Dr. DAVID A THEIS, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. DAVID A THEIS, MD

1674 Providence Blvd

Indemnity Paid: $3,100.00

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	David		A	Theis
Insurer Type		Street Address of Practice
Licensed		1674 Providence Blvd
City		State	Zip Code	County
Deltona		FL	32725	Volusia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
DLP 0035008938		$2,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN5761		Dentists

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Volusia
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
Special Procedure Room
Date of Occurrence		Date Reported to Insurer
6/26/2014		6/26/2014

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Need for implant and crown on tooth #28
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Attempted placement of ceramic post on tooth #28
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged perforation of root causing loss of tooth #28
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			9/29/2014
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
9/30/2014

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$3,100

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

$300

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

Investigate and identify risks and reduce the liability exposure

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

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Does Dr. DAVID A THEIS, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. DAVID A THEIS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases