A Los Angeles chiropractor was sentenced Tuesday to 46 months behind bars for helping defraud a dock workers union benefit plan by billing nearly $5 million in claims for therapy services not rendered or medically unnecessary.

Mahyar David Yadidi, 38, was also ordered to pay $1.9 million in restitution, according to the U.S. Attorney’s Office.

He pleaded guilty in November in Los Angeles federal court to a single count of conspiracy to commit health care fraud.

Yadidi defrauded the International Longshore and Warehouse Union-Pacific Maritime Association benefit plan through his clinic, San Pedro Philips Chiropractic, by offering kickbacks to patients for attending the clinic and by billing the health plan for services not performed or unneeded.

He continued to operate the scheme after he was terminated as an authorized provider by the ILWU-PMA, federal prosecutors said.

Defense attorneys had asked U.S. District Judge R. Gary Klausner to impose a term of home confinement due to the COVID-19 pandemic in prisons and jails.

Ivan Semerdjiev, 41, of Irvine — a chiropractor who worked for Yadidi — and Julian Williams, 45, of San Pedro — a personal trainer who also worked for Yadidi — both pleaded guilty to conspiracy in the case. Semerdjiev and Williams were sentenced to six and three months behind bars, respectively.

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