Dr. MIRANDA W SMITH, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. MIRANDA W SMITH, MD

17020 County Line Road

Spring HIll, FL

34610

Pasco

Court Case # CA-14-660

Indemnity Paid: $22,500.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201677370
Claim Number :	7010186
Date Submitted :	2/29/2016

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 North River Road, Suite 650
City				State	Zip
Rosemont				IL	60018
Phone	Ext	Fax	E-Mail Address
(847) 653 - 8823		(847) 653 - 8485	janet.meyer@fortressins.com

Insured Information

Type	First Name		MI	Last Name
Individual	Miranda		W	Smith
Insurer Type		Street Address of Practice
Licensed		17020 County Line Road
City		State	Zip Code	County
Spring Hill		FL	34610	Hernando
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
32243		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN15873		Dentists

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Hernando
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
3/9/2012		3/7/2013

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with pain and extensive decay under existing amalgam restorations.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured cleaned teeth and placed pulp caps and restorations on teeth #s 18, 28, 30 and 31.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient alleges continued pain after fillings replaced on teeth #s 18, 28, 30 and 31.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
4/21/2014			CA-14-660
County Suit Filed in			Date of Final Disposition
Hernando			1/21/2016
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
2/26/2016

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$22,500

Loss Adjust Expense Paid to Defense Counsel

$32,330

All Other Loss Adjustment Expense Paid

$7,935

Injured Person's Total Non-Economic Loss

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

Unknown

Updates

No updates found.

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

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Court Case # 51-2013-ca-4251-CAAX

Indemnity Paid: $15,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201677222
Claim Number :	7010178
Date Submitted :	2/18/2016

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 North River Road, Suite 650
City				State	Zip
Rosemont				IL	60018
Phone	Ext	Fax	E-Mail Address
(847) 653 - 8823		(847) 653 - 8485	janet.meyer@fortressins.com

Insured Information

Type	First Name		MI	Last Name
Individual	Miranda		W	Smith
Insurer Type		Street Address of Practice
Licensed		17020 County Line Road
City		State	Zip Code	County
Spring HIll		FL	34610	Pasco
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
32243		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN15873		Dentists

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Pasco
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
5/25/2011		3/5/2013

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented for general dental treatment and restorative dental work.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured performed an exam and identified multiple caries, fillings (#s 12,14,15,18,19 &20) and a failed RCT (#30) that needed to be redone. The insured completed the treatment and the patient failed to return for follow up.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient alleges improper and unnecessary restorations.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
7/25/2013			51-2013-ca-4251-CAAX
County Suit Filed in			Date of Final Disposition
Pasco			1/6/2016
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
2/5/2016

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$15,000

Loss Adjust Expense Paid to Defense Counsel

$19,673

All Other Loss Adjustment Expense Paid

$1,865

Injured Person's Total Non-Economic Loss

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

Unknown

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.

Frequently Asked Questions

Does Dr. MIRANDA W SMITH, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. MIRANDA W SMITH, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).

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