| Department File Number : | M201886143 |
| Claim Number : | C165709 |
| Date Submitted : | 8/14/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| ADMIRAL INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 22-2235730 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Denise | Padilla | |||
| Street Address | |||||
| 1000 Howard Blvd, Ste. 300 | |||||
| City | State | Zip | |||
| Mount Laurel | NJ | 08054 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (856) 505 - 8115 | dpadilla@admiralins.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | STEVEN | BAXTER | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 7450 Dr Phillips Blvd., Suite 215 | ||||
| City | State | Zip Code | County | ||
| Orlando | FL | 32819 | Orange | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| EO000029624-01 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Dentistry | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| DN14090 | Dental General Practice - NOC | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Osceola | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Outpatient Facility | Kissimmee Family Dentistry | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Special Procedure Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/22/2016 | 4/25/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient presented to dental office on 04/22/2016 for extraction of wisdom teeth and first bicuspids under conscious sedation. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Extraction of wisdom teeth and first bicuspids under conscious sedation. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Dental malpractice claim resulting from dental care and treatment provided to patient on 04/22/2016. Plaintiff¿s complaint alleged the dentist over-administered and incorrectly used anesthetic agents, which caused the patient to suffer cardiopulmonary collapse and fatal anoxia and that the dentist failed to properly monitor and record the patient¿s vital signs during the procedure on 04/22/2016, which allegedly resulted in the patient¿s death on 04/25/2016. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 8/26/2016 | 2016 CA 002208 MP | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Osceola | 3/23/2018 | ||||
| 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 Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 3/23/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $928,355 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $76,667 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $21,219 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| None | |||||||||||||||||||||
| Updates | |||||||
| Date of Change: | 8/14/2018 2:52:00 PM | ||||||
| Reason for Change: | There were three separate indemnity payments made on this claim. One for $80,000, another for $205,000, and lastly a payment of $643,355.78. All other information on this claim is the same. | ||||||
| |||||||
| Date of Change: | 8/14/2018 2:56:41 PM | ||||||
| Reason for Change: | There were three different Indemnity payments made on this claim. One for $80,000, another for $205,000, and lastly on of $643,355, totalling $928,355. | ||||||
| |||||||
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
*NR:Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Does Dr. STEVEN BAXTER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. STEVEN BAXTER, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).