Dr. CHARLES M WALLACE, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. CHARLES M WALLACE, MD

4743 Pinfish Court

Indemnity Paid: $135,000.00

Insurer Information

Insurer Name				Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)				Primary
Insurer FEIN		Professional License Number
95-3014772
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kelly			Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City				State	Zip
Jacksonville				FL	32258
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	Charles		M	Wallace
Insurer Type		Street Address of Practice
Licensed		4743 Pinfish Court
City		State	Zip Code	County
Bonita Springs		FL	34135	Lee
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0951958		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN14024		Dental General Practice - NOC

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Lee
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		Dentist's office
Date of Occurrence		Date Reported to Insurer
4/15/2016		4/18/2016

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented for extraction of teeth #'s 17 and 18 and cyst removal on tooth #17.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The teeth were extracted and upon the cyst removal the socket started to bleed uncontrollably. The patient had signed a consent that indicated the risks associated with the procedure. The insured packed the socket with gauze but the bleeding did not diminish.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The patient alleged lingual nerve damage.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
9/6/2017			17-CA-002911
County Suit Filed in			Date of Final Disposition
Lee			10/24/2019
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
10/24/2019

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$135,000

Loss Adjust Expense Paid to Defense Counsel

$73,672

All Other Loss Adjustment Expense Paid

$33,813

Injured Person's Total Non-Economic Loss

$135,000

Deductible

Injured Person's Total Economic Loss

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

Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.

Does Dr. CHARLES M WALLACE, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. CHARLES M WALLACE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases