Medical Malpractice Cases

Dr. Jose L Beltran Medical Malpractice Cases

Court Case # 12 03528

Indemnity Paid: $8,750.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201366718
Claim Number :40434-01
Date Submitted :4/5/2013
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJose Beltran
Insurer TypeStreet Address of Practice
Licensed8709 Hunter's Green Drive, Ste 200
CityStateZip CodeCounty
TampaFL33647Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
100681$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN18552Dental General Practice - NOC80211

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
12/4/20097/14/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Extraction of wisdom teeth # 17 & 32.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Extraction of wisdom teeth # 17 & 32.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Teeth were completely extracted requiring treatment by oral surgeon to remove tooth remnants.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/23/201212 03528
County Suit Filed inDate of Final Disposition
Hillsborough8/10/2012
Other Defendants Involved in this Claim
Great Expressions Dental Centers of Florida, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/10/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$8,750
Loss Adjust Expense Paid to Defense Counsel$2,576
All Other Loss Adjustment Expense Paid$2,216
Injured Person's Total Non-Economic Loss$8,750
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate
 
Updates
 
No updates found.

 

 

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Court Case # 12 03528

Indemnity Paid: $750.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264927
Claim Number :1334253
Date Submitted :10/1/2012
 
Insurer Information
 
Insurer NameCoverage Type
CINCINNATI INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
31-0542366 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualHeatherNHartman
Street Address
6200 South Gilmore Road
CityStateZip
FairfieldOH45014
PhoneExtFaxE-Mail Address
(513) 603 - 5846 (513) 371 - 7028Heather_Hartman@CINFIN.COm
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJoseLBeltran
Insurer TypeStreet Address of Practice
Licensed1309 W Fletcher Ave
CityStateZip CodeCounty
TampaFL33612Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CAP 5186111$1,000,000$2,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN18552Dentists 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
12/4/20096/2/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Tooth Extraction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Clmt alleges insd was negligent in the removal of 2 impacted teeth and left a tooth remnant and root remnant.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Clmt alleges pain and suffering from insd negligence.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/5/201212 03528
County Suit Filed inDate of Final Disposition
Hillsborough4/30/2012
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
Final Method of Claim Disposition
Disposed of by Court
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/7/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750
Loss Adjust Expense Paid to Defense Counsel$4,223
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None given.
 
Updates
 
No updates found.

 

 

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

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