Boca Raton Dentist Arrested for $157K Insurance Fraud Targeting Major Carriers

A Boca Raton dentist has been arrested and charged with theft and insurance fraud following an investigation by the Florida Department of Financial Services (DFS). Authorities allege the dentist orchestrated a scheme to defraud three major insurance carriers—MetLife, Delta Dental, and Aetna—by submitting fabricated claims through his dental practice.

The investigation revealed that the dentist and his office manager allegedly manipulated treatment dates, altered dental records, and fabricated procedures that never occurred. Bank records show the fraudulent proceeds, totaling $157,000, were deposited into the dentist’s personal account. Evidence includes dental audit records, bank transactions, patient interviews, and testimony from the office manager, who reportedly admitted to her role in the scheme.

The arrest affidavit details how dental records were allegedly backdated and altered to obscure the fraudulent activity. Additionally, investigators found evidence that the dentist was out of state on dates when certain treatments were purportedly provided. These findings led to multiple felony charges, underscoring the serious consequences of insurance fraud in the healthcare industry.