You Should Know: David Harris
by Thomas Giacobbi, DDS, FAGD, Editorial Director, Dentaltown Magazine
David Harris is known in dental circles as the “Dental Fraud
Guru.” In the business of uncovering fraud for more than two
decades, Harris is dentistry’s go-to guy for detecting and investigating
embezzlement in dental practices.
Tell me about Prosperident and providing fraud
detection services to dentists.
Harris: I’ve been investigating embezzlement against dentists
for more than 20 years. Initially, I was doing it on my own,
as part of a larger bundle of services I offered to dentists. Over
time, it began to become a progressively bigger part of my practice,
until eventually it was my entire practice. In 2004, I
brought my now business partner, Bill Hiltz, on board, and we
began to develop the tools and specialized software that we use
to detect and investigate fraud.
Several investigators on our team specialize in a certain type
of software or practice specialty; for example we have one investigator
who only investigates embezzlement in orthodontic practices;
another deals exclusively with Dentrix and Easy Dental,
and so on.
What is your background prior to starting this
business? How did you get started in dentistry?
Harris: I’d like to tell you that I had some master plan.
However, the truth is that I got into dental embezzlement
investigation completely by accident.
Before starting Prosperident in 1989, I was an Army officer,
taught university and did investigations for a multinational
bank. I had left my job at the bank and was
contemplating my future when a friend, who happened to be
a dentist, called me. He thought his receptionist was stealing
and couldn’t think of anyone else to approach. I went to his
office one night and quickly found a duplicate ledger that the
receptionist maintained. The dentist thanked me and I went
away without giving the matter further thought.
A couple of weeks later, I had an appointment with my
own dentist for a checkup. I was about to enter his office when,
through the glass door, I saw the woman whom I’d caught
stealing earlier. She was now working for my dentist. I quickly
found a payphone, and, on a pretext, got through to the dentist.
I told him about the time bomb that was at his front desk.
In a panicked voice, he asked me what he should do. I started
offering some advice, and about halfway through my second
sentence, he told me I was hired. I’ve been catching dental
embezzlers ever since.
What is the most important bit of advice you have
for an office that thinks fraud or theft is happening?
Harris: The biggest mistake that I see dentists make is
that they frequently telegraph their suspicions to their staff.
Conveying suspicions can happen in many ways. The dentist
might start to conduct his or her own (normally clumsy) investigation,
he or she might be spending unusual amounts of time
in their private office with the door closed, he or she might ask
for extra reports from the practice management software,
make a comment to an employee or just act unusually.
The danger with alerting a suspected employee is
twofold; if the dentist’s suspicions are groundless, he or she
will irreparably destroy the working relationship (and probably
relationships with other employees also). Alternatively, if
an employee is stealing and realizes that he or she is about
to be uncovered, the strong urge is to destroy evidence.
Sometimes this takes the form of wiping the computer’s hard
drive and destroying all back-up media; we have also seen
this desire take more sinister forms like arson. At the risk of
making a very self-serving statement, dental fraud investigation
is a job for experts.
You have a company “in the cloud.” How does
that work?
Harris: Our work needs to be conducted in secret in order
to maintain stealth. For this reason, we use cloud-based technology
to access and investigate a dentist’s computer data. This
means it is a very rare situation if we put an investigator onsite.
This also helps to control costs to the dentist, and speeds
our response time. It also extends our geographic reach – we
are currently conducting fraud investigations in the U.S.,
Canada and Australia.
How likely is a dentist to be a victim of fraud? What
statistics are available?
Harris: The true probability of embezzlement will never
be known, because the statistical process requires two active
steps that don’t always happen. First, the fraud must be
detected, and I am certain many embezzlement cases in dental
offices never come to light. If detection does take place, the
dentist must decide to report the fraud, and again this is far
from universal.
The few credible published statistics on the probability of
a dentist being a fraud victim in his or her career offer a range
of between 52 and 59 percent.
I’ll add a few more of our internally generated statistics
to this:
- The average theft from our 2009 case files was
$157,000.
- The minimum seniority for major embezzlers (fraud
<$100,000) was eight years in the practice.
- The average length of time the fraud went on without
being discovered was three years
- The percentage of fraud that was uncovered by some
accidental event was 81 percent. Only 19 percent of all
fraud was uncovered by some planned operation of the
dentist control system.
- The total cost of fraud to U.S. dentists annually is
about $1.1 billion.
Embezzlement against dentists really is an epidemic. It is
both pervasive and damaging.
How does someone contact you if they have concerns?
Harris: Our toll-free number is 888-398-2327, which is
staffed from 8 a.m. to 4 p.m. Eastern Time. We also have a
priority e-mail address – fraud@prosperident.com – that we
check seven days a week. There is also some good information
available on our Web site, www.prosperident.com.
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