Dr. SAMUEL L KLEIN, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. SAMUEL L KLEIN, MD

5601 North Federal Highway

Indemnity Paid: $61,250.00

Insurer Information

Insurer Name				Coverage Type
NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA				Primary
Insurer FEIN		Professional License Number
25-0687550
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Connie		L	Peters
Street Address
PO Box52810
City				State	Zip
Bellevue				WA	98015
Phone	Ext	Fax	E-Mail Address
(425) 636 - 1000	1012	(916) 781 - 5795	cpeters@intercareins.com

Insured Information

Type	First Name		MI	Last Name
Individual	Samuel		L	Klein
Insurer Type		Street Address of Practice
Licensed		5601 North Federal Highway
City		State	Zip Code	County
Boca Raton		FL	33487	Palm Beach
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
DSA 065090169		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN10776		Dentists - N.O.C.		80211

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Palm Beach
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
Other		Dental Office
Date of Occurrence		Date Reported to Insurer
12/4/2008		11/10/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to dthe insured needing croown work and periodontal treatment.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured placed crowns on 4 teeth and set up a periodontal treatment plan.Patient failed to retuern to insured after only four months of treatment.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis was made
Principal Injury Giving Rise To The Claim
Patient alleges she had to undergo two apico procedures, replacement of crowns insured placed, extraction of one tooth and continues to complain of pain and TMJ problems.
Severity Of Injury
Temporary: Slight - Lacerations, contusions, minor scars, rash.No delay.

Legal Information

Date of Suit			Circuit Court Case Number
5/20/2010			2010CA 013525
County Suit Filed in			Date of Final Disposition
Palm Beach			12/22/2011
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
12/14/2011

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$61,250

Loss Adjust Expense Paid to Defense Counsel

$47,628

All Other Loss Adjustment Expense Paid

$10,670

Injured Person's Total Non-Economic Loss

$35,719

Deductible

Injured Person's Total Economic Loss

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

No safety management steps taken.

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Does Dr. SAMUEL L KLEIN, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. SAMUEL L KLEIN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).