Dr. John Durmon, 59, a Warren dentist, has been charged with two counts of Medicaid fraud for submitting more than $185,000 fraudulent Medicaid claims.
A news release from the attorney general’s office said Medicaid fraud investigators had found he’s falsified records to support the claims. According to a news release:
In one charge, Durmon submitted 2,557 claims for X-rays for 85 Medicaid recipients from October 2016 through December 2017. Records indicate Durmon had not properly taken, developed, used or maintained X-rays as required by Medicaid program regulations. Durmon was paid a total of $153,077.95 for the claims.
In the second charge, Durmon submitted 637 claims for various dental services, including extractions, amalgam and resin composite fillings for 33 Medicaid recipients from September 2015 through December 2017. Records indicate Durmon charged the Medicaid program for those services, but the services were not provided. Durmon was paid a total of $33,383.05 for the claims.
Medicaid fraud occurs when providers use the Medicaid program to obtain money to which they are not entitled. To report Medicaid fraud or abuse or neglect in