Dr. GEORGE G PEAK, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. GEORGE G PEAK, MD

4372 COMMERCIAL WAY

Indemnity Paid: $25,000.00

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	Lynn			Herling
Street Address
6133 N. River Road
City				State	Zip
Rosemont				IL	60018
Phone	Ext	Fax	E-Mail Address
(847) 653 - 8748		(847) 653 - 8750	lynn.herling@omsnic.com

Insured Information

Type	First Name		MI	Last Name
Individual	GEORGE		G	PEAK
Insurer Type		Street Address of Practice
Licensed		4372 COMMERCIAL WAY
City		State	Zip Code	County
SPRING HILL		FL	34606	Hernando
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
22387		$2,000,000		$6,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN13343		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	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

Date of Occurrence		Date Reported to Insurer
8/10/2007		11/1/2007

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
PAINFUL, IMPACTED THIRD MOLARS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EXTRACTION OF THIRD MOLARS
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
LIP ABRASION FROM BUR GUARD
Severity Of Injury
Temporary: Slight - Lacerations, contusions, minor scars, rash.No delay.

Legal Information

Date of Suit			Circuit Court Case Number
7/21/2008			CA08-2149
County Suit Filed in			Date of Final Disposition
Hernando			12/2/2008
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/2/2008

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$25,000

Loss Adjust Expense Paid to Defense Counsel

$6,632

All Other Loss Adjustment Expense Paid

$2,200

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

CONTINUED RISK MANAGEMENT SEMINARS AND BULLETINS

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

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Does Dr. GEORGE G PEAK, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. GEORGE G PEAK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).