Almaty Region dentist convicted for 65.9 million tenge phantom child treatment scheme
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A dentist in Almaty Region has been convicted for illegally obtaining 65.9 million tenge from the Social Health Insurance Fund by submitting false claims for orthodontic treatment of children with congenital pathologies. The Almaty Region prosecutor's office uncovered the scheme, which involved using patients' personal data to enter fictitious services into the medical information system. The court in Konaev ordered full restitution of the damages.
Key Facts
- The Almaty Region prosecutor's office uncovered a scheme that illegally obtained 65.9 million tenge from the Social Health Insurance Fund for fictitious medical services.
- The director of two private dental clinics used patients' personal data to enter false records of orthodontic services for children with congenital pathologies into the medical information system.
- A criminal case was registered under Article 190, Part 4, Clause 2 of the Criminal Code of the Republic of Kazakhstan.
- The court in Konaev convicted the responsible person and ordered full restitution of the 65.9 million tenge damage to the state.
The Fraud Scheme
The Almaty Region prosecutor's office initiated an inspection that uncovered the illegal receipt of 65.9 million tenge from the Social Health Insurance Fund. The director of two private dental clinics used patients' personal data and entered false information into the medical information system about orthodontic services allegedly provided to children with congenital pathologies. Based on these fictitious records, payments were made from the Social Health Insurance Fund, although the services were never actually provided.
Prosecution and Conviction
Following the prosecutor's inspection, a criminal case was registered under Article 190, Part 4, Clause 2 of the Criminal Code of the Republic of Kazakhstan, which covers fraud. The court in Konaev convicted the responsible person, and the damage caused to the state was fully compensated in the amount of 65.9 million tenge. The prosecutor's office did not disclose the name of the convicted person or the specific punishment imposed.