Connecticut Attorney General George Jepsen is seeking restitution from a dentist and his practice for allegedly violating the Connecticut Unfair Trade Practices Act by illegally billing the Connecticut Medical Assistance Program from April 2002 through October 2009.
According to the complaint, Douglas Macko, DMD, had unlicensed dental assistants perform cleanings and other dental services, then billed the state as if he had performed the services. It also alleges that his company billed for services that were never provided. Dr. Macko is facing allegations of larceny, vendor fraud, health insurance fraud, and medical provider licensing requirement violations.
The state Department of Social Services (DSS) administers the medical assistance program, which includes Medicaid and other programs that pay for medical benefits for low-income and disabled residents. DSS terminated the provider agreement for Dr. Macko and suspended him from the program for 10 years in October 2010.
