Medicaid Dental Audits

SIU Dental Audit Reviews by DentaQuest, Delta Dental and Cigna Can Ultimately Lead to Criminal Prosecution and Imprisonment.  Are Your Dental Office’s Medical Necessity, Documentation, Coding and Billing Practices Compliant?

Dental Audits & Compliance /

(October 16, 2019): A Federal District Court Judge recently sentenced a Murfreesboro, TN dentist to prison and ordered that he pay restitution to TennCare (Tennessee’s Medicaid program). Regrettably, the types of improper billing practices cited by the government in the criminal Information filed against the defendant dentist aren’t that uncommon. This recent prosecution serves as […]

SIU Dental Audit Reviews by DentaQuest, Delta Dental and Cigna Can Ultimately Lead to Criminal Prosecution and Imprisonment.  Are Your Dental Office’s Medical Necessity, Documentation, Coding and Billing Practices Compliant? Read More »

Delta Dental Audits are Ongoing Around the Country. Are You Prepared?

Dental Audits & Compliance /

(May 15, 2017): Over the last decade, both state and federal law enforcement agencies have aggressively investigated and prosecuted instances of Medicaid dental fraud. In recent years, these efforts have been widely implemented (and expanded) by private payor Special Investigative Units (SIUs). One dental benefits program in particular has been especially active in this regard

Delta Dental Audits are Ongoing Around the Country. Are You Prepared? Read More »

Dentist Indicted on Nearly 200 Counts of New Hampshire Medicaid Dental Fraud

Dental Audits & Compliance /

(January 3, 2014): A 57-year-old Queen City, New Hampshire dentist has recently been charged with 189 counts of Medicaid dental fraud. As a result, he could face many years in prison. The New Hampshire Medicaid program is a joint federal and state-funded health care program that serves individuals and families in that state who meet

Dentist Indicted on Nearly 200 Counts of New Hampshire Medicaid Dental Fraud Read More »