Questionable Billing for Medicaid Pediatric Dental Service in California
We identified 329 general dentists and 6 orthodontists in California with questionable billing. Medicaid paid these providers $117.5 million for pediatric dental services in 2012. These 335 dental providersrepresenting 8 percent of the California general dentists and orthodontists whom we reviewed provided large numbers of services or provided certain services to an extremely large number of children, among other practices. These services included pulpotomiesoften referred to as baby root canalsand extractions. Notably, half of the dental providers with questionable billing in California worked for dental chains. The majority of these providers worked for five chains, two of which have been the subject of State and Federal investigations. A concentration of providers with questionable billing in chains raises concerns that these chains may be encouraging their providers to perform unnecessary procedures to increase profits.
- Paperback | 26 pages
- 215.9 x 279.4 x 1.52mm | 113.4g
- 30 May 2015
- United States
- black & white illustrations