Cyber Incident Victim: The Digital Dental Record
Date:
Aug 2019
Location:
United States of America
Summary
A ransomware attack targeted a dental software provider, compromising its backup solution to deploy REvil (Sodinokibi) ransomware across hundreds of US dental practices. The breach disrupted access to patient records, forcing offices to resort to manual operations. The affected provider and its partner paid the ransom and distributed a decryption tool, though recovery proved slow and inconsistent, with some data unrecoverable. This incident marked the third instance where attackers exploited a managed service provider to spread the same ransomware strain, highlighting a pattern of targeting third-party vendors to maximize impact. The software involved had been marketed as a safeguard against such threats, underscoring the irony of the breach.
| CIA Posture | Motives | Tactics, Techniques & Procedures |
|---|---|---|
| Available to members | 2 motives | 1 technique |
| Threat Actor | Type | Location |
|---|---|---|
| 1 actor | Available to members | Available to members |
Description
On August 26, 2019, hundreds of U.S. dental practice offices discovered they could not access patient records after returning to work following a weekend ransomware attack. The incident stemmed from a breach of DDS Safe, a backup and records retention solution developed by Wisconsin-based companies The Digital Dental Record and PerCSoft. Attackers compromised the software providers' infrastructure over the preceding weekend and used it to deploy REvil (Sodinokibi) ransomware across customer systems. This caused widespread operational disruption as dental practices lost access to critical medical data required for patient care. The ransomware encrypted files on affected computers, rendering them unusable without decryption keys.
The Digital Dental Record and PerCSoft opted to pay the ransom demand and began distributing a decryption tool to impacted customers on August 26. Recovery efforts progressed slowly due to technical challenges inherent in ransomware remediation, with some dental offices reporting via a Facebook group that the decrypter failed to restore all files or functioned inconsistently. The companies did not publicly disclose details about the attack vector, ransom amount, or total number of affected practices. This marked the third known instance in 2019 where REvil operators compromised managed service providers (MSPs) to distribute ransomware, following June attacks via Webroot SecureAnywhere consoles and an earlier August incident targeting 22 Texas counties through another MSP. Security firm Fidelis ranked REvil as the year's fourth most prevalent ransomware strain, responsible for 12.5% of infections. The attack highlighted contradictions in DDS Safe's marketing, which promoted the product as a safeguard against ransomware despite the breach originating from its own infrastructure.