Georgia Dentists Under Investigation For Alleged Dental Medicaid Fraud Scheme

October 10, 2014 — Dental Medicaid fraud rarely goes unnoticed by clinic employees. But many insiders just keep their heads down and do their jobs — until they are expected to participate. That’s the point at which many seek legal advice about filing a False Claims Act lawsuit to stop their employers’ billing fraud schemes against Medicaid. Under the qui tam provisions of the Act, tipsters may be rewarded for their willingness to collaborate with a share of the government’s recovery.

Chain Of Atlanta Dental Clinics Allegedly Relied On Refugee Children In Medicaid Fraud Scheme

Federal and state investigators are looking into the alleged fraudulent billing practices of a number of Georgia dental clinics on suspicion of Medicaid fraud. A civil forfeiture complaint alleges that the Care Dental clinics, located in the Atlanta region, treated children without obtaining their parents’ consent and then billed the treatments to Medicaid.
Federal investigators claim that the dentists involved in the alleged Medicaid scam made kickback payments to refugees, some of whom were children, to entice them to receive treatment that could then be billed to Medicaid. In addition, Care Dental allegedly performed 20 fillings in one day on a 12-year-old patient, which work was billed to Medicaid. Once the dentists ultimately received the Medicaid reimbursements, they allegedly attempted to cover the fraud by using the Medicaid funds to purchase investment properties in and around Atlanta.
The alleged dental Medicaid fraud reportedly amounted to hundreds of thousands of dollars.

Dental Practice Insiders Collaborate to End Fraudulent Billing Schemes

While Waters & Kraus is not handling this particular dental Medicaid fraud case, we are representing whistleblowers in similar lawsuits. If you have comparable claims against a different dental provider, contact us or call our qui tam attorneys at 855.784.0268 to learn more about our practice and how we can work together to notify the government about fraudulent abuses of government-funded programs. Charles Siegel and Dan Hargrove, qui tam lawyers in Waters & Kraus’ Texas office, protect tipsters throughout the whistleblower lawsuit process.

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