A Cleveland dentist was sentenced to a year in prison and ordered to pay nearly $344,000 in restitution for fraudulently billing Medicaid for more work that was never authorized or done.
Robert Rouzaud, 60, was previously found guilty of healthcare fraud.
He operated Five Points Dental Care on East 152nd Street. Rouzaud submitted claims on behalf of Medicaid recipients for services that were not pre-authorized, as required, and/or not provided. This took place between 2009 and 2015, according to court documents.
For example, Rouzaud billed for an excessive number of fillings on the same teeth, when he had not done fillings, filed claims for fillings on teeth that ha been previously extracted, and submitted claims for fillings on patients who had dentures, according to court documents.
Rouzaud submitted false claims totaling $407,982 for services he did not provide between 2009 and 2015. He was paid nearly $344,000 for these services, according to court documents.