Former Dentist Sentenced For Fraud

BEVERLY HILLS-A Beverly Hills dentist, Tom Kalili was sentenced and ordered to pay restitution on April 29 for insurance fraud.

 

Superior Court Judge David Horwitz sentenced Tom Kalili to one year in jail along with a restitution payment in the amount of $786,021 and five years of probation, according to Shiara Davila-Morales of the Los Angeles County District Attorney’s Office. He pleaded no contest to one count of insurance fraud and one count of failure to file income tax returns on April 10 in addition to admitting to taking excessive payments totaling over $150,000.

 

The 59-year-old’s former office manager, Claudia Ventura also pleaded no contest on April 10 to two counts of insurance fraud. She is expected to be sentenced on July 11 to 180 days in county jail and 200 hours of community service with a similar five year probation period.

 

Kalili was accused by the Department of Insurance on May 4, 2012 for conspiring to defraud insurers out of hundreds of thousands of dollars, according to a statement from the department. The dentist, who formerly owned and operated the Beverly Hills Medical Suite on 416 North Bedford Drive, was discovered to have submitted billing for services that were never performed to four separate insurers along with falsified medical records to support those phony claims.

 

The investigation by the Department of Insurance, the California Franchise Tax Board and others found that Kalili submitted two fraudulent insurance claims to two different auto insurers. These claims included medical reports that stated he received medical treatments for traffic collisions in three separate years. In addition, the investigation found that he submitted claims on behalf of his son for injuries he supposedly received in 2009. The medical reports for both Kalili and his son were found to be falsely prepared.

 

The suspect originally faced 113 felony counts, while Ventura faced 10 felony counts. According to the district attorney’s office, the total amount that insurers lost to Kalili’s claims was estimated at around $439,000.