Three dental practices in Southwest Washington have reached settlements that total more than $1 million to resolve allegations that they engaged in fraudulent billing practices and overcharged the Medicaid program.
“Accuracy and honesty from healthcare providers are fundamental to the integrity of the Medicaid system and our ability to help people get the care they need,” Attorney General Nick Brown stated in a news release. “These settlements are one piece of our many efforts to safeguard the Medicaid program from fraud and abuse.”
Investigators found the practices billed for services they didn’t actually provide
The following three dental practices reached settlements with the Washington Attorney General’s Office Medicaid Fraud and Abuse Division (MFA) after investigations found that they had submitted unjustified charges to Medicaid:
- Toothdocs: Camas, WA
- Comfort Dental Vancouver: Vancouver, WA
- Dentist at Felida: Vancouver, WA
Toothdocs agreed to a civil settlement of $500,000 to resolve claims that 100% of the company’s billings for parenteral medicaments, which are drugs that are not taken orally, were used for over-the-counter doses of ibuprofen.
The miscoded billings from October 2017 to March 2023 resulted in more than $370,000 in unjustified charges to Medicaid, according to the attorney general’s office…