Dr. MICHAEL JACOBS, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. MICHAEL JACOBS, MD

19501 W. Country Club Dr, Suite 405

Aventura, FL

33180

Dade

Court Case # 09-59502CA24

Indemnity Paid: $40,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201056824
Claim Number :	38121-01
Date Submitted :	3/29/2010

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Michael			Jacobs
Insurer Type		Street Address of Practice
Licensed		19501 W. Country Club Dr, Suite 405
City		State	Zip Code	County
Aventura		FL	33180	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
73950		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN17159		Dental General Practice - NOC		80211

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Dade
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
12/2/2008		1/7/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to the insured's office due to impacted lateral incisors and the insured recommended bridgework and extraction of teeth 7 & 10.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
This, then, 32 year old male alleged that the insured improperly placed a bridge from teeth 6-8, improperly performed root canal therapy (6,8,9 & 11) and improperly shaved his adjacent teeth.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient alleged that the insured improperly placed a bridge, improperly performed root canal therapy and improperly shaved his adjacent teeth.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
8/18/2009			09-59502CA24
County Suit Filed in			Date of Final Disposition
Dade			3/8/2010
Other Defendants Involved in this Claim
Gentle Dental of North America
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
3/8/2010

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$40,000

Loss Adjust Expense Paid to Defense Counsel

$13,264

All Other Loss Adjustment Expense Paid

$3,967

Injured Person's Total Non-Economic Loss

$40,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Court Case # 08-77843CA06

Indemnity Paid: $14,500.00

Medical Malpractice Closed Claims Report

Department File Number :	M201160135
Claim Number :	38117-01
Date Submitted :	3/16/2011

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Michael			Jacobs
Insurer Type		Street Address of Practice
Licensed		19501 W. Country Club Dr, #405
City		State	Zip Code	County
Aventura		FL	33180	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
73950		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN17159		Dental General Practice - NOC		80211

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Dade
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
12/19/2007		1/6/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient sought treatment for fabrication of crowns and bridges in oral cavity.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent fabrication of crowns and bridges in oral cavity.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Root canal therapy and replacement of bridge.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
12/29/2008			08-77843CA06
County Suit Filed in			Date of Final Disposition
Dade			2/24/2011
Other Defendants Involved in this Claim
Gentle Dental Group of North Miami Beach, P.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
2/24/2011

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$14,500

Loss Adjust Expense Paid to Defense Counsel

$32,549

All Other Loss Adjustment Expense Paid

$4,202

Injured Person's Total Non-Economic Loss

$14,500

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$6,000	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

This page is not displaying certain sensitive information.

Court Case # 10-4797CA13

Indemnity Paid: $10,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201058804
Claim Number :	38772-01
Date Submitted :	10/15/2010

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Michael			Jacobs
Insurer Type		Street Address of Practice
Licensed		19501 W. Country Club Dr, Ste 405
City		State	Zip Code	County
Aventura		FL	33180	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
73950		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN17159		Dental General Practice - NOC		80211

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Dade
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
4/10/2007		5/29/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Crowns on teeth #'s 23, 24, 25 and 26.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Open margins on crowns.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Open crowns.
Principal Injury Giving Rise To The Claim
Repair and replace crowns.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
2/8/2010			10-4797CA13
County Suit Filed in			Date of Final Disposition
Dade			9/14/2010
Other Defendants Involved in this Claim
Gentle Dental Group of North Miami, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/14/2010

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$10,000

Loss Adjust Expense Paid to Defense Counsel

$5,756

All Other Loss Adjustment Expense Paid

$2,937

Injured Person's Total Non-Economic Loss

$10,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$6,000	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

This page is not displaying certain sensitive information.

Frequently Asked Questions

Does Dr. MICHAEL JACOBS, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. MICHAEL JACOBS, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).