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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. Just an aside, but regardless of the outcome, I 'm proud of Judge William Hughes. He was the original magistrate on the Home place issue. He ruled for Home Place, and was primaried by Brainard for it. Their tool Poindexter failed to unseat Hughes, who won support for his honesty and courage throughout the county, and he was reelected Judge of Hamilton County's Superior Court. You can still stand for something and survive. Thanks, Judge Hughes!

  2. CCHP's real accomplishment is the 2015 law signed by Gov Pence that basically outlaws any annexation that is forced where a 65% majority of landowners in the affected area disagree. Regardless of whether HP wins or loses, the citizens of Indiana will not have another fiasco like this. The law Gov Pence signed is a direct result of this malgovernance.

  3. I gave tempparry guardship to a friend of my granddaughter in 2012. I went to prison. I had custody. My daughter went to prison to. We are out. My daughter gave me custody but can get her back. She was not order to give me custody . but now we want granddaughter back from friend. She's 14 now. What rights do we have

  4. This sure is not what most who value good governance consider the Rule of Law to entail: "In a letter dated March 2, which Brizzi forwarded to IBJ, the commission dismissed the grievance “on grounds that there is not reasonable cause to believe that you are guilty of misconduct.”" Yet two month later reasonable cause does exist? (Or is the commission forging ahead, the need for reasonable belief be damned? -- A seeming violation of the Rules of Profession Ethics on the part of the commission) Could the rule of law theory cause one to believe that an explanation is in order? Could it be that Hoosier attorneys live under Imperial Law (which is also a t-word that rhymes with infamy) in which the Platonic guardians can do no wrong and never owe the plebeian class any explanation for their powerful actions. (Might makes it right?) Could this be a case of politics directing the commission, as celebrated IU Mauer Professor (the late) Patrick Baude warned was happening 20 years ago in his controversial (whisteblowing) ethics lecture on a quite similar topic: http://www.repository.law.indiana.edu/cgi/viewcontent.cgi?article=1498&context=ilj

  5. I have a case presently pending cert review before the SCOTUS that reveals just how Indiana regulates the bar. I have been denied licensure for life for holding the wrong views and questioning the grand inquisitors as to their duties as to state and federal constitutional due process. True story: https://www.scribd.com/doc/299040839/2016Petitionforcert-to-SCOTUS Shorter, Amici brief serving to frame issue as misuse of govt licensure: https://www.scribd.com/doc/312841269/Thomas-More-Society-Amicus-Brown-v-Ind-Bd-of-Law-Examiners

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