| Department File Number : | M201990819 |
| Claim Number : | 6033022 |
| Date Submitted : | 12/11/2019 |
| 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 | FLORENCE | R | MARAFATSOS | ||
| Street Address | |||||
| 425 N. Martingale Road | |||||
| City | State | Zip | |||
| Schaumburg | IL | 60173 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (800) 522 - 6675 | 8466 | (847) 653 - 8486 | ERICA.AMES@FORTRESSINS.COM | ||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Joseph | R | Grider | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 495 Brickell Avenue, Apt 5702 | ||||
| City | State | Zip Code | County | ||
| Miami | FL | 33131 | Broward | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 2001223 | $2,000,000 | $6,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Dentistry | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| DN18521 | Oral and Maxillofacial Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Broward | ||||
| 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 | ||||
| 7/17/2017 | 7/31/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| The patient was seen due to very poor compromised dentition that required surgical extraction. He sought an ¿All-on-Four¿ dental implant supported restoration in both the upper and lower jaw. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| After securing medical clearance, the insured performed an extraction of the patient¿s remaining teeth (11 teeth) and placed four implants in the upper jaw and four implants in the lower jaw. Thereafter, the patient was seen and treated by the prosthodontist. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The patient was subsequently diagnosed with a necrotizing pseudomonas pneumonia and died four days after his surgery. The plaintiff claimed that the insured should have diagnosed the systemic infection and referred the patient to the ER or his primary care physician for treatment. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 12/6/2018 | 18-012128 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Broward | 10/31/2019 | ||||
| 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 | |||||
| Award for plaintiff. | |||||
| Date of Payment | |||||
| 11/22/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $1,000,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $32,850 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| documentation | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M201886080 |
| Claim Number : | 6033022 |
| Date Submitted : | 8/7/2018 |
| 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 | Romelia | Alvarez | |||
| Street Address | |||||
| 6133 N River Road Suite 650 | |||||
| City | State | Zip | |||
| Rosemont | IL | 60018 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (847) 653 - 8823 | Romelia.Alvarez@fortressins.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Joseph | R | Grider | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 495 Brickwell Ave #5706 | ||||
| City | State | Zip Code | County | ||
| Miami | FL | 33131 | Broward | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 2001223 | $2,000,000 | $6,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Dentistry | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| DN18521 | Dentists | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Broward | ||||
| 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 | ||||
| 7/17/2017 | 7/31/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Dental implants | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Dental implants | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Dental implants | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 7/31/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| 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? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $15,724 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Documentation | |||||||||||||||||||||
| 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.
Does Dr. JOSEPH R GRIDER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOSEPH R GRIDER, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).