Dr. DARYL E SMITH, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. DARYL E SMITH, MD

376 New Berlin Road Suite 1

Indemnity Paid: $0.00

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	Daryl		E	Smith
Insurer Type		Street Address of Practice
Licensed		376 New Berlin Road Suite 1
City		State	Zip Code	County
Jacksonville		FL	32218	Duval
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0961900		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN13001		Dental General Practice - NOC

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Duval
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Location		Dental office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Other		Dental office
Date of Occurrence		Date Reported to Insurer
11/11/2016		11/16/2016

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented for new patient exam which resulted in need for a filling, root canal and crown.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Crown placement on tooth #3.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged poorly fit crown with open margins.
Principal Injury Giving Rise To The Claim
Alleged improper fit of crown on tooth #3.
Severity Of Injury
Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay.

Legal Information

Date of Suit			Circuit Court Case Number
6/9/2017			17-SC-4561
County Suit Filed in			Date of Final Disposition
Duval			3/16/2018
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
Claim or suit abandoned.
Final Method of Claim Disposition
No Payment Made
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?

Indemnity Paid by Insurer on behalf of Insured

Loss Adjust Expense Paid to Defense Counsel

$10,370

All Other Loss Adjustment Expense Paid

$166

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

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

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Does Dr. DARYL E SMITH, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. DARYL E SMITH, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases