Dr. Yun Sup Kim of St. Louis is under federal indictment for allegedly defrauding Illinois Medicaid out of hundreds of thousands of dollars from his dental office in Swansea, Illinois, reports the United States Attorney’s Office of the Southern District of Illinois. The 20-page indictment charges Kim with 12 counts of healthcare fraud and one count of wire fraud in connection with his dental practice.
According to the indictment, from September 2014 through the end of 2017, Kim repeatedly billed Illinois Medicaid for cavity fillings and surgical tooth extractions he never performed. The indictment outlines the experiences of 10 former patients, including several where Kim allegedly claimed to have filled cavities on more than half the patient’s teeth in one sitting.
The indictment charges those claims were false and alleges that, in many instances, the teeth Kim claimed to have filled never had cavities to begin with. Kim also is accused of falsifying dates of service on numerous occasions to evade billing rules involving reimbursements for dental sealants.
On one occasion in 2016, the indictment alleges that Kim billed Illinois Medicaid for a dental exam, fluoride treatment, and tooth cleaning on a 10-month-old girl who was not a patient and only had two teeth at the time. This indictment is the subject of the wire fraud count, which alleges that the claims were fraudulent and the services never actually rendered.
Kim is due in federal court for his initial appearance on September 12. A trial date has not been set. Each charge of healthcare fraud is punishable by up to 10 years in prison and a $250,000 fine. The wire fraud count carries a 20-year statutory maximum prison term. Supervised release on each count is capped at three years. The indictment also seeks forfeiture of more than $700,000 in fraudulent proceeds of the charged scheme.