Fall River Dentist Indicted on Medicaid Fraud for Shoddy Dental Work
The Attorney General's Medicaid Fraud Division began investigating in 2005 after the matter was referred to the office from MassHealth. Authorities allege that Clair was suspended from the Medicaid program in 2002 and did not have the authority to submit claims to the Medicaid Program. Authorities further allege that Clair hired several dentists at Harbour Dental, his Fall River dental practice, that were eligible MassHealth providers and would file claims with MassHealth using their provider numbers for dental services he performed. Authorities allege Clair fraudulently billed approximately $130,000 to the Medicaid Program for those services for a period between August 2003 and June 2005.
Through the course of the investigation, investigators also learned that Clair placed pieces of paperclips as posts for root canals inside the mouths of his MassHealth patients instead of using the standard stainless steel posts. In certain instances, paperclips can be used temporarily, but authorities allege Clair intended for the paperclips, which can cause infection, discomfort and pain, to be a permanent fix for his patients. The practice, authorities allege, was intended by Clair to reduce costs.
An investigation by authorities also found that Clair unlawfully prescribed Hydrocondone, Combunox and Percocet to staff members, who then gave all or a portion of the prescribed medication back to Clair.
The Attorney General's Office learned of the matter from MassHealth, the Massachusetts Medicaid program, in October of 2005. After a thorough investigation by Attorney General Coakley's Medicaid Fraud Division, the case was presented to a Bristol County Grand Jury.
The indictments were returned on Friday. An arraignment has been scheduled for April 8, 2010 in Bristol Superior Court. Assistant Attorneys General Toby Unger and George Zachos are the prosecutors assigned to this case, which was investigated by Investigator Lisa Bailey of Attorney General Coakley's Medicaid Fraud Division.