OKLAHOMA CITY—Robin R. Lockwood, 44, a
dentist from Oklahoma City, pled guilty to committing health care fraud,
announced Sanford C. Coats, United States Attorney for the Western District of
Oklahoma.
Lockwood is a dentist licensed to
practice in the state of Oklahoma and was employed under contract by Ocean
Dental at offices located at 1610 Southwest 74th Avenue, Oklahoma City. Ocean
Dental’s dentists provided dental care to Medicaid-eligible children. The
Medicaid Program is a cooperative program that provides federal and state funds
to pay for health care benefits for individuals with insufficient incomes to
meet the costs of necessary medical expenses. In Oklahoma, Medicaid is
administered as “SoonerCare” by the Oklahoma Health Care Authority (OHCA), a
state governmental agency. Ocean Dental submitted claims to the OHCA for
reimbursement of dentists’ services based on patient treatment notes created by
the dentists. Ocean Dental paid Lockwood a percentage of the funds that OHCA
reimbursed to Ocean Dental for services she personally rendered.
The information alleged that from July
1, 2007 through December 31, 2010, Lockwood engaged in a scheme to defraud
Medicaid by submitting claims for dental services that she did not provide.
Specifically, Lockwood recorded in the patient’s treatment notes that she had
placed dental restorations on certain teeth when, in fact, she had not treated
the teeth at all. On other teeth, Lockwood recorded that she had placed dental
restorations on more surfaces of the tooth than she had, in fact, restored or
recorded that she had placed a dental restoration on the tooth when, in fact,
she had placed on the tooth a type of treatment that is non-reimbursable by
Medicaid. Ocean Dental submitted claims for reimbursement to Medicaid and paid
Lockwood a percentage of those reimbursements. Lockwood used the proceeds of
the fraud for her own personal benefit.
Today, Lockwood pled guilty to the
charges in the information. At sentencing, she faces up to 10 years in prison
and a $250,000 fine. A sentencing hearing will be set by the court in
approximately 90 days.
This case is the result of an
investigation conducted by the Federal Bureau of Investigation, the Department
of Health and Human Services-Office of Inspector General, and the state of
Oklahoma Attorney General’s Office, Medicaid Fraud Control Unit. The case is
being prosecuted by Assistant U.S. Attorney Amanda Maxfield Green.
No comments:
Post a Comment