California Dentist Settles Case Involving Medically Unnecessary Claims
On May 15, 2017, Ana M. Gama, DDS and Ana M. Gama, DDS, Inc. (collectively, Dr. Gama), Ontario, California, entered into a $31,817.88 settlement agreement and a 3-year integrity agreement with OIG. The settlement agreement resolves allegations that Dr. Gama submitted claims for medically unnecessary pulpotomies, extractions, restorations, and stainless steel crowns for a number of pediatric Medicaid dental beneficiaries. OIG's Office of Evaluations and Inspections and Office of Counsel to the Inspector General, represented by Senior Counsels Geoffrey Hymans and Geeta Tyalor, collaborated to achieve this settlement.
- Date:May 15, 2017
- CMP and Affirmative Exclusions