Dr. KURT BALLY, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. KURT BALLY, MD

3250 NW 84th Ave Apt E502

Indemnity Paid: $120,000.00

Insurer Information

Insurer Name				Coverage Type
CONTINENTAL CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
36-2114545
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Ludvig		C	Christensen
Street Address
4631 Woodland Corporate Blvd 3rd Floor, #317
City				State	Zip
Tampa				FL	33614
Phone	Ext	Fax	E-Mail Address
(813) 880 - 5117		(866) 896 - 5250	Ludvig.Christensen@cna.com

Insured Information

Type	First Name		MI	Last Name
Individual	Kurt			Bally
Insurer Type		Street Address of Practice
Licensed		3250 NW 84th Ave Apt E502
City		State	Zip Code	County
Sunrise		FL	33351	Broward
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
DLP-0246104810		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN17659		Dental General Practice - NOC

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Brevard
City			State	Zip Code

Location where injury occured		Other location where injury occured
Physician's Office
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
9/18/2006		12/17/2006

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Extraction of lower wisdom teeth
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Extraction of teeth #17 & #32
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Paresthesia
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Legal Information

Date of Suit			Circuit Court Case Number
12/14/2007			052007CA68928
County Suit Filed in			Date of Final Disposition
Brevard			2/25/2010
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
2/23/2010

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$120,000

Loss Adjust Expense Paid to Defense Counsel

$101,702

All Other Loss Adjustment Expense Paid

$28,830

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

Insured discussed case with defense counsel and insurance personnel.

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

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Does Dr. KURT BALLY, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. KURT BALLY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).