Dental Fraud Whistleblower Rewards

​Is Your Dentist Performing Unnecessary Procedures
or Submitting False Claims to Medicaid?

You May Be Entitled to a Whistleblower Reward

Most dentists are professional, decent people who truly care for their patients’ health and comfort.  They have dedicated their lives to their patients.

Some dentists, however, manipulate the insurance system for their own financial benefit.  They submit claims for procedures that were not necessary or were not performed.  They bill for a procedure as if it was performed by a dentist when it was actually performed by a hygienist or dental assistant. 

Other dentists find themselves working for dental clinics that are actually owned by investors, where the dentists are pressured to increase revenues by performing procedures such as caps and root canals when they are not medically necessary.

Dental fraud can cause real harm to patients, many of whom are children.  Dental fraud also costs us, as taxpayers, millions of dollars every year.

If you are aware of dental Medicaid fraud, the government will pay you a substantial reward for helping to stop it.  The reward can range from tens of thousands of dollars, to hundreds of thousands of dollars and even millions of dollars in some cases.  Here are a few examples of actual rewards that were given to individuals who helped stop dental fraud:

• a $32,000 whistleblower reward to the parent of a child whose dentist billed Medicaid for “comprehensive oral examinations” when, in fact, the child was seen only by a hygenist
• a $412,500 whistleblower reward to a former employee of a dental clinic that improperly billed Medicaid and encouraged newly hired dentists to issue prescriptions before they were registered with the DEA
• a $2.4 million reward to whistleblowers who raised concerns that a chain of dental clinics was submitting Medicaid claims for unnecessary dental services performed on children

What can you do if you discover dental fraud?  The first step is to speak with an experienced lawyer who works with good people that come forward when they know something is wrong.  An experienced whistleblower attorney will listen to you, help you assess the situation, and explain what your rights and options are.

You can arrange a completely free and confidential consultation with an experienced whistleblower attorney by calling John Howley, Esq. at (212) 601-2728.  Mr. Howley will explain how the process works and help you make the right decision for you.

Dental Fraud Whistleblower FAQ

Answers to Frequently Asked Questions About Dental Fraud

What is Dental Fraud?

Dental fraud occurs when a dentist knowingly submits false claims to Medicaid or another insurance program.  The fraud can range from creating false patient records, to “upcoding” or billing for more expensive services than were actually provided, to billing for services that were not provided at all.

Some of the more common types of dental fraud are:

• performing and billing for unnecessary procedures
• billing for procedures that were not performed
• billing for substandard work
• altering dates or entering false information on patient charts
• paying kickbacks for referrals of Medicaid patients
• billing for a dentist when the services were provided by a dental assistant or hygenist
• billing for services performed by unlicensed or uncertified employees
• “upcoding” or billing for a more expensive service than what was actually provided
• submitting claims for reimbursement under another dentist’s Medicaid provider number
• requiring Medicaid patients to pay cash for covered procedures
• practicing as a dentist without a valid license
• diagnosing cavities when none exist
• billing Medicaid for multiple cleanings within a six-month period

To find out if you may qualify for a whistleblower reward, call John Howley, Esq. at (212) 601-2728.  The consultation is completely free and confidential.

Who Can Become a Dental Fraud Whistleblower?

Anyone who has information that false claims are being submitted to Medicaid may be eligible for a whistleblower reward.

Dental fraud whistleblowers include:

• Dental assistants, hygienists and other dentist office employees
• Accounting and billing personnel
• Former employees
• Employees of other dentists or dental clinics
• Dentists who work in the same office
• Dentists who are competitors or work in different offices
• Current and former patients
• Parents of patients
• Consultants, vendors, and service providers

This is only a partial list of the types of people who may be eligible for whistleblower rewards.  Anyone who discovers evidence of Medicaid fraud can help fight fraud and earn a substantial reward.

John Howley, Esq. has more than 28 years of experience representing clients in healthcare cases.  To arrange a free and confidential consultation, call his office today at (212) 601-2728.

How Do Dental Fraud Whistleblowers Earn Rewards?

Dental fraud whistleblowers earn rewards by working with a whistleblower attorney to start a qui tam lawsuit.  If the government recovers money as a result of the lawsuit, then the whistleblower will receive a reward of between 15% and 30% of the amount the government recovers.

Your lawyer will initially file the qui tam lawsuit “under seal” (in secret) and will share your evidence only with the local prosecutor.  This allows the prosecutor to investigate the case before the dentist or dental clinic knows that they are suspected of wrongdoing.

After conducting its investigation, the government may decide to intervene in the lawsuit and take over the case.  Or the government may allow the whistleblower and their attorney to prosecute the lawsuit on the government’s behalf.

In return for bringing the qui tam lawsuit, the whistleblower is entitled to a reward of between 15% and 30% of the amount the government recovers.

If you know that false claims are being submitted to Medicaid, then the first step is to consult with an experienced whistleblower attorney to find out if you qualify for a whistleblower reward and legal protections under federal law.

To arrange a free and confidential consultation, call John Howley, Esq. at (212) 601-2728.

Why Should I Become a Dental Fraud Whistleblower?

When you help stop dental fraud, you become entitled to a very substantial reward and legal protections as a whistleblower.

Reporting dental fraud is also the right thing to do.  You will help stop waste and abuse in our health care system, you will protect innocent children from unnecessary dental work, and you will help save millions of dollars for your fellow taxpayers.

If you want to help fight dental fraud and abuse while earning a substantial reward, call John Howley, Esq. at (212) 601-2728.  The consultation is completely free and confidential.

How Do I Retain a Whistleblower Attorney?

Whistleblower cases are taken on a contingency fee basis.  If you have a viable case, no attorneys' fees will be charged unless you win.  Your attorney will be paid out of the recovery or with an award of attorneys' fees against the defendant.

The first step is to contact an experienced whistleblower attorney for a free and confidential consultation.

John Howley, Esq. has represented clients in health care cases for more than 20 years.  He has represented clients throughout the country, from state and federal courts in New York and Los Angeles, to small town courts in Alabama and Mississippi, to the U.S. Supreme Court in Washington, D.C.

To learn more about how John Howley can help you, or to get a free and confidential review of your case, call us at (212) 601-2728.

John Howley, Esq.
The Howley Law Firm P.C.
​350 Fifth Avenue, 59th Floor
New York, New York  10118
(212) 601-2728