The company provided management services to Small Smiles dental clinics nationwide. The settlement resolves allegations that started during 2006, which said bills were submitted to the state for medically unnecessary dental services performed on children covered by Medicaid.
The company has been suspected of a wide range of dental services that were either medically unnecessary or performed in a manner that failed to meet professionally recognized standards of care. The services included performing root canals on baby teeth, performing extractions, providing fillings or sealants and using inappropriate techniques to restrain child patients.
The 23-state settlement resulted from three whistleblower lawsuits filed in Maryland, Virginia and South Carolina federal courts.
As part of the settlement, Forba will make quarterly payments to the states for five years and to submit to a corporate-integrity agreement that will allow states and the federal government to monitor the company’s quality and standard of care.
Colorado pays out roughly $3.7 billion each year for medical care, including children’s dental services for nearly 700,000 qualified recipients.