Department File Number : | M201574654 |
Claim Number : | 7010242 |
Date Submitted : | 4/17/2017 |
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 N. River Rd., Suite 650 | |||||
City | State | Zip | |||
Rosemont | IL | 60018 | |||
Phone | Ext | Fax | E-Mail Address | ||
(800) 522 - 6675 | (847) 653 - 8485 | janet.meyer@fortressins.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Laurentiu | Teodoru | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 866 North Federal Highway | ||||
City | State | Zip Code | County | ||
Pompano Beach | DE | 33062 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
3013418 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
DN15330 | Dentists |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | 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 | ||||
12/6/2010 | 3/25/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient presented with decay around a filling already in place in tooth #15. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Following a thorough exam and evaluation the insured presented the patinet with a recommended treatment plan for RCT. The insured following the agreed treatment plan performed RCT with crown. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
The patient alleges the insured performd RCT without consent. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/11/2013 | 13-2537 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 4/5/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
After appeal. | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
Court Decision | Other | ||||
Judgment for the defendant after the appeal ... | |||||
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 | $44,403 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,570 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Unknown |
Updates | |||||||||||||
Date of Change: | 4/17/2017 10:22:06 AM | ||||||||||||
Reason for Change: | File reopened 6/16/15 and closed 4/17/17 as result of Satisfaction of Judgment filed 4/5/17. | ||||||||||||
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*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. LAURENTIU TEODORU, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. LAURENTIU TEODORU, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).