Dr. JOHN A MASON, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. JOHN A MASON, MD

227 North Knights Avenue

Brandon, FL

33510

Hillsborough

Court Case # 17C009900

Indemnity Paid: $67,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201885248
Claim Number :	7031818
Date Submitted :	5/7/2018

Insurer Information

Insurer Name				Coverage Type
FORTRESS INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
36-4159841
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Florence		R	Marafatsos
Street Address
6133 N River Road Ste 650
City				State	Zip
Rosemont				IL	60018
Phone	Ext	Fax	E-Mail Address
(800) 522 - 6675	8466	(847) 653 - 8486	florence.marafatsos@fortressins.com

Insured Information

Type	First Name		MI	Last Name
Individual	John		A	Mason
Insurer Type		Street Address of Practice
Licensed		505 North Excelada Ave
City		State	Zip Code	County
Tampa		FL	33609	Hillsborough
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
36870		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN12116		Oral and Maxillofacial Surgery

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Hillsborough
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
1/6/2016		6/2/2017

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient sought treatment for upper and lower dentures and opted to have her mandibular teeth extracted in order to get a lower denture.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Teeth's #'s 18, 22, 23, ,26, 27 and 31 were extracted. Root tip of #27 was left in due to its proximity to the nerve.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The patient alleged paresthesia of the right lower lip from the inferior alveolar nerve injury.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
10/31/2017			17C009900
County Suit Filed in			Date of Final Disposition
Hillsborough			4/25/2018
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
Other			Dismissal with Prejudice
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/9/2018

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$67,000

Loss Adjust Expense Paid to Defense Counsel

$27,163

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

unknown

Updates

No updates found.

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

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Court Case #

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201680285
Claim Number :	7030735
Date Submitted :	11/15/2016

Insurer Information

Insurer Name				Coverage Type
FORTRESS INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
36-4159841
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Janet		L	Meyer
Street Address
6133 North River Road, Suite 650
City				State	Zip
Rosemont				IL	60018
Phone	Ext	Fax	E-Mail Address
(847) 653 - 8823		(847) 653 - 8485	janet.meyer@fortressins.com

Insured Information

Type	First Name		MI	Last Name
Individual	John		A	Mason
Insurer Type		Street Address of Practice
Licensed		227 North Knights Avenue
City		State	Zip Code	County
Brandon		FL	33510	Hillsborough
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
36870		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN12116		Dentists

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Hillsborough
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
10/1/2013		4/1/2016

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Crown for cracked tooth #30.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured provided a crown to tooth #30.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient alleged crown negligently placed and required replacement.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			11/4/2016
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
Claim or suit abandoned.
Final Method of Claim Disposition
No Payment Made
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Indemnity Paid by Insurer on behalf of Insured

Loss Adjust Expense Paid to Defense Counsel

$2,202

All Other Loss Adjustment Expense Paid

$3,251

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

unknown

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.

Frequently Asked Questions

Does Dr. JOHN A MASON, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JOHN A MASON, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases