Greensburg woman charged in insurance-fraud case over dental work
By Mark Hofmann
Published: Saturday, Nov. 16, 2013, 12:01 a.m.
A Greensburg woman had charges filed against her for allegedly producing fake documentation for dental-insurance coverage.
Amy Lee Palmer, 38, of 1526 Broad St., was charged on Wednesday with insurance fraud, criminal attempt/theft by deception, theft of services and forgery at District Judge Roger Eckels' office.
According to the complaint, on Feb. 9, 2012, Palmer entered the office of Dental Surgeons and Associates in Scottdale after she called to say she fell at her mother's residence and had extensive damage to her teeth. She told the office she was treated at a clinic but needed additional dental work. She asked if her mother's insurance could cover the costs because the incident occurred at her mother's house.
Palmer was X-rayed and examined. She was told she has sensitive teeth, needed a root canal and has chipped crowns. A mold for a dental bridge was made, and Palmer was prescribed Amoxicillin and Vicodin for pain.
On Feb. 27, Palmer called the office numerous times to request pain medication, but could not receive any more medication unless she came in for an appointment. A doctor spoke with Palmer over the phone and agreed to prescribe Vicodin with no refills as long as Palmer agreed to schedule an appointment.
On the same day, Palmer called the office and threatened to sue the doctor for neglect, but she was told the office was trying to confirm if the insurance would cover her procedure. The office gave her until Feb. 29 to arrive and show paperwork for proof of insurance, but Palmer didn't show up, according to the complaint.
On March 8, Palmer reportedly presented a paper signed by Nakita Jones of Agency Insurance Co. (AIC) indicating that full liability had been accepted and that Palmer's procedure would be 100 percent covered for the $3,500 procedure.
The paperwork was submitted to AIC, which then contacted Dental Surgeons and Associates to inform the practice that the paperwork was fabricated; that there was no Nakita Jones employed at AIC; the policy did not exist; and that it doesn't carry that type of insurance.
The dental office contacted Palmer to inform her the paperwork that she submitted was a fake. Palmer told them she didn't write the letter and was going to have a caseworker with the Department of Welfare attempt to have the bill paid.
After the insurance-fraud section of the Pennsylvania Attorney General's Office started an investigation into the matter in August 2012, Palmer's mother paid the dental office for the surgery in the amount of $2,896.
A preliminary hearing has been scheduled before Eckels at 10:30 a.m. Dec. 12.
Palmer is free on $5,000 unsecured bond.
Mark Hofmann is a staff writer with Trib Total Media. He can be reached at 724-626-3539 or firstname.lastname@example.org.
Show commenting policy
TribLive commenting policy
You are solely responsible for your comments and by using TribLive.com you agree to our Terms of Service.
We moderate comments. Our goal is to provide substantive commentary for a general readership. By screening submissions, we provide a space where readers can share intelligent and informed commentary that enhances the quality of our news and information.
While most comments will be posted if they are on-topic and not abusive, moderating decisions are subjective. We will make them as carefully and consistently as we can. Because of the volume of reader comments, we cannot review individual moderation decisions with readers.
We value thoughtful comments representing a range of views that make their point quickly and politely. We make an effort to protect discussions from repeated comments either by the same reader or different readers.
We follow the same standards for taste as the daily newspaper. A few things we won't tolerate: personal attacks, obscenity, vulgarity, profanity (including expletives and letters followed by dashes), commercial promotion, impersonations, incoherence, proselytizing and SHOUTING. Don't include URLs to Web sites.
We do not edit comments. They are either approved or deleted. We reserve the right to edit a comment that is quoted or excerpted in an article. In this case, we may fix spelling and punctuation.
We welcome strong opinions and criticism of our work, but we don't want comments to become bogged down with discussions of our policies and we will moderate accordingly.
We appreciate it when readers and people quoted in articles or blog posts point out errors of fact or emphasis and will investigate all assertions. But these suggestions should be sent via e-mail. To avoid distracting other readers, we won't publish comments that suggest a correction. Instead, corrections will be made in a blog post or in an article.
- Jeannette dirt bike rider collides with car
- Westmoreland County Controller Balzer, IRS at odds
- Tax refund promise led Ligonier teacher to second career as corgi breeder
- Mt. Pleasant Rotary makes donations to community organizations
- Donegal American Legion Post 941 helps nonprofits
- Mt. Pleasant Area School District looks to hire assistant superintendent
- Hempfield couple charged in thefts
- Yukon Pet Adoption League, founder settle spat
- Penn-Trafford board promotes Inglese
- Greensburg City Council fights zoning board ruling
- Ligonier man charged with harassing estranged wife