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A dental license attorney can assure full assistance regarding cases against an insurance company because any dentist needs to have a proper record of all their tasks done when the patient was insured. It’s a well-known fact that insurance companies also need to be responsible for handling such matters to guarantee that they are also assisting the dentists in their career, and not only the condition of the patient.

However, if the dentist fails to hire a dental license attorney, then the dentist is oftentimes the one who may get compromised. One such incident happened on or about December 9, 2008 to April 23, 2010 when the dentist failed to meet the duty of fair dealing while failing to comply with the federal or state laws that may regulate an insurance business.

The dentist also failed to show professional conduct while at work because she billed and received payment from the patient’s insurance company by contacting them. However, it appears that the dentist never performed any work to the patient. Additionally, the dentist did not refund the patient’s insurance company after the patient found out this issue, whereas the dentist was not responding promptly for the refund requests.

The Texas Board of Dental Examiners took notice of this issue and advised the dentist to send radiographic and clinical records of the patient for inspection. However, the dentist did not comply with the orders and was not able to attend the hearing regarding the case filed against her as well.

Therefore, the Board decided to revoke her license instead. The Texas Board of Dental Examiners also has jurisdiction regarding cases that may involve an insurance company. Additionally, the Texas Administrative Code, specifically Chapter 108 provides for the violations:

(1) Criminal conduct–including but not limited to conviction of a misdemeanor involving fraud or a felony under federal law or the law of any state as outlined in Chapter 101 of this title.

(2) Deception or misrepresentation–engages in deception or misrepresentation:

(A) in soliciting or obtaining patronage; or

(B) in obtaining a fee.

(3) Fraud in obtaining a license–obtains a license by fraud or misrepresentation or participates in a conspiracy to procure a license, registration, or certification for an unqualified person.

(4) Misconduct involving drugs or alcohol–actions or conduct that include, but are not limited to:

(A) providing dental services to a patient while the licensee is impaired through the use of drugs, narcotics, or alcohol;

(B) addicted to or habitually intemperate in the use of alcoholic beverages or drugs;

(C) improperly obtained, possessed, or used habit-forming drugs or narcotics including self-prescription of drugs;

(D) grossly over prescribes, dispenses, or administers narcotic drugs, dangerous drugs, or controlled substances;

(E) prescribes, dispenses, or administers narcotic drugs, dangerous drugs, or controlled substances to or for a person who is not his or her dental patient; or

(F) prescribes, dispenses, or administers narcotic drugs, dangerous drugs, or controlled substances to a person for a non-dental purpose, whether or not the person is a dental patient.

(5) Assisting another in engaging in the unauthorized practice of dentistry or dental hygiene–holds a dental license and employs, permits, or has employed or permitted a person not licensed to practice dentistry to practice dentistry in an office of the dentist that is under the dentist’s control or management.

(6) Failure to comply with applicable laws, rules, regulations, and orders or remedial plans–violates or refuses to comply with a law relating to the regulation of dentists, dental hygienists, or dental assistants; fails to cooperate with a Board investigation; or fails to comply with the terms of a Board Order or remedial plan.

(7) Inability to practice safely–is physically or mentally incapable of practicing in a manner that is safe for the person’s dental patients.

(8) Discipline of a licensee by another state board–holds a license or certificate to practice dentistry or dental hygiene in another state and the examining board of that state:

(A) reprimands the person;

(B) suspends or revokes the person’s license or certificate or places the person on probation; or

(C) imposes another restriction on the person’s practice.

(9) Failure to comply with Medicaid, insurance, or other regulatory laws–knowingly provides or agrees to provide dental care in a manner that violates a federal or state law that:

(A) regulates a plan to provide, arrange for, pay for, or reimburse any part of the cost of dental care services; or

(B) regulates the business of insurance.

(10) Improper delegation–improperly delegates any task to any individual who is not permitted to perform the task by law, this chapter, or practice restrictions imposed by Board Order.

(11) Unprofessional conduct–engages in conduct that has become established through professional experience as likely to disgrace, degrade, or bring discredit upon the licensee or the dental profession.

So if you’re facing a case against the Board due to misuse of a patient’s insurance company to receive payment, it’s best to seek the right dental license attorney if you have a good defense and evidence to show. To begin, it’s best to contact dental license attorney Yong J. An by dialing (832) 428-5679 for legal consultation.