Dr. BALTASAR JIMENEZ, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. BALTASAR JIMENEZ, MD

5917 Beneva Road

Sarasota, FL

34238

Sarasota

Court Case #

Indemnity Paid: $90,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201575059
Claim Number :	HMA29189
Date Submitted :	6/30/2015

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	Marina			Miranda
Street Address
333 S Wabash Ave
City				State	Zip
Chicago				IL	60604
Phone	Ext	Fax	E-Mail Address
(312) 822 - 2261			marina.miranda@cna.com

Insured Information

Type	First Name		MI	Last Name
Individual	Baltasar			Jimenez
Insurer Type		Street Address of Practice
Licensed		5917 Beneva Rd
City		State	Zip Code	County
Sarasota		FL	34238	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
SLD 4022455547		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN10922		Dentists

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	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Dental Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Special Procedure Room
Date of Occurrence		Date Reported to Insurer
5/21/2014		6/12/2014

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented for bridge work and tooth extraction.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient had bridge work done at #2-5 as well as #13-15 along with extraction of tooth #21.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient is unhappy with the work as corrective treatment is warranted.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			6/9/2015
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
6/1/2015

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$90,000

Loss Adjust Expense Paid to Defense Counsel

$7,438

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$1,000

Deductible

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

Investigate and identify risks and reduce the liability exposure.

Updates

No updates found.

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

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Court Case # CA17545

Indemnity Paid: $25,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200433040
Claim Number :	HM042064
Date Submitted :	10/6/2004

Insurer Information

Insurer Name				Coverage Type
CONTINENTAL CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
36-2114545
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	William		B	Edis
Street Address
7886 Woodland Center Blvd
City				State	Zip
Tampa				FL	33614
Phone	Ext	Fax	E-Mail Address
(813) 880 - 5123		(813) 880 - 5105	william.edis@cna.com

Insured Information

Type	First Name		MI	Last Name
Individual	Baltasar			Jimenez
Insurer Type		Street Address of Practice
Licensed		5917 Beneva Road
City		State	Zip Code	County
Sarasota		FL	34238	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
DNC 03902319		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN10922		Dentists

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Sarasota
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
4/11/2000		6/21/2000

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Replace old ill fitting denture with bridge
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Old bridge removed with slide mechanism to place new bridge 17-21.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
none
Principal Injury Giving Rise To The Claim
Alleged damage to tooth 22 when bridge removed.
Severity Of Injury
Temporary: Slight - Lacerations, contusions, minor scars, rash.No delay.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
12/1/2001			CA17545
County Suit Filed in			Date of Final Disposition
Sarasota			4/5/2004
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
2/24/2004

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$25,000

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

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

Case was settled by carrier as a cost of defense settlement.

Updates

No updates found.

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Court Case # 2009-CA-016841-NC

Indemnity Paid: $4,173.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201573141
Claim Number :	HM133079
Date Submitted :	1/8/2015

Insurer Information

Insurer Name				Coverage Type
CONTINENTAL CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
36-2114545
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Juanetta		J	Moore
Street Address
333. Wabash Ave
City				State	Zip
Chicago				IL	60685
Phone	Ext	Fax	E-Mail Address
(312) 822 - 3353			Juanetta.Moore@cna.com

Insured Information

Type	First Name		MI	Last Name
Individual	Baltasar			Jimenez
Insurer Type		Street Address of Practice
Licensed		5917 Beneva Rd
City		State	Zip Code	County
Sarasota		FL	34238	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
DNC 0003902319		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN10922		Dentists

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
			M	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Dental Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Special Procedure Room
Date of Occurrence		Date Reported to Insurer
5/14/2009		5/14/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Dental Caries
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Tooth extraction
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged numbness in chin following tooth extraction
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
5/14/2009			2009-CA-016841-NC
County Suit Filed in			Date of Final Disposition
Sarasota			12/18/2014
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Disposed of by Court
Court Decision			Other
Judgment for the plaintiff.
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/12/2014

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$4,173

Loss Adjust Expense Paid to Defense Counsel

$161,562

All Other Loss Adjustment Expense Paid

$85,288

Injured Person's Total Non-Economic Loss

Deductible

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

Investigate and identify risks and reduce the liability exposure.

Updates

No updates found.

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

This page is not displaying certain sensitive information.

Frequently Asked Questions

Does Dr. BALTASAR JIMENEZ, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. BALTASAR JIMENEZ, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases