Small Smiles Dental Centers

**Small Smiles Dental Centers** (called **Church Street Health Management** and previously called **FORBA**) is a company that manages dental offices in the United States for poor people. Small Smiles has 70 centers in 22 states and Washington, DC. It has its headquarters in Nashville, Tennessee. The clinics are called many names, including **Children's Dental Clinic**, **Indian Springs Dental Clinic**, **Oklahoma Smiles**, **Small Smiles Dentistry**, **Texas Smiles**, and **Wild Smiles**.

## History

The clinic comes from a dental clinic in Pueblo, Colorado that was started in 1928. The DeRose family and Dr. William Mueller owned the company.

In 2003 Michael DeRose, one of the DeRoses, bought a very expensive house in Pueblo for $3.4 million. When they owned the clinics, they put children in "papoose boards" to stop them from moving so they could quickly do dental work. The State of Colorado made a law to limit how much they could use the papoose boards. The offices also did lots of dental work on the children and put a lot of crowns on the children's teeth, so the Colorado government said that the clinics could only place a specified number crowns for each day. In 2006 the DeRose family sold the company to new owners.

In 2007 a news reporter named Roberta Baskin filmed the inside of a Small Smiles clinic. The film showed children screaming as the dentists did work on them, as the children were held in papoose boards. The main dentist said that, in one time, they often did six or more baby root canals on a child. He also said the clinic had goals to do a certain amount of dental work so the clinic could make money. The news report went on television and people began filing lawsuits against Small Smiles. A woman from Kentucky named Debbie Hagan started a blog that was against Small Smiles and what it did. Journalists and people from the New York State government talked to Hagan to learn about what was happening. On November 14, 2008, Small Smiles sued Hagan, saying that she published their documents without their permission. On April 16, 2009 the company stopped the lawsuit.

The US government filed a lawsuit against Small Smiles for cheating it of money that was to be spent on dental work for poor children. Small Smiles agreed to pay $24 million to the US government so the lawsuit would be ended. In February 2012 Small Smiles asked for Chapter 11 Bankruptcy Protection.

## Related pages

- All Smiles Dental Centers
- ReachOut Healthcare America

## Other websites

- Small Smiles Dental Centers website
- Church Street Health Management website
- U.S. Department of Health and Human Services
    - "CORPORATE INTEGRITY AGREEMENT BETWEEN THE OFFICE OF INSPECTOR GENERAL OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND FORBA HOLDINGS, LLC." ( )
    - March 13, 2012 amendment( )
    - May 15, 2012 amendment( )
- WJLA-TV "ABC 7 TEAM Investigation: Small Smiles Dentistry."
    - "I-Team: Small Smiles." Monday November 5, 2007.
    - "I-Team: Investigation Changes Dental Care Procedures in Maryland."
- Letterfrom United States Senator Chuck Grassley ( )
- Colorado State Board of Dental Examiners
    - "Before the State Board of Dental Examiners State of Colorado Case No. 2004-000131 Cease and Desist Order To: Edward DeRose, D.D.S.." ( )
    - "Before the State Board of Dental Examiners State of Colorado Case No. 2004-000132 Cease and Desist Order To: Michael DeRose, D.D.S.." ( )
    - "Before the State Board of Dental Examiners State of Colorado Case Nos. 2005-001705, 2006-00302 Stipulation and Final Agency Order." ( )
- Dentist the Menace - Debbie Hagan's blog