Dentist That Accepts Anthem Dental in Arlington, TX

Looking for a dentist in Arlington who works with Anthem? 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 Anthem benefits with us.

What Is Anthem Dental?

Anthem (part of Elevance Health) is an independent licensee of the Blue Cross Blue Shield Association. It operates in a group of states that does not include Texas; in Texas the Blue plan is Blue Cross and Blue Shield of Texas. Anthem offers employer dental plans, including Dental Prime and Dental Complete PPO designs, as well as individual dental plans.

Arlington patients with Anthem dental usually have it through an employer based in an Anthem state, or kept it after moving. Anthem’s national dental network extends past its medical footprint, which is how many Texas dentists participate.

Anthem at Our Arlington Office

Madison Square Dental’s insurance listing shows us in-network for Anthem Dental PPO plans. Anthem plan designs vary by employer, so we’ll check yours before your appointment, including whether orthodontic or implant benefits are included.

We never promise coverage: your plan decides what it pays, and we’ll show you an estimate before treatment.

Coverage in General Terms

Anthem dental plans follow the usual preventive / basic / major structure, but the details are set group by group. Preventive visits usually come first and cost the least. Fillings and extractions are typically basic. Crowns, bridges and dentures are major. Look for frequency limits (how often a cleaning or X-ray is covered) and replacement clauses for crowns and dentures.

Services Anthem members ask about most

• Same-day emergency care — Emergency exams and X-rays are usually treated as diagnostic services.
• Dental implants — Implant coverage differs more than almost any other benefit, so a predetermination is worth requesting first.
• 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
• Root canal treatment
• Dentures and partials

How Claims Are Handled

Claims for Anthem dental go to Anthem’s dental claims address, not to BCBS of Texas, even though both are Blue companies. We handle that routing for you and send claims electronically with X-rays.

1. Call (817) 275-2229 with your member ID and date of birth.
2. We check eligibility, deductible, remaining maximum, frequency limits and waiting periods.
3. You get an estimate before treatment, and a predetermination for major work if you want one.
4. We file the claim; you pay your estimated share at the visit and we reconcile once the EOB arrives.

Before Your First Visit

• Your Anthem dental ID card (it may be separate from your medical card)
• Your employer’s name and the state the plan is based in
• Your group number
• Photo ID and a list of current medications

Anthem FAQs

Is Madison Square Dental in-network with Anthem dental?

Our insurance page lists us as in-network for Anthem Dental PPO plans. Call (817) 275-2229 to confirm your specific plan.

Is Anthem the same as Blue Cross Blue Shield of Texas?

No. Both are Blue licensees, but they are separate companies with separate dental networks and claim addresses.

Does Anthem dental cover orthodontics?

Some employer plans do, usually for children and sometimes adults. We’ll check whether your plan includes ortho benefits.

Does my Anthem medical plan include dental?

Usually not. Anthem dental is normally a separate plan with its own card.

Will Anthem pay for a same-day emergency visit?

Emergency exams and palliative treatment are typically covered. See our emergency dentist page for how same-day visits work.

Book Your Visit

Ready to use your Anthem 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.