BOSTON (Legal Newsline) — Massachusetts Attorney General Maura Healey has announced Dr. Ekaterina Mamulashvili will pay $650,000 to the state’s Medicaid program (MassHealth) because of allegations of improper fraudulently billing at her dental offices.
The settlement resolves allegations that span 2007 to 2012. According to the allegations, Mamulashvili and her professional dental practices frequently and improperly used multiple oral examination codes to bill MassHealth for services received by the same patients on the same day.
“We allege this dentist knowingly and frequently overbilled MassHealth by improperly using multiple oral examinations codes in violation of state law,” Healey said. “This settlement will provide restitution to MassHealth, and will ensure that taxpayer dollars are used to benefit members, not to enrich providers.”
Outside of the monetary restitution to MassHealth, Mamulashvili and her employees must review and comply with all applicable state and federal statuses, as well as all regulations governing participation in MassHealth, the state said.
The entire matter came about after an audit uncovered concerns about Mamulashvili’s billing practices. An audit of dentists by the Massachusetts state auditor also found issues with billing for oral examinations.