JACKSON, Wis. – A former Washington County dentist has been sentenced to 4 ½ years in jail, convicted in March of well being care fraud in a years-long scheme.
Scott Charmoli was the proprietor and sole dentist working Jackson Household Dentistry in Jackson. In 2015, prosecutors stated he started a years-long scheme to defraud dental insurance coverage firms into paying for pointless crown procedures.
Charmoli aggressively offered crowns to sufferers after which deliberately broke their enamel together with his drill so as to persuade the insurance coverage firms to pay for the crowns, prosecutors stated. A federal jury discovered him responsible of 5 counts of well being care fraud and two counts of creating false statements to the insurance coverage firms.
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Proof at trial indicated that Charmoli carried out much more crowns than most dentists in Wisconsin, rating in, or above, the ninety fifth percentile of crowns carried out every year from 2016 to 2019. The proof additionally confirmed that Charmoli billed over $4.2 million for crown procedures between 2016 and 2019, and that he carried out greater than 700 crowns every year from 2015 to 2019. In every of 2015 and 2016, Charmoli carried out over 1,000 crown procedures.
Prosecutors stated proof additionally confirmed that, along with submitting x-rays to insurance coverage firms of harm Charmoli himself had prompted, Charmoli made false statements to dental insurers once they denied preliminary claims for crown protection.
Charmoli benefited considerably from his scheme, prosecutors stated. As a part of his sentence, Charmoli already has been ordered to pay greater than $1 million in forfeiture. He additionally can be answerable for reimbursing insurance coverage firms and reimbursing sufferers who acquired fraudulent crowns for his or her out-of-pocket bills.
As well as, Charmoli is the topic of a number of malpractice lawsuits introduced by former sufferers.
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