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Tuesday, June 30, 2015

Accused of Shoddy Work and Bilking Medicaid, Feds Seize Cleveland Dentist's Records

Posted By on Tue, Jun 30, 2015 at 12:22 PM

A Cleveland dentist is currently under investigation from the United States Health and Human Services, suspected of healthcare fraud for signficantly charging Medicaid for work he doesn't do.

The Five Points Dental Center office, located in a strip mall in the Collinwood neighborhood, was raided on June 18, with feds seizing things like invoices, medicaid forms, appointment logs, financial records, and bank statements written in Hebrew.

The investigation is solely on dentist Robert Rouzaud who, according to the affidavit by an HHS special agent, is the sole employee of the office. He books the appointments, handles all the record-keeping, and performs all the procedures by himself and the office that was described as unorganized and unsanitary (read the full affidavit below). 

According to the affidavit, Rouzaud would routinely bill Medicaid for services that don't require pre-authorization — like tooth fillings — while actually doing procedures that required it, like dentures, bridges and pulling teeth. Between December 2010 and May 2014, Rouzaud deposited more than $1,225,219 from Medicaid into his bank account, it says. He'd routinely bill for fillings on the exact same tooth for a number of patients. 

The HHS special agent interviewed some of Rouzaud's patients and they described shoddy work done in unsanitary conditions that led to untreated open wounds and subsequent infections.

Investigators set up a surveillance camera on a pole outside of the office, and it showed he was the only one working there. He'd often not show up at all, and when he did, it was at random hours. 

Rouzaud has previously been in trouble with the Ohio State Dental Board, which found in 2002 that the dentist was not using FDA-approved devices and was not properly sterilizing the devices between patients.  In 2005, the board found that he failed to diagnose, treat decay and lesions, failed to provide preventative treatment, and overbilled, among other charges. In 2003, Rouzaud settled with the US Department of Justice for $15,000 because of unnecessary Medicaid billing.

Rouzaud has not been charged yet, but here's the affidavit that led to his office getting raided last week: 

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