The Division of Medical Assistance administers the Commonwealth's Medicaid program. During the course of the investigation, consulting dentists examined numerous patients seen by Dr. Sadatrafiei. The patients' recollection of services performed by Dr. Sadatrafiei and the dental reviewers' findings revealed significant disparities between the services performed and the bills submitted by Dr. Sadatrafiei to the Medicaid program. For every patient examined at the dental review, Dr. Sadatrafiei billed for a significantly higher number of fillings than were present in the patient's teeth. The Massachusetts Dental Group maintains offices in Brockton and New Bedford.
Defendants are innocent until proven guilty.
Assistant Attorneys General Elizabeth Foley and James Caruso of AG Reilly's Medicaid Fraud Control Unit are prosecuting the case, which was investigated by Investigator Bernard Vivolo. The billing irregularities were first detected by the Division of Medical Assistance and referred to the Attorney General's Office for investigation.