Healthplex Dentist in Midtown Manhattan

Dentist on Madison accepts Healthplex dental insurance, including Healthplex PPO plans. Our office is at 274 Madison Avenue, at East 40th Street in Midtown Manhattan, with evening appointments on Mondays and Thursdays and Sunday hours.

Healthplex is on the list of insurance carriers we accept. Your benefits depend on your specific plan, so it's worth checking the details before treatment.

Dental care with Healthplex coverage

Patients with Healthplex coverage come to us for the same care as anyone else. Commonly used services include:

• checkups and cleanings
• tooth-colored fillings
• root canal treatment
• dental crowns and dental bridges
• professional teeth whitening

What Healthplex pays toward each of these depends on your plan. Many dental plans cover preventive care, basic care and major care at different levels, and cosmetic treatments such as whitening are often not covered.

How to check your Healthplex benefits

Call the member services number on your Healthplex card, or sign in to your member account, and ask:

• whether Dentist on Madison is in your plan's network
• whether the treatment you need is covered, and at what level
• how much of your deductible and annual maximum is left this benefit year
• whether waiting periods or frequency limits apply

Then contact our office with the name of your plan and the treatment you're considering, and ask about fees before you decide. You can also use Check Your Insurance on our website to see whether your insurance company is on our list. A match there is not an eligibility check or a guarantee of payment.

Common questions about Healthplex

Does Healthplex cover cleanings and checkups?

Most dental plans put routine checkups and cleanings in their best-covered group, but how often they're covered and at what level depends on your plan. Ask Healthplex how many cleanings a year your plan includes.

What if Dentist on Madison is out of network for my Healthplex plan?

Some plans, especially PPO plans, still pay part of the cost when you see a dentist outside their network, usually at a lower level, and you pay the difference. Other plans pay only for in-network care. Healthplex can tell you how your plan handles it.

Booking a visit with Healthplex

Request an appointment online and our front desk will call you back to confirm a time, or call us at (212) 227-4600. Please mention that you have Healthplex coverage. Don't send member ID numbers or photos of your card through forms, chat or email; we'll tell you how to share plan details when they're needed.

If you don't have dental insurance, or your plan doesn't cover a treatment, see our payment options and financing.