Dr. ANNE BRODERICK, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. ANNE BRODERICK, MD

4955 Castello Dr

Indemnity Paid: $35,000.00

Insurer Information

Insurer Name				Coverage Type
PROASSURANCE AMERICAN MUTUAL, A RISK RETENTION GROUP				Primary
Insurer FEIN		Professional License Number
47-2511641
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Connie		L	Peters
Street Address
PO Box 52810
City				State	Zip
Bellevue				WA	98015
Phone	Ext	Fax	E-Mail Address
(425) 636 - 1000	1012	(916) 781 - 5795	cpeters@intercareins.com

Insured Information

Type	First Name		MI	Last Name
Individual	ANNE			BRODERICK
Insurer Type		Street Address of Practice
Licensed		4955 Castello Dr
City		State	Zip Code	County
Naples		FL	34103	Collier
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
DP 11870		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN19411		Dental General Practice - NOC		80211

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Collier
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		Dental treatment room
Date of Occurrence		Date Reported to Insurer
8/9/2019		11/18/2019

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Opurculum regeneration distal to #31
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Crown lengthening
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Alleged negligent removal of COE pack resulting in the retention of a small piece of the packing in the surrounding tissues necessitating surgical removal. Full recovery.
Severity Of Injury
Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay.

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			7/2/2020
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
Settlement Reached Prior to Pre-Suit Period
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
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

$35,000

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

$650

Injured Person's Total Non-Economic Loss

$35,000

Deductible

Injured Person's Total Economic Loss

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

No safety management steps taken

Does Dr. ANNE BRODERICK, MD have any medical malpractice cases, lawsuits, or complaints?

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

Medical Malpractice Cases