IN THE COURT OF APPEALS OF THE STATE OF IDAHO
Docket No. 43324
STATE OF IDAHO, ) 2016 Unpublished Opinion No. 656
)
Plaintiff-Respondent, ) Filed: August 24, 2016
)
v. ) Stephen W. Kenyon, Clerk
)
ALFRED FAIRBANKS, ) THIS IS AN UNPUBLISHED
) OPINION AND SHALL NOT
Defendant-Appellant. ) BE CITED AS AUTHORITY
)
Appeal from the District Court of the Second Judicial District, State of Idaho,
Latah County. Hon. John R. Stegner, District Judge.
Judgment of conviction, affirmed; order denying motion for new trial, affirmed.
Rob S. Lewis, Boise, for appellant.
Hon. Lawrence G. Wasden, Attorney General; Theodore S. Tollefson, Deputy
Attorney General, Boise, for respondent.
________________________________________________
GUTIERREZ, Judge
Alfred Fairbanks appeals from his judgment of conviction for four counts of provider
fraud. He challenges both the sufficiency of the evidence supporting his conviction as well as
the district court’s denial of his motion for a new trial. For the reasons set forth below, we
affirm.
I.
FACTUAL AND PROCEDURAL BACKGROUND
Fairbanks is a dentist located in Pullman, Washington. The Office of the Idaho Attorney
General’s Medicaid Fraud Control Unit began investigating Fairbanks after a former patient’s
mother complained that Fairbanks had submitted Medicaid claims for dental work that was never
performed on her son. As part of its investigation, the State retained a dentist, Dr. Coppess, to
examine numerous Idaho Medicaid patients of Fairbanks’s. Dr. Coppess reviewed Fairbanks’s
medical charts for those patients and conducted in-person dental examinations of each person.
1
The in-person examinations included digital face photographs, oral examinations, and digital
radiographs (x-rays). Dr. Coppess’s examinations revealed a number of discrepancies between
the procedures for which Fairbanks billed Medicaid and the procedures that were actually
performed on some of his patients.
The State initially charged Fairbanks with provider fraud, computer crime, and grand
theft. After a preliminary hearing and a motion to dismiss, the State proceeded to trial on four
felony counts of provider fraud, Idaho Code § 56-227A. Counts 1, 2, and 3 alleged that on three
different occasions Fairbanks billed Medicaid for, but did not perform, composite fillings on five
of patient A.S.’s teeth. Count 4 alleged that Fairbanks billed Medicaid for a composite filling on
one of patient J.G.’s teeth without actually providing a filling for that tooth.
During the jury trial, the State called a number of witnesses to testify. One of those
witnesses was Dr. Coppess. As a dentist with over thirty-five years of experience, Dr. Coppess
testified generally regarding the process of providing a composite filling and how both x-ray
technology and oral examination using a special tool called an “explorer” can assist a dentist in
tactilely detecting fillings. Dr. Coppess also testified specifically regarding his examinations of
A.S. and J.G. as part of the State’s investigation. He stated that his examinations revealed
fillings in other teeth of A.S. and J.G., but that there was no evidence showing that the teeth at
issue in A.S. and J.G. were ever drilled or filled. The State also presented testimony from other
witnesses regarding the x-ray equipment and technology used in Dr. Coppess’s examinations of
A.S. and J.G.
In his defense, Fairbanks called dentist Dr. Staley as his only witness. Dr. Staley testified
that although he did not examine A.S. or J.G., he reviewed the same x-ray images used by
Dr. Coppess, as well as the patients’ charts and previous x-rays taken by Fairbanks. He stated
that several of the x-ray images taken for Dr. Coppess’s examination were of poor quality and,
because of their poor quality, he was unable to ascertain with certainty the presence or absence
of fillings in the particular teeth at issue. He also testified that certain types of materials used in
composite fillings, notably flowable composite resin, can be difficult to see on an x-ray.
The jury found Fairbanks guilty on all four counts of provider fraud. Nine days after his
conviction, Fairbanks asked one of his patients living in the same town as A.S. to reach out to
A.S. on his behalf. Through the patient, Fairbanks offered A.S. $300 in exchange for traveling to
Pullman and allowing Fairbanks to examine his teeth. At the examination that followed,
2
Fairbanks took a different type of x-ray image than that used by Dr. Coppess. He also took
close-up photographs of the teeth at issue. Fairbanks then filed a motion for a new trial on the
basis of newly discovered evidence. The court held a hearing on the motion.
In support of his motion, Fairbanks testified that the new x-rays and photographs revealed
that composite fillings were visible in the teeth at issue. Additionally, Fairbanks again presented
the testimony of his expert witness, Dr. Staley, to support his contention that the new images
showed the presence of composite fillings. Fairbanks’s trial attorney also testified regarding her
efforts to locate A.S. prior to trial, and counsel’s belief that she could not compel A.S. to
cooperate with an examination without it being considered tampering with a witness.
The district court denied Fairbanks’s motion for a new trial on the grounds that Fairbanks
had not met any of the four requirements of the Drapeau1 test. The district court entered its
judgment of conviction and sentences and then granted the parties’ stipulation to stay the
execution of the sentences pending appeal. Fairbanks now timely appeals.
II.
ANALYSIS
Fairbanks raises two issues on appeal. First, he argues the jury had insufficient evidence
to find him guilty of provider fraud. Second, he argues the district court abused its discretion in
denying his motion for a new trial. We address each issue in turn.
A. Sufficiency of the Evidence
Fairbanks’s first argument on appeal is that the jury had insufficient evidence to find him
guilty of provider fraud. Appellate review of the sufficiency of the evidence is limited in scope.
A finding of guilt will not be overturned on appeal where there is substantial evidence upon
which a reasonable trier of fact could have found that the prosecution sustained its burden of
proving the essential elements of a crime beyond a reasonable doubt. State v. Herrera-Brito, 131
Idaho 383, 385, 957 P.2d 1099, 1101 (Ct. App. 1998); State v. Knutson, 121 Idaho 101, 104, 822
P.2d 998, 1001 (Ct. App. 1991). We will not substitute our view for that of the trier of fact as to
the credibility of the witnesses, the weight to be given to the testimony, and the reasonable
inferences to be drawn from the evidence. Knutson, 121 Idaho at 104, 822 P.2d at 1001; State v.
Decker, 108 Idaho 683, 684, 701 P.2d 303, 304 (Ct. App. 1985). Moreover, we will consider the
1
See State v. Drapeau, 97 Idaho 685, 551 P.2d 972 (1976).
3
evidence in the light most favorable to the prosecution. Herrera‑Brito, 131 Idaho at 385, 957
P.2d at 1101; Knutson, 121 Idaho at 104, 822 P.2d at 1001.
During Fairbanks’s trial, a witness for the State testified as to the Medicaid billing codes
submitted by Fairbanks to the Medicaid office. The witness indicated that Fairbanks billed and
was paid for placing composite fillings in the teeth at issue. The State then presented the
testimonial evidence of Dr. Coppess who attested that there was no evidence of fillings ever
having been placed into those teeth. Dr. Coppess, the only testifying dentist that had ever
examined A.S. and J.G., informed the jury of his observations based upon his examination of
those patients. He stated that while examining A.S., he tactilely checked for fillings using an
explorer. He also examined six x-ray images that were taken the same day. He stated that
although he observed some composite fillings on A.S.’s other teeth, he did not observe any
fillings on the five teeth at issue. Dr. Coppess also testified that during his examination of J.G.,
he again performed an oral examination with an explorer and examined x-rays. He stated that he
did not observe any indication that a filling was ever performed on J.G.’s tooth at issue. The
State also presented witness testimony regarding the process used to obtain the x-ray images
utilized by Dr. Coppess as well as the reliability of the x-ray technology used to be able to
visualize the presence of composite fillings in teeth.
Fairbanks nonetheless argues the evidence presented by the State was insufficient for a
variety of reasons. Fairbanks first suggests the evidence was insufficient because Dr. Coppess
has not practiced dentistry in quite some time and is unknowledgeable about current dental
practices and procedures. He next suggests Dr. Coppess’s opinion was not based on all of the
available evidence because he did not examine Fairbanks’s patient intake questionnaires and old
x-rays. Fairbanks finally suggests Dr. Coppess relied on inferior x-ray technology to conclude
Fairbanks did not perform the fillings at issue. At the core of each of these arguments is an
implication that Dr. Coppess’s testimony was not credible. Each contention invites this Court to
substitute its view regarding Dr. Coppess’s credibility for that of the jury. It is not the province
of this Court to reweigh the evidence or reassess the credibility of witnesses. Based on the
record before us, there was substantial evidence upon which the jury could have found Fairbanks
guilty of the crime of provider fraud beyond a reasonable doubt.
4
B. Motion for New Trial
Fairbanks’s next argument is that the district court abused its discretion by denying his
motion for a new trial. A decision on a motion for new trial is reviewed under an abuse of
discretion standard. State v. Egersdorf, 126 Idaho 684, 687, 889 P.2d 118, 121 (Ct. App. 1995).
When a trial court’s discretionary decision is reviewed on appeal, the appellate court conducts a
multi-tiered inquiry to determine whether the lower court correctly perceived the issue as one of
discretion, acted within the boundaries of such discretion and consistently with any legal
standards applicable to the specific choices before it, and reached its decision by an exercise of
reason. State v. Hedger, 115 Idaho 598, 600, 768 P.2d 1331, 1333 (1989). Whether a trial court
properly applied a statutory provision to the facts of a particular case is a question of law over
which we exercise free review. State v. Horn, 124 Idaho 849, 850, 865 P.2d 176, 177 (Ct. App.
1993). A motion for a new trial based on newly discovered evidence must disclose: (1) that the
evidence is newly discovered and was unknown to the defendant at the time of the trial; (2) that
the evidence is material, not merely cumulative or impeaching; (3) that it will probably produce
an acquittal; and (4) that failure to learn of the evidence was due to no lack of diligence on the
part of the defendant. State v. Drapeau, 97 Idaho 685, 691, 551 P. 972, 978 (1976). If the
purported new evidence does not meet each of the Drapeau requirements, the district court
should not grant a motion for a new trial. State v. Ames, 112 Idaho 144, 146, 730 P.2d 1064,
1066 (Ct. App. 1986).
The court ultimately found that Fairbanks did not meet any of the four Drapeau
requirements and denied his motion. Specifically regarding the first and fourth Drapeau
requirements, the court found that Fairbanks had failed to meet his burden of proof on those
requirements because his minimal efforts to locate A.S. showed a lack of diligence.2
The first and fourth requirements of the Drapeau test are somewhat intertwined. Each
requirement depends largely upon the court’s determination as to whether a party’s efforts to
discover evidence prior to trial were diligent. Under the first Drapeau requirement, the
proponent of a new trial bears the burden of showing that the newly discovered evidence was not
only unknown to the defendant at the time of trial, but “could not have been discovered by the
2
Because the newly discovered evidence pertained only to A.S., the court considered the
motion for a new trial as applying only to Counts 1, 2, and 3. The court did not focus its inquiry
on Fairbanks’s efforts to reach J.G.
5
exercise of due diligence.” Ames, 112 Idaho at 147, 730 P.2d at 1067. Under the fourth
Drapeau requirement, the proponent must show that his or her failure to obtain the newly
discovered evidence prior to trial was not due to a lack of diligence. Id. at 148, 730 P.2d at 1068.
The question of diligence is one of fact and will not be overturned absent a showing that the
finding is clearly erroneous. Id.
In Ames, the defendant filed a motion for a new trial on the grounds that only after trial
was he able to locate an alibi witness that could testify to his whereabouts at the time of the
charged crime. Id. at 147, 730 P.2d at 1067. Prior to trial, neither the defendant’s counsel nor
the prosecutors had been able to locate the witness because she had taken a new job traveling to
different parts of the country and left no forwarding address. Id. at 148, 730 P.2d at 1068.
Nothing in the record indicated that any amount of diligence would have revealed the witness’s
whereabouts. Id. at 147, 730 P.2d at 1067. We held that evidence can be deemed newly
discovered only “[i]f the witness cannot be contacted until after trial.” Id. (emphasis added).
Here, in finding a lack of diligence, the court considered testimony from Fairbanks’s trial
counsel regarding the efforts taken to locate A.S. prior to trial. At the motion hearing, counsel
testified that in attempting to locate A.S., she called the telephone number located on his patient
chart, but it had been disconnected. She also testified to searching the Internet unsuccessfully for
additional telephone contact information. She admitted to considering the telephone the superior
method for contacting A.S., as it was her belief that he “wouldn’t respond to something like a
letter from a Boise attorney.” Notably absent from her efforts was any attempt to contact A.S. by
mail or in person at the address listed on his patient chart. The court found it significant that
after the trial concluded, the process server hired by Fairbanks was able to locate and serve A.S.
within hours of being provided with the very address listed in Fairbanks’s patient chart. The
district court also opined that counsel’s minimal efforts to locate A.S. prior to trial had every
indication of being a strategic decision.
We agree with the court’s finding that Fairbanks’s efforts to locate A.S. for purposes of
obtaining an examination were not diligent. Prior to trial, Fairbanks had access to A.S.’s patient
chart which listed his address and telephone number. Fairbanks used the telephone number
listed on that chart to attempt to contact A.S. When Fairbanks was unable to reach A.S. via
telephone, he made no effort to locate him at the very address at which A.S. was eventually
served. A.S. testified at the motion hearing that he had continually lived at that same address for
6
many years. This situation is markedly different from that in Ames where the witness could not
be contacted. Fairbanks knew, or should have known based on the information in his possession
prior to trial, where to locate A.S. Failing to utilize this information evidences a lack of
diligence in locating A.S. Moreover, to the extent that Fairbanks’s counsel was concerned that
an attempt to contact A.S. would amount to witness tampering, we are not persuaded by this
argument. While an attempt to compel participation in an examination by Fairbanks would have
been inappropriate, nothing precluded Fairbanks from requesting A.S.’s voluntary participation,
which is what eventually transpired after conviction. Thus, the district court did not err in
finding that Fairbanks failed to meet his burden of showing the purported newly discovered
evidence could not have been discovered by the exercise of due diligence either before or at the
time of trial.
Because we agree with the court’s assessment regarding Fairbanks’s lack of diligence, we
need not address the other two Drapeau requirements. The district court applied the correct legal
principles and did not abuse its discretion by determining that Fairbanks did not exercise
diligence in attempting to locate the evidence at or prior to trial. Thus, we find no error in the
denial of the motion for a new trial.
III.
CONCLUSION
The evidence in this case was sufficient to support the jury’s conviction of Fairbanks for
four counts of provider fraud. Additionally, the district court did not abuse its discretion in
denying Fairbanks’s motion for a new trial based upon newly discovered evidence because
Fairbanks’s efforts to locate the evidence prior to trial were not diligent. Accordingly, we affirm
Fairbanks’s judgment of conviction for provider fraud.
Judge GRATTON and Judge HUSKEY CONCUR.
7