| Department File Number : | M201886463 |
| Claim Number : | 6031830 |
| Date Submitted : | 9/18/2018 |
| 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 | Romelia | Alvarez | |||
| Street Address | |||||
| 6133 North River Road Suite 650 | |||||
| City | State | Zip | |||
| Rosemont | IL | 60018 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (847) 653 - 8823 | romelia.alvarez@fortressins.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Daniel | Torres | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 11903 Sailboat Dr | ||||
| City | State | Zip Code | County | ||
| Hollywood | FL | 33026 | Palm Beach | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 2001397 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Dentistry | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| DN17737 | Dental General Practice - NOC | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Palm Beach | ||||
| 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 | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/4/2016 | 11/11/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| The patient presented wanting multiple teeth extracted, two existing implants removed to be replaced with six implants in preparation for an All-On-4 procedutre. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| October 4, 2016, there were extractions at #2, 4, 6, 7, 9, 10, 11 and 14. He also had an implant removed at #12 and 13. Implants were placed at #3, 5, 7, 9, 12 and 14. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The patient alleges wrongful handling of dental equipment led to ingestion of a 4cm x.3cm dental instrument and subsequent surgery to remove it. Surgical removal also involved resection 9cm of the small intestine. | |||||
| Severity Of Injury | |||||
| Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 8/11/2017 | 50-2017-CA-009052-xx | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Palm Beach | 9/13/2018 | ||||
| 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 | |||||
| Award for plaintiff. | |||||
| Date of Payment | |||||
| 9/13/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $95,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $25,582 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $975 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Risk Management Review | |||||||||||||||||||||
| 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.
Does Dr. DANIEL TORRES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DANIEL TORRES, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).