WCPanelIQ
PanelQMELienDenied

Jose Badillo — ADJ11287164, ADJ11286905

JOSE RAMOS BADILLO, Applicant vs. GENEVA STAFFING, INC. dba PRIORITY WORKFORCE, and WESCO INSURANCE COMPANY, administered by AMTRUST NORTH AMERICA, INC., Defendants

ADJ number
ADJ11287164, ADJ11286905
Decision date
Aug 11, 2021
District office
Van Nuys
WCJ
—
Claim administrator
AmTrust North America, Inc. (administering Wesco Insurance Company)
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, MARGUERITE SWEENEY, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: teeth, lumbar spine, right wrist, right hand, knees

LC §4903.5LC §4904LC §4905LC §4600LC §4604.5

Summary

Applicant Jose Ramos Badillo claimed industrial injury including injury to his teeth (bruxism) arising from his work as a sander, which defendant accepted as to orthopedic body parts but denied as to the teeth. After settling the underlying claims by C&R, a lien trial proceeded on the dental treatment lien of Mayer Schames, D.D.S. dba The Dental Trauma Center (DTC) and the EDD lien for benefits paid. The WCJ found injury to the teeth as a compensable consequence, found DTC's treatment reasonable, awarded DTC $12,289.29 plus penalties/interest, and awarded EDD $20,384.00 plus interest, rejecting defendant's statute of limitations defense. The WCAB denied defendant's Petition for Reconsideration, finding substantial evidence supported the dental injury (bruxism caused by industrial pain and stress), upheld the WCJ's discretion in accepting the lien claimant's bill reviewer as a witness, and held the EDD lien was not time-barred because defendant had timely notice and agreed to hold applicant harmless in the C&R.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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