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Smile Starters Dental, formerly Medicaid Dental Center (MDC), is a chain of dental clinics in
North Carolina North Carolina () is a state in the Southeastern region of the United States. The state is the 28th largest and 9th-most populous of the United States. It is bordered by Virginia to the north, the Atlantic Ocean to the east, Georgia and So ...
. As MDC, it operated under the names Smile Starters and Carolina Dental Center.Beeker, Ladonna.
Dentist closes clinic
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''
The Observer News Enterprise ''The'' () is a grammatical article in English, denoting persons or things already mentioned, under discussion, implied or otherwise presumed familiar to listeners, readers, or speakers. It is the definite article in English. ''The'' is the m ...
''. May 31, 2011. Retrieved on May 15, 2013.
Historically, its owners were Letitia L. "Tish" Ballance of
Charlotte, North Carolina Charlotte ( ) is the most populous city in the U.S. state of North Carolina. Located in the Piedmont region, it is the county seat of Mecklenburg County. The population was 874,579 at the 2020 census, making Charlotte the 16th-most populo ...
and Michael DeRose of
Pueblo, Colorado Pueblo () is a List of municipalities in Colorado#Home rule municipality, home rule municipality that is the county seat and the List of municipalities in Colorado, most populous municipality of Pueblo County, Colorado, Pueblo County, Colorado ...
. DeRose was also a partner in FORBA, the company that owns the
Small Smiles Dental Centers Small Smiles Dental Centers was a privately-owned US chain of dental clinics focused on serving children from low-income families. The parent company, Church Street Health Management (CSHM), has its headquarters in Suite 520 of the Castner-Knott ...
.Watson, Stewart.
Medicaid dentists pay taxpayers back $24 million
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WCNC-TV WCNC-TV (channel 36) is a television station in Charlotte, North Carolina, United States, affiliated with NBC. The station is owned by Tegna Inc. WCNC-TV's studios are located in the Wood Ridge Center office complex off Billy Graham Parkway ( ...
''. January 20, 2010. Retrieved on May 15, 2013.
In 2008 the chain operated seven dental clinics.Wolf, Jeffrey and Deborah Sherman.
Dentist performed 'unnecessary' work on children and billed taxpayers
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KUSA-TV KUSA (channel 9) is a television station in Denver, Colorado, United States, affiliated with NBC. It is owned by Tegna Inc. alongside MyNetworkTV affiliate KTVD (channel 20). Both stations share studios on East Speer Boulevard in Denver's S ...
9 News. April 11, 2008. Retrieved on May 15, 2013.


History

In 2003,
WCNC-TV WCNC-TV (channel 36) is a television station in Charlotte, North Carolina, United States, affiliated with NBC. The station is owned by Tegna Inc. WCNC-TV's studios are located in the Wood Ridge Center office complex off Billy Graham Parkway ( ...
NewsChannel 36 I-Team aired a report showing children and parents alleging that MDC clinics had given unnecessary treatment. The news channel report stated that dentists at the chain were paid bonuses for the amount of dental work that was performed, and that the clinics of the chain separated children from parents and had performed unnecessary dental work. In 2005 the North Carolina State Board of Dental Examiners held a hearing on the chain's operations. That year, Ballance entered a consent order with the state dental board in which she agreed not to contest allegiations from seven patients that she had performed excessive treatment. Ballance did not admit guilt. As announced in an April 2008 release by the
United States Department of Justice The United States Department of Justice (DOJ), also known as the Justice Department, is a federal executive department of the United States government tasked with the enforcement of federal law and administration of justice in the United State ...
(USDOJ), MDC and its two owners reached a settlement with the USDOJ. The company paid back $5 million and added $5 million in fines. The chain did not admit to any wrongdoing. Ballance and DeRose were personally liable under the
False Claims Act The False Claims Act (FCA), also called the "Lincoln Law", is an American federal law that imposes liability on persons and companies (typically federal contractors) who defraud governmental programs. It is the federal government's primary litigat ...
because they submitted claims for reimbursement that involved performing unnecessary
pulpotomies Pulpotomy is a minimally invasive procedure performed in children on a primary tooth with extensive caries but without evidence of root pathology. The minimally invasive endodontic techniques of vital pulp therapy (VPT) are based on improved unders ...
(colloquially "baby root canals"). In 2008 one patient who had received fourteen pulpotomies in one sitting sued the chain. In 2010 the chain announced that it would pay back $24 million. By that year, one family suing the chain had settled its civil suit. On April 11, 2011 Ballance announced that her business, Carolina West Dental in
Conover, North Carolina Conover is a city in Catawba County, North Carolina, United States. The population was 8,421 as of the 2020 census. It is part of the Hickory–Lenoir– Morganton Metropolitan Statistical Area and Charlotte Metropolitan Area. History The City ...
, would close on April 15. She left
Catawba County Catawba County is a County (United States), county in the U.S. state of North Carolina. As of the 2020 United States census, 2020 census, the population was 160,610. Its county seat is Newton, North Carolina, Newton, and its largest city is Hick ...
. In addition, nine dentists received sanctions in relation to their work at Medicaid Dental Center clinics.MEDICAID DENTISTS DISCIPLINED, PROBATION, REPRIMANDS WERE GIVEN BEFORE $10 MILLION SETTLEMENT
" ''
Charlotte Observer ''The Charlotte Observer'' is an American English-language newspaper serving Charlotte, North Carolina, and its metro area. The Observer was founded in 1886. As of 2020, it has the second-largest circulation of any newspaper in the Carolinas. I ...
''. April 11, 2008. 1A Main. Retrieved on May 15, 2013.
Rafael Rivera, Jr. said that he bought Smile Starters in 2008. The company changed its name to Smile Starters. In 2013 a mother of three children accused a Smile Starters clinic of fraudulently diagnosing cavities on her children. The television station ''
WTVD WTVD (channel 11) is a television station licensed to Durham, North Carolina, United States, broadcasting the ABC network to the Research Triangle area. Owned and operated by the network's ABC Owned Television Stations division, it maintains pr ...
'' aired a report about the accusation.Are some dentists doing unnecessary procedures?
" ''
WTVD WTVD (channel 11) is a television station licensed to Durham, North Carolina, United States, broadcasting the ABC network to the Research Triangle area. Owned and operated by the network's ABC Owned Television Stations division, it maintains pr ...
'' 11 Eyewitness News. Retrieved on May 15, 2013. (Owner information begins at 5:35)


See also

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All Smiles Dental Centers All Smiles Dental Professionals, P.C.,Al ...
*
Aspen Dental Aspen Dental Management, Inc. (ADMI) is an American dental support organization (DSO), a dental practice management corporation that provides business support and administrative services in the US. Its headquarters is in Chicago, Illinois. Histo ...
*
Kool Smiles Kool Smiles is a dental services provider, based in the United States. Its headquarters are in the Kool Smiles Patient Support Center in Marietta, Georgia, U.S., in Greater Atlanta and has over 100 offices located across sixteen states. Kool ...
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ReachOut Healthcare America ReachOut Healthcare America (RHA) is a dental management services company with its headquarters in Farmington Hills, Michigan. It is a part of the private equity portfolio of Morgan Stanley. The company operates in 22 U.S. states. In 2011 the com ...


References


External links

{{Portal, United States, Companies, Medicine
Official WebsiteEG Dental ClinicSleep Apnea TreatmentHealth Care Fraud and Abuse Control Program Annual Report For FY 2008

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United States Department of Justice The United States Department of Justice (DOJ), also known as the Justice Department, is a federal executive department of the United States government tasked with the enforcement of federal law and administration of justice in the United State ...
and
United States Department of Health and Human Services The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the U.S. federal government created to protect the health of all Americans and providing essential human services. Its motto is ...
Dental companies of the United States Health care companies based in North Carolina Health fraud