CASE NUMBER: 97-09090 ~ RICARDO MARK CARRENO, D.D.S., RESPONDENT, . "ADMINISTRATIVE C COMPLAINT _ os debvery | of Patient S.K.’s dentures. - dentures. At the time of this bi ling, Patient E.C. was a resident at The Laurels Rehabilitation laboratory reline of Patient 8. K.’s ‘dentures. “At eae of the Res Respondent’ s billing, Patient s. K. was a resident at Gulfport Healthcare Nursing Home. "Medicaid paid the Respondent $200 for this billing. 7 7. Onor about J anuary 31, 1994, the Respondent’ s records indicate that he initially examined Patient Ss K. “The ‘Respondent’ s ‘records do not reflect any subsequent fittings or the Patient A. Ss. with resident at Gulfport Healthcare Nursing Home. Medicaid paid the Respondent $514 for this adi aid paid the Respondent $200 for this billing. On or about February 14, 1994, > tbe Responten billed Medicaid $5 14 for 3 tn — Il upper and lower dentures. At the time of this billing, Patient A. Ss. was sa — N at the Respondent $514 for this billing. Ww." Ss dentures, “There R. Ss. was a ‘resident at Spanish Gardens Nursing Home in St. Petersburg, Florida. Medicaid paid espondent’s records indicate that the ee On or about wt September 2: 2, : 1994 the Respondent | billed Medicaid $190 for - ‘Cene in St. Petersburg, Florida. Medicaid paid the Respondent $190 for this is billing ’ “at On ey abs ut Septenbe 22, 1994, the Respondent's s tecords indicate that Patient ut § sfactory,” and that the Respondent recommended - using | denture adhesive or relining the dentures. 22. Onor “about December 8, 1994, the Respondent’s records indicate that the espon ent adjusted Patient C.F.’s lower denture. The Respondent’s records do not reflect that _ “Patient C.F.’s dentu were sent to a laboratory for a re ine. ~ ; Bs On or about September 22, 1994, the Respondent billed Medicaid $514 for fit iting Patient L. N. with full upper and lower dentures. At the time of the . Respondent’ Ss contact, 27. Oa or ‘about Septenber 30, 1994, the Respondent s " Tecords for Patient H. Pa oe indicate that ‘upon initial examination ihe Respondent took upper and dower i impressions for the a dentures. - 28. 7 On or about November 24, 1994, the Respondent’ s records indicate that te , a Respondent conducted the final “yi for Patient H. LP." s dentuces. 29. . “On or about February 10, 1995, the Respondent’ s records indicate that Patiént “— HLP.“was having etpealty with new dentures due to inadequate bone and continuous movement on tongue and mouth ” 30. Ms. : D nna Melton, Social Services Director z at t Good ‘Samaritan Nursing Home ‘ Ravenna that there are no physician s orders for Patient H. P, to wear © dentures, and due to Patient H. P.’s s physical condition Patient EP. is unable t to wear dentures. Patient E.H. with full upper and iar fe sagas At the tine of t the w Recpanaeats contact, burg Nursing Home. Medicaid paid the : informed Investigator Ravenna that Patient H.P. is a “tongue thruster and that Patient i. P. a 60: tantly pushes the dentures out of her mouth. Ms. Melton further advised Investigator ~~ 33. On May 2, +1997, Medicaid Fraud “Investigator Al. ‘Ravenna informed the a Division of Medical Quality Assurance that « on 2 July, 26, 1996. a capias “was “issued on the Respondent in Pinellas County for Medicaid Provider Fraud. _ 34.0 On 2 September 11, 1998, the Respondent entered ‘into a Pre- Tria | Intervention : S fon $ £ _ , : 35. __ Petitioner realleges and incorporates by reference the allegations of fact contained ' ; ; ; in the foregoing paragraphs one (1) through thirty-four (34) as if fully stated herein. 36. Based on the foregoing, Respondent’s license to practice dentistry in the State of filing a report which the license knows to be false, failing to file a a Teport or record required by state or federal law, knowingly impeding or obstructing such filing or inducing another Person to : do so. COUNT at bos ‘in the State of _ Robert G. Brooks, M. D. _ Serer, Deparment of Hgalth Nancy M. Snurkowski - Chief Attorney Agency for Health Care - Administration | COUNSEL FOR AGENCY: | John L. Chaves --» Senior Attorney ee . DEPARTMENT OF HEALTH ~~ Agency for Health Care DEPUTY CLERK Administration. CLERK Vehi RM ~ DATE, 3-/e 3. 009

Docket for Case No: 00-002081