Dr. Richard Malouf started All Smiles in 2002. After the U.S. Supreme Court told the State of Texas that it did not give enough money to give dental care to poor children, five years before 2012 the State of Texas began spending $1.4 million more money on dental care for poor children. All Smiles began a braces program and began spending a lot of money, given by the Texas government, on braces for children. The Medicaid program only allowed braces if the braces helped a major problem like cleft lip and palate, or if it helps a problem caused by an illness, like Down's syndrome or muscular dystrophy. Malouf and his wife, Leanne, had a lot of rich things, like a mansion, two fancy cars, and two company jets.