In 2014, 19 dentists were convicted of Medicaid fraud, according to an annual report issued by the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG). More than $4.1 million was recovered from these convictions.
In comparison, 64 physicians and 56 counselors/psychologists were convicted last year. Almost $22 million was recovered from the counselors/psychologists, while more than $52.4 million was recovered from the physicians (see table below).
However, dental fraud only accounted for 0.5% of Medicaid fraud recoveries last year, with $2.26 billion recovered in total. Home healthcare agencies were a particularly notable source of fraud, contributing $193.77 million to the total.
|2014 criminal & civil outcomes by provider type|
|Provider type||No. of convictions||Amount of Recoveries||No. of settlements & judgments||Amount of Recoveries|
|Counselors & psychologists||56||$21,794,328||10||$2,704,387|
|Optometrists & opticians||2||$229,455||3||$1,494,214|
|Physicians or doctors of osteopathy||64||$52,400,623||44||$67,195,597|
The OIG is the designated federal agency that oversees state Medicaid fraud control units, and the report details the results of these units in 2014.