LIBERTY Dental Plan

What LIBERTY Dental Plan does

LIBERTY Dental Plan is a privately held dental benefits administrator founded in 2002 by dentists and health industry professionals. The company administers dental benefit plans for over 7 million members across all 50 states, serving Medicaid managed care (2.7M+ members), Medicare Advantage (1.2M+ members), commercial employer groups, and individual/family exchange populations. LIBERTY operates through state-specific corporate subsidiaries in California, Florida, Nevada, Oklahoma, Hawaii, Illinois, Missouri, New Jersey, New York, and Texas, and is embedded as the dental partner of choice for 60+ health plan organizations including Aetna, Anthem, BlueCross BlueShield plans, Alignment Health, Devoted Health, and VillageCareMAX, as well as direct contracts with state Medicaid agencies.

The company's product portfolio spans four core plan structures: DHMO (Dental Health Maintenance Organization) with set copays and no annual maximums, EPO (Exclusive Provider Organization), PPO (Preferred Provider Organization), and Self-Funded/ASO (Administrative Services Only) for self-insured employer groups. The proprietary technology stack includes a HITRUST CSF v8.1-certified core administration platform (Health Solutions Plus), web-based member and provider portals, a native mobile application (iOS/Android), EDI-integrated electronic claims submission, and a teledentistry platform. The BRUSH Value-Based Program introduces Alternative Payment Models that reward providers for patient health outcomes rather than service volume. Member services support 180+ languages, with 98% of issues resolved on first call and 99% CMS network credentialing audit pass rates.

Revenue is generated primarily through capitation payments (per-member-per-month premiums) from state Medicaid programs and Medicare Advantage health plans, premium-based commercial group and individual/family plan sales, and administrative services fees for self-insured employer groups. Distribution occurs through health plan embed partnerships, direct state Medicaid contracts, broker/agent networks, and direct-to-consumer digital enrollment. Recent growth has been driven by new state contracts and Medicare Advantage health plan partnerships, with the Molina Healthcare of New York contract (effective January 2026) representing the most significant recent member addition at 325,000+ lives.

Name

LIBERTY Dental Plan

Legal name

LIBERTY Dental Plan of California, Inc.

Website

https://libertydentalplan.com

Company type

Private

Founded year

2002

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

LIBERTY Dental Plan is a privately held dental benefits administrator founded in 2002 by dentists, serving over 7 million Medicaid, Medicare Advantage, commercial, and exchange members across all 50 states through a proprietary HITRUST-certified platform and a network of 5,000+ contracted dentists.

Ownership category

akta.pro rank

Product category

Dental Benefits Administration

NAICS

Health and Welfare Funds (525120)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Dental Benefit Administration (DBA) & ASO/TPA for Dental (HLAEAIAJ)

akta.pro secondary industries

Medicaid/CHIP Dental Managed Care Plans (HLAEAIAI), Medicare Advantage Dental Benefit Plans (MA-PD Dental) (HLAEAIAH), Group Dental Plans (Employer-Sponsored) (HLAEAIAG), Stand-Alone Dental Plans (Individual/Family) (HLAEAIAF), Dental PPO Plans (HLAEAIAA)

Keywords

• Dental benefits administration
• Medicaid dental plans
• Medicare Advantage dental
• Dental insurance network
• Value-based dental care

Headquarters

HQ city

Irvine

HQ country

United States

HQ region

North America

Offices10 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Government Program Capitation (Medicaid/Medicare): LIBERTY receives capitation payments (per-member-per-month premiums) from state Medicaid programs and Medicare Advantage health plans in exchange for administering dental benefits and managing a provider network. The company assumes utilization risk and is responsible for care management, utilization review, and ensuring access standards are met.
2. Commercial Group and Individual Plans: Revenue generated from employer-sponsored dental benefit plans (DHMO, EPO, PPO) and individual/family plans sold through brokers, Healthcare Exchange, and direct sales. Plans are priced on a per-member-per-month basis or through premium arrangements, with some self-funded ASO arrangements for larger groups.
3. Administrative Services (ASO): Administrative services only arrangements for self-insured employer groups and health plan partners, where LIBERTY provides network access, claims processing, and utilization management services for a per-administration fee.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels8 records

Core offering

LIBERTY Dental Plan administers dental benefits for over 7 million members across all 50 U.S. states under DHMO, EPO, PPO, and self-funded/ASO plan structures. The company serves Medicaid managed care (2.7M+ members), Medicare Advantage (1.2M+ members), commercial employer groups, and individual/family exchange plans, managing a contracted provider network of 5,000+ dentists and delivering services through a proprietary benefits administration platform with member and provider portals, a mobile app, and teledentistry capabilities.

Product overview

LIBERTY Dental Plan is a dental benefits administrator offering a modular portfolio of products organized around plan types and delivery platforms. The core product suite includes multiple plan structures—DHMO, EPO, PPO, and Self-Funded/ASO—serving government programs (Medicaid, Medicare Advantage, CHIP, SNP) and commercial markets (Individual, Group, Marketplace, Union/Taft-Hartley). State-specific sub-brands like Medi-Cal (California) and SoonerSelect (Oklahoma) deliver regional Medicaid programs. The BRUSH Program adds a value-based care module incentivizing providers for health outcomes. Technology platforms including the Provider Web Portal, Member Web Portal, Mobile App, Secure Email Portal, and Teledentistry service provide the digital infrastructure for member engagement, provider administration, and secure communications. An Interoperability API and Prior Auth Reporting system support partner integration.

Differentiator

Problem solved

Functional benefit

Brands

• BRUSH Program: Value-Based Program that drives change from volume-based care to value-based outcomes via Alternative Payment Models (APMs) that incentivize providers for patient health outcomes.

Products and services

• DHMO (Dental Health Maintenance Organization) Plans Dental HMO plan structure where members select a Primary Care Dentist for coordinated care, with set copays, no annual maximums, and specialty referrals coordinated through the primary care dentist. Designed for Medicaid managed care, commercial employer groups, and individual members seeking predictable dental benefit costs.
• EPO (Exclusive Provider Organization) Plans Exclusive Provider Organization plan offering access to a contracted dentist network with set copays, no deductibles, and no claims forms, but requiring in-network care utilization. Designed for commercial employer groups and individual members.
• PPO (Preferred Provider Organization) Plans Preferred Provider Organization plan providing access to a nationwide dentist network where members can seek care from any licensed dentist, with lower costs for in-network providers. Offers plan options varying by percentage/deductibles for commonly used services and tailored plans including orthodontic benefits for adults and children.
• Self-Funded / ASO (Administrative Services Only) Administrative services for self-insured organizations offering customized solutions, utilization and case management, and cost-savings programs. LIBERTY provides network access, claims processing, and utilization management services for a per-administration fee, designed for larger self-insured employer groups and health plan partners.
• Medicaid Dental Plans Government-sponsored dental benefit administration for Medicaid managed care members, including care management, provider access, and outreach programs. Serves over 2.7 million Medicaid members across California (Medi-Cal LA PHP), Florida (Statewide Medicaid Managed Care), Nevada, and Oklahoma (SoonerSelect) programs with dental home assignment, no co-pays or premiums, and access to a full panel of dental specialties.
• Medicare Advantage Dental Plans Dental coverage integrated with Medicare Advantage health plans, offering HMO, EPO, PPO, MSB, and OSB plan options across all 50 states through partnerships with 20+ Medicare Advantage Health Plan Organizations. Serves over 1.2 million Medicare Advantage members with customized benefit designs and full CMS compliance.
• Commercial Group Plans Employer-sponsored dental plans including HMO, PPO, and EPO products for groups of all sizes, with customized solutions to meet specific organizational oral health needs. Sold through broker/agent networks and direct sales, with monthly billing on a per-member-per-month basis.
• Individual & Family Plans Dental plans available through the Federal Healthcare Exchange, Covered California, state health insurance marketplaces, and direct purchase at sales.libertydentalplan.com for individuals and families, offering various coverage levels and benefit options including DHMO, EPO, and PPO structures.
• Marketplace / Exchange Plans Dental benefits sold through federal and state Healthcare Exchanges, including Small Group SHOP products and Individual marketplace plans, available to consumers purchasing dental coverage independently or through employer-sponsored Small Group SHOP arrangements.
• Union / Taft-Hartley Trust Fund Plans Dental benefit programs administered for labor union and Taft-Hartley trust fund organizations, providing negotiated dental benefits to union members and their dependents under collective bargaining agreements.

Quantifiable outcome

• 2.7 million Medicaid managed care members served
• +6 more outcomes

Named customers27 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature5 records

Partnerships

27 partnerships are on record, tiered core and minor.

• Molina Healthcare of New York (and affiliates including Affinity by Molina Healthcare and Senior Whole Health)coreChannel Partner/ Reseller/ Distributor · 1 January 2026LIBERTY will begin administering dental benefits for Molina Healthcare of New York and its affiliates as of January 1, 2026. Molina and its portfolio for downstate members (Affinity by Molina Healthcare and Senior Whole Health) have over 325,000 members across the state of New York. This is a significant expansion of LIBERTY's Medicaid and government program footprint in New York.
• Aetna Better Health NYcoreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for Aetna Better Health NY Medicaid and Medicare members in New York.
• Aetna Better Health NJcoreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for Aetna Better Health NJ Medicaid members in New Jersey.
• Aetna MedicarecoreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for Aetna Medicare Advantage members.
• Alignment Health PlancoreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for Alignment Health Plan Medicare Advantage members.
• AmeritasminorChannel Partner/ Reseller/ DistributorDental network partnership for Ameritas members in California and Nevada.
• AnthemcoreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for Anthem members.
• BlueCross BlueShield of North Carolina (BCBS of NC)coreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for BCBS of NC members.
• Cook Children's Health PlancoreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for Cook Children's Health Plan Medicaid members in Texas.
• Devoted Health PlancoreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for Devoted Health Plan Medicare Advantage members.
• Oscar Insurance Corporation of New YorkcoreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for Oscar New York Individual Exchange and Small Group Plans.
• VillageCareMAXcoreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for VillageCareMAX Medicaid Advantage Plus, Medicare Total Advantage, and Managed Long-Term Care members in New York.
• Highmark Blue Cross Blue Shield (Western New York)coreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for Highmark BCBS members in Western New York.
• Florida Medicaid (State of Florida)coreChannel Partner/ Reseller/ DistributorLIBERTY is one of three dental plans directly administering the statewide Medicaid Managed Care Dental Program in Florida.
• Inland Empire Health Plan (IEHP)coreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for IEHP DualChoice HMO D-SNP and other members in California.
• Freedom HealthminorChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for Freedom Health Medicare Advantage members in Florida.
• RightCareminorChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for RightCare Medicaid members.
• SoonerSelect (Oklahoma Health Care Authority)coreChannel Partner/ Reseller/ DistributorLIBERTY Dental Plan of Oklahoma is one of the dental plan administrators for the SoonerSelect Dental Program administered by the Oklahoma Health Care Authority (OHCA).
• AlohaCarecoreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for AlohaCare Medicare SNP and QUEST Integration members in Hawaii.
• Ohana Health PlancoreChannel Partner/ Reseller/ DistributorLIBERTY provides dental benefits administration for Ohana Health Plan Medicare Advantage members in Hawaii.
• Meridian Health Plan of IllinoiscoreChannel Partner/ Reseller/ DistributorLIBERTY administered Medicare, Duals, SPDs, and Medicaid Value-Add benefit program for Meridian Health Plan of Illinois; LIBERTY achieved highest CMS 416 scores in the Illinois Medicaid program in 2016.
• Harmony Health Plan of IllinoiscoreChannel Partner/ Reseller/ DistributorLIBERTY provided Medicaid Value-Add benefit program and later expanded to administer Medicare Advantage dental program for Harmony Health Plan of Illinois.
• Next Level Health PlancoreChannel Partner/ Reseller/ DistributorLIBERTY currently serves as benefits administrator for Next Level Health Plan's Medicaid Dental Program in Illinois.
• Dear DoctorminorStrategic or Co-development PartnerLIBERTY partnered with Dear Doctor, the leading provider of dental information for healthcare consumers, to provide oral health and wellness content to members and their families. Dear Doctor produces unbiased, evidence-based information in a consumer-friendly style.
• ProofpointcoreTechnology or IntegrationProofpoint Encryption powers LIBERTY's secure encrypted email service for transmitting PHI and PII communications to and from providers, members, and business partners, ensuring HIPAA and Gramm-Leach-Bliley Act compliance.
• ADA (American Dental Association)minorStrategic or Co-development PartnerLIBERTY directs members to the ADA's award-winning consumer website MouthHealthy.org for dental procedure information, A-Z topics, and answers to questions about dental conditions and treatments.
• ADA Foundation (Give Veterans A Smile program)minorStrategic or Co-development PartnerThe ADA Foundation's Give Veterans A Smile program (referenced in the context of supporting veteran oral healthcare) connects veterans with pro bono oral health services. LIBERTY is an ADA member-aligned dental plan supportive of such community oral health initiatives.

Scale indicators12 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• MetLife Dental: MetLife is one of the largest U.S. dental insurers with strong commercial group and individual dental books. It competes with LIBERTY on PPO commercial group dental plans and increasingly on government-sponsored dental, with a much larger brand and employer-channel footprint.
• Humana Dental: Humana offers dental benefits primarily through Medicare Advantage and commercial plans, overlapping with LIBERTY on Medicare Advantage dental administration and competing for the same health plan partner relationships. Humana also owns CenterWell, increasing vertical integration potential.
• Cigna Dental: Cigna Dental offers DHMO, DPPO, and dental-vision products primarily to commercial and exchange customers. It competes with LIBERTY for broker-sold commercial and small-group dental accounts and through embedded dental benefits inside Cigna health plans.
• Delta Dental Plans Association: Delta Dental is the largest U.S. dental benefits carrier, operating 39 independent member companies across all 50 states. It competes with LIBERTY in commercial group, individual, and increasingly government dental programs, and dwarfs LIBERTY on premium revenue and provider network breadth.
• Anthem Dental (Elevance Health): Anthem/Elevance Health offers dental benefits across commercial, Medicare, and Medicaid segments, both as a direct insurer and through embedded partnerships where LIBERTY serves as dental administrator (Anthem partnership listed). Comparable on commercial and government dental, with deeper medical integration.
• UnitedHealthcare Dental: UnitedHealthcare Dental provides commercial, Medicare Advantage, and Medicaid dental benefits under one of the largest U.S. health insurers. It competes with LIBERTY on Medicaid and MA dental partnerships and brings the cross-sell advantage of an integrated medical carrier.
• Aetna Dental (CVS Health): Aetna offers commercial and Medicare dental products and is simultaneously one of LIBERTY's largest health plan partners (Aetna Better Health NY/NJ, Aetna Medicare). Comparable on embedded dental benefits administration but with a much larger medical carrier parent post-CVS acquisition.

Direct peers

• MCNA Dental: MCNA is a leading dental benefits administrator focused on Medicaid and CHIP programs across multiple states, including Florida where it is one of LIBERTY's three direct competitors on the Statewide Medicaid Managed Care Dental Program. Highly comparable on business model, customer base, and state contracting approach.
• DentaQuest (Sun Life U.S.): DentaQuest is one of the largest Medicaid and CHIP dental benefits administrators in the U.S., directly competing with LIBERTY on state Medicaid dental managed care contracts and Medicare Advantage dental partnerships. Sun Life acquired DentaQuest in 2022, making it the most direct scale comparable to LIBERTY's government-program dental franchise.
• Guardian Dental: Guardian Life offers dental PPO, DHMO, and dental-vision products to commercial employer groups and individuals. Directly comparable to LIBERTY on commercial group dental plan design, broker distribution, and network-based DHMO offerings, though with less Medicaid exposure.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/Liberty_Dental
• YouTubeyoutube.com/channel/UCkexqYfMkZOLXhfQ_Xmt-NQ
• Facebookfacebook.com/LIBERTYDentalPlan
• LinkedInlinkedin.com/company/liberty-dental-plan
• Instagraminstagram.com/libertydentalplan

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Subsidiaries9 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about LIBERTY Dental Plan