Wisconsin dentist responsible of detrimental tooth in insurance coverage fraud scheme

Scott Charmoli, 60, faces up to 20 years in prison, in the health care fraud case for intentionally damaging his patients' teeth. His sentencing is scheduled for June 17.

A former Jackson dentist has been convicted of well being treatment fraud linked to his substantial charge of crowning patients’ enamel, quite a few of them unnecessarily.

Prosecutors explained Scott Charmoli, 61, of Grafton, intentionally damaged enamel right before he did the get the job done, so the ensuing crown would be lined by coverage.

Charmoli connected extra than 1,600 crowns about a 20-month period of time. An government with an coverage company testified that, on regular, Wisconsin dentists put in much less than six crowns per 100 people, but that in 2019, Charmoli’s fee exceeded 32 for each 100 individuals.

The scheme was exposed right after he bought the apply in 2019, and the new owners understood just after reviewing documents the crown numbers were way out of the ordinary.

Charmoli was indicted in late 2020 on eight counts. After a four-day demo in Milwaukee federal court, a jury discovered him guilty on 7 counts — 5 fraud charges similar to 4 clients, and two rates of earning phony statements connected to two of the exact same sufferers.