Looking for a dentist in Arlington who works with DentaQuest? 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 DentaQuest benefits with us.
What Is DentaQuest?
DentaQuest, part of Sun Life, is one of the largest administrators of government dental programs in the country. In Texas it is one of the dental managed care organizations for children’s Medicaid and CHIP dental services, and it also administers some commercial and Medicare Advantage dental benefits.
For Texas Medicaid and CHIP dental, members choose or are assigned a main dental home. Covered services follow state program rules rather than a typical deductible-and-maximum design.
DentaQuest at Our Arlington Office
Madison Square Dental is in-network with DentaQuest. Please bring your DentaQuest member card to every visit. Medicaid and CHIP eligibility can change month to month, so we check it before each appointment.
We never promise coverage: your plan decides what it pays, and we’ll show you an estimate before treatment.
Coverage in General Terms
Government-program dental benefits through DentaQuest follow program rules. Covered services, prior authorization requirements and eligibility are set by the program, not by a deductible-and-maximum design. Commercial or Medicare Advantage plans administered by DentaQuest work more like standard dental plans.
Services DentaQuest 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 Claims Are Handled
We bill DentaQuest directly as an in-network provider. For government-program plans, eligibility checks and any required prior authorizations happen before treatment, and we handle them for you.
- 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.
Before Your First Visit
- Your DentaQuest ID card (or Your Texas Benefits card for Medicaid/CHIP)
- Your main dental home assignment, if you have one
- Photo ID
- Photo ID and a list of current medications
DentaQuest FAQs
Is Madison Square Dental in-network with DentaQuest?
Yes. Bring your DentaQuest member card and call (817) 275-2229. We’ll check your eligibility.
Do I need to bring my card every time?
Yes. Eligibility for government programs can change, so we check it at each visit.
What is a main dental home?
In Texas Medicaid and CHIP dental, it’s the dentist responsible for your child’s routine care.
Does DentaQuest require prior authorization?
Some services do. We’ll handle it before treatment.
Can adults use DentaQuest?
It depends on your program or plan. We’ll check your eligibility.
Book Your Visit
Ready to use your DentaQuest 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.