The ministry audit found Li Juan (Susan) Xue billed nearly $600,000 to MSP for acupuncture services between April 2008 and December 2010.
The youngest of the Richmond acupuncturist's patients was a four-month-old child who allegedly received 10 acupuncture treatments in 2012.
On her website, Xue calls herself a "visionary" who has operated a spa and clinic in Richmond since 2000.
According to an application filed by the college in B.C. Supreme Court, investigators found generic treatment records for Xue's acupuncture patients mixed with records from the spa.
The college claims that led them to believe she was billing taxpayers for spa services.
British Columbians on premium assistance are entitled to 10 acupuncture treatments a year. MSP pays $23 per service. But high numbers of claims from families arouse suspicion, as does billing for multiple patients in one hour.
Earlier this month, B.C.'s College of Traditional Chinese Medicine Practitioners and Acupuncturists cancelled Xue's licence for 12 months and ordered her to comply with random spot audits if she is re-instated.
The college says she billed MSP an additional $453,000 between 2011 and 2012, as well as $374,193 to private insurers. In June, she agreed to pay back $450,000.
Xue now operates a beauty school called Amethyst College, which she founded in 2011 out of the same address as her clinic and spa. She referred questions to her lawyer, who did not return a call.
Last year, the college cancelled the licence of another of the province's top-billing acupuncturists.
Mubai Qiu was accused of bilking MSP of more than $2 million after claiming to have seen up to 461 patients in a single day.
Read disciplinary order against Li Juan (Susan) Xue. On mobile? Click here
Read order for repayment to MSP. On mobile? Click here