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Billing fraud & false claimsNew in this edition

Queens dentist arrested over allegedly unperformed Medicaid procedures

New York charged dentist Suleman Nasimi and Tooth Fresh Meadows over allegedly unperformed Medicaid procedures, including claims during overseas travel; the charges are unproven.

What happened

New York's Attorney General announced September 28, 2026 the arrest of dentist Suleman Nasimi and arraignment of Nasimi and Tooth Fresh Meadows on separate 40-count felony complaints. The allegations concern more than $300,000 in Medicaid claims for unperformed dental procedures affecting at least 35 recipients from January 2020 through August 2024. Both the procedural posture and the presumption of innocence matter: the announcement reports charges, not a conviction or a final recovery.

Investigators allege that Nasimi billed for root canals and crowns that did not occur, including more than $140,000 in claimed procedures during July 2022 periods when his office was closed and he was in Europe. The release describes an additional patient-access effect: prior claims allegedly caused Medicaid records to show procedures as completed, preventing some patients from obtaining approval for needed care elsewhere. Claim review therefore involves both whether the dentist was available and whether the patient actually received the procedure. Corrections to payment records may also affect access to subsequent treatment; a billing discrepancy is not merely a financial issue.

Scope and timing

Authority status
Pending litigation
Applicability
Operationally relevant
Audience
Health systems, Provider networks
Jurisdiction
New York

Why it matters

False completed-procedure records can both divert payment and block later care, making practitioner availability and patient confirmation important checks.

Case details

agencies
New York Attorney General
entities
Suleman Nasimi, Tooth Fresh Meadows
action Type
Criminal charge
event Date
2026-09-28
alleged Conduct
The September 28 announcement alleges more than $300,000 in Medicaid claims for dental procedures not performed, including dates the dentist was overseas. Charges remain unproven.
resolution
Charges or complaint pending; no determination of guilt or liability.

Operational lessons

  • Match dental claims to signed clinical records and practitioner availability; investigate claims during absences.

Sources

Complete edition and supplemental material

This finding in the complete approved report →

Regulatory horizons, CIA trends and implementation trackers remain in the full report.

Read the entire Enforcement Briefing report →

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