The Indiana Attorney General's Office filed charges against the owner of an Indianapolis dental practice for allegedly overbilling Medicaid. Prosecutors said dentist Shadrach Gonqueh repeatedly billed Medicaid for numerous procedures when only a single procedure was billable.
Indiana will expand Medicaid eligibility through a plan called Healthy Indiana Plan 2.0, which will require some cost sharing. Coverage will begin Feb. 1 and includes dental and vision benefits for people who pay a share of premiums.
A woman who formerly owned Anderson Dental Clinic in Indianapolis has been sentenced to four years of prison plus four years of probation. Sally Metzner pleaded guilty to charges including Medicaid fraud, forgery and practicing dentistry without a license. Metzner will begin serving the prison sentence after completing her two-year federal prison term for tax evasion.
One oral surgeon and 94 dentists who treated Indiana children covered by Medicaid had questionable billing patterns, such as billing for an average of 51 or more services per day, according to an HHS Office of Inspector General report. Indiana has recovered about $324,000 in excess payments, and state Medicaid officials are taking steps to implement the OIG's recommendations, state Medicaid Director Joseph Moser said.
Delta Dental, Blue Cross Blue Shield and Dominion Dental will offer dental plans next year through the Federal Dental and Vision Insurance Program, bringing the total number of dental plans to 10. The benefits are available to federal employees and retirees.