The phrase represents a search query indicating an individual’s need for dental care providers located in proximity to their current location who also participate in the Healthplex dental insurance network. This signifies a user seeking in-network dental services to minimize out-of-pocket expenses and maximize their insurance benefits. The user aims to find a dentist accepting their specific insurance plan within a geographically convenient area.
Identifying dental practitioners who accept a specific insurance plan, like Healthplex, streamlines the process of accessing affordable oral healthcare. This approach helps patients avoid unexpected costs associated with out-of-network providers and simplifies billing procedures. Historically, individuals had to contact numerous dental offices to verify insurance acceptance, a time-consuming process that modern online search capabilities greatly alleviate.
The subsequent discussion will delve into strategies for effectively locating dental practices that align with both geographic and insurance-related requirements, providing resources and methods to simplify the search for suitable dental care options.
1. Insurance Acceptance
Insurance acceptance constitutes a fundamental component of the search for a suitable dental care provider, directly influencing the affordability and accessibility of services. The initial query, representing a desire to locate a dentist in proximity who accepts Healthplex insurance, underscores the primacy of insurance considerations. A dentist’s participation within the Healthplex network directly correlates with reduced out-of-pocket expenses for policyholders. Failure to confirm insurance acceptance prior to receiving treatment can result in significantly higher costs, effectively negating the financial benefits of having dental insurance coverage. For instance, a routine cleaning at an in-network dentist might incur only a small co-payment, while the same procedure at an out-of-network provider could lead to hundreds of dollars in uncovered expenses.
The practical significance of understanding insurance acceptance extends beyond immediate cost savings. Utilizing in-network providers often simplifies the claims process, minimizing administrative burdens for the patient. Healthplex, like many insurance providers, negotiates pre-approved rates with participating dentists, ensuring transparency and predictability in billing. Furthermore, in-network dentists are often familiar with the specific procedures and documentation required by Healthplex, facilitating smoother claim processing and reducing the likelihood of claim denials. The user’s search emphasizes a desire to utilize insurance benefits optimally, minimizing financial strain and maximizing the value of their Healthplex coverage.
In conclusion, insurance acceptance is not merely a convenience but a critical factor in accessing affordable dental care. Aligning the choice of a dental provider with existing insurance coverage, as exemplified by seeking a “dentist that accepts Healthplex near me,” directly impacts the cost-effectiveness and administrative ease of receiving necessary dental treatments. Neglecting this consideration can lead to unforeseen expenses and complicate the healthcare experience, underscoring the importance of verifying insurance participation as a primary step in selecting a dental professional.
2. Geographic Proximity
Geographic proximity represents a significant component in the search for a “dentist that accept healthplex near me” because it directly impacts accessibility and convenience. The implicit need for a nearby dentist arises from factors such as time constraints, transportation limitations, and the desire for readily available appointments. Individuals often require dental services on short notice due to pain or urgent dental issues. A dental practice located a considerable distance necessitates extended travel time, potentially delaying treatment and exacerbating discomfort. Furthermore, frequent follow-up appointments, common in restorative dentistry and orthodontic treatments, become significantly more manageable when the dental office is located in close proximity to the patient’s residence or workplace. The search reflects a prioritization of convenience and efficiency in accessing necessary dental care.
The practical significance of geographic proximity extends beyond immediate convenience. For individuals with mobility issues or limited access to transportation, a nearby dental practice becomes a crucial factor in accessing care at all. Public transportation schedules and availability often influence the feasibility of attending appointments at distant locations. Additionally, parental considerations often weigh heavily in the search for a local dentist, ensuring easy access for children’s dental check-ups and treatments. The ability to integrate dental appointments into daily routines, without significant disruption, further underscores the importance of geographic convenience. Real-world examples include individuals with chronic dental pain seeking immediate relief from a dentist within their immediate vicinity, or parents scheduling routine cleanings for their children during school breaks at a local practice.
In summary, the connection between geographic proximity and finding a “dentist that accept healthplex near me” is rooted in the need for accessible and convenient dental care. Proximity reduces travel time, facilitates timely treatment, and accommodates transportation limitations, ultimately contributing to improved adherence to dental care schedules. While insurance acceptance ensures affordability, geographic proximity guarantees accessibility, making both factors integral to a successful dental care search. The challenge lies in simultaneously identifying a dentist who meets both criteria, highlighting the need for efficient search tools and comprehensive provider directories.
3. Network Participation
Network participation is the central mechanism connecting a dental practice to the benefits associated with a “dentist that accept healthplex near me” query. A dentist’s inclusion in the Healthplex network directly determines whether patients can utilize their insurance coverage at that practice. This participation signifies a contractual agreement between the dentist and Healthplex, dictating pre-negotiated rates for services rendered to insured members. Consequently, patients selecting an in-network dentist benefit from lower out-of-pocket costs compared to visiting a non-participating provider. For instance, a patient requiring a root canal might pay only a co-insurance amount at an in-network dentist, while facing significantly higher charges at an out-of-network provider who bills at their standard rates. This cost difference directly results from the in-network dentist’s adherence to the fee schedule established by Healthplex.
The practical implication of understanding network participation extends to informed decision-making regarding dental care. Individuals searching for a “dentist that accept healthplex near me” are actively seeking to minimize expenses and maximize their insurance benefits. Failure to verify network status prior to treatment can negate these benefits. Many insurance providers offer online directories or customer service channels to assist patients in identifying in-network dentists. Consider a scenario where an individual requires emergency dental treatment. Selecting the closest dentist without confirming Healthplex participation could result in substantial uncovered costs, even if the individual possesses comprehensive dental insurance coverage. This highlights the need for proactive verification and the potential financial consequences of neglecting network considerations.
In conclusion, network participation is not merely a technical detail but the determining factor in accessing cost-effective dental care with Healthplex insurance. It is the direct link between a patient’s coverage and the affordability of treatment at a given dental practice. Overlooking this connection can lead to unexpected expenses and undermine the purpose of having dental insurance. Therefore, verifying a dentist’s participation in the Healthplex network is a crucial step in the search process initiated by the query “dentist that accept healthplex near me,” ensuring both financial predictability and optimal utilization of insurance benefits.
4. Provider Credentials
The intersection of provider credentials and the search for a “dentist that accept healthplex near me” represents a critical aspect of informed healthcare selection. While insurance acceptance ensures affordability and geographic proximity ensures convenience, provider credentials establish confidence in the quality and safety of dental care. Credentials, encompassing education, certifications, licenses, and professional affiliations, serve as objective indicators of a dentist’s competence and expertise. The implication is that a dentist participating in the Healthplex network, while satisfying the initial search criteria, should also possess verifiable qualifications to ensure optimal patient outcomes. For example, a dentist specializing in pediatric dentistry should hold the relevant board certifications to demonstrate specialized training in treating children.
The practical significance of considering provider credentials stems from the need to mitigate risks associated with unqualified or substandard dental care. A dentist lacking proper training or experience may be more prone to errors, misdiagnoses, or complications, potentially leading to adverse health consequences for the patient. Checking credentials allows individuals to verify that the dentist has met established standards of professional competence. State dental boards typically provide online databases where licenses and disciplinary actions can be verified. Furthermore, professional affiliations, such as membership in the American Dental Association, often indicate a commitment to continuing education and ethical practice. Consider the scenario of a complex dental procedure, such as implant placement; verifying the dentist’s experience and credentials in implantology becomes crucial to minimizing the risk of complications.
In conclusion, integrating provider credentials into the search for a “dentist that accept healthplex near me” elevates the decision-making process beyond mere convenience and cost considerations. It emphasizes the importance of ensuring that the chosen dentist possesses the necessary qualifications to provide safe and effective care. While a dentist’s participation in the Healthplex network provides access to affordable treatment, verifying their credentials ensures that the treatment meets recognized standards of professional competence. The challenge lies in balancing these factors to make a well-informed decision that prioritizes both affordability and quality.
5. Patient Reviews
Patient reviews, in the context of locating a “dentist that accept healthplex near me,” serve as a form of collective assessment, providing insights into the experiences of individuals who have previously received dental care from a particular practice. These reviews offer subjective perspectives that complement objective criteria such as insurance acceptance and provider credentials. The user seeking dental services within the Healthplex network can leverage patient reviews to inform their decision-making process, potentially mitigating risks associated with selecting an unfamiliar provider.
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Treatment Quality Perceptions
Patient reviews frequently address the perceived quality of dental treatments received, encompassing aspects such as the dentist’s skill, attention to detail, and the effectiveness of the procedures. For example, a review might comment on the dentist’s thoroughness during a cleaning or the success of a restorative procedure. Within the context of a “dentist that accept healthplex near me” search, these insights can help prospective patients gauge the likely quality of care, even if insurance coverage is confirmed and geographic proximity is suitable.
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Communication and Bedside Manner
Effective communication and a positive bedside manner are often highlighted in patient reviews. The ability of a dentist to clearly explain procedures, address concerns, and create a comfortable environment significantly impacts the patient experience. A review might praise a dentist’s patience in answering questions or their ability to alleviate anxiety during a complex treatment. While a “dentist that accept healthplex near me” might fulfill insurance and location requirements, patient reviews provide nuanced information regarding the dentist’s interpersonal skills, influencing the overall satisfaction of the patient.
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Office Environment and Staff Friendliness
The overall office environment and the demeanor of the staff contribute significantly to the patient experience. Reviews often mention the cleanliness and organization of the dental practice, as well as the friendliness and helpfulness of the administrative staff. A positive review might commend the efficient scheduling process or the welcoming atmosphere of the waiting room. These factors, although seemingly minor, can influence a patient’s perception of the practice and contribute to their overall comfort level. Finding a “dentist that accept healthplex near me” extends beyond just the dentist to include the entire office ecosystem.
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Waiting Times and Appointment Availability
Patient reviews often address the efficiency of the practice in terms of waiting times and appointment availability. Reviews might comment on the promptness of appointment scheduling and the adherence to scheduled appointment times. Lengthy waiting times or difficulty in securing appointments can negatively impact patient satisfaction, even if the dentist provides excellent clinical care. Therefore, considering reviews pertaining to appointment logistics is crucial when selecting a “dentist that accept healthplex near me,” particularly for individuals with busy schedules.
Ultimately, the integration of patient reviews into the process of selecting a “dentist that accept healthplex near me” allows for a more holistic evaluation of potential dental care providers. These reviews offer valuable subjective insights that complement objective criteria, facilitating a more informed decision-making process. The user can weigh various factors, including treatment quality, communication, office environment, and appointment logistics, to identify a dental practice that not only meets their insurance and location requirements but also aligns with their individual preferences and expectations.
6. Appointment Availability
Appointment availability represents a crucial determinant in the practicality of selecting a “dentist that accept healthplex near me.” A dentist’s participation in the Healthplex network and convenient location become less relevant if scheduling an appointment proves excessively difficult or delayed. The immediate need for dental care, whether prompted by pain, routine check-ups, or specific treatments, necessitates timely access to the chosen provider. Limited appointment slots, extended waiting periods, or restrictive scheduling policies diminish the value proposition of an otherwise suitable dental practice. The fundamental cause-and-effect relationship dictates that limited appointment availability directly impedes the utilization of insurance benefits and the accessibility afforded by geographic proximity.
The practical consequences of poor appointment availability manifest in several ways. Individuals experiencing dental pain may be forced to seek care at alternative, possibly out-of-network, providers to obtain immediate relief, thus incurring higher costs. Those requiring routine check-ups might postpone appointments due to scheduling conflicts, potentially leading to the development of more serious dental issues. The burden is particularly acute for individuals with inflexible work schedules or those responsible for the care of dependents. Consider a scenario where an individual identifies a “dentist that accept healthplex near me,” only to discover that the earliest available appointment is several months away. This delay could necessitate seeking care elsewhere, undermining the initial search effort.
In conclusion, appointment availability serves as a critical component in the overall assessment of a “dentist that accept healthplex near me.” While insurance participation and geographic convenience are essential prerequisites, they are ultimately rendered ineffective if timely access to dental care is not readily available. The challenge lies in striking a balance between insurance coverage, location, and scheduling flexibility to ensure that individuals can obtain the necessary dental care without undue delay or inconvenience. Prioritizing appointment availability alongside other key criteria is essential for optimizing the selection of a suitable dental practice.
7. Services Offered
The range of services offered by a dental practice represents a key consideration when searching for a “dentist that accept healthplex near me.” Insurance acceptance and location are foundational, but the specific treatments provided must align with individual oral health needs. The following explores how the scope of dental services influences the suitability of a dental provider.
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Preventive Dentistry
Preventive services, including routine cleanings, examinations, and fluoride treatments, form the cornerstone of oral health maintenance. While most general dentists offer these services, the frequency and specific techniques employed can vary. Individuals seeking a “dentist that accept healthplex near me” should confirm that the practice provides comprehensive preventive care tailored to their age and risk factors. For example, a practice offering specialized cleanings for patients with periodontal disease would be more suitable than one offering only basic prophylactic services. This ensures proper management of potential oral health issues.
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Restorative Dentistry
Restorative services, such as fillings, crowns, bridges, and dentures, address damage or loss of tooth structure. The availability of these services is crucial for individuals requiring treatment for cavities, fractures, or missing teeth. When searching for a “dentist that accept healthplex near me,” it is important to determine the practice’s proficiency in various restorative techniques and materials. A practice offering both traditional amalgam fillings and modern composite restorations provides patients with more choices. Additionally, the use of advanced technologies, such as CAD/CAM dentistry for same-day crown fabrication, can improve the efficiency and convenience of restorative treatments.
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Cosmetic Dentistry
Cosmetic services, including teeth whitening, veneers, and orthodontics, focus on enhancing the aesthetic appearance of the smile. While not always covered by insurance, these services can significantly improve a patient’s confidence and self-esteem. Individuals prioritizing cosmetic enhancements when seeking a “dentist that accept healthplex near me” should inquire about the practice’s experience and expertise in these procedures. A practice offering a range of cosmetic options, from simple teeth whitening to comprehensive smile makeovers, demonstrates a commitment to addressing aesthetic concerns.
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Specialized Treatments
Specialized treatments, such as endodontics (root canals), periodontics (gum disease treatment), oral surgery (extractions), and orthodontics (braces), address specific and often complex dental conditions. While some general dentists offer limited specialized services, more complex cases may require referral to a specialist. Individuals seeking a “dentist that accept healthplex near me” with a history of specific dental problems should confirm whether the practice provides the necessary specialized treatments or has established referral relationships with trusted specialists. For example, patients with severe gum disease may benefit from a practice with an in-house periodontist or a strong referral network for periodontal care.
In summary, the specific services offered by a dental practice significantly impact its suitability, regardless of insurance acceptance and geographic location. The range of services, from preventive care to specialized treatments, should align with individual oral health needs and preferences. Thoroughly evaluating the services offered is essential when searching for a “dentist that accept healthplex near me” to ensure comprehensive and appropriate dental care.
8. Payment Options
The availability of diverse payment options is intrinsically linked to the search for a “dentist that accept healthplex near me.” While insurance acceptance, specifically Healthplex in this context, addresses a primary aspect of affordability, payment options bridge the gap between remaining costs and a patient’s ability to access care. Even with insurance coverage, co-payments, deductibles, and costs for non-covered services invariably arise. If a dental practice lacks flexible payment arrangements, it effectively limits access to care, even for individuals with insurance and a readily accessible location. The cause-and-effect relationship is clear: limited payment choices restrict the practical benefit of finding a dentist accepting Healthplex insurance.
The practical significance of understanding this connection can be illustrated through various examples. Consider an individual needing a costly restorative procedure, such as a crown. Even with Healthplex coverage, a substantial out-of-pocket expense may remain. If the dental practice only accepts cash or credit cards, the individual may be forced to delay or forgo treatment due to financial constraints. Conversely, a practice offering payment plans, financing options like CareCredit, or accepting Health Savings Account (HSA) funds, significantly expands access to care. This allows individuals to manage their dental expenses over time, rather than facing a large, immediate financial burden. The availability of multiple payment options demonstrates a commitment to patient accessibility and affordability, complementing the benefits provided by Healthplex insurance.
In summary, payment options constitute an integral component of the “dentist that accept healthplex near me” search, extending affordability beyond insurance coverage. The availability of diverse payment arrangements, such as payment plans and financing options, enhances access to dental care by accommodating varying financial circumstances. While challenges remain in ensuring universal affordability, understanding the link between payment options and insurance coverage empowers individuals to make informed decisions and access the necessary dental treatment. Neglecting this connection undermines the potential benefits of finding an in-network dentist within a convenient location.
9. Office Hours
Office hours significantly impact the accessibility of dental care when searching for a dentist accepting Healthplex insurance in a specific geographic area. While insurance acceptance and location are primary considerations, the practical utility of these factors diminishes if the dental practice’s operating hours conflict with an individual’s availability. The alignment of office hours with patient schedules is, therefore, an essential component of effective healthcare access.
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Work-Life Balance Considerations
Many individuals maintain employment schedules that restrict their ability to attend daytime appointments. Dental practices offering evening or weekend hours cater to this segment of the population, enabling them to access care without sacrificing work time. This is particularly relevant for those seeking a “dentist that accept healthplex near me” as proximity becomes less advantageous if appointment times are consistently unavailable due to conflicting work commitments. A dentist located nearby but only open during traditional business hours may prove less accessible than a slightly more distant practice offering extended or weekend options. This directly influences a patient’s ability to maintain regular dental check-ups and address urgent dental needs promptly.
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Emergency Access
Dental emergencies, such as severe pain or trauma, often necessitate immediate attention. A dental practice offering after-hours emergency services, or maintaining on-call availability, provides a crucial safety net for patients. While not all practices offer this level of service, its presence significantly enhances the value proposition for individuals seeking a “dentist that accept healthplex near me.” The ability to receive timely care during off-peak hours can prevent minor issues from escalating into more serious and costly problems. Consider a scenario where an individual experiences a sudden toothache late at night; a dentist with emergency availability offers immediate relief, while a practice with standard business hours requires the patient to endure discomfort until the following day.
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Accessibility for Families
Families with children often face logistical challenges in scheduling dental appointments. Coordinating appointments for multiple family members, particularly during school hours, can be difficult. Dental practices offering flexible scheduling options, such as block appointments or extended hours, simplify this process. A “dentist that accept healthplex near me” with family-friendly scheduling policies reduces the burden on parents and ensures that all family members receive timely dental care. This may involve offering appointments before or after school, or providing childcare services during appointments. These accommodations enhance the overall accessibility of dental services for families.
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Public Transportation Considerations
Individuals relying on public transportation face additional constraints when scheduling dental appointments. The availability of transportation options, particularly during evenings and weekends, can influence the feasibility of accessing a dental practice. A “dentist that accept healthplex near me” located along a reliable public transportation route and offering hours that align with transportation schedules provides a significant advantage. This is especially crucial for individuals with limited access to private vehicles. Failure to consider public transportation options can effectively limit access to care, even for individuals with insurance and a nearby dentist.
The interplay between office hours and the search for a suitable dentist underscores the importance of considering practical accessibility alongside insurance coverage and location. While finding a “dentist that accept healthplex near me” addresses key concerns regarding affordability and convenience, the ultimate value lies in the ability to access care when needed. Prioritizing office hours that align with individual schedules and circumstances is, therefore, a crucial step in selecting a dental practice that effectively meets overall healthcare needs.
Frequently Asked Questions
This section addresses common inquiries regarding the process of locating dental practitioners who accept Healthplex insurance within a reasonable geographic area.
Question 1: How can dentists who participate with Healthplex insurance in a specific location be identified?
Healthplex typically provides an online provider directory accessible through its website. This directory allows users to search for dentists based on location and insurance plan. Contacting Healthplex customer service directly is another method for obtaining a list of participating providers in the desired area.
Question 2: Is it guaranteed that a dentist listed in the Healthplex directory is currently accepting new patients?
Listing in the directory does not guarantee acceptance of new patients. It is advisable to contact the dental office directly to inquire about their new patient policy and appointment availability before scheduling a visit.
Question 3: What steps are involved in verifying that a dentist is in-network with Healthplex insurance?
Contacting the dental office directly is the most reliable method for verification. Providing the insurance information and inquiring about their in-network status with Healthplex is recommended. Additionally, contacting Healthplex customer service to confirm the dentist’s participation is advisable.
Question 4: Do all dental procedures have the same level of coverage under Healthplex insurance?
Coverage levels vary based on the specific dental procedure and the details of the Healthplex insurance plan. Reviewing the plan’s benefits summary or contacting Healthplex customer service provides detailed information about procedure-specific coverage.
Question 5: What factors, besides insurance acceptance and location, should be considered when choosing a dentist?
Provider credentials, patient reviews, services offered, office hours, and payment options are important considerations. Assessing these factors, in addition to insurance acceptance and location, contributes to a well-informed decision.
Question 6: Is it possible to receive treatment from an out-of-network dentist with Healthplex insurance?
Treatment from an out-of-network dentist is possible, but it will likely result in higher out-of-pocket expenses. Healthplex typically covers a smaller percentage of the cost for out-of-network services, and the patient is responsible for the difference between the dentist’s standard fee and the amount covered by insurance.
In summary, locating a dentist who accepts Healthplex insurance involves utilizing available resources, verifying provider participation, and considering factors beyond insurance and location to ensure optimal dental care.
The subsequent article section will explore emerging trends in dental insurance and their impact on patient access to care.
Tips for Effectively Locating a Dentist Accepting Healthplex
Navigating the search for appropriate dental care requires a strategic approach. The following tips facilitate the identification of a dental practice that aligns with both insurance coverage and individual needs.
Tip 1: Utilize the Healthplex Provider Directory. Access the official Healthplex website to employ the online provider directory. Refine the search using specific criteria, such as geographic location and dental specialty. The directory functions as a primary resource for identifying participating dentists.
Tip 2: Contact Healthplex Customer Service. Supplement the online search by contacting Healthplex customer service directly. Representatives can provide updated information on participating dentists and address specific inquiries regarding coverage and benefits.
Tip 3: Verify Insurance Acceptance Directly with the Dental Office. Before scheduling an appointment, contact the dental office to confirm their participation in the Healthplex network. Insurance network participation can change, so a direct confirmation mitigates potential billing discrepancies.
Tip 4: Consult Online Review Platforms. Research dental practices through reputable online review platforms. Patient testimonials offer insights into the quality of care, office environment, and patient experiences, aiding in informed decision-making.
Tip 5: Prioritize Proximity Aligned with Practical Accessibility. While proximity is important, consider factors like traffic patterns, public transportation access, and parking availability. A slightly more distant practice with easier accessibility may prove more convenient than a closer one with logistical challenges.
Tip 6: Inquire About Appointment Availability. Contact the dental office to ascertain the availability of appointments, particularly for new patients. Extended wait times may necessitate exploring alternative options.
Tip 7: Investigate the Range of Services Offered. Determine whether the dental practice provides the specific services required, such as general dentistry, orthodontics, or periodontics. Ensure alignment between the practice’s service offerings and individual dental needs.
Successfully locating a compatible dental practice involves a multi-faceted approach. The prudent application of the presented tips will help secure appropriate care.
The concluding section will synthesize the key considerations discussed throughout this article, emphasizing the importance of a balanced and informed approach to dental care selection.
Conclusion
The exploration of “dentist that accept healthplex near me” reveals a complex interplay of factors extending beyond simple proximity and insurance acceptance. A comprehensive approach to selecting a dental care provider necessitates careful consideration of credentials, patient feedback, the range of services offered, payment options, and office hours. Each element contributes to the overall accessibility, affordability, and quality of care received.
Ultimately, the effectiveness of a dental care decision hinges on informed judgment. The diligent application of the discussed strategies will facilitate access to appropriate dental care and enhance long-term oral health outcomes. Individuals are encouraged to prioritize thorough research and verification to ensure alignment between their needs and the services provided by their chosen dental practitioner, optimizing their use of Healthplex insurance.
