Delta Dental refuses to pay for ABQ dentist’s insurance claims
May 23, 2017 07:03 AM
ALBUQUERQUE, N.M. — Delta Dental of New Mexico is refusing to allow Albuquerque dentist William Gardner back into their provider network after state investigators probed Gardner over allegedly altering x-rays and causing patients pain.
In April, 4 Investigates discovered dozens of patient complaints filed with the state as well as X-rays that investigators believe Gardner’s office altered.
Friday, Gardner had a hearing with the attorney general’s office regarding a complaint a former patient filed with the Board of Dental Health Care and the Dental Hygienist Committee. Because there were so many witnesses — a patient, state regulatory employees and dental staff — the May 19 hearing will have to be continued in July.
Though Gardner still has a license to practice, Delta Dental of New Mexico is refusing to let him back on the network. Delta Dental is the country’s largest dental insurance carrier, covering nearly 60 million people.
"As long as our CEO is in charge, it will be no," said John Martinez, a Delta Dental of New Mexico spokesperson.
The links below will take you to other 4 Investigates stories about Gardner:
- State drills dentist for allegedly poor procedures, overbilling
- More patients allege dentist overbilled, caused pain
- Dentist penalized by dental board still on VA provider network
At a New Mexico Dental Board hearing earlier this year, 4 Investigates asked Gardner how he felt about being pushed out of the Delta Dental of New Mexico network. Gardner believes Delta owes him.
“That was my lawsuit to them,” Gardner said. “They have not paid my claims."
4 Investigates learned Gardner is opening a new location in the 8000 block of Central Avenue near the International District. Signs at the construction site say the office accepts Tricare military health insurance and other private insurance providers. The phone number and website on the construction site signage reveals Gardner will be working at the Central Avenue location.
Delta refuses to let Gardner back on their network.
"We're putting patients at risk by performing unnecessary procedures,” Martinez said.
Updated: May 23, 2017 07:03 AM
Created: May 22, 2017 08:07 PM
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