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Statement Regarding the Benevis and Kool Smiles Settlement with the Department of Justice

Benevis, and its affiliate Kool Smiles, have voluntarily entered into a settlement with the U.S. Department of Justice (DOJ) and various State Attorneys’ General to end the government’s seven-year long False Claims Act (FCA) investigation relating to services provided from 2009 to 2011.

The settlement agreement with the government does not relate to any claims regarding the quality of the dental care provided to patients. Importantly, the settlement does not include any admission or determination of wrongdoing by the companies, their employees or any Kool Smiles dentists.  In fact, the companies strongly disagree with the government’s allegations.

The investigation largely focused on professional disagreements between qualified dentists in determining the appropriate level and cost of the care.  For perspective, the government disagreed with the care provided in less than one percent of the procedures billed during the reviewed period.

The government’s own data, as well as independent, third-party research and analysis conducted by experts, disprove the allegations. A recent study by respected healthcare economists Dobson DaVanzo & Associates found Kool Smiles dentists provided fewer total dental services per Medicaid patient …

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Massachusetts Kool Smiles Dental Offices Surpass $5 Million in Uncompensated Care for Uninsured Children and Families

BOSTON – Leading children’s dental provider Kool Smiles today announced its Massachusetts dental offices have provided more than $5 million in uncompensated dental care to uninsured children and adults since 2005. The uncompensated dental care program has helped more than 55,000 Massachusetts children and families access needed dental care in instances where private insurance or Medicaid did not cover the cost of care and families could not afford to pay out of pocket.

“Ensuring that all children, regardless of insurance status, have access to high quality, affordable dental care is a crucial part of the Kool Smiles mission,” said Dr. Polly Boehnlein, Managing Dental Director for Kool Smiles. “While our doctors are proud to accept a wide variety of insurance plans – including Medicaid, CHIP and TRICARE – we also understand that sometimes insurance doesn’t cover needed services and families cannot afford to pay. We believe it is our moral and professional duty to provide uncompensated care in these situations so all patients can get the treatment they need.”

Despite recent gains in insurance coverage, many communities throughout the …

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Virginia Kool Smiles Dental Offices Surpass $16 Million in Uncompensated Care for Uninsured Children and Families

RICHMOND – Leading children’s dental provider Kool Smiles today announced its Virginia dental offices have provided more than $16 million in uncompensated dental care to uninsured children and adults since 2005. The uncompensated dental care program has helped more than 167,000 Virginia children and families access needed dental care in instances where private insurance or Medicaid did not cover the cost of care and families could not afford to pay out of pocket.

“Ensuring that all children, regardless of insurance status, have access to high quality, affordable dental care is a crucial part of the Kool Smiles mission,” said Dr. Ashley Nichols, Managing Dental Director for Kool Smiles. “While our doctors are proud to accept a wide variety of insurance plans – including Medicaid, CHIP and TRICARE – we also understand that sometimes insurance doesn’t cover needed services and families cannot afford to pay. We believe it is our moral and professional duty to provide uncompensated care in these situations so all patients can get the treatment they need.”

Despite recent gains in insurance coverage, many communities throughout the …

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Texas Kool Smiles Dental Offices Surpass $25 Million in Uncompensated Care for Uninsured Children and Families

AUSTIN – Leading children’s dental provider Kool Smiles today announced its Texas dental offices have provided more than $25 million in uncompensated dental care to uninsured children and adults since 2005. The uncompensated dental care program has helped more than 260,000 Texas children and families access needed dental care in instances where private insurance or Medicaid did not cover the cost of care and families could not afford to pay out of pocket.

“Ensuring that all children, regardless of insurance status, have access to high quality, affordable dental care is a crucial part of the Kool Smiles mission,” said Dr. Diane Earle, Managing Dental Director for Kool Smiles. “While our doctors are proud to accept a wide variety of insurance plans – including Medicaid, CHIP and TRICARE – we also understand that sometimes insurance doesn’t cover needed services and families cannot afford to pay. We believe it is our moral and professional duty to provide uncompensated care in these situations so all patients can get the treatment they need.”

Despite recent gains in insurance coverage, many communities throughout the United …

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Kool Smiles Celebrates Successful Year of Expanding Access to High-Quality Dental Care for Children and Families

ATLANTA – Leading children’s dental provider Kool Smiles today announced a successful and record-breaking year of providing high-quality and compassionate dental care to underserved children and families. Kool Smiles doctors and staff brought smiles to nearly 2 million patients in 2017 while making a positive impact in their local communities through outreach programs and dental health education initiatives.

Here is a look at some of the 2017 highlights:

Kool Smiles doctors provided more than $18 million in uncompensated care to uninsured children and families in 2017. While Kool Smiles doctors are proud to accept a wide variety of insurance plans – including Medicaid and TRICARE – they also recognize that sometimes insurance does not cover needed services, and families may not be able to pay out of pocket for needed care. The uncompensated dental care program helps ensure Kool Smiles’ community children and families receive the dental care they need. Kool Smiles’ dedicated doctors and clinical staff provided free dental care to more than 500 children in need during its annual Sharing Smiles Day, a day of free dental …

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Kool Smiles Surpasses $128 Million in Uncompensated Care for Uninsured Children and Adults

ATLANTA – Leading national children’s dental provider Kool Smiles today announced its dentists have provided more than $128 million in uncompensated dental care to uninsured children and families since 2005. The Kool Smiles uncompensated dental care program has helped more than one million children and adults in 14 states and the District of Columbia access needed dental care in instances where private insurance or Medicaid did not cover the cost of care and families could not afford to pay out of pocket.

“Ensuring that all children, regardless of insurance status, have access to high quality, affordable dental care is a crucial part of the Kool Smiles mission,” said Dr. Dale Mayfield, Chief Dental Officer for Kool Smiles. “While our doctors are proud to accept a wide variety of insurance plans – including Medicaid, CHIP and TRICARE – we also understand that sometimes insurance doesn’t cover needed services and families cannot afford to pay. We believe it is our moral and professional duty to provide uncompensated care in these situations so all patients can get the treatments they need.”

Despite …

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U.S. Children Donate More Than Four Tons of Halloween Candy During Kool Smiles’ 6th Annual “Operation Troop Treats”

National children’s dental provider Kool Smiles today announced more than four tons (8,594 pounds) of Halloween candy collected during its sixth annual Operation Troop Treats, the nation’s largest dentist-sponsored Halloween candy exchange benefiting U.S. service members and their families.

Designed to promote good dental health while giving deployed U.S. troops a “sweet” reminder of home during the holiday season, Operation Troop Treats is a partnership between Kool Smiles and Operation Gratitude that encourages children and families to exchange their Halloween candy for toys at participating Kool Smiles offices nationwide.

The donated candy is shipped in care packages to U.S. troops deployed overseas via Operation Gratitude, a 501(c)(3), volunteer-based organization that produces and sends care packages to U.S. service members deployed in harm’s way, their children, wounded heroes, veterans, new recruits and first responders.

“This program is a win-win for everyone involved, from giving children an incentive to give up candy for a great cause to teaching them about good dental hygiene, all while giving back to those who give so much to us,” said Dr. Dale Mayfield, Chief …

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State Senator Chandler Teams Up with Kool Smiles to Provide Free Toothbrushes to Thousands of Worcester Kids

As part of a back-to-school effort to promote healthy teeth among Worcester youth, Massachusetts State Senator and Majority Leader Harriette Chandler today teamed up with elected leaders, Worcester Public Schools, and Kool Smiles to deliver more than 2,000 free toothbrushes to children at seven Worcester elementary schools.

The toothbrush donations included stops to Vernon Hill School, Elm Park Community, Goddard School of Science, Grafton Street, Canterbury Street Computer-Based Magnet, Lincoln Street, and Clark Street elementary schools, where area leaders talked with students about the importance of preventive dental care – such as daily brushing, flossing and eating nutritious foods – to keep teeth healthy and free of cavities.

School visits were conducted by State Senator Chandler; State Senator Moore; Representatives O’Day, Campanale, Mahoney, Keefe and Donohue; Superintendent Binienda; City Manager Augustus; and dental staff from Kool Smiles. Toothbrushes were donated by Kool Smiles, the Edward M. Kennedy Community Health Center, and the Family Health Center of Worcester.

“The importance of early access to dental care and prevention education cannot be overstated,” said Chandler. “Tooth decay is the leading chronic disease …

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Kool Smiles Donates $8,000 to Indiana University Dental Student Outreach Clinic

Kool Smiles, a leading provider of quality dental care for children and families in Indianapolis, recently donated $8,000 to the Indiana University School of Dentistry (IUSD) to expand service offerings at its Dental Student Outreach Clinic. The donation will help the clinic provide free root canals to Near Eastside adults in need.

The IUSD Dental Student Outreach Clinic opened in 2009 and is run by volunteer dentists, faculty and students from the dental school. The clinic helps an average of 20-25 patients every other Saturday and remains open for 11 months of the calendar year.

Many of the clinic’s patients who required root canals were previously unable to receive them due to cost barriers, faculty said.

“In the past, a lack of consistent funding made it difficult for patients to receive root canals, no matter how badly they needed them,” said Dr. Karen Yoder, a clinic faculty advisor. “We are pleased to finally be able to give members of the Near Eastside community convenient and sponsored access to this service.”

“Kool Smiles is proud to support the Student Dental Outreach …

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Kool Smiles’ 3rd Annual ‘Sharing Smiles Day’ Brings Dental Care to Hundreds of Children Without Insurance Coverage

More than 500 children received needed dental treatments at no cost during Sharing Smiles Day, a national day of free dental care hosted by Kool Smiles on Sunday, May 21.

“We began Sharing Smiles Day in 2015 as a way to bridge the access gap for children without dental insurance coverage,” said Dr. Dale Mayfield, Chief Dental Officer for Kool Smiles. “Kool Smiles is proud to provide dental care to families with various forms of insurance, including Medicaid, but we also recognize there are many children in our communities who do not have adequate dental insurance coverage and whose families cannot afford regular trips to the dentist. This free care day is one of the ways Kool Smiles doctors and staff work to ensure every child has access to high-quality dental care.”

This year’s Sharing Smiles Day event involved the volunteer efforts of more than 700 Kool Smiles dentists and team members who hosted free dental care days at 43 dental offices in 12 states.

Free dental treatments included dental exams, emergency care, extractions, and necessary restorative care. Treatments were …

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