17
I', ' 'l. I " ,I ., J.-?i WILLIAM J. KEMP, D.D.S. PRESIDENT RT.1 BOX 655 HASKELL, TEXAS 79521 (817) 864·2404 JOHN D. WILBANKS, D.D.S. PRESIDENT·ELECT 1501ARIZPNA, 11·C EL PASO, TEXAS 79902 (915) 542·1749 RENE E. HOLT, D.D.S. FIRST VICE·PRESIDENT P.O. BOX 1761 KILGORE, TEXAS 75662 (214) 984·3927 JACK T. CLARK, D.D.S. SECOND VICE·PRESIDENT 3600 HULEN, NO. B·4 FORT WORTH, TEXAS 76107 (817) 732·4641 - --, -_.' Dr. John M. Peacock 2323 Broadway Galveston, Texas 77550 NEIL A. MORGAN, D.D.S. 901 N.E. LOOP 410, NO. 426 SAN ANTONIO, TEXAS 78209 (512) 824·1482 WILLIAM S. NAIL EXECUTIVE DIRECTOR 411 WEST 13TH STREET SUITE 503 AUSTIN, TEXAS 78701 (512) 475·2443 April 10, 1982 RE: Complaint and Docketed Complaint Number 1982-9 Dear Doctor Peacock: WILL F. GRAHAM, D.D.S. 100 N. McGEE, #150 BORGER, TEXAS 79007 (806) 273-2847 BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA STREET AMARILLO, TEXAS 79109 (806) 352·5671 DONALD L. BRUNSON, D.D.S. 1105 EAST JAMES STREET BAYTOWN, TEXAS 77520 (713) 422-8248 Enclosed is copy of a Complaint concerning you which has been received by me as Secretary-Treasurer of the Texas State Board of Dental Examiners. I have caused this Complaint to be Docketed in the name of the Texas State Board of Dental Examiners vs. yourself and have caused copies to be made and mailed to you by Registered Mail and to the members of the Board. j The Board will meet in San Antonio, Texas on Thursday, Friday and Saturday, April 29, 30 and May 1, 1982 when all complaints to be heard and considered by the Board will be called and heard. This case has been scheduled for Thursday, April 29, 1982 at 9:00 a.m. in the Board Hearing Room at the San Antonio Convention Center, San Antonio, Texas, and could possibly be heard on Friday and Saturday, April 30 and May 1, 1982, if all cases are not finished on Thursday, April 29, 1982. This is to further advise you that you may appear and offer such evidence as is pertinent to your defense to said Complaint. You may be represented by counsel if you so desire. You are further advised that the Texas State Board of Dental Examiners is given jurisdiction and authority to hear and determine said matters by the .second portion of Article 4549, Vernon's Texas ,--; - .. 11 'I ; ..

I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

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Page 1: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

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'l. f-':':"---~:-'-'

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J.-?i (~""

WILLIAM J. KEMP, D.D.S. PRESIDENT

RT.1 BOX 655 HASKELL, TEXAS 79521

(817) 864·2404

JOHN D. WILBANKS, D.D.S. PRESIDENT·ELECT

1501ARIZPNA, BL~G. 11·C EL PASO, TEXAS 79902

(915) 542·1749

RENE E. HOLT, D.D.S. FIRST VICE·PRESIDENT

P.O. BOX 1761 KILGORE, TEXAS 75662

(214) 984·3927

JACK T. CLARK, D.D.S. SECOND VICE·PRESIDENT

3600 HULEN, NO. B·4 FORT WORTH, TEXAS 76107

(817) 732·4641

- --, ',~ -_.'

Dr. John M. Peacock 2323 Broadway Galveston, Texas 77550

NEIL A. MORGAN, D.D.S. SECRETAR~TREASURER

901 N.E. LOOP 410, NO. 426 SAN ANTONIO, TEXAS 78209

(512) 824·1482

WILLIAM S. NAIL EXECUTIVE DIRECTOR

411 WEST 13TH STREET SUITE 503

AUSTIN, TEXAS 78701 (512) 475·2443

April 10, 1982

RE: Complaint and Docketed Complaint Number 1982-9

Dear Doctor Peacock:

WILL F. GRAHAM, D.D.S. 100 N. McGEE, #150

BORGER, TEXAS 79007 (806) 273-2847

BRIAN BABIN, D.D.S. 1002 W. BLUFF

WOODVILLE, TEXAS 75979 (713) 283·3721

JAMES S. ROGERS, D.D.S. 2909 GEORGIA STREET

AMARILLO, TEXAS 79109 (806) 352·5671

DONALD L. BRUNSON, D.D.S. 1105 EAST JAMES STREET

BAYTOWN, TEXAS 77520 (713) 422-8248

Enclosed is copy of a Complaint concerning you which has been received by me as Secretary-Treasurer of the Texas State Board of Dental Examiners. I have caused this Complaint to be Docketed in the name of the Texas State Board of Dental Examiners vs. yourself and have caused copies to be made and mailed to you by Registered Mail and to the members of the Board.

j

The Board will meet in San Antonio, Texas on Thursday, Friday and Saturday, April 29, 30 and May 1, 1982 when all complaints to be heard and considered by the Board will be called and heard. This case has been scheduled for Thursday, April 29, 1982 at 9:00 a.m. in the Board Hearing Room at the San Antonio Convention Center, San Antonio, Texas, and could possibly be heard on Friday and Saturday, April 30 and May 1, 1982, if all cases are not finished on Thursday, April 29, 1982.

This is to further advise you that you may appear and offer such evidence as is pertinent to your defense to said Complaint. You may be represented by counsel if you so desire.

You are further advised that the Texas State Board of Dental Examiners is given jurisdiction and authority to hear and determine said matters by the .second portion of Article 4549, Vernon's Texas

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Page 2: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

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Civil Statutes, as amended, and by Rules of Procedure Governing Grievances, Hearings and Appeals duly adopted by said Board, said Laws and Rules are enclosed herewith. Rules 382.13.02.008 (b) and .020 (a) also provide that the Board may revoke, cancel or suspend said Doctor's dental license to practice dentistry in Texas, or it may find said licensee not guilty as charged on any or all of said allegations or counts. Any final decision or order will be by majority of said Board (Rule 382.13.02.043 and .044). Your attention is specifically called to Rule 382.13.02.026 (a) which specifically delegates the authority to the "Board" to conduct hearings and to'Rule 382.13.008 (a), (b), etc.

Copies of the Complaint, the Rules and Regulations, the Dental Laws, and the Rules of Procedure are enclosed for your reference.

Yours truly,

TEXAS STATE BOARD OF DENTAL EXAMINERS

BY

NAM:krm REGISTERED MAIL- RRR Copies to: TSBDE Board Members

TheRon. Robert W. Gauss, Asst. Atty. General

Page 3: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

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COMPLAINT AND DOCKETED COMPLAINT NUMBER 1982-9

TEXAS STATE BOARD OF DENTAL EXAMINERS

VS.

DOCTOR JOHN M. PEACOCK 2323 BROADWAY GALVESTON, GALVESTON COUNTY, TEXAS HOLDER OF TEXAS DENTAL LICENSE NO.

77550 9105

COM P L A I N T

BEFORE ME, the undersigned authority, on this day personally appeared EDGAR F. BLOOD, hereinafter called AFFIANT, wh 0, aft e r having been duly sworn by me on his OATH, did depose and say:

I, EDGAR F. BLOOD, of Houston, Harris County, an employee of the Texas State Board of Dental Examiners, did in the course of such emp loyment, make certain investigations into the professional conduct and acts of one JOHN M. PEACOCK, D.D.S., of Galveston, Galveston County, Texas, a practicing dentist in the State of Texas and the holder of Texas Dental Lic'ense No. 9105, previously issued by the Texas State Board of Dental Examiners, duly authorized to grant and issue such license.

As an employee of the Texas State Board of Dental Examiners, I, EDGAR F. BLOOD, do hereby present to the said Secretary-Treasurer of the Texas State Board of Dental Examiners the following Complaint against the said JOHN M. PEACOCK, D.D.S., hereinafter called RESPONDENT.

I.

On or about July ,18, 1981, JOHN M. PEACOCK, D.D.S., licensed to practice dentistry in Texas and having been issued Texas Den ta 1 Lic ens e No. 9105, and hereinafter called RESPONDENT, had as his dental patient S M. A , hereinafter called PATIENT. RESPONDENT, practicing under the trade name Kashmere Dental Clinic, did then and there in his dental office in Houston, Harris County, Texas, undertake to treat PATIENT'S dental needs, said treatment consisting of the extraction of PATIENT'S mandi bular left first and second molars. During a portion of the extraction procedure, RESPONDENT was assisted by P M who attempted to work on one of PATIENT'S teeth and accidentally knocked off a crown. P M was not and is not a licensed dentist in the State of Texas.

PATIENT continued to have pa in fo 11 owing treatment by RESPONDENT and sought other professional dental care ,and was advised that there was a bur cut into the distal root of the left mandibular second bicusp id. Clinic a 1 and X-Ray examina t ion revealed a large sequestrum of bone on the buccal and lingual

1

Page 4: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

aspect of the mandible. Treatment consisted of medication for pain, removal of the sequestra, and removal of the left mandibular second bicuspid.

II.

It is the opinion of AFFIANT, EDGAR F. BLOOD, that the said RESPONDENT, JOHN M. PEACOCK, D.D.S., because of the c onduc t and acts a's set out in Paragraph 1. hereinbefore, is GUILTY of violating the following Laws relating to dentistry:

(1) V.A.T.S. Article 4549, Section 2

(g) that a dentist employs' or permits or has employed or permitted persons to practice dentistry in the office or offices under his control or management, who were not licensed to practice dentistry.

(1) that the holder thereof (of a dental license) has been negligent in the performance of dental services which injured or damaged dental patients.

III.

Article 4549, V.A.T.S., provides as follows:

Section 2. The Texas State Board of Dental Examiners and the District Courts 0 f th is S ta t e sha 11 have concurrent jurisdiction and authority, after notice and hearing as hereinafter provided, to suspend or revoke a dental license or a dental hygienist license,~ to place on probation a person whose l:i,cense or certificate is suspended, or tQ reprimand a licensee or certificate holder for anyone or more of the following causes:

(g) that a dentist employs or permits or has employed or permitted persons to practice dentistry in the office or offices under his control or manage-ment, who were not licensed to practice dentistry.

(i) that the holder thereof has failed or refused to comply with any State law relating to the regulation of dentists or dental hygienists.

-~"--"- ,--.~--­. /"~~

2

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(1) that the holder thereof has been negligent in the performance of dental services which injured or damaged dental patients.

The foregoing Complaint is secretary-Tr~urer of the Texas State Board this the 3: day of April, 1982.

submitted to the of Dental Examiners

Further AFFIANT sayeth not.

f:~&1fu.n ED(;F. BLO~

('~. ; ..........

c~":/ Subscr~d and sworn to ~f~is the :5 L.-' day of April,

before me by the said Edgar F. Blood 1982.

The foregoing Complaint is hereby filed and docketed with the Texas State Board of Dental Examiners and styled Texas State Board of Dental Examiners vs. John M. Peacock, D.D.S., under Docket Number 1982-9, this the ~ day of April, 1982.

3

Page 6: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

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TEXAS STATE BOARD OF DENTAL EXAMINERS

V.

JOHN M. PEACX>CK, D.D.S. LICENSE NO. 9105

NO. 1982-9

THE STATE

OF TEXAS

, 'BOARD 'ORDER

I.

On the 23rd day of September, 1982, the Texas State Board of Dental Examiners ,met in the Board Hearing Room of the Sheraton Inn in Tyler, Smith County, Texas, for the purpose of hearing and considering the instant Docketed Complaint No. 1982-9, as well as for the transaction of other business. A quorum and a majority of the membership of the Texas State Board of Dental Examiners were present, to-wit:

Dr. John D. Wilbanks, President Dr. Rene E. Holt, President-Elect Dr. Jack T. Clark, 1st Vice-President Dr. Will F. Graham, 2nd Vice-President Dr. Neil A. Morgan, Secretary-Treasurer Dr. Brian Babin Dr. Donald L. Brunson Mr. Joseph E. Gardner, Jr. Mrs. Mary Ellen Jericho Dr. William J. Kemp Dr. James S. Rogers Mrs. Geraldine Tucker (absent excused)

, II.

The President ,called said Docketed Complaint for hearing, the'State announced ready and the'RFSPONDm-J"T, JOHN M. PEACX>CK" D.D.S.', appeared with counsel, The Hon. William J. Rohrbach, Jr., of Houston, Texas, and entered a plea of NOLO CONTENDERE.

III.

The Texas State Board of Dental Examiners finds that' JOHN M. PEACX>CK, D.D.S. has been guilty of the'violations set forth in theDJcketed Com-plaint, to-wit:

1. Dr. John M. Peacock has been guilty of negligence in the performance of dental services which injured and damaged his dental patient in violation of Article 4549, Section 2 (1), Texas Revised Civil Statutes.

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Page 7: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

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BOARD ORDER 1982-9 Page 2

IV. BE IT KNOWN that on the' 23rd day of September', 1982·, a quorum of

the Texas State Board of Dental Examiners, have voted, by'majority vote, to SUSPEND for a period of TWO (2) YEARS, .effective September 23, 1982, License No. 9105, heretofore issued to Dr. John'M. Peacock of Galveston, Texas; however, such SUSPENSION is PROBATED for all but THIRTY (30) DAYS thereof (January I,. through '30, '1983), subject to the' following, to-wit:

1. Dr. John M. Peacock. shall conducthiinself inconformity with . this Order, shall conform to all laws and rules and regulations govern-ing the practice of dentistry in this State; and, that the said Dr. John M. Peacock shall not practice dentistry or aid or abet another so to do in the State of Texas during such 30. day period of suspension, which is conditioned' as follows:

(a) Office to'be closed except for administrative purposes (niaking future appointments when suspension is over, opening mail, referring patients, accepting payments on' accounts and general office chores); . .

(b) No dental,hygienist shall be on the premises nor shall he lease his office space nor make any monet~ gain for the period of time that the'office is closed;

. (c) If there is an associate arrangement, the' associate can continue to. work on his own patients of recbrd, but the' . provisions listed above still apply.

IT IS ACCORDINGLY ORDERED that License No. 9105, heretofore issued to Dr. John M. Peacock,' be SUSPENDED for TWO (2) 'YEARS, 'effective September 23, 1982; however, such SUSPENSION is PROBATED for all but the first THIRTY (30) DAYS thereof (January 1 through 30, 1983), subject to the foregoing conditions.

Executed this .. 19th day of ... , .. November ...... : .. . .. I ' 1982 .

. ~~;.~.)~ ......... . President

0ii?z~_s DR. RENE E. HOLT President-Elect

. ' .. 11:....15-.82· ..... Date

.... 11:"'15:"'82' Date

" i: ::

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BOARD ORDER 1982-9 Page 3

/e)~8~""~~ DR. WILL F. GRAHAM 2nd Vice-President

DR. roNALD L. BRUNSON

MRS. MARY ELLEN JERICHO

c L-_______ ~_ --,-- ________ _

, , , , '11..:..12.!.82 ' , , , Date

, , , , '11...:-15..:.82.' ' , , Date

, , , , 'll...:.15~82 ' ' , , Date

Date'

, , , , '11-'15-'82 ' . , , Date

, .. '11~12~82 ' , , . Date

, , , , '11-15-'82 ' , , , Date

, ,

, , , . -11 ~ 12":"82' , . , , Date

, , , , 11'-14--82' , , , , Date

, , .. 11 ~T5-82' , ... .' Date

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Page 9: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

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. SBDE NO. 03-437;;0211' .

'IN:l"HE IVIA"Ij;fl;~OF . ,;THE LICENSE; OF ·

JOHN M. PEACOCK, DDS "

TEXAS DENTAL LICENSE NUMBER91.05. ··DENTALEXAMINERS . ,. '",.' .' ....

. , '. .

.' Boardmernber$GarYMcDon~ld,D.D;S."He.IEm M~Kibben,R~.O~H.,and;, •. , Mr." Charles Wetherbee,',J.Q.;,..represented·:the,':rUlr,(St>'ard at·.thejsettlernebt.~:·l' conference pursuant to Section 263.007, Texas Occupations Codearid"Board{' Rule 1 07.63, 22 Tex. Admin. Code. Board staffpresentand participating were .. Rob Hill, Staff Attorney; Armand Ramirez,. Legal Administrator; and . Bill·· ••. Williamson, representing .the. EnforcementDivision,: Th,E:},Board 11l6!T:lbers n?r1J~d.. . .

.' a.bove . considered inf6rn1~tionpresented. ~Yi;st~.W\/;tq~;J~~$p()ric;f~Il~.'-:~nd.,l~E?:·';{;·,::, . Complainant. <The .', Bbard,panel .. member~;.;haviDg·;\;9arefUlly..coM§iq~red; :~;the;::,

.. B()ard's disciplinary guidelirJe$,. recomrne.nd thefqllpWI,llg. Agr~~B·{S~ttle.m.~nt/> ....•. Order contingenton the:fuln30ard'sappr(jvat>~;· ... ' ., . '" ...

", >

Page 10: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

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FINDINGS OF FAcT' .

1.Qn. or about .January24, .2003,t~el3e~PQPdent :failed· to' meet;" the minim,Lim stahdard"of care in'failing to 'adequ~.teIY 'dc;>cyme,nt tbe' diagnosi~ ".' that indicated the' necessity of bone graff treatment fqr.'patient T.Z. -"

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. 2. On-orabo.ut January 24, 2003,theRespond~ri~;;f~II':b~l.qw theminimUrr( ... " . stahdardof' carebyfailing ·to'HH=ike;;rri~inh~in';,;'~nEi;;k~tipx~deqda,te:deni~t:,,: records on patient T.Z. SpeCifically, therecbrd'does nQtinclude: a notation of initial blood pressure and pulse;br~rstatementexplaining why~ these vital signs were not obtained; wri#eninfmrQeq:consentsigl1edby : ...... . the patient qovering all treatillent provided; dqcymentationofh9Wtl1e' ... . patient's mitral valve prolapse was to ~e:add,re$$'eq;'::()t~q¢qurn~otaJion:bf~,:":> the type prsoul"<~e of' rnaterlal. fQ~;~heb9t;),~'~,~~~j!~~;~t~~D,:p~ffq:r~~q/.'.:,:,;;,)/.,<

,',,:,\\':;,(:' . "r,y 'c:i,','N:; -:>:<\ . . '.'-'." ,

The references' to Statutes and R.ule~ cited;belo~r~r~t()the~'statute~'5~nd'R6iJ§ " in effect at the time of the violations. ' . , . .

'" : ,'. , ' .;> ::,,: 1. The Texas State Board of Dental' Expmin~r$has authoritY,c;tndjurisdictiQo '. ".:?",:,:~",;}:

overthis'c~se pursuant to Tex."Occ.Code§gS1:0of;e(seq; ah(l22Te)c '" ;:,,>0,-Admin.Code§101et seq; , . '" '," . ';;.:.:':::

.' ,," .. :', ~ ,.":;,<. /':: ; ,:' .. "

',:2. Th'eC<>na.uctdescti,psd · .• iri :F[lld i Flg, bfMa~f~ J\I&)i~~n$~it(]!k$a,Yi()lati6n:,:~("<;', :/:~:::;'f;\'j:i.P:'{;; TEX.: OCC;.CODE<§g63.Q02(a)(10) (Veh')or($.lipp.·Z()(t1); 22 Tex. Ad min;'," i?~'::':::i:."t Code'§§10S.7 and 10S.S(December2001) •. iY,::,' ;, ·"'i;,:;:;.c~j;: .. ;'~~:,

3. The conduct described in Finding 6f~FactNO;-2 constitutesa:Violation'o{:;' .t:,':i> i':;-'i,,:i

TEX. OCC. CODE§263.002(a)(4) and (10) (Vernon's Supp;, 2001);' ahd~: 22 Tex. Admin.Code,§§108~7 anq108.B,:(Dec.etnber20Q1)., .'

"';" .. ""' .... ,.,;;'" " '~~" '..~:' .} '.' " ."/' ~: ' .. ', ~ .

. . .. ' '. '.: " ". '".

'. - '. O' RO"ER"" ", :.,'. .'. ",' . '",. ,', ':;" .. , .... ' '~ ' .. : . '. :~ ~;,:>:., . ,."; :.: :". ,\' :·~:;E·::·~~:;.;~ .. /:<: .<':

• 'IT IS . THEREFORE AG~EEEb:add'O'R(jg~~6;,~HATL{'; ,:, . ,', :, '~:'.< '

1 .. Respondent's. T~xas . Dental, Licens~' No~:'<'9105,' issued Jo"Johrr Peacock, .D.D.S., is hereby issued tlie: S8I1ctk)tfofREPRIMAND.; .

2. Respondent SHALL pay an administrative m-9~etaryfine in theamot:;lnt of three:thoLi$al1d.:.dollars($3,OOO.QO) pa¥~ble,to'.Jhe .. IITe,xssst.ate,

. '. Board ofDentaIExamirler$!'Yloc.at·ed;~t<333\'G'~adaiop~~"t()VVer'3,. Suit~,,/ . aoo,' Austin, Texas.Thea<:lminist~a1:h/erriOhetaryfihe ,SHAtL.,"begaii:'( .' .' in,()n,~:'(1)}ump '$Unj 'or 'inlhstallm~n~paYrt,~rfts, tIie:~(jfal,~fhbunt;q4~"" . no later ,than six,(6} 'n1bt1th$'Jr6mtli~.effE~'CffV~:dateoftbisOrder. .'

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area(s) of bone grafting/alv~olar ridge.presehtation;i' ....... '.: :,:.' ' ..... '., .. <'>:,'

. This continuing education" SHALLbe:'fn~dqit'iontQ;;~esPol1qebt'sannuaL. continuing' education hours required' forlicen~"4~ebY!:lheH'6ar~[:/::>~~.> i.'. :,:.:'

continuing 'education dayso(hours·based:'orl";co.urseavailability:,'Upori:the':t,; successful completion.' of, each course,: the Respo'ndent 'SHALL provide, completion docume·ntati.bn'to the·Board:··.· ' . ! . .

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4; Respondent SHALL take andpassfhejurisprudenGe,examinati,dh Withlh.· ,:',~l;)Y:' s.ix(6) 'months ot: the'effectivedat(:}·:Of~this·;Qrc!er. Thefe~:~Jor the',:>' . ,: ......,. > .. ·.i:: exam.ination, ·SHALL be borne by;,: ~espo.p~e:l1t., ·A juHsr:trudenG8.,.·. ',. ':':'''. > j examin',ation taken pri()r.to the effe.~ti.ve.: dat~ 'Of,this Order SH~LL. 'NGYTI,..· ',"> :':;:., ':

. cbunlt6waraS,.satisfYihg,·this/eqliifen,~2~~:;":;·:· .....J , .' ." . ': ' .', ";"!,.~ ;:"':::}:·:·')./L\':<.{~;;\~ti

5 .. Respondent SHALL subtylitto an6n:,site>r~sp~~ti()n' bYa~j'ehts"br:th~";~~' .' ·'·::.;:;,';i Board within one (1) year.Ofthe effecmre,date OfthisOrde~. " .' .. :. , .. ' :::.::

. " . .,::." :.{< ". /;. :"".\:' ".'::,.:.,.,:',:,,' 6. Respondent SHALL abide by the Laws of-,the State', of':Texas,· the i?ental "::'" .' . '. :' .. ~

Practice Act, the rules arid regulation.s ,ofjhe,J30arq, ~an9' allY rePQrl;irig···,.~·.· '. -'. "". requirementsirriposed toe'tlsure compiif3O'd(3:\o/itb~tlll$;,·ptdef; . ~ .• , . " ..<:., : ... ,"

• • , <' • - >';-. :-"" ,"".' :<"-'~':","'.:.~," . '. : ~-. .'.",": '''",.:'''';;:>~:.~:

. . Sysifini~Q .Q1i~Agriilld(~~~!llm~~f:Q~i~r~~1~~~~f;~~t~~;i4~~,\t~M~;1'jrA1i,.,i~.t;j;;··;):· acknowledg~s Respondent's understanding.~qf Jf ?hd,,~£rrees 'thatResponde~f' >:', ......•. '.,. will satisfactorily comply with the mandates ot.,this Order in.·a'timely man'ner or be' , ..' .... subject to appropriate disciplinary action'. by~ the·' State . Board ·~bf' ". benfaL Examiners. " . .. . . '.' . '.' .

. <

'. .' ". Respondent's signature" hereon does: not: constitlJ!e~ither. a,C(lTIissidrlbr> qeriial of the. allegCiticms set forth)n thisQrderort,he::unQerIYinQeomplai.nt;andjt

. does .' not . c()nstituteadmission·brdenialdf:-.the::fioding~:of fact and .the: ,.' . :c'

·.cOnGIUSi(mso.f.laWS,·etforth~ .. ·' " ,. . . ";" """:.'.':;:',;:"' ;:'".:.::;~:>".' ", :>:,:'.~'; .. <:';;' ,Respondent, by signing this Agre~ Sl.ttIEmienl'Or'd"r;waives any right to' .. ,·.;d?;;"·;0

a formal hearing anciany righttCJjudicial: reviE5W'bffliis::Qrder." Failt:ke'to·CbmpIY).' .. ',:.·:,/::.:~;:;,~~f; with the terms and conditions of this OrderSHAt.Lconstitute 'aviolatibn (j,tthis, <··/i;:'":{2 Order and may subject Respondent to furtherai~ciPlinarYacti9nbYtheB(j$rd.: ',' .. ' :;::(;!;;~':;l~

Page 12: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

;' . " .~,

: ... '. ',.

. All of the above terms, conditions, andpenalties.become·effectiveon·cfhe '. '~ffeetive date o(this Order. Theeffective"d~teofthi~fAgre,eds~ttlerpengcbtJ:i~r' .'. \$h~lIbe·thEfqateitisexecYte{j bythe.sttilte· Bb;:.rdOr!J.~l1tal;E~aniibers;:·

. . . \' G'J' ... . '~ ........ 4G-k.:\fV\.\~~h .•.. J)~S·.· .': .• ; ' . . . JOHN M. PEACQCK;'~[)DS' . Respondent . . .

;-. '

Page 13: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

___ ~ODWIN GRUBER, P. C.

srATE BOARD OF DENTAL SIGNED this .Ll!!. day of ~/.4...;:>,~o=!L-- 200$

ilIarreal, D.D.S., Secretary rd of Dental Examiners

141 007

. :

Page 14: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

John Peacock, DDS SBDENo.03-437-0211 (lSC; April 1,2005; Dr. McDonald, Helen McKibben, RDH, Mr. Wetherbee, JD) -

The complaint(s) alleges the following violations of the Dental Practice Act andlor.the Board's rules and regulations: -

1. On or about January 24, 2003, the Respondent failed to meet the minimum standard of care in failing to adequately document the diagnosis that indicated the necessity of bone graft· treatment for patient T.Z.

2. On or about January 24,.2003, the Respondent fell below the. minimum standard, of care by failing to make, maintain, and keep adequate dental records on patient T.Z. Specifically, the record does not include: a notation of initial blood pressure and pulse, or a statement explaining why these vItal signs were not obtained; written informed consent signed by the patient covering all treatment provided;-documentation of how the patient's mitral valve prolapse was, to be addressed; or documentation of the type or source of material for the bone graft treatment performed.

**Disciplinary Actions Recommended: Reprimand, Fine, CE, JP, On site inspection.

Page 15: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

G '0 D W I ~ 'iJ G RUB E R b~

DANIEL D. KING PARTNER Direct Dial: 713.425.7402 [email protected]

PRNU,EGED & CONFIDENTIAl I PEER REVIEW PRIVU,EGED

Mr. Rob Hill Staff Attorney State Board of Dental Examiners 333 Guadalupe, Tower 3, Suite 800 Austin, Texas 78701-3942

August 17, 2005

Re: In the Matter of License No. 9105 Issued to JOHN M. PEACOCK, D.D.S. Board Case File No. 03-437-0211

Dear Rob:

Attorneys A Limited Liability Partnership

DALLAS HOUSTON

5 Houston Center 1401 McKinney Street, Suite 2700 Houston, Texas 77010·4034 7134257400 8006628393 713 425 7700 Fax

GodwinGruber.com

BY FAX to 5l2-463-7452 and Overnight Mail

Please note that Dr. Peacock has accepted the Board's revised terms of the Agreed Settlement Order. Enclosed please find Dr. Peacock's signed original of the revised Agreed Settlement Order.

I thank you for your ongoing courtesies and professionalism. It is always a pleasure to work with you.

cc: John Peacock, D.D.S.

T5BOE AUG1 fP 05 Pt'j 1=44

HOPRIMARY 1891S1vl

Page 16: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

08/17/05 14:55 FAX 214 760 7332 GODWIN GRUBER,P.C. __ I4J 001

> '

GODWIN G RUB E R

FAX Number of Poges Dote of August 1 7, 2005 (including cover 7 T ronsmiftal . sheet)

To Company Phone

Mr. Rob Hill, Staff Attorney State Boord of 512-463-6400

From Client/Maiter Number

Comments

bentol Examiners . Ellen Baugh

11489·0142 .

Re: John M. Peoc;ock, D.D.S. Board <:ase File No. 03-437-0277

Please see attached.

AfW1?ley,; .. A Limiled Liability P(J/W.~91lip

DAllAS HOUSTON

5 Houston Center 1401 McKinney Drive, Suite 1700 HOllSton, 'i"X 7.'1010 . 113.4:ZS.7~00 800.662.8393 713.425.7700 Fax

Fax

5·12-463-7452

If you do not receive all materials being transmitted. please call (713) 425-7607.

This facsimile message is privileged and confidential and intended only for the use of the individuQI or entily nomed above. If the reader of tnis message is not the intended reCipient, or the employee or agent responsible to deliver it to the intended recipient, you are herebynoti-fied that any dissemination, distribution or copying of this communication in error is strictly prohibited. Please iml1"lediotely notify us by telephbne, and return the original message to us atthe address above via ine U:S. post~1 service,· ..

Page 17: I',ls.tsbde.texas.gov/tsbdeboardorders/Dentists/09105... · 11/15/1982  · BRIAN BABIN, D.D.S. 1002 W. BLUFF WOODVILLE, TEXAS 75979 (713) 283·3721 JAMES S. ROGERS, D.D.S. 2909 GEORGIA

08/17/05 14:55 FAX 214 760 7332 .. _- .. _--

~GGDWIN

OANIEL D. KINe PARTNER

GRUBER

Direct Diol: 713.425.7402 dki"'[email protected]

GOD~.IN GRUBER.P.C .

'PRJ\i)I!EGED & CONFIDENTIAl! Pk~ER REVIEW tROOJ.EGED

Mr. Rob Hill Staff Attorney State Board of Dental Examiners 333 Guadalupe) Tower 3, Suite 800 Austin, Texas 78701-3942

August 17, 2005

Re; In the Matter of License No. 9105 Issued to JOHNM. PEACOCK., D.D.S. Board Case File No. 03-437-0211

Dear-Rob:

Anomoy. A Umimd U8b/l/tyP~rtn.~hj"

bALI-AS HD U ST 0 tl

5 HmJrtOI\ Cellter 14~1 MIiKinneyStrBllt, Suite 2700 Houston, Texas 17010·4034 71S4251400 BOOS6Z8~3

713 ~ 7700 Fax

l3odlJllinGrubcr.com

BY FAX to 512-463-7452 . and Overnight M~

Please note that Dr. Peacock has accepted the Board's revised tenns of the Agreed Settlement Order. Enclosed please find Dr. Peacock's signed original of the revised Agreed Settlement Order. .

I thank you for your ongoing courtesies and professionalism. Jt is always a pleasure to work with you.

Dan

cc: Jolin Peacock, D.D.S ..

HOPRIMARY 1891;51vl