New Jersey Dentist Sentenced to Eight Year Prison Term, Ordered to Pay $7 Million in Scheme to Defraud Medicaid
Attorney General
In 2013, Beukas and six NJ Mobile employees - including four dentists - were charged by indictment with conspiring to defraud Medicaid by overbilling or submitting false claims for services purportedly provided to elderly patients in nursing homes, assisted living facilities, adult day care facilities, and private homes throughout
"
"This defendant played a key role in the blatant theft of Medicaid funding through fraud," said Acting Insurance Fraud Prosecutor
The indictment alleges that between
It is alleged that on numerous occasions, the defendants overbilled Medicaid for more services than the mobile dentists could have possibly rendered in one day. The defendants also allegedly billed for specific dental services that were not actually performed by the dentists. In addition, it is alleged that NJ Mobile systematically added a charge for Behavior Management on almost every Medicaid patient purportedly treated regardless of whether the dentists actually spent the additional time with the patient that would warrant that charge.
It is also alleged that the defendants would systematically add a "trip charge" to almost every Medicaid patient in the facility despite the fact that the dentists were only entitled to one per trip to the facility, regardless of the number of patients examined or treated.
Beukas and his mobile dentists would then subsequently retain the payments from Medicaid to which they were not entitled, it is alleged.
The investigation began when the
Charges are pending against the four other dentists charged in the 2013 indictment.
Deputy Attorneys General
Acting Insurance Fraud Prosecutor Iu noted that some important cases have started with anonymous tips. People who are concerned about insurance cheating and have information about a fraud can report it anonymously by calling the toll-free hotline at 1-877-55-FRAUD, or visiting the Web site at www.njinsurancefraud.org. State regulations permit a reward to be paid to an eligible person who provides information that leads to an arrest, prosecution and conviction for insurance fraud.
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