Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
*NR:Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information. |
Department File Number : | M201573809 |
Claim Number : | MM263602 |
Date Submitted : | 3/17/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
EVANSTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-2950161 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kimberly | C | Stokes | ||
Street Address | |||||
4600 Cox Road | |||||
City | State | Zip | |||
Glen Allen | VA | 23060 | |||
Phone | Ext | Fax | E-Mail Address | ||
(804) 287 - 6965 | kimberly.stokes@markelcorp.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Miriam | R | Rubano | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1825 Forest Hill Blvd. | ||||
City | State | Zip Code | County | ||
West Palm Beach | FL | 33406 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MM821603 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
DN17016 | Dentists |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Dentist office | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Miriam Rubano Dentist office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
4/28/2011 | 6/25/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient was presented to insureds' after chipping his front tooth. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient alleges failure to properly evaluate and treat occlusion prior to instituting dental reconstruction, installed crowns on teeth 14 and 31 causing pain and TMJ problems that required orthodontic and expert treatment, and installed laminate veneers on teeth 6-11 and changed the patient's occlusion requiring extensive TMJ treatment. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis were made. | |||||
Principal Injury Giving Rise To The Claim | |||||
The patient alleges he will incur future expenses for damages to replace crowns and veneers. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 6/16/2014 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
7/8/2014 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $21,694 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,117 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $5,000 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
none |
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.
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
*NR:Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information. |
Does Dr. MIRIAM R RUBANO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MIRIAM R RUBANO, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).