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CA Department of Insurance

Beverly Hills dentist pays more than $780,000 in restitution for insurance fraud

News: 2014 Press Release

For Release: May 16, 2014
Media Calls Only: 916-492-3566
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Beverly Hills dentist pays more than $780,000 in restitution for insurance fraud

LOS ANGELES, Calif. – A Beverly Hills dentist, Tom Kalili, 59, pleaded no contest to insurance fraud and failure to file income tax returns. Kalili was ordered to pay more than $780,000 in restitution and was sentenced to one year in Los Angeles County Jail and five years formal probation.

"This case is a significant success in our fight against healthcare fraud," said Commissioner Jones. "Not only is there one less bad actor on the streets, but those who were owed restitution received it. The conviction of Kalili and subsequent collection of such a large restitution is the direct result of effective multi-agency collaboration."

Kalili was originally arrested in May 2012 following a multi-year joint investigation by the Department of Insurance, the California Dental Board and the California Franchise Tax Board. Kalili owned and operated Beverly Hills Medical Suites, and according to department investigators, Kalili was submitting claims for services not rendered, normally involving emergency dental procedures.

Kalili's former officer manager, Claudia Ventura, 40, pleaded no contest in April to two felony counts of insurance fraud and she is expected to be sentenced on July 11 to 180 days of county jail, 200 hours of community service and five years formal probation.

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Media Notes:

  • No booking photo available.
  • Total loss of $439,000 to insurance carriers.
  • Restitution of $786,021.80 paid by Kalili on April 29, 2014.
  • May 4, 2012 press release

The California Department of Insurance, established in 1868, is the largest consumer protection agency in California. Insurers collect $310 billion in premiums annually in California. Since 2011 the California Department of Insurance received more than 1,000,000 calls from consumers and helped recover over $469 million in claims and premiums. Please visit the Department of Insurance website at Non-media inquiries should be directed to the Consumer Hotline at 800.927.4357. Telecommunications Devices for the Deaf (TDD), please dial 800.482.4833.

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