Attorneys' office, Behnan trimmed toenails for seniors in Detroit, Lansing, Bay City and Flint, but then billed the service as a nail avulsion, which is a surgical procedure to treat ingrown toenails.

Between Jan. 1,2005, and July 7, 2011, Kirk had submitted $198,715 in nail-avulsion claims to Medicare. He received $118,392.31 in payments, records showed.

A “nail avulsion” is a surgical procedure that involves the separation and removal of all or part of a toenail from the tip to the base of the nail.