Dr. DALE K CHRISTENSEN, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. DALE K CHRISTENSEN, MD

2431 Estancia Blvd, Building D

Indemnity Paid: $80,000.00

Insurer Information

Insurer Name				Coverage Type
OMS NATIONAL INSURANCE COMPANY, RISK RETENTION GROUP				Primary
Insurer FEIN		Professional License Number
36-3571664
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Erica			Ames
Street Address
425 N. Martingale Road
City				State	Zip
Schaumburg				IL	60173
Phone	Ext	Fax	E-Mail Address
(800) 522 - 6675	8832	(847) 653 - 8486	ERICA.AMES@FORTRESSINS.COM

Insured Information

Type	First Name		MI	Last Name
Individual	Dale		K	Christensen
Insurer Type		Street Address of Practice
Licensed		2431 Estancia Blvd, Building D
City		State	Zip Code	County
Clearwater		FL	33761	Pinellas
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
20334		$2,000,000		$6,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN5451		Oral and Maxillofacial Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Pinellas
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
2/13/2018		1/30/2019

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Tooth #14 was extracted
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient presented with a referral from her general dentist for extraction of tooth #14.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient alleges that she developed an infection on her nose due to the anesthesia mask used during x/o #14
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			9/3/2019
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
9/18/2019

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$80,000

Loss Adjust Expense Paid to Defense Counsel

$11,742

All Other Loss Adjustment Expense Paid

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

documentation

Does Dr. DALE K CHRISTENSEN, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. DALE K CHRISTENSEN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases