Dentist in Wisconsin deliberately broke patients' teeth for profit
United States Attorney Richard G. Froling of Wisconsin announced that on March 10, 61-year-old licensed dentist Scott Charmoli was charged with five counts of health care fraud and two counts of perjury, reports US Department of Justice.
Evidence presented in court established that Scott Charmoli was involved in a multi-year scheme to scam dental insurance companies from paying for unnecessary procedures. Evidence showed that starting in 2015, Charmoli began to strongly urge patients on the need for crown procedures. After convincing patients that they needed crowns, Charmoli deliberately broke his patients' teeth with his drill and took pictures and X-rays of the damage they had caused.
Charmoli then sent images of the damage he caused to insurance companies in support of his claim for payment for the procedures. The insurance companies assumed that these damage images reflected the preoperative condition of the teeth, and as a result paid for the claims. Many of Charmoli's patients also paid significant co-payments for these procedures.
The data showed that Charmoli had placed far more crowns than most dentists in Wisconsin.
The evidence also confirms that Charmoli billed more than $4,2 million for crowns between 2016 and 2019 and that he performed more than 700 procedures each year from 2015 to 2019.
In each of 2015 and 2016, Charmoli performed more than 1000 of these procedures.
In addition to providing insurance companies with x-rays of the damage they caused, Charmoli was found to have made false statements to dental insurers when they denied initial claims for coverage.
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Charmoli's verdict is due on June 17, 2022 by US District Court Judge Lynn Adelman. Charmoli faces a maximum term of ten years in prison for each charge of health care fraud and a maximum prison term of up to five years for each charge of perjury.
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