September 28, 2009
Joplin, Mo.- Attorney General Chris Koster said today that Samuel A. Miller, a Joplin dentist, has pleaded guilty to 13 counts of submitting false reimbursement claims to Missouri's Medicaid program for services not performed. Koster represented the State of Missouri in today's court proceeding alongside Jasper County Prosecuting Attorney Dean Dankelson.
Koster said Miller, who works primarily with pediatric patients, received nearly $13,500 from Medicaid for false claims he submitted. He said the fraudulent billing was for procedures such as x-rays, root canals, and resin-based composite restorations.
Koster said Miller came under investigation as a result of a hotline tip to the Attorney General's Medicaid Fraud Control Unit. He said the unit subpoenaed Miller's records, and Miller held back records and even cut off portions of the records to conceal that billed work had not been performed.
"One of my top priorities as Attorney General is to prosecute those who are cheating Missouri's Medicaid system," Koster said. "This kind of illegal conduct denies medical resources that would otherwise be directed to truly needy Missourians. Those who would steal from Missouri's Medicaid system should understand this conduct will no longer be tolerated."
Koster said Miller is charged with a Class D felony, punishable by up to four years imprisonment and a $5,000 fine for each count. The court also may order restitution to the state of the amount defrauded and reimbursement of the costs of bringing the prosecution, plus civil penalties and damages.
Koster said citizens should report suspected Medicaid fraud to the Attorney General's Office Medicaid fraud hotline at 800-286-3932.
Koster commended Prosecutor Dankelson, Assistant Attorney General Gary W. Fleming, and the Joplin Police Department for their work on the case.