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Date: 08-27-2020
Case Style:
United States of America v. Dr. Yun Sup Kim
Case Number: 3:19-cr-30111-SMY
Judge: Staci M. Yandle
Court: United States District Court for the Southern District of Illinois (St. Clair County)
Plaintiff's Attorney: United States District Attorney’s Office
Defendant's Attorney:
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Description:
East St. Louis, IL - The United States of America charged Dr. Yun Sup Kim, age 49, with Medicaid fraud.
The case against Kim arose from a regulatory audit initiated in 2015 after claims data showed Kim
had performed more cavity fillings and surgical tooth extractions than nearly any other dentist in
Illinois. Investigators discovered that from August 2014 through December 2017, Kim had repeatedly
submitted false bills for cavity fillings and surgical tooth extractions. Court records list over
1,300 patients for whom Kim falsely claimed to have performed eight or more cavity fillings in a
single day. Kim conceded in court that he did not actually numb, drill, and fill cavities in those
teeth. Kim further admitted billing simple extractions to Medicaid as if they had been surgical
extractions, which are more expensive, and confessed that he had falsified dates of service on
numerous occasions to evade Medicaid billing rules for dental sealants.
In April, as part of his plea agreement with the United States, Kim agreed to the entry of a
consent decree revoking his license to practice dentistry in Illinois. Kim’s sentence also includes
restitution to Illinois Medicaid and Medicaid managed care organizations in the amount
of
$671,845.20, which Kim has already paid in full. United States District Judge Staci M. Yandle found
these factors mitigating but also emphasized the need for a period of incarceration to deter other
health care practitioners from committing the same offense. Judge Yandle observed that many of
Kim’s Medicaid-eligible patients were physically harmed by his failure to provide them proper
dental care and that Kim had not demonstrated any remorse for his conduct.
Kim was ordered to self-surrender for his prison term on Nov. 13, 2020. A one-year term of
supervised release was also imposed.
The investigation was conducted by the Illinois State Police Medicaid Fraud Control Unit, the U.S.
Department of Health and Human Services – Office of Inspector General, and the FBI.
Assistant U.S. Attorney Nathan D. Stump prosecuted the case.
18:1347 Health Care Fraud
(1-2)
Outcome: Defendant was committed to the custody of the U.S. Bureau of Prisons for 12 months and 1 day on each of Counts 1, 2, and 11, to run concurrently. Upon release, defendant shall be on supervised release for 1 year on each of counts 1, 2, and 11, to run concurrently. Defendant shall pay $300 assessment and restitution in the amount of $671,845.20 (Restitution has been paid in full). Fine in waived in lieu of restitution.
Plaintiff's Experts:
Defendant's Experts:
Comments: