Bhatt
Bhatt v. State Department of Health Services
Opinion
Opinion
Todd, J.
Appellant Shaileshkumar Bhatt appeals from the judgment denying his petition for writ of administrative mandamus following an audit of his dental practice by respondent the Department of Health Services of the State of California (the Department). Two questions are presented here: (1) Whether reports prepared by a fiscal intermediary on behalf of the Department qualify as official records pursuant to Evidence Code section 1280, and (2) whether a dentist working for a dentist enrolled in the Denti-Cal/Medi-Cal program must also be enrolled in the program in order to receive payments from Denti-Cal for services rendered. We conclude that the answer to both questions is yes and we affirm the judgment.
FACTUAL AND PROCEDURAL BACKGROUND
Appellant is a dentist who is enrolled as a Denti-Cal provider. Delta Dental, which is the “fiscal intermediary” for respondent’s Denti-Cal/Medi-Cal program, conducted an audit of appellant’s records for the period of February 1, 1997, through February 1, 2000, and issued an audit report on May 3, 2001. The audit report found that there was inadequate or no documentation for certain billed services and that some of the dentists rendering…