Department File Number : | M201576188 |
Claim Number : | 0003017104 |
Date Submitted : | 10/27/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
GREENWICH INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-1479095 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Clayton | Melton | |||
Street Address | |||||
14643 Dallas Parkway | |||||
City | State | Zip | |||
Dallas | TX | 75024 | |||
Phone | Ext | Fax | E-Mail Address | ||
(972) 663 - 3272 | clayton.melton@xlcatlin.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Gloria | A | Ospina | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1806 Ponce De Leon Suite 3401 | ||||
City | State | Zip Code | County | ||
Coral Gables | FL | 33134 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
DCG9520049 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
DN13144 | Dentists |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Gables Perfect Smile | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Dentist office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
9/18/2006 | 7/18/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Dr. Ospina employed the Nobel Guide technique in providing Patient with eight (8) implants. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Dr, Ospina employed six (6) of the Eight (8)implants to support Patient's upper dental prothesis | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient alleges the treatment caused a reduction of twenty-five (25%) percent bone support and retention strength. Patient contends Dr. Ospina improperly fabricated a bar to connect the six (6) implants. The treatment provided led to soft tissue inflammation and loss of bone surrounding the implants. Patient further alleged fractured restorations, pain, discomfort, dysfunction and inabilty to eat. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/23/2012 | 12-11632 CA 20 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 8/24/2015 | ||||
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 | |||||
9/29/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $147,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $250,884 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Discussed with Insured. |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
*NR:Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information. |
Does Dr. GLORIA A OSPINA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. GLORIA A OSPINA, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).