Dr. JOHN D DOS PASSOS, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. JOHN D DOS PASSOS, MD

6552 Gunn Highway

Indemnity Paid: $105,000.00

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	Ginny			Clark
Street Address
6133 N. River Rd. Stre 650
City				State	Zip
Rosemont				IL	60018
Phone	Ext	Fax	E-Mail Address
(847) 653 - 8461		(847) 653 - 8481	Ginny.Clark@fortressins.com

Insured Information

Type	First Name		MI	Last Name
Individual	JOHN		D	DOS PASSOS
Insurer Type		Street Address of Practice
Licensed		6552 Gunn Highway
City		State	Zip Code	County
Tampa		FL	33626	Hillsborough
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
35387		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN12680		Dentists

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
7/29/2006		2/8/2007

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented for full mouth restoration (crowns).
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The dentist prepped the teeth and placed crowns on the upper and lower arches.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
After the impressions were taken for the upper arch, the patient complained of pain in the upper anterior.The dentist found that the patient had necrosis of the gingival tissue.The dentist referred the patient to a periodontist and planned to re-do the crowns.The patient, however, did not return to have the case completed.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
1/10/2008			08-CA-000719
County Suit Filed in			Date of Final Disposition
Hillsborough			7/30/2009
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 subsequent to settlement by parties.
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/8/2009

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$105,000

Loss Adjust Expense Paid to Defense Counsel

$191,894

All Other Loss Adjustment Expense Paid

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

Risk Management courses taken

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

This page is not displaying certain sensitive information.

Does Dr. JOHN D DOS PASSOS, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JOHN D DOS PASSOS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).