Medical staff who falsely increased the number of dental surgeries to inflate insurance claims have been referred to the prosecution.
The Gwangju Metropolitan Police Agency's Violent Crime Investigation Unit announced on the 28th that they have sent a total of 20 people, including three dentists, one dental hygienist, and 16 patients, to prosecution without detention on charges of violating the Special Act on the Prevention of Insurance Fraud.
They are accused of forging medical certificates and treatment records at six local dental clinics from January 18, 2013, to July 26, 2022, to fraudulently obtain 475.71 million KRW in insurance payments from insurance companies.
Although surgeries were not performed, the treatment records were fabricated to appear as if surgeries had been conducted, deceiving the insurance companies.
In this process, patients received unjust insurance payments ranging from 500,000 KRW to 2.6 million KRW per person, and the clinics benefited from attracting patients.
The police have been investigating for 11 months since receiving a request for an insurance fraud investigation from a local insurance company last year.
They investigated a total of 154 people, including 10 medical staff from eight dental hospitals and 144 patients. Among them, two hospitals (two medical staff and 48 patients) were not charged due to lack of evidence.
The remaining four doctors and 55 patients, totaling 59 people, have been booked and are under investigation.
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