Department File Number : | M201886889 |
Claim Number : | 10-709 |
Date Submitted : | 10/31/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
SOUTH FLORIDA DENTISTS SELF INSURANCE TRUST | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-6898357 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Burt | E | Redlus | ||
Street Address | |||||
19 W. Flagler Street, Suite 711 | |||||
City | State | Zip | |||
Miami | FL | 33130 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 374 - 6368 | (305) 371 - 4759 | ber@redluspa.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JOHN | CRABILL | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 550 BILTMORE WAY#760 | ||||
City | State | Zip Code | County | ||
CORAL GABLES | FL | 33134 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
17 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
DN4898 | Orthodontics |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
2/28/2005 | 5/15/2009 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
MISALIGNED TEETH IN NEED OF REPOSITIONING | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
BRACES AND MECHANICAL APPLIANCES | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
ALLEGED POOR PLANNING | |||||
Principal Injury Giving Rise To The Claim | |||||
ALLEGED DELAY IN COMPLETION OF TREATMENT AND NECESSITY FOR ADDITIONAL TREATMENT | |||||
Severity Of Injury | |||||
Emotional Only - Fright, no physical damage |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/6/2011 | 11-10630 CA 32 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 10/26/2018 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
After appeal. | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
Court Decision | Other | ||||
Judgment for the defendant after the appeal ... | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $66,401 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $26,356 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
IMPROVE RECORD KEEPING |
Updates | |
No updates found. |
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Does Dr. JOHN CRABILL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOHN CRABILL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).