Dr. DOUGLAS F ROTH, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. DOUGLAS F ROTH, MD

18134 Powell Road

Indemnity Paid: $100,000.00

Insurer Information

Insurer Name				Coverage Type
NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA				Primary
Insurer FEIN		Professional License Number
25-0687550
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Connie		L	Peters
Street Address
PO Box 52810
City				State	Zip
Bellevue				WA	98015
Phone	Ext	Fax	E-Mail Address
(425) 636 - 1000	1012	(916) 781 - 5795	cpeters@intercareins.com

Insured Information

Type	First Name		MI	Last Name
Individual	Douglas		F	Roth
Insurer Type		Street Address of Practice
Licensed		18134 Powell Road
City		State	Zip Code	County
Brooksville		FL	34604	Hernando
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
DSA006359961		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN17015		Dental General Practice - NOC		80211

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Hernando
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
Other		Dental treatment room
Date of Occurrence		Date Reported to Insurer
10/20/2013		11/20/2014

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented for extraction and implant of #18
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured extracted #18.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis was made
Principal Injury Giving Rise To The Claim
Allegations that the implant placement caused IAN nerve injury and damages which are pe rmanent in nature
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Legal Information

Date of Suit			Circuit Court Case Number
5/13/2015			15-000593 CAAXMX
County Suit Filed in			Date of Final Disposition
Hernando			2/1/2016
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
1/29/2016

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$100,000

Loss Adjust Expense Paid to Defense Counsel

$28,763

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$98,109

Deductible

Injured Person's Total Economic Loss

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

No safety managment steps taken

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Does Dr. DOUGLAS F ROTH, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. DOUGLAS F ROTH, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases