A local dentist is out on bond after being arrested for supposedly defrauding Medicaid. The dentist is the owner and operator of a mobile Connecticut dental clinic that performs various services to nursing home residents. After suspicion apparently rose due to a high number of claims, the man was arrested and charged with larceny.
The dentist has been accused of billing Medicaid for more patients than he actually saw. Over a two month period between 2012 and 2013, he allegedly billed for more than $25,000 in services that may not have been performed. In Jan. 2013, Medicaid suspended pending payments after he purportedly submitted a bill for over 260 procedures performed in a single day.
The authorities say that the dentist claimed that the procedures had been performed in at four different nursing homes in as many different cities on 71 different patients. After the payment suspension, an investigation was launched into those claims, and an investigator was sent to visit each of the nursing homes that was supposedly visited. Of those four, the investigator claims that the dentist actually only visited one of those nursing homes, where he claimed to have treated 31 patients. The investigator says that number may have only been 11.
Currently out on bond, he has been charged with insurance fraud and larceny for defrauding the public by allegedly filing false Medicaid claims. In addition to the one-day claim of $25,000, the investigators also looked into a claim of almost $11,500, some of which they believe might have been fraudulent. This Connecticut dentist might find that, alongside his counsel, careful review of the charges and any evidence that the prosecution claims to have in order to provide insight into the best approach to the coming criminal proceedings.
Source: stamfordadvocate.com, "Stamford dentist charged with Medicaid fraud", John Nickerson, June 19, 2014