Posted 28 June 2016 The investigation of a complaint made by an insurance company against a dentist raised serious ethical concerns and identified a pattern of inappropriate billing including:
The dentist did not provide satisfactory explanations for these discrepancies during the initial meeting with CDSBC, but later took full responsibility for the conduct and revealed that the office manager (who was also the dentist’s spouse) contributed to the practice’s systemic improper billing and also aggressively pressured the dentist to work excessive hours. The College received corroboration that the spouse/office manager had been submitting fraudulent bills for a significant period of time. The dentist admitted to allowing the conduct and had paid $200,000 to the insurer for overbilled amounts. The Inquiry Panel considered this repayment a mitigating factor in its decision. The College received a medical opinion that the dentist was vulnerable to manipulation by the spouse/office manager. The dentist is currently not practising and is unlikely to return to practice due to health concerns. The dentist signed a letter acknowledging that the billing and ethical concerns were a serious matter as defined in the Health Professions Act and agreed:
Based on a physician’s letter explaining the negative impact that the publication of the registrant’s name would have on a family member’s mental health, the Inquiry Panel directed that the registrant’s name be withheld from this publication.
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