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Zukoski v Forba

Zukoski v Forba

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Published by Law Med Blog
Zukoski v Forba
Zukoski v Forba

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Published by: Law Med Blog on Sep 24, 2012
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STATEOF NEW YORKSUPREMECOURTCOUNTYOF SCHENECTADY
Shawn Zukoski,Plaintiflvs.FORBA,LLCnlkla LICSAC,LLC; FORBANY, LLCnlklaLICSACNY, LLC; DD Marketing,Inc.;DeRoseManagement,LLC;Small Smiles Dentistryof Albany,LLC;Albany Access Dentistry,PLLC;Daniel E.DeRose;Michael A. DeRose,D.D.S.;EdwardJ.DeRossD.D.S.;Adolph R. Padula,D.D.S.;William A.Mueller,D.D.S.;MichaelW.Roumph;Maziar Izadi,D.D.S.;Evan GoldsteiruD.D.S.;udithMon, D.D.S.,Defendants.
COMPLAINTIndexNo.
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,,THdf,
Plaintiff,ShawnZukoski,by and through hisattorneys, asand for acomplaintagainst the defendants,alleges thatat all times hereinaftermentioned:
PRELIMINARYSTATEMENT
1..In 2010, top lawenforcement officialsfrom the DepartmentofJusticeandrepresentativesof numerousstategoverrunents(includingNewYork),announced thatthey haduncovered a nationwideschemedirectedat infantdentalpatientsandthe Medicaidsystem. A dentalclinicchain knownas "SmallSmiles",operating in twenty-twostatesincludingNewYork-performedunnecessary, nappropriate,unsafe and
 
excessivedentalproceduresonyoungchildren.Itreceivedhundredsofmillionsof taxpayerdollars.2.Thisis anactionbyoneindividualresidinginschenectadyCounty.Between2005and2007whentheplaintiffwasaminor,hesuffereddamagesand lossfromthesmallsmiles'scheme,andtheresultingimproperdentalcarehereceived,ata dentalclinicinColonie,NewYork("theColonieClinic").
FEDERALANDSTATEACTIONSAGAINSTTHEFRAUD
3.Thesmallsmilesdentalclinicchain(hereinafter,,smallsmiles")was,at alltime+operatedanddirectedbyaunifiedandjointlycontrolledgroupofcorporateentities.on orbeforeSeptember26,2006thesecorporateentitiesweredefendantsFORBA,LLC,nlklaLICSACLLC,FORBANY LLC,nlklaLICSACNy LLC,DDMarketing,Inc.,andDeRoseManagemenfLLC,(collectivelyreferredto hereas-oldFORBA").onor afterseptember26,2006,hesecorporateentitiesweredefendantsFoRBAHoldings,LLCnlklaChurchstreetHealthManagemen!LLCand FoRBANyLLC(collectivelyreferredtohereas"NewFORBA)."Allsixcorporateentitiesarecollectivelyreferredtohereas"FORBA".4.Inlate2007and2008,formeremployeesatsmallsmiles,clinicsinMaryland,virginia,andsouthCarolinafiledwhistleblowerlawsuitsinwhicheach,ndependentlyand underseal,allegedthatduring
 
2007and2008NewFORBAwascommittingMedicaidfraudbyabusingsmallchildren.5.Inlate2007,theUnitedstatesDepartmentofJustice,alongwiththeFederalBureauofInvestigationandtheNationalAssociationofMedicaidFraudcontrolUnits,commencedanationwideinvestigationoftheFORBAoperation.6.TheNewyorkofficeofMedicaidInspectorGeneral,withtheNewYorkstateAttorneyGenerarandtheNewyorkofficeofProfessionalDiscipline,investigatedtheFORBAclinicsoperatinginNewYork.7.TheUnitedstatesDepartmentofJusticeandthestateofNewYorkallegedthatFORBAbilledMedicaidfordentalservicesthatwereeitherunnecessaryorperformedinamannerthatdidnotmeetprofessionallyrecognizedstandardsofcare.8'Thegovernmentinvestigationstookapproximaterytwoyears.InJanuary201eNewFORBAagreedtopay$24miniontotheunitedstates,including$1.15millionforthestateofNewyork,asaresultofthefraudscheme.NewFoRBAalsoagreedtopay$2.3miniondirectlytothestateofNewyork,includingasubstantiarsumforfraudulentbillingsthattookplacebeforeseptember2005.9.TheunitedstatesDepartmentofJusticedescribedFoRBA,sschemebystating, "[i]llegalconductlikethisendangersachild,swell_being,distortsthejudgmentsofhealthcareprofessionars,andputscorporateprofitsaheadofpatientsafety',and,,wewillnottolerate

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