Dr. ALLENA BURGE, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. ALLENA BURGE, MD

27066 US Highway 19 North

Indemnity Paid: $6,000.00

Insurer Information

Insurer Name				Coverage Type
COLUMBIA CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
47-0490411
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Cornelius		R	Briscoe
Street Address
4713 Runnymeade Rd
City				State	Zip
Owings				MD	21117
Phone	Ext	Fax	E-Mail Address
(410) 363 - 8782		(866) 896 - 5250	Cornelius.Briscoe@cna.com

Insured Information

Type	First Name		MI	Last Name
Individual	Allena			Burge
Insurer Type		Street Address of Practice
Licensed		27066 US Highway 19 North
City		State	Zip Code	County
Clearwater		FL	33761	Pinellas
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
SLD-2088634778		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN13339		Oral and Maxillofacial Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Hernando
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
Other		Castle 1st Dental
Date of Occurrence		Date Reported to Insurer
2/27/2008		9/2/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Implant surgery
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Implant and restoration procedure
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Pain and suffering for loss of tooth during implant procedure
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
11/12/2009			512009CA10683WS
County Suit Filed in			Date of Final Disposition
Pinellas			3/15/2011
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
3/3/2011

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$6,000

Loss Adjust Expense Paid to Defense Counsel

$28,851

All Other Loss Adjustment Expense Paid

$4,130

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insured discussed case with defense counsel and insurance personnel

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

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Does Dr. ALLENA BURGE, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. ALLENA BURGE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).