law offices of james r. tucker, p.c.
law offices of james r. tucker, p.c.

Results Matter!
More Than $700 Million In Awards And Settlements Recovered!

Dentist And Orthodontist Medicaid Fraud And Texas Medicaid Fraud Prevention Act Lawsuits

Overview

Dentist and orthodontist Medicaid fraud is on the rise and it is important that dentist and orthodontist Medicaid whistleblowers and dentist and orthodontist Medicare whistleblowers come forward and blow the whistle on dentists and orthodontists who are committing Medicaid fraud. As reflected below, many of the whistleblowers who come forward and report dental or ortho Medicaid fraud are able to collect substantial sums and sometimes millions of dollars as a reward for reporting Medicaid fraud!

Our Law Firm’s Excellent Results in Dental and Ortho Cases

Our firm has had tremendous success in obtaining results in cases in which we have represented Whistleblower clients in the dental Medicaid fraud arena. We represented multiple whistleblowers/Relators (along with another Relator represented by another firm) in cases against Xerox State Healthcare f/k/a ACS State Healthcare (“Xerox”) in which the State of Texas intervened in our cases. In 2019, the State of Texas settled its lawsuit against Xerox for $235.9 Million for allegedly approving claims to be paid by Medicaid that should not have been paid for orthodontic claims (our clients’ Relator shares in that case have yet to be determined).

We also represented two whistleblowers/Relators who along with another Relator collectively received a Whistleblower Award of over $1.5 Million in $8.45 Million Settlement in what is believed to be the largest settlement in the State of Texas in a provider dental Medicaid Fraud case under the Texas Medicaid Fraud and Prevention Act (“TMFPA”). We also represented the Whistleblower who received a majority of the Relator share in a dental Medicaid fraud lawsuit filed pursuant to the TMFPA which settled for $4.5 Million Settlement. We have other pending cases in the dental Medicaid fraud area.

Types of Fraud

If you work or have worked for an orthodontist clinic which has accepted payments from Medicaid for braces) as a dentist, orthodontist, dental or orthodontist assistant, dentist office manager, orthodontics office manager, billing clerk, or Medicaid coder, and have observed that unnecessary orthodontist work has been performed such as braces being put on children that do not need them or prematurely and the charges are submitted to Medicaid, you can become a whistleblower and may be entitled to a substantial monetary award!

If you work or have worked for a general dentistry clinic which has accepted payments from Medicaid for unnecessary dental care such as pulpotomies/”baby root canals” that were not needed as a dentist, dental assistant, dentist office manager, billing clerk, or Medicaid coder, and have observed that unnecessary dental work has been performed such as pulpotomies/”baby root canals” that were not needed and the charges are submitted to Medicaid, you can become a whistleblower and may be entitled to a substantial monetary award!

Some categories of dental and orthodontist health care fraud are as follows:

  • Dentist Medicaid fraud lawsuits
  • Orthodontist Medicaid fraud lawsuits
  • Dental Medicare fraud lawsuits
  • Orthodontist Medicare fraud lawsuits
  • Unnecessary dental work Medicaid fraud
  • Unnecessary orthodontist work Medicaid fraud
  • Dental upcoding Medicaid fraud
  • Orthodontist upcoding Medicaid fraud
  • Dentist office qui tam whistleblower lawsuits

Blow the Whistle on Dental and Orthodontic Medicaid Fraud

Individuals with knowledge of fraud committed by dentists and orthodontists may be able to blow the whistle on this kind of fraud using the FCA, the TMFPA and other whistleblower reward programs. You cannot legally be fired for coming forward and reporting fraud.

To talk with me about your dental or orthodontic Medicaid fraud case, call my Dallas law offices at 214-617-2181 or contact me online. Consultations with a Dallas County Qui Tam attorney are free and confidential. I handle these types of cases on a contingent fee basis, meaning you owe me no legal fees or expenses unless I obtain a recovery for you. I have had considerable success representing Whistleblowers in dental Medicaid Fraud Cases. I will help potential Medicaid and Medicare Fraud whistleblowers determine if they may have a viable Dental or Orthodontic Medicaid Fraud lawsuit.

Example of Whistleblower recoveries in Dental and Orthodontic Fraud Cases alleging violations of the Texas Medicaid Fraud and Prevention Act:

In January of 2017, the three Whistleblowers (including two represented by Attorney Rusty Tucker) received $1,521,000 of the settlement proceeds when MB2 and other Defendants agreed to pay the United States and the State of Texas $8.45 million for alleged violations of the federal False Claims Act (FCA) and the Texas Medicaid Fraud Prevention Act (TMFPA). Three lawsuits were resolved (including two lawsuits where Attorney Rusty Tucker was the attorney for the Whistleblowers) with this settlement alleging that MB2 knowingly submitted claims for children’s dental services which were either not performed or were provided after false identification was used. The claims also involved illegal kickbacks to Medicaid beneficiaries and their families, marketers and marketing entities. See Texas Attorney General Press Release dated January 12, 2017.