Fraud Week: Medically Unnecessary Pediatric Root Canals

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The U.S. Attorney for the District of New Jersey and New York Attorney General Letitia James both announced on October 6 that pediatric dentist Barry L. Jacobson, his management company, and 13 affiliated pediatric dentistry practices agreed to pay $753,457 to resolve allegations of False Claims Act violations. Between 2011 and 2018, Jacobson and other dentists allegedly performed and billed for medically unnecessary pulpotomies (“baby root canals”) and provided inaccurate provider information on claims for services submitted to New York and New Jersey Medicaid Managed Care Organizations.

The settlement arose out of a whistleblower lawsuit. The relator will receive $135,622 from the settlement proceeds.

 

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