Medical Malpractice Cases

Dr. Shaun G Abolverdi Medical Malpractice Cases

Court Case # 2015-SC-4567

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201677744
Claim Number : 1030389-01
Date Submitted : 8/22/2017
 
Insurer Information
 
Insurer Name Coverage Type
MEDICAL PROTECTIVE COMPANY (THE) Primary
Insurer FEIN Professional License Number
35-0506406  
Insurer Contact Information
Type First Name MI Last Name
Individual Lynn Louthan
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0778     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Shaun G Abolverdi
Insurer Type Street Address of Practice
Licensed 6320 SW 13th Street
City State Zip Code County
Gainesville FL 32608 Alachua
Policy Number Per Claim Policy Limits Aggregate Policy Limits
669959 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Dentistry  
License Number Specialty Code & Classification Certification Number
DN13800 Dentists - N.O.C.  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Alachua
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
12/23/2013 12/18/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Dental exam
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Dental X-rays and cleaning
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Damaged six upper teeth while cleaning and failed to diagnose periodtonal disease
Principal Injury Giving Rise To The Claim
Broken teeth required four crowns
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/15/2015 2015-SC-4567
County Suit Filed in Date of Final Disposition
Alachua 3/23/2016
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
No Payment Made
Court Decision Other
Other Dismissal
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 $3,315
All Other Loss Adjustment Expense Paid $186
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change: 8/11/2016 11:53:25 AM
Reason for Change: ALE UPDATED 8/11/2016
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 8 186
 
Date of Change: 8/22/2017 4:00:15 PM
Reason for Change: ALE UPDATE 8/22/2017
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 3296 3315

 

 

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