Small Smiles Dental Centers is a privately owned US chain of dental offices focused on serving children from low income families thus getting most of their revenues from the government versus services versus health insurance or private payments..  Before January of 2011, their parent company was known as Forba Holdings until they changed the name to the street that they are located in in Nashville, Tennessee, Church Street Health Management (CSHM). Forba holdings started when they bought out the initial owners of the Small Smiles Clinics in 2006

The reason that they most likely changed their name change in 2011 was that in 2010 they agreed to a $24,000,000 settlement with the US Department of Justice the prior year.   Here is small section:

The United States today announced that it has settled False Claims Act allegations against FORBA Holdings LLC, a dental management company that provides business management and administrative services to 69 clinics nationwide known as “Small Smiles Centers.” Under the agreement, FORBA will pay the United States and participating states $24 million, plus interest, to resolve allegations that it caused bills to be submitted to state Medicaid programs for medically unnecessary dental services performed on children insured by Medicaid, which is funded jointly by the federal and state governments. FORBA has further agreed to put in place various remedial measures designed to prevent similar unlawful conduct from occurring in the future.

Looking at their location of their website , they are located in 18 different states and have over 50 locations, they are one of the largest, if not the largest, dental chain in the United States..  In Massachusetts, they have offices in Lynn, Lawrence, Brockton, Springfield, Mattapan and Worcester at 290 Park Avenue.     Reports and stories are everywhere on them on the internet.   Here is one clip after the $24 million settlement:

Evidently they have not learned their lesson, from the Center of Public Integrity, here is a small section:

Update, April 3, 2014: Small Smiles will no longer be allowed to serve patients on Medicaid started Sept. 30, affecting hundreds of thousands of children, the inspector general of the Department of Health and Human Services announced today. CSHM LLL, which owns the management company serving Small Smiles, said it doesn’t plan to appeal the decision, which will bar the company from the Medicaid program for five years.

If a majority of your business is Medicaid and you can not serve their patients anymore, you are out of business.  Since they say that they will not appeal, I can see another name change/reorganization in the future to maintain their relationship with Medicaid between now and September 30th.   This chain has been in trouble for many years going back to the original owner, Michae DeRose, when he started the Small Smiles chain in Colorado before he sold it off to FORBA in 2006 and they have been able to survive and thrive.   It will be interesting to see their strategy over the next 5 months to keep their largest block of customers, medicaid.

One last link to read from the Dentist the Menace blog.