Lin

Lin v. State of California

Good Law
2000 Cal. App. LEXIS 147·2000 Daily Journal DAR 2235·78 Cal. App. 4th 931·93 Cal. Rptr. 2d 88·2000 Cal. Daily Op. Serv. 1633
Court of Appeal of CaliforniaFebruary 8, 2000G023019California1,514 words

Opinion

Opinion

Sills, J.

James Lin, doing business as Southland Dental, Cathy Chou, and Monica Bhandari (appellants) are licensed dentists who were aggrieved by the State of California, California Department of Health Services, and the California Medi-Cal Dental Program’s (respondents) regulation of their Denti-Cal patients. They contend respondents’ regulation failed to comply with an applicable statute and respondents denied them the right to an administrative hearing. Our review of the record and the underlying proceedings finds no constitutional or statutory support for appellants’ grievances; we therefore affirm the judgment.

Facts

Appellants are approved Denti-Cal providers, 85 percent of whose practice consists of Denti-Cal patients. The majority of the dental services appellants provide to their patients are fillings. Respondents notified appellants by letter that they were required to obtain prior authorization for restorative services (fillings), and that failure to do so would result in denial of payment for services rendered. Examinations and X-rays were not affected by the letter and therefore did not require prior authorization. Respondents examined appellants’ billing activities…

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