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Doctor Indicted on Fraud, Drug Charges

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IOWA CITY, Iowa (AP) - A former Newton doctor has been charged with 114 counts of health care fraud and unlawfully disseminating controlled substances after a lengthy investigation.

Lafayette Twyner was arraigned Monday in federal court in Des Moines, where he pleaded not guilty and was released pending trial.

An indictment filed last month charges Twyner with prescribing controlled substances in a manner likely to cause and that did cause dependence, addiction and at least one death.

The indictment says Twyner failed to change his practices even after being warned about patient drug abuse and diversion, and that he caused insurance companies to be billed for prescriptions that had no medical purpose.

Investigators raided the Newton clinic where Twyner practiced in April 2011. He surrendered his medical license in July under a settlement with regulators.