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AG files Medicaid fraud charges against Anderson dental office owner and employees

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Nine individuals from an Anderson dental office, including three dentists and the owner, are facing criminal charges for allegedly obtaining hundreds of thousands of dollars from Medicaid illegally, the Indiana attorney general announced Wednesday.

Criminal charges filed in Madison County Circuit Court 6 claim that Anderson Dental Center owner Sally Metzner and her co-defendants engaged in a scheme to submit false and inflated bills for dental services to the Indiana Medicaid program.

The probable cause affidavit highlights repeated instances of using the Medicaid provider number of one dentist when billing the work from another dentist; using the Medicaid number and Drug Enforcement Agency registration number of one dentist for prescriptions written by other dentists; filing Medicaid claims under the name of a dentist who no longer worked at the office; and submitting claims for the expensive procedure of deep sedation when only a local anesthetic was administered.

Metzner, 57, of Anderson has been charged with two counts of corrupt business influence, as a Class C felony. She has also been charged with money laundering, Medicaid fraud, theft, forgery and practicing dentistry without a license.

The three dentists charged with corrupt business influence, money laundering, Medicaid fraud and theft are:
Paul Pangallo, 73, Indianapolis; Jeffrey Rich, 69, Cicero; Thomas Dubois, 46, Indianapolis.

Office employees charged with corrupt business influence are: Jessica (Metzner) Worrell, 27, Anderson, also charged with forgery;
Beth Flynn-Lohrey, 45, Middletown, also charged with prescription drug fraud; Chris Martin, 31, Anderson, also charged with prescription drug fraud; Barbara Brooks, 62, Anderson, also charged with forgery.  

A fifth administrative staff member, Deborah R. Davis, 55, Middletown, was charged with prescription drug fraud only.

The affidavit also alleged that the fraudulent billing continued even after authorities had executed search warrants at the office.

The Attorney General’s Medicaid Fraud Control Unit joined with the Health and Human Services Office of the Inspector General, the Federal Bureau of Investigation, the Internal Revenue Service and local authorities to investigate Anderson Dental Center. The investigation included executing three searches of the dental office, reviewing Medicaid claims, interviewing employees and co-defendants, and obtaining information from local pharmacies.  

 

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  1. So that none are misinformed by my posting wihtout a non de plume here, please allow me to state that I am NOT an Indiana licensed attorney, although I am an Indiana resident approved to practice law and represent clients in Indiana's fed court of Nth Dist and before the 7th circuit. I remain licensed in KS, since 1996, no discipline. This must be clarified since the IN court records will reveal that I did sit for and pass the Indiana bar last February. Yet be not confused by the fact that I was so allowed to be tested .... I am not, to be clear in the service of my duty to be absolutely candid about this, I AM NOT a member of the Indiana bar, and might never be so licensed given my unrepented from errors of thought documented in this opinion, at fn2, which likely supports Mr Smith's initial post in this thread: http://caselaw.findlaw.com/us-7th-circuit/1592921.html

  2. When I served the State of Kansas as Deputy AG over Consumer Protection & Antitrust for four years, supervising 20 special agents and assistant attorneys general (back before the IBLE denied me the right to practice law in Indiana for not having the right stuff and pretty much crushed my legal career) we had a saying around the office: Resist the lure of the ring!!! It was a take off on Tolkiem, the idea that absolute power (I signed investigative subpoenas as a judge would in many other contexts, no need to show probable cause)could corrupt absolutely. We feared that we would overreach constitutional limits if not reminded, over and over, to be mindful to not do so. Our approach in so challenging one another was Madisonian, as the following quotes from the Father of our Constitution reveal: The essence of Government is power; and power, lodged as it must be in human hands, will ever be liable to abuse. We are right to take alarm at the first experiment upon our liberties. I believe there are more instances of the abridgement of freedom of the people by gradual and silent encroachments by those in power than by violent and sudden usurpations. Liberty may be endangered by the abuse of liberty, but also by the abuse of power. All men having power ought to be mistrusted. -- James Madison, Federalist Papers and other sources: http://www.constitution.org/jm/jm_quotes.htm RESIST THE LURE OF THE RING ALL YE WITH POLITICAL OR JUDICIAL POWER!

  3. My dear Mr Smith, I respect your opinions and much enjoy your posts here. We do differ on our view of the benefits and viability of the American Experiment in Ordered Liberty. While I do agree that it could be better, and that your points in criticism are well taken, Utopia does indeed mean nowhere. I think Madison, Jefferson, Adams and company got it about as good as it gets in a fallen post-Enlightenment social order. That said, a constitution only protects the citizens if it is followed. We currently have a bevy of public officials and judicial agents who believe that their subjectivism, their personal ideology, their elitist fears and concerns and cause celebs trump the constitutions of our forefathers. This is most troubling. More to follow in the next post on that subject.

  4. Yep I am not Bryan Brown. Bryan you appear to be a bigger believer in the Constitution than I am. Were I still a big believer then I might be using my real name like you. Personally, I am no longer a fan of secularism. I favor the confessional state. In religious mattes, it seems to me that social diversity is chaos and conflict, while uniformity is order and peace.... secularism has been imposed by America on other nations now by force and that has not exactly worked out very well.... I think the American historical experiment with disestablishmentarianism is withering on the vine before our eyes..... Since I do not know if that is OK for an officially licensed lawyer to say, I keep the nom de plume.

  5. I am compelled to announce that I am not posting under any Smith monikers here. That said, the post below does have a certain ring to it that sounds familiar to me: http://www.catholicnewworld.com/cnwonline/2014/0907/cardinal.aspx

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