursday. Dr. Anthony DiStefano III, 70, of Worcester, … Read More
In video footage from 2016 that was played in court and broadcast by Anchorage’s KTUU television station, Dr. Seth Lookhart appears to extract a tooth from the mouth of his patient, Veronica Wilhelm, while moving slightly back and forth on … Read More
A Mt. Vernon dentist has agreed to give up his dental license this month after he was charged with arson and pleaded guilty to Medicaid fraud. Reports say Thomas Alms, 64, surrendered his license according to documents filed Dec. 10. … Read More
The first trial under the Connecticut False Claims Act has resulted with a Fairfield dentist being ordered to pay more than $1.7 million for defrauding the state’s Medicaid program. Aram Agadjanian, also known as Aram Yuri Agadzanov, was enrolled as … Read More
MEMPHIS, Tenn. — A Tennessee woman is charged with TennCare fraud and identity theft for allowing another person to use her TennCare card to receive dental benefits. TennCare covers dental services for adults only when there is a medical emergency. … Read More
(CNN) — As Veronica Wilhelm lay sedated in a dental chair, her dentist was being filmed riding a hoverboard while he extracted her tooth. Wilhelm says she didn’t know about the hoverboard, or that her procedure in July 2016 was … Read More
OAK BROOK, Ill. (WLS) — Several patients of a dentist in Oak Brook, who dug deep into their pockets to pay for crowns and implants, said they were left unable to eat normally or even smile after his work. Dr. … Read More
HOUSTON, TEXAS — Police confiscated dental equipment from a west Houston office and arrested two people who were allegedly practicing dentistry without a license. Carolina Flores-Paz, 36, and Enrique Eduardo Alvarez, 47, were arrested Monday at Delta Image Makers in … Read More
VIRGINIA BEACH, Va. – A dentist from Virginia Beach has been sentenced to 8 years and six months in prison for an opioid fraud scheme that went on from 2014 to 2018. According to court documents, 48-year-old Gary Hartman was … Read More
WASHINGTON – Bilal Ahmed, 47, of Potomac, Maryland, pled guilty on September 6, 2019, to a federal charge of health care fraud stemming from a scheme in which he and others caused the District of Columbia’s Medicaid program to be … Read More
SWANSEA — Federal prosecutors are seeking $700,000 from a Swansea dentist whom they accuse of billing for procedures that he never performed. Dr. Yun Sup Kim, 48, of St. Louis, has been indicted in U.S. District Court in East St. … Read More
EL CENTRO — A federal judge has granted a stay of forfeiture of assets of a local dentist pending the outcome of an ongoing criminal investigation. Back in April, the U.S. Attorney’s Office filed a civil complaint in U.S. District … Read More
BRECKENRIDGE — Former Silverthorne dentist Bonifacio Guillena III, 42, of Greeley, has been sentenced to three years in prison after pleading guilty in January to possession with intent to distribute a controlled substance, a class 3 felony, according to a … Read More
A former Warren dentist received a suspended prison sentence Tuesday for Medicaid fraud after making arrangements to pay about $136,032 in damages, restitution and fines within a week. John Steven Durmon, 60, had been charged with four counts of fraud … Read More
Richard “Nate” Schott, the ex-Murfreesboro dentist who grifted nearly $1 million from insurance companies, is headed to prison for 33 months. U.S. District Court Judge Waverly Crenshaw handed down the sentence Friday morning before a courtroom crowd of about 30 … Read More
RALEIGH — A Mebane dentist has agreed to pay nearly $730,000 to the state in a Medicaid fraud case, N.C. Attorney General Josh Stein said in a news release. The settlement against Zhanying Guo and her dental practice, Complete Dental … Read More
A Port St. Lucie man is accused of performing at least two dental surgeries without a dentistry license. His patients ended up in the emergency room with infections and in severe pain, police said. Jose Espinoza-Aleman, 57, of the 100 … Read More
Jeff Patton lost $3,300. Rochelle Therrien lost $400. Vessie Moore lost a whopping $14,000. These are a few people whose finances were destroyed when they visited Richard “Nate” Schott, the former dentist who pleaded guilty to swindling nearly $1 million … Read More
HARRISBURG — The former owner of a Harrisburg-based dental and vision claims processing business pleaded guilty to one count of health care fraud in federal court this week, according to U.S. Attorney David J. Freed. Michael Timothy Buchanan, 68, of … Read More
MOUNT VERNON, Mo. — A Mount Vernon dentist pleaded guilty Wednesday to Medicaid fraud in a plea agreement requiring him to repay the program $200,000 and surrender his license to practice dentistry for five years. Thomas H. Alms Jr., 63, … Read More
LITTLE ROCK (KATV) — A North Little Rock dentist was arrested Monday on accusations of Medicaid fraud, authorities announced. The state attorney general’s office said in a news release that Dr. Brian Moore, 47, of Maumelle, is accused of billing … Read More
A North Little Rock dentist was arrested Monday on charges accusing him of billing the state Medicaid program for services he didn’t provide, Attorney General Leslie Rutledge said. Brian Moore, 47, is accused of billing the program for about $9,000 … Read More
A Los Angeles, CA-based dentist pleaded guilty on Thursday to a March 2018 indictment charging him with health care fraud arising from his false and fraudulent billings for crowns and fillings, which were never provided to patients. Assistant Attorney General … Read More
BAKERSFIELD, Calif. — Two former employees of Landmark Dental are being investigated by the California Department of Insurance (CDI) Fraud Division for allegedly filing 27 false insurance claims, according to court documents. According to a search warrant, on July 5, … Read More
PHOENIX — A dentist who was arrested for falsifying his anesthesia credentials is being sued by a former patient for medical malpractice and consumer fraud. Kris Peterson filed a lawsuit against Dr. Pankaj Goyal on December 7. “It’s pretty shocking,” … Read More
CHICAGO (CBS)–The former manager of a dental office with locations in Chesterton and Crown Point, Indd., has been charged with felony Medicaid fraud after allegedly swindling Medicaid out of more than $365,000. Justyn Arch, 32, of Valparaiso, is accused of … Read More
North Providence, R.I.: Dentist Lawrence P. Stephenson, 72, of Lincoln, R.I., has pleaded guilty to tax evasion, admitting that he diverted and failed to report as much as $1.2 million dollars in payments made to his business. Stephenson admitted that … Read More
As a Houston Texan, Marlon McCree scored his first career touchdown on a 95-yard interception return against the Tennessee Titans. Perhaps the most memorable play in the safety’s long NFL career was as a San Diego Charger, when he intercepted … Read More
Palding County, Ga. – Just one day after Channel 2 Actions News reported on a woman accused of posing as a dentist for at least seven years, investigators said they have gotten more than a dozen new complaints. Source: Patient … Read More
The Texas Supreme Court has found Xerox responsible for $1 billion in fraudulent Medicaid payments made while the company was responsible for pre-authorizations for Texas Medicaid patients’ dental work. According to a Texas Tribune report, the decision upheld a Texas … Read More
Columbia, South Carolina —- A federal grand jury has returned a thirty-eight count superseding indictment Tuesday charging Cameron Banks (a/k/a Reggie Staggers), age 32, of Georgetwon, S.C., Angela Pyatt, age 49, of Conway, S.C., and Solomon Pyatt, age 56, of … Read More
OMAHA, Neb. (AP) — A Nebraska dentist has been sentenced to 10 months for submitting fraudulent bills to Nebraska and Iowa Medicaid programs. Authorities say 59-year-old Gregory Garro, of Omaha, was sentenced Monday in U.S. District Court in Omaha. He … Read More
