Dr. DAVID GOLDSTON, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. DAVID GOLDSTON, MD

120 Carter Blvd. Ste. 7

Indemnity Paid: $50,000.00

Insurer Information

Insurer Name				Coverage Type
ADMIRAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
22-2235730
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Denise			Padilla
Street Address
1000 Howard Blvd, Ste. 300
City				State	Zip
Mount Laurel				NJ	08054
Phone	Ext	Fax	E-Mail Address
(856) 505 - 8115			dpadilla@admiralins.com

Insured Information

Type	First Name		MI	Last Name
Individual	David			Goldston
Insurer Type		Street Address of Practice
Licensed		120 Carter Blvd. Ste. 7
City		State	Zip Code	County
Polk City		FL	33868	Polk
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
EO000035548-01		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN4587		Dentists - Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Polk
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Artistic Dental of Polk City, LLC
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Other		Artistic Dental of Polk City, LLC
Date of Occurrence		Date Reported to Insurer
7/31/2015		5/2/2017

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Dental implants and improved denture retention.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Dental implants.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient alleges that implants were improperly placed causing inflammation, pain, and infection.
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			7/17/2019
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
8/16/2019

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$50,000

Loss Adjust Expense Paid to Defense Counsel

$75,721

All Other Loss Adjustment Expense Paid

$12,141

Injured Person's Total Non-Economic Loss

Deductible

$5,000

Injured Person's Total Economic Loss

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

None

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

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

Medical Malpractice Cases