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More Smile Center complaints

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Updated: 2/23/2011 4:39 pm
SAN ANTONIO - More parents of The Smile Center patients are coming forward with complaints about how the chain of dental clinics in San Antonio treated their children. The Smile Center has earned millions by targeting children on Medicaid.

More than a dozen parents have contacted News 4 WOAI Trouble Shooter Brian Collister since his investigation into The Smile Center first aired in February. Parents complained about dental treatments they said left their children in pain. But it's a photograph of Robert Hernandez’s son that will break your heart.

“The swelling wouldn't stop. It kept going,” said Hernandez.

Robert said he took the picture of his seven year old son Jake several days after his appointment at The Smile center on Southwest Military Drive last September. Hernandez says a dentist there put silver caps on several of Jake's teeth. But some of those caps fell out and that's when the infection started that made Jake’s face swell up like a balloon.

"I was devastated. I really didn't care about anything but him being ok,” said Hernandez.
A photo of seven-year-old Jake several days after his appointment at The Smile Center. His father says a dentist there put silver caps on several of Jake's teeth. But some of those caps fell out and that's when the infection started that made Jake’s face swell up like a balloon.
A photo of seven-year-old Jake several days after his appointment at The Smile Center. His father says a dentist there put silver caps on several of Jake's teeth. But some of those caps fell out and that's when the infection started that made Jake’s face swell up like a balloon.
Jake was in Santa Rosa Children's Hospital for four days. His mother, Jodie Hernandez, was by his side during the whole ordeal.

“I was upset to see him in so much pain. I was upset to see them in the hospital putting needles in my son. Having to do surgery. Them saying he might be blind if the infection would get into the blood stream of his eyes,” said Jodie.

Jake is ok now, playing like a normal seven year old after the infected tooth was surgically extracted. But now his parents are dealing with their five year old daughter Jade Lynn who also had work done at The Smile Center. She was prescribed antibiotics because of an infection after one of her caps fell out.

“This doesn't need to be happening to these kids just for profit or whatever it is that's going on, you know,” said Robert Hernandez.

The Hernandez's and several other families called us after watching our recent investigation into The Smile Center. That investigation uncovered other children with mouths full of silver caps that were falling out and infections.

Since then former employees of the dental chain, like Tiffany Tetmyer, came forward.

“It was terrible. We would hear screaming and screaming and screaming. They told us it was the normal reaction to the sedation they gave them, but it was just terrible, the screams,” said Tetmyer.

Tiffany said she heard those screams while working at several Smile Center locations over the past year. She says the children were strapped down in something called a papoose board. Their mouths were numbed but they were still awake while the dentist drilled down their teeth to cap them. After the procedures, Tiffany said many parents came back.

“They would come back with complaints. Several times the caps would fall off, and fall off and fall off, and a lot would come back and complain their child’s lips were really swollen,” said Tetmyer.
Tiffany's says her primary job was recruiting patients. She spent months soliciting patients at shopping centers, like a Smile Center employee we found near a WIC (Women Infants Children) office.

“They wanted us to mainly target Medicaid patients because they cover all of the dental.

We had a quota of 20 appointments a day. We had to get 20 appointments. If we got less than 10, they threatened us with a write up,” said Tiffany.

Tetmyer gave us copies of write ups she said she got when she didn't book enough patients.

But that doesn't seem to have hurt the Smile Center's bottom line. As we reported, The Smile Center locations around town have made $26 million off Medicaid since 2007.

According to Tiffany, everyone at The Smile Center gets bonuses.

“The office has a daily quota they have to reach and I believe depending on the dentist and the day it ranges from $7,500 to $12,000. And if we hit that goal they would give us a bonus check every month. And it would range from $200 to $600,” said Tetmyer.

Tiffany said she called us because she feels bad about what's happening at The Smile Center.

“I referred a lot of those children there and they were hurt because I said it was a good place to go and I was wrong, and I don't want anyone to feel the pain those children suffered any more,” said Tetmyer.

We've confirmed investigators for the state agency that administers Medicaid do have an open case involving The Smile Center. Also, several parents we interviewed hired attorneys.

We contacted the Smile Center’s attorney about these latest allegations but they have not responded. Click here to see their response to our original story.

If you have a problem with a dentist contact either the Texas State Board of Dental Examiners or the Office of the Attorney General Medicaid Fraud Control Unit

PO Box 12307
Austin, Texas 78711-2307
(512) 463-2011
(800) 252-8011 (Main agency switchboard)
mfcu@oag.state.tx.us
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The views expressed here do not necessarily represent those of News 4 WOAI (WOAI.com)

SannyEnriquez - 4/2/2012 12:56 AM
0 Votes
levelheadedRN: Infections DO spring up that fast after caps fall out!

Phalenopsis10 - 3/10/2011 10:59 AM
1 Vote
I'm shocked that this is happening. I took my 6 yr old daughter to the smile center off blanco and 410 and she had some work done there over a few visits in December and January. On the one visit where she had most of the work done I was saddened by seeing my daughter strapped in this board thing they use while she's screaming and yelling and moving around while they're doing the work on her. I also remember hearing kids scream while there. These pple get Alot of business and they don't seem to be doing the work correctly. I'm never taking my daughter there again. I hope the smile center chain gets what they deserve.

coldheartedB - 3/10/2011 10:10 AM
1 Vote
Listen LEVELHEADED RN, it is a scam I took my son there last month. I had not heard of what is going on. Well, the Smile Center told me my son had 6 cavities and needed treatment. I was shocked I have NEVER had a cavity nor my 13 year old. I went to get a second opinion,and glad I did. My son has no cavities,only needed a cleaning. WOW!! The new dentist staff informed me about the investigation. I also reported it. I also heard lots of screams and saw a lot of sadated kids there.

getitrightinsa - 3/7/2011 5:00 PM
0 Votes
britturt, thank you for the information. You're right it is the same scam, just a different name. They know exactly what they're doing, just moving from state to state, changing names. It's all a money making scam! And its all about business investors! Money, money, money and only money.

satx82 - 3/1/2011 12:19 AM
0 Votes
I had a similar experience with South Texas dental and Kool Smiles who both wanted do excessive amounts of work which they couldn't explain and wanted to do these procedures over 4-5 visits. Luckily, we found Dr. Watkins with A Bright Smile for Kids (on Zarazamora)who refuses to use those ugly silver caps. It took only two sessions and the entire staff including Dr. Watkins were amazingly friendly and effecient and my daughter was so at ease with them. I was totally impressed with the quality of the work they did! Please stay away from these other places, your kids are too precious to be wasting your time elsewhere!

FunnyGirl - 2/27/2011 10:56 PM
0 Votes
daddygirl35, I would make sure that you report what has happen to your daughter to the correct people. britturt, Maybe this dental office should be on 20/20 since more and more people have the same issues.

britturt - 2/26/2011 5:59 PM
0 Votes
The 20/20 case was in N. carolina and the company was called Small Smiles and they settled in late 2010 for 24 Million.

britturt - 2/26/2011 5:48 PM
0 Votes
This is the same dental company that was featured on 20/20 or one of those shows a year or two ago. I don't remember which state the complaints were from but it was a huge case and news story. They were also targeting medicaid patients. In fact the story here in San Antonio is a carbon copy of those cases.

daddygirl35 - 2/25/2011 6:32 PM
1 Vote
I never knew this was going on, I took my daughter to the smile center on Blanco and loop 410 and they put caps on her teeth which fell off the next week.. I called and complained to the office and they told me to bring her in and they would fix the problem. they put a new cap on and this time I noticed that they used an excessive amout of glue, that now covers her tooth and looks very ugly. She started complaining that the cap was again loose and I am fed up with the horrible service this company is giving. I will never take her back there again.

getitrightinsa - 2/24/2011 2:39 PM
1 Vote
mindi, mindi, mindi how much more do you need to hear? Missing the point? Please listen, yes caps fell off, yes lots of bacteria, and not because of children not brushing their teeth. So simple, because of the negligence of the dentist. Oh, and levelheadedRN, I suppose, you need to have WRITTEN MEDICAL DOCUMENTATION, from these children's physicians treating the infections, because it can be provided, since watching this child's face is not enough for levelheaded people as yourself. NO LOTTERY NEEDED HERE, just honest reputable dentist! Never too late to come forward. Not in these situations.
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