Looking for a dentist in Arlington who works with Ambetter? Madison Square Dental at 803 Washington Dr, Arlington, TX 76011 sees patients from Arlington, Grand Prairie, Pantego, Mansfield and the rest of the Mid-Cities, Monday through Friday, 9 AM to 5 PM. Here is what to know about using your Ambetter benefits with us.
Ambetter Health Dental: The Basics
Ambetter Health is Centene’s brand of Affordable Care Act Marketplace plans, sold in Texas through HealthCare.gov. Its dental benefits work differently from employer plans. Pediatric dental is an essential health benefit under the ACA, so it is often built into or attached to the medical plan for children. Adult dental is usually optional and may come as a separate add-on plan.
Because the dental part of an Ambetter plan can be built in, bought separately or administered by a partner company, the card in your wallet may name a different company for dental claims.
Network Status and Verification
Madison Square Dental is in-network with Ambetter Health Dental. Please bring your Ambetter member card, plus any separate dental card, so we can check your eligibility and whether your plan includes adult dental or only pediatric dental.
We never promise coverage: your plan decides what it pays, and we’ll show you an estimate before treatment.
Typical Coverage Categories
Marketplace dental benefits through Ambetter vary by plan and tier. Pediatric dental is commonly included as an essential health benefit. Adult dental is often optional. Dental deductibles and annual limits may be separate from your medical ones.
Services Ambetter members ask about most
- Cleanings and exams — Routine exams and cleanings are typically the most fully covered part of a plan, subject to frequency limits.
- Tooth and wisdom tooth extractions — Simple and surgical extractions are often classified differently, which changes how your plan pays.
- Same-day emergency care — Emergency exams and X-rays are usually treated as diagnostic services.
- Root canal treatment
- Dental implants
- Dentures and partials
How We Bill Ambetter
We bill Ambetter’s dental claims directly as an in-network provider. Marketplace dental benefits often have their own deductible and annual limit, and we check both before treatment.
- Call (817) 275-2229 with your member ID and date of birth.
- We check eligibility, deductible, remaining maximum, frequency limits and waiting periods.
- You get an estimate before treatment, and a predetermination for major work if you want one.
- We file the claim; you pay your estimated share at the visit and we reconcile once the EOB arrives.
What to Have Ready
- Your Ambetter member ID card (and any separate dental card)
- Your plan name and metal tier (Bronze, Silver, Gold)
- Details of any dental add-on you bought during enrollment
- Photo ID and a list of current medications
Ambetter FAQs
Is Madison Square Dental in-network with Ambetter?
Yes. Bring your member card and call (817) 275-2229. We’ll check your eligibility.
Does Ambetter cover adult dental?
Often only if you added an adult dental plan. We’ll check.
Is my dental deductible the same as my medical deductible?
Not always. We’ll check.
Can I bring my child with Ambetter?
Yes. Bring their member card so we can check their pediatric dental benefit.
Why do you check eligibility every visit?
Marketplace coverage can change if premiums lapse or plans change.
Book Your Visit
Ready to use your Ambetter benefits? Call Madison Square Dental at (817) 275-2229 or book online. We’re open Monday through Friday, 9 AM to 5 PM, at 803 Washington Dr, Arlington, TX 76011. Have questions first? Our team can check your plan before you ever sit in the chair.
Coverage varies by individual plan. Call (817) 275-2229 to verify your specific benefits before scheduling.