Looking for a dentist in Arlington who works with Healthplex? 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 Healthplex benefits with us.
What Is Healthplex Dental?
Healthplex is a dental benefits company based in New York, serving employers, unions and government programs mainly in New York and nearby states. It offers dental PPO and managed-care plans.
Healthplex’s provider network is concentrated in the Northeast, so Texas members should check how their plan treats out-of-area care.
Healthplex at Our Arlington Office
Madison Square Dental is in-network with Healthplex. Even though Healthplex’s home base is outside Texas, you can use your benefits at our Arlington office at in-network rates. Call (817) 275-2229 with your member ID and we’ll check your plan’s deductible, maximum and frequency limits before your visit.
We never promise coverage: your plan decides what it pays, and we’ll show you an estimate before treatment.
Coverage in General Terms
Healthplex plans use the standard preventive / basic / major structure, and because Madison Square Dental is in-network, your Arlington visits are priced at in-network rates. Your employer’s design sets the exact levels.
Services Healthplex 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.
- Same-day emergency care — Emergency exams and X-rays are usually treated as diagnostic services.
- Tooth and wisdom tooth extractions — Simple and surgical extractions are often classified differently, which changes how your plan pays.
- Root canal treatment
- Dental implants
- Dentures and partials
How Claims Are Handled
We send claims to Healthplex as an in-network provider, so you pay your estimated share at the visit and we reconcile once the EOB arrives. You don’t need to file anything yourself.
- 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 Healthplex ID card
- Whether your plan is PPO or managed care
- Your employer or union’s name
- Photo ID and a list of current medications
Healthplex FAQs
Is Madison Square Dental in-network with Healthplex?
Yes. Call (817) 275-2229 to check your benefits.
Does Healthplex work in Texas?
Yes, at our office. We’re in-network with Healthplex.
Can you file my Healthplex claim?
Yes, directly as an in-network provider.
What if my card says managed care?
Call with your card so we can check your plan type.
Are cleanings covered?
Most plans cover routine preventive care.
Book Your Visit
Ready to use your Healthplex 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.