Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
This page is not displaying certain sensitive information. |
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
This page is not displaying certain sensitive information. |
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M201678460 |
Claim Number : | 1027894-01 |
Date Submitted : | 2/16/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FLORIDA MEDICAL MALPRACTICE JUA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-1625412 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | (260) 486 - 0782 | Lynn.Louthan@MEDPRO.COM |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jonothan | M | Royal | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 10157 South US Highway 1 | ||||
City | State | Zip Code | County | ||
Port Saint Lucie | FL | 34652 | St. Lucie | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL010363 | $100,000 | $300,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
DN12061 | Dentists - N.O.C. |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Palm Beach | ||||
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 | ||||
1/20/2012 | 8/4/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Tooth discomfort | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Crowns and bridges | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Improper restoration work | |||||
Principal Injury Giving Rise To The Claim | |||||
Need for additional restorative work | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/10/2015 | 2015-CA-013722AI | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 5/10/2016 | ||||
Other Defendants Involved in this Claim | |||||
Sage Dental Group of Jupiter Indiantown PLLC fka Gentle Dent Sage Dental Group of Stuart PLLC fka Gentle Dental Group Appearance Implant & Laser Dentistry of Jupiter PA Spector DDS, Edward A | |||||
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 | |||||
5/9/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $20,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $13,893 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,212 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $11,360 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
N/A |
Updates | |||||||
Date of Change: | 8/9/2016 2:50:04 PM | ||||||
Reason for Change: | ALE UPDATED 8/9/2016 | ||||||
| |||||||
Date of Change: | 2/16/2017 1:17:48 PM | ||||||
Reason for Change: | ALE UPDATE 2/16/2017 | ||||||
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Does Dr. JONOTHAN ROYAL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JONOTHAN ROYAL, MD has at least 5 medical malpractice case(s), lawsuit(s), or complaint(s).