Nevada Dental Benefits

What Nevada Dental Benefits does

Nevada Dental Benefits, Ltd. (NDB) is a Las Vegas-based dental management company that administers dental benefit plans for Nevada employers, Taft-Hartley labor union trusts, government entities, and individual consumers. The company offers three core plan structures — Preferred Provider Organization (PPO), Managed Care (including Exclusive Provider Organization options), and Point-of-Service hybrid plans — and supports both fully insured and self-funded (Administrative Services Only) arrangements, generating revenue through recurring premiums and per-member-per-month administrative fees.

Its technology stack centers on a Wonderbox-hosted Provider Web Portal that enables 24/7 electronic eligibility verification, benefit checks, and claims submission, with the company's auto-adjudication platform reportedly processing more than 90% of claims automatically. NDB ingests electronic claims through three HIPAA-compliant clearinghouses (EDI Health Group/DentalXchange, Vyne Dental, Change Healthcare) using the ANS X12 837D standard, and supplements these operations with the Brusha mobile dental unit for community outreach, an online member payment portal, a teledentistry referral channel for after-hours emergencies via Teledentistry.com, and an integrated dental disease management program.

Distribution is hybrid: direct sales to employers and Taft-Hartley trusts, broker/agent channels evidenced by commercial broker flyers dated September 2024, online self-serve individual enrollment, and a local Las Vegas service center for walk-in support. The company operates under the related PrimeCare Benefits and PrimeCare Administrators brand entities and is undergoing a brand transition to PrimeCare Benefits while maintaining its existing Nevada-focused operations and staff.

Name

Nevada Dental Benefits

Legal name

Nevada Dental Benefits, Ltd.

Website

https://nevadadentalbenefits.com

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

1–10 employees

Short description

Nevada Dental Benefits, Ltd. is a Las Vegas-based dental management company administering PPO, managed care, and point-of-service dental plans for Nevada employers, Taft-Hartley labor union trusts, government entities, and individual consumers, generating revenue through premiums and PMPM administrative fees.

Ownership category

akta.pro rank

Product category

Dental Benefits Administration

NAICS

Insurance and Employee Benefit Funds (5251), 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

Group Dental Plans (Employer-Sponsored) (HLAEAIAG), Ancillary Benefits TPA (Dental/Vision/Life/Accident/Critical Illness) (HLAEALAN), Benefits Administration & Enrollment Support (BPAAAIAB)

Keywords

• Dental benefit plans
• Dental insurance administration
• Managed dental care
• PPO dental plans
• Taft-Hartley benefits

Headquarters

HQ city

Las Vegas

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Dental Managed Care Plans: NDB offers managed care dental plans (EPO) with low-cost, high-value network-based coverage. Members access in-network providers for reduced out-of-pocket costs. Revenue is generated through monthly premiums paid by employers or individuals.
2. Fully Insured Administration: NDB provides full-service administration for fully insured dental plans including claim processing, call center support, utilization review, and member services. Revenue comes from administrative fees and premiums.
3. Self-Funded / Administrative Services Only (ASO): NDB administers self-insured employer plans and Taft-Hartley trusts, processing claims and providing network access for employers who bear the risk. Revenue is generated through per-member-per-month (PMPM) administrative fees.
4. PPO Plans: NDB offers Preferred Provider Organization plans with discounted fee-for-service networks, providing in-network and out-of-network benefits. Revenue is generated through premiums and administrative fees.
5. Point-of-Service (POS) Plans: Hybrid plans combining in-network (EPO) and out-of-network benefits, giving members freedom to choose at point of service. Generates revenue through plan premiums.

Go-to-market motion2 records

Distribution channels5 records

Marketing channels7 records

Core offering

Nevada Dental Benefits is a full-service dental benefits administrator and managed care organization that designs, distributes, and administers PPO, Managed Care (EPO), and Point-of-Service dental plans for employers, plan sponsors, and Taft-Hartley labor trusts in Nevada. The company provides claim processing with over 90% auto-adjudication, credentialed provider network access, integrated dental disease management, and self-service member and provider portals. Under its PrimeCare Administrators brand, it also delivers administrative services only (ASO) for self-insured employers and labor unions.

Product overview

Nevada Dental Benefits (NDB) is a full-service dental management company offering a flexible range of dental benefit products and services. The core offering consists of three plan types: PPO (Preferred Provider Organization) plans providing comprehensive management, reporting, and in/out-of-network benefits; Managed Care plans (including EPO options) with integrated disease management and wellness programs; and Point-of-Service hybrid plans combining in-network and out-of-network benefits. These plans are administered under the PrimeCare Benefits/PrimeCare Administrators brand for self-insured employers and Taft-Hartley trusts. Supporting services include a mobile dental unit ('Brusha') for community outreach, a Provider Web Portal for 24/7 eligibility and claims management, virtual visit/teledentistry capabilities, an online member payment portal, a dental disease management and wellness program, and a hearing aid discount program in partnership with Birdsong Hearing. Claims processing integrates with clearinghouses including EDI Health Group/DentalXchange, Vyne Dental, and Change Healthcare.

Differentiator

Problem solved

Functional benefit

Products and services

• NDB PPO Plans Preferred Provider Organization dental plans providing comprehensive management, reporting, utilization review, in-network and out-of-network benefits, a discounted fee-for-service network, and full-service administration including claim processing and call center. Sold to employers, plan sponsors, brokers, and individual members in Nevada.
• NDB Managed Care Plans (EPO) Managed care dental plans featuring low-cost, high-value network-based options with integrated disease management and wellness programs; EPO network options that direct members to in-network providers for reduced out-of-pocket costs. Sold to employers, plan sponsors, brokers, and individual members in Nevada.
• NDB Point-of-Service (POS) Plans Hybrid dental plans combining in-network (EPO) benefits with out-of-network coverage, giving members the freedom to choose providers at the point of service. Sold to employers, plan sponsors, brokers, and individual members in Nevada.
• PrimeCare Administrators (Self-Funded / ASO Services) Administrative services only (ASO) offering that brings NDB's dental network and administrative capabilities to self-insured employers and primarily Taft-Hartley trusts, including claim processing, network access, and member services for plans where the employer bears the risk.
• Integrated Dental Disease Management and Wellness Program Comprehensive wellness program combining health education, oral screenings, and behavioral interventions designed to improve individual oral health outcomes, reduce systemic health risks, and reduce program costs. Includes oral disease identification, prevention, and oral cancer awareness components.
• PrimeCare Mobile Dental Unit ('Brusha') State-of-the-art mobile dental unit with two operatories, digital x-rays, and computerized records system providing oral screenings, digital x-rays, risk assessments, and oral health education at workplaces and community events. Infection control components exceed state and federal requirements.
• PrimeCare Hearing Aid Discount Program Hearing aid discount program available to all NDB members, offered in partnership with Birdsong Hearing through PrimeCare Hearing, extending member wellness benefits beyond oral health.
• Virtual Visit / Teledentistry Service Virtual dental visit service for after-hours dental emergencies, connecting NDB members with dentists through Teledentistry.com when their regular dentist is unavailable.

Quantifiable outcome

• Auto-adjudication rates over 90%, reducing administrative costs and improving payment consistency
• +3 more outcomes

Named customers6 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

Feature4 records

Partnerships

Six partnerships are on record, tiered minor and core.

• Birdsong HearingminorGTM or Marketing PartnerNDB offers all members access to Birdsong Hearing's hearing aid discount program, providing a value-added benefit beyond dental coverage. This partnership extends NDB's wellness offering beyond oral health.
• United Labor Agency of Nevada (ULAN)coreStrategic or Co-development PartnerNDB supports ULAN through board membership, donated funds, and volunteer resources. NDB provides holiday meal funds for qualified union families. ULAN is a non-profit 501(c)(3) community services agency. Several NDB executives, including VP of Client Relations Cathie Davenport, serve on ULAN's board.
• Community Coalition for Oral Health (CCOH) - Southern NevadacoreStrategic or Co-development PartnerNDB's VP of Client Relations Cathie Davenport (Committee Chair) and Dental Director Dr. Patricia Steiner are members of CCOH. The coalition aims to achieve optimal oral health for all Clark County residents by advocating for prevention, access, and awareness. NDB collaborates with the State of Nevada's Chronic Disease and Oral Health Program managers through this coalition.
• Center for Oral Health at CHC (Culinary Health Center)coreChannel Partner/ Reseller/ DistributorNDB partners with the Center for Oral Health at CHC, providing dental care access for its membership, particularly for the Culinary Workers Union community. Referenced in NDB's navigation and member resources.
• Nevada Tobacco Users HotlineminorStrategic or Co-development PartnerNDB works with the Nevada Tobacco Users Helpline to develop and promote a smoking cessation program through its provider network. NDB has conducted face-to-face meetings with dentists and staff, distributing Tip Cards with information on how to contact the helpline for cessation assistance.
• National Association of Dental Plans (NADP)coreOthersNDB's leadership team includes founding members of the National Association of Dental Plans, the recognized resource of the dental benefit industry. NDB leadership has served on the NADP Board of Directors for over 12 years, received the Gabryl Award for Outstanding Industry Service, the Star Award, and been named Members of the Circle of Leaders.

Scale indicators6 records

Recent moves1 record

Expansion highlights5 records

Direct peers

• Ameritas: Mid-size mutual insurer with a leading dental and vision benefits business, including ASO and network-based plans for employer groups. Closely comparable in scale and product structure to NDB.
• DentaQuest (Sun Life U.S.): National dental benefits administrator and Medicaid/CHIP dental specialist now part of Sun Life U.S. Closely comparable to NDB's PrimeCare Administrators ASO/TPA model and dental disease management orientation across employer, trust and government programs.
• Guardian Life Dental: Dental and vision carrier selling group dental PPO and managed care plans to employers nationwide, with strong broker distribution. Directly comparable group dental product and channel mix to NDB.
• Lincoln Financial Dental: Lincoln Financial Group's dental and vision benefits division offering fully insured and ASO plans through broker distribution. Comparable group dental and ASO product set to NDB.

Broad incumbents

• Delta Dental Plans Association: The largest US dental benefits administrator and carrier network, operating Delta Dental member companies nationwide. Directly comparable to NDB as a dental benefit administrator with PPO and managed care plan designs serving employer groups and individual members.
• Humana Dental: Large national dental benefits carrier focused on Medicare Advantage, employer and individual dental plans. Competes with NDB on Nevada employer and Medicare Advantage dental benefit opportunities.
• MetLife Dental: Global insurance carrier with a major US dental benefits business offering PPO and DHMO plans to employers. Competes with NDB in the Nevada employer group dental segment.
• Cigna Dental: Global health carrier offering dental PPO, DHMO and ASO plans. Competes head-to-head with NDB for mid-market and large employer dental contracts in Nevada and across the U.S.
• UnitedHealthcare Dental: Optum/UHC dental benefits division offering fully insured, PPO and ASO dental plans. Directly comparable PPO/EPO product set and employer distribution model to NDB.
• Aetna Dental (CVS Health): National dental benefits carrier and administrator embedded within CVS Health. Competes with NDB for Nevada employer-sponsored group dental and ASO business with broader product breadth and brand awareness.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/NDBltd
• LinkedInlinkedin.com/company/nevada-dental-benefits-ltd-

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

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 Nevada Dental Benefits