BROOKFIELD, CT — A Brookfield dentist has settled an $82,500 civil False Claims Act lawsuit with the state.
Dr. Rawa Hassan was accused in the suit of overcharging for dental restoration fillings the state alleges she did not provide.
The Office of the Attorney General began its investigation after receiving a fraud referral from the Department of Social Services’ Office of Quality Assurance. State investigators developed substantial evidence that between July 2010 and May 2017 Hassan repeatedly overcharged the Connecticut Medical Assistance Program for dental work she did not perform, according to a news release from the Attorney General’s Office.
Specifically, the suit claims Hassan submitted bills to the State Medicaid Program for multi-surface fillings that she either did not perform or the actual work performed was more limited and less expensive than that identified on the claim.
In numerous cases, the amount of work performed during the length of the scheduled appointment was not credible, according to the Attorney General’s Office.
“For example, in one instance, Hassan billed CMAP for 19 fillings, an oral exam and a teeth-cleaning all in a single 75-minute appointment. In another instance, Hassan billed CMAP for 14 fillings, an oral exam and a teeth cleaning in a single 45-minute appointment,” according to the news release.
In total, investigators claim that Hassan submitted 15 false claims to the CMAP on behalf of nine patients for a total of 72 restorations that were never rendered to the patients. The alleged overcharges totaled approximately $6,500.
“Dr. Rawa Hassan engaged in a pattern of submitting false claims to the state’s Medical Assistance Program and received thousands of dollars for dental work she did not perform. The Office of the Attorney General takes seriously our obligation to safeguard our public healthcare programs, and we will take strong action against any provider who abuses the public trust,” said Attorney General Tong.
“Providers who engage in false claims continue to be subject of investigation and enforcement action. While they do not typify our enrolled dental and medical providers overall, this settlement again demonstrates the need for vigilance in safeguarding the integrity of taxpayer-funded health care,” said Department of Social Services Commissioner Deidre S. Gifford.
The DSS is the administering agency for Medicaid.