Medical Malpractice Cases

Dr. Maria A Balda Medical Malpractice Cases

Court Case # 2008 SC00321

Indemnity Paid: $2,250.00

Medical Malpractice Closed Claims Report

Department File Number :M200952692
Claim Number :7004261
Date Submitted :2/27/2009
Insurer Information
Insurer NameCoverage Type
Insurer FEINProfessional License Number
Insurer Contact Information
TypeFirst NameMILast Name
IndividualPatricia Schrepfer
Street Address
6133 N. River Road
PhoneExtFaxE-Mail Address
(847) 653 - 8740
Insured Information
TypeFirst NameMILast Name
Insurer TypeStreet Address of Practice
Licensed2200 East Irlo Bronson Memorial Highway
CityStateZip CodeCounty
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
Profession or BusinessOther Profession or Business
License NumberSpecialty Code & ClassificationCertification Number

Medical Malpractice Closed Claims Report

Injured Person Information
First NameMILast NameDate of Birth
Street AddressGenderCounty where Injury Occurred
CityStateZip Code
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented for extraction of tooth number 15.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured extracted tooth number 14.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Principal Injury Giving Rise To The Claim
Patient alleging wrong tooth extracted resulting in need for additional treatment.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report


Legal Information
Date of SuitCircuit Court Case Number
10/2/20082008 SC00321
County Suit Filed inDate of Final Disposition
Other Defendants Involved in this Claim
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. 
Claim not subject to Arbitration.
Date of Payment
Financial Information
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$2,250
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$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
Risk management courses taken.
No updates found.



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

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